SPECIAL MEETING APALACHICOLA CITY COMMISSION TUESDAY,JULY 16, 2024-6:00PM FORMERAPALACHICOLA MUNICIPAL LIBRARY 74 6TH STREET, APALACHICOLA, FLORIDA 32320 Agenda You are welcome to comment on any matter under consideration by the Apalachicola City Commission when recognized to do so by the Mayor. Once recognized please rise to the podium, state your name for the record and adhere to the five minute time limit for public comment. Comments may also be sent by email to the City Manager or to Commissioners. I. Call to Order Invocation Pledge of Allegiance II. Public Comments III. Florida Department of Agriculture and Consumer Services Grant Application IV. Adjournment Any person who desires to appeal any decision at this meeting will need a record oft the proceeding and for this purpose, may need to ensure that a verbatim record of the proceeding is made which includes testimony and evidence upon which the appeal is based. Persons with disabilities needing assistance toj participate in any oft these proceedings should contact the City Clerk's Office 48 hours in advance of the meeting. APALACHICOLA CITY COMMISSION SPECIAL MEETING REQUEST FOR BOARD ACTION Meeting Date: July 16, 2024 SUBJECT: FDACS Grant Application AGENDA NFORMATION: Item Number: Department: Contact: Presenter: Agenda Location: Special Meeting 1 Administration Scott Davis/Dennis Winterringer Scott Davis/Dennis Winterringer BRIEF SUMMARY: The Tree Committee was tasked by the City Commission with completing the application for the attached FDACS to fund the planting oft trees at Lafayette Park. Mr. Winterringer has completed the application. City staffn needs (1) approval to submit the application with the included scope of work, and (2) direction to appropriate $10,0001 towards the match fori the grant. RECOMMENDED MOTION AND REQUESTED ACTIONS: FUNDING SOURCE: FDACS ATTACHMENTS: Grant Application and map of proposed tree locations STAFF'S COMMENTS AND RECOMMENDATIONS CITY OF APALACHICOLA. FLORIDA, APPLICATION FOR URBAN AND COMMUNITY FORESTRY CAPACITY GRANT Florida Department of Agriculture and Consumer Services Division of Administration APPLICATION FOR FEDERAL FINANCIAL ASSISTANCE SUBAWARD 2CFR200 WILTON SIMPSON COMMISSIONER Instructions for Application Packet *Each field of the application must be completed. *If a field does not apply, indicate NIA int the field. 1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of Funding 2. Amount of funds requested for this project - List the total amount ofi 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 4. Subrecipient FEIN - Record the employer ort taxpayer identification number as assigned by the Internal Revenue 5. Subrecipient Registered in SAM- All applicants must be registered in the System of Award Management (SAM) to 6. Street Address Record the street address as recognized by the U.S. Postal Service. Do not record a P.O. Box. Opportunity. must match the name listed in SAM. Service. obtain federal financial assistance. Individuals are not required to register in SAM. 7. City Record the city. 8. State Record the state. 9. Zip Code plus 4- Record the nine-digit U.S. Postal Code. 10. Mailing address (if different from above) Record a different mailing address. 11. Phone Number - Record a 10-digit (Xxx-xXx-XXXX) daytime phone number. 12. Fax Number Record a 10-digit (xxx-XXX-XXXX) fax number. 13. 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. 14. Cost Sharing (Match) if applicable Record the value of cost share to be provided. 15. Congressional District Record the applicant's congressional district. 16. Name and contact information for matters involving this application. 17.Subrecipient Type - Circle the type of subrecipient. 18. Descriptive title of Subrecipient Project - Record a brief descriptive title of the project. 19. Funding Period - Enter the dates, within the award period, as to when the project will begin and finish. 20. Location of Proposed Program/Project - Record the physical address of where the scope of work will be completed. 21. Total # of full-time employees Record the number of full-time employees. A full-time employee works 40 hours per 22. Total # of part-time employees - Record the number of part-time employees. A part-time employee works less than 24. Has your organization previously received federal financial assistance from FDACS? Record yes or no. Please 25. The application must be signed and dated by an authorized representative oft the applicant organization. week. 40 hours per week. 23. Is your organization a 501(c)(3) tax exempt organization? Record yes or no. answer yes if the funding has been received within the last three years. FDACS-02032 Rev. 02/23 Page 1of28 Florida Department of Agriculture and Consumer Services Division of Administration APPLICATION FOR FEDERAL FINANCIAL ASSISTANCE SUBAWARD 2CFR200 1.Federal Financial Assistance Funding Opportunity Number: 2. Amount of funds requested for this project: 3. Subrecipient Legal Name: 4.S Subrecipient FEIN: 7. Street Address: 8.0 City: 6.S Subrecipient Registered in SAM: 9: State: 10. Zip Code plus 4: 11. Mailing Address (if different from above): 12. Phone Number: 13. Fax Number: 14. Is the subrecipient delinquent on any federal debt? 15. Cost Sharing (Match): 16. Congressional District: 17. Name and contact information of person to be contacted on matters involving this application: Name: Phone Number: Email: 18. Subrecipient Type: (Check One) Indian Tribal Government Individual Local Government Other Institution of Higher Education 19. Descriptive Title of Subrecipient Project: Non-Profit Organization State Government 20. Funding Period Start Date: End Date: 21. Location of Proposed Program/Project: 22. Total # of full-time employees: 23. Total # of part-time employees: 24. Is your organization a 501(c)(3) tax exempt organization? 25. Has your organization previously received federal financial assistance from FDACS? 26. By signing this application, Icertify that the statements herein are true, complete, and accurate to the best of my knowledge. Ihave also provided the required attachments and assurances. lagree to comply with all terms and conditions iflaccept an award. Authorized Representative Name: Title: Email Address: Phone Number: Signature of Authorized Representative: Date Signed: FDACS-02032 Rev. 02/23 Page 2of28 Florida Department of Agriculture and Consumer Services Division of Administration KEY CONTACT INFORMATION 2CFR200 Instructions for Application Packet Key Contact Form *Each field oft the key contact form must be completed. *If at 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 2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue 3. Subrecipient Legal Name Record the legal name of applicant that will undertake the scope of work. The name Funding Opportunity. Service. 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 Rev. 02/23 Page 3of28 Florida Department of Agriculture and Consumer Services Division of Administration KEY CONTACT FORM 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient FEIN: Subrecipient Legal Name: Contact Project Role: Authorized Representative Name: Title: Street Address: City: Phone Number: Fax Number: Zip Code plus 4: State: Mailing Address (If different from above): Contact Project Role: Grant Manager Name: Title: Street Address: City: Phone Number: Fax Number: Zip Code plus 4: State: Mailing Address (lf different from above): Contact Project Role: Fiscal Contact Name: Title: Street Address: City: Phone Number: Fax Number: Zip Code plus 4: State: Mailing Address (If different from above): Contact Project Role: Principal Investigator Name: Title: Street Address: City: Phone Number: State: Fax Number: Zip Code plus 4: Mailing Address (lf different from above): FDACS-02032 Rev. 02/23 Page 4of28 Florida Department of Agriculture and Consumer Services Division of Administration PROJECT NARRATIVE 2CFR200 Instructions for Application Packet Project Narrative *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 2. Amount of funds requested for this project - List the total amount of funds required to complete the scope of 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 oft the project narrative must have the funding opportunity number, 5. The project narrative must not exceed (insert #) 8%" by 11" single sided pages. Additional pages beyond the Funding Opportunity. work. subrecipient federal identification number and subrecipient legal name. page limitation will not be considered. 6. The project narrative must include, but is not limited to: As statement of need for the federal financial assistance and how the project will address the need. Ad description of the expected project outcomes. The measurable objectives and specific targets of the Ap plan of action to achieve the projected outcomes and how the plan of action will be accomplished. Information on key personnel including their background and experience with the project objectives. An expected project outcomes should be specified. Ati timeline of activities or implementation schedule. Collaboration details, if any. 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. Astatement of whether this project relates to any other project, current or anticipated. FDACS-02032 Rev. 02/23 Page 5of28 Florida Department of Agriculture and Consumer Services Division of Administration PROJECT NARRATIVE 2CFR200 1.F Federal Financial Assistance Funding Opportunity Number: 3. Subrecipient Legal Name: City of Apalachicola including any proprietary or confidential information. 2. Amount of funds requested for this project: $9,750, rounded to $10,000 (not including match) 23-DG-11083112-001 Please note section XII Public Records in the Notice of Federal Financial Assistance Funding Opportunity before Project Narrative: Most of Franklin County in the panhandle of Florida is Federal, State, and privately-owned forest land, including large areas within the Apalachicola National Forest and Tate's Hell State Forest. Asa result, the population was only 12,451 in 2020, making it the third-least populous county in Florida. Franklin County has been dubbed the Forgotten Coast, a relic of old Florida The county seat is the historic City of Apalachicola. Iti is located where the Apalachicola River empties into the biologically- important Apalachicola Bay on the Gulf of Mexico. The City's 2020 population was 2,341. Median household income isl lower than the State-wide median. Under the Federal Inflation Reduction Act grant program administered by the Florida Department of Agriculture and Consumer Services, Apalachicola is considered overburdened, underserved, and disadvantaged. Because of its low population, the City/soperating budget is notl large, and it has little money for the planting, care, and maintenance of Int this application, Apalachicola seeks agrant to improve the tree canopy at Lafayette Park, the flagship property ini its park system and a venue for weddings, music events, and other organized activities. Visitors to this 4-acre park have a sweeping The Tree Committee, whose volunteer members are appointed by the City Commission, collaborated with the Parks and Recreation Committee to prepare a plan for the park. Members of the Tree Committee at that time were al landscape architect, landscape designer, botanist, and wildlife biologist. This collaboration resulted in a proposed tree-planting plan for the park, Attached are: (1)as site plan map showing the locations of existing and proposed trees and walkways,ag gazebo, and playground As listed int the map legend, a total of 34 trees of 12 different species would be planted. All are native species appropriate for the soils and planting conditions at the site. Planting would occur in the winter of 2024/2025, the next favorable planting Because the City does not have experienced groundkeepers: and landscapers to implement the plan, the City would advertise and hire a contractor to buy, transport, and plant trees and care for the trees during the 60-daygrow-in period. In the 3 years following the completion oft the grant contract, the Tree Committee would monitor the trees to ensure that they are healthy. It would contact the City Manager if action is needed to maintain the health oft the trees and ensure that they do no die for lack of Atc one time, the park had a dense stand of live oaks, but over time mature trees died and hurricanes and tropical storms damaged trees that had tol be removed. The newly-planted trees would be beneficial to the extent that they would diversify the species and age oft trees int the park. Theywould also reduce runoff to the Bay, which isa anArea of Critical State Concern; which has not been overrun by development. trees on City property. view of Apalachicola Bay, and a pier allows them to walk to the edge oft the Bay, which the City Commission approved at its September 5, 2023,meeting. area and (2) three photos oft the park. There are no overhead power lines that need to be avoided. season during the grant period. care. If needed, pruning would occur in early spring of the 3 years. FDACS-02032 Rev. 02/23 Page 6of28 serve as a windbreak for historic houses bordering the park: and provide shade so that the park is more usable in the hot summer months. This proposed grant project does not relate to any other project, current or proposed. The Citywould publicize this grant project on its Facebook page and in the Apalachicola Times. FDACS-02032 Rev. 02/23 Page 7of28 Florida Department of Agriculture and Consumer Services Division of Administration SCOPE OF WORK 2CFR200 Instructions for Application Packet-s Scope of Work *lf a field does not apply, indicate N/A ini the field. 1. Federal Financial Assistance Funding Opportunity Number Record the number shown on the Notice of 2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue 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 5. The scope of work must not exceed (insert #) 8%" by 11" single sided pages. Additional pages beyond the page Funding Opportunity. Service. federal identification number and subrecipient legal name. 6. The scope of work must include, but is not limited to: limitation will not be considered. 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. Provide quantifiable, measurable, and verifiable units of deliverables. Deliverables must be directly related to the scope of work. Discuss how the scope of work is feasible and can be completed within the award period. FDACS-02032 Rev. 02/23 Page 80 of28 Florida Department of Agriculture and Consumer Services Division of Administration SCOPE OF WORK 2CFR200 1.F Federal Financial Assistance Funding Opportunity Number: 2. Subrecipient FEIN: 596000264 23-DG-11083112-001 3. Subrecipient Legal Name: City of Apalachicola 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 for (RFP); of Task Description RFP for project. with prospective project. make recommendation to City Manager on contractor selection. Select contractor. Contractor and plants trees. 60-day grow-in period begins. Indicator Costs per Unit Outcome Measures IfFDACS issues the grant award notice on or about 9/19/2024 as anticipated, issue RFP by 11/1/2024. By1 12/13/2024, select and notify contractor, enter into contract with selected bidder. 1 Request Prepare and issue proposal Hold on-site meeting selection bidders to discuss contractor. Review bids and NIA NIA 2 Tree NIA Cost of 34 trees By1 1/15/2025, contractor planting. purchases, delivers, and delivery: $7,700. Site work with machinery: $2,990. Planting materials: 34 trees X $15/trees $510. Labor to prepare site and plant trees: $6,800. 6Odays of supplemental watering by hand: $1,500. purchases, delivers, and plants all 34 trees and starts caring for them in 60-day grow-in period. 3 Tree For trees less than 2- NIA Contractor finishes work atend of 60-day grow-in period. watering inch caliper, during 60- contractor applies 2 day grow- gallons of water per inperiod. tree daily for 2 weeks and then every other day for 6 weeks. For trees 2-1 to 4-inch caliper, contractor applies 41 to 8 gallons of water per tree daily for 4 weeks and then every other day for 4 weeks. Watering shall not occur on scheduled FDACS-02032 Rev. 02/23 Page 9of28 days if ground is saturated. Ifwater sprinkler on and watering park, crew will, for trees less than 2-inch caliper, apply 2 gallons of water per tree once a week and will, for trees 2-1 to4- inch caliper, apply4 to 8 gallons of water per tree once a week. Water shall not occur on scheduled days if ground is saturated. 4 Tree for30 60-day grow-in period. NIA Not included as in-kind contribution because not known whether watering by City groundskeeping crew will be needed. watering system is not turned days after City groundskeeping Describe in detail the activity or work to be conducted. The scope of work is the purchase, transporting, planting, and care of 34 trees of 12 different species at Lafayette Park by a contractor hired the City. See the legend of the site plan map for species and numbers that will be planted. Depending on availability of trees from suppliers at the time of tree purchase, all trees will be in at least 15-gallon The watering frequency and amounts specified in task Nos. 3 and 4 are those recommended by the University of Florida Inr responses to questions about the grant opportunity notice, the Florida Department of Agriculture and Consumer Services stated that (1) the grant funding start date will be approximately 2 months after, July 19 2024, the due date for submitting grant applications, and (2) the funding period end date will be 1 year after the funding period start date. To increase the odds of the trees becoming successfully established, the City will plant the trees in the next most favorable time, which is the winter of 2024/2025. It is feasible that the tree plantings and following 60-day grow-in period The City will award a contract to do the work on the basis of cost and the bidder's ability to successfully do the work. It containers and between 1 % to 4-inch caliper. Extension Service. Thus the grant award period is approximately September 19, 2024, to September 19, 2025. will be completed well before September 2025. will not necessarily award the contract to the lowest bidder. FDACS-02032 Rev. 02/23 Page 10of28 Florida Department of Agriculture and Consumer Services Division of Administration BUDGET PLAN NARRATIVE 2CFR200 Instructions for Application Packet- Budget Plan Narrative *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 2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue 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 ofe each page of the budget plan narrative must have the funding opportunity number, 5. The budget plan narrative must not exceed (insert #) 8%" by 11" single sided pages. Additional pages beyond 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 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. Funding Opportunity. Service. subrecipient federal identification number and subrecipient legal name. the page limitation will not be considered. the State of Florida travel rules. FDACS-02032 Rev. 02/23 Page 11 of28 Florida Department of Agriculture and Consumer Services Division of Administration BUDGET PLAN NARRATIVE 2CFR200 1.F Federal Financial Assistance Funding Opportunity Number: 2. Subrecipient FEIN: 596000264 23-DG-11083112-001 3. Subrecipient Legal Name: City of Apalachicola Direct Costs Provide job titles, rate of pay (hourly/lsalary) and percentage of time to spend on project (FTE) or hours per week. The total for all personnel costs must match to the budget To achieve the objective of monitoring ponds within Liberty County will require 10 inspectors working 201 hours per week for 4 weeks at an hourly rate of $25.50. Total To achieve the objective of testing water samples from ponds within Liberty County will require 1 chemist. The chemist will work 20% of their time on the project for one year. Employer costs for social security taxes, workers compensation, health insurance, life insurance and retirement. A percentage may be used when calculating an amount for the budget plan. Only the actual cost of each fringe benefit is chargeable to the award. Provide a description oft travel purpose, destination of each trip, number of travelers, Provide a description oft the equipment to be purchased and the task on which the Provide a description of the consumable materials to be acquired for each specific Provide an explanation as to the need to hire a third party to complete the work. Provide the rate, number of staff, and task tol be completed. Acontractor is needed because the City doesn't have a tree department and doesn't have groundskeeping. crew experienced in planting trees. A contractor crew oft two to three persons is needed for planting, and a one-person crew is needed for supplemental hand watering during the 60-day grow-in period. Direct costs, which do not fit any of the other categories. Provide a Personnel Costs plan. Example Example cost is $20,400. The annual salary is $60,000. Total cost is $12,000. Fringe Benefits Travel (if authorized) Equipment (if authorized) Supplies timeline, and relationship to the project objectives. equipment will be used. deliverable(s). Contractual (if authorized) amount Other Expenses description, and relationship to a deliverable. Indirect Costs Provide an approved indirect cost rate or a statement indicating the entity has never received a negotiated indirect cost rate and elect to charge a de minimis rate of 10% of Indirect Charges FDACS-02032 Rev. 02/23 Page 12of28 modified total direct costs. FDACS-02032 Rev. 02/23 Page 130f28 Florida Department of Agriculture and Consumer Services Division of Administration BUDGET PLAN 2CFR200 Instructions for Application Packet- Budget Plan *Ifaf field does not apply, indicate N/A ini the field. 1. Federal Financial Assistance Funding Opportunity Number - Record the number shown on the Notice of 2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal Revenue 3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name The budget plan must not exceed two pages (insert #) 8 %" by 11" single sided pages. Additional pages beyond the The header section oft the budget plan must have the funding opportunity number, subrecipient federal identification 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. Funding Opportunity. Service. must match the name listed in SAM. page limitation will not be considered. number and subrecipient legal name. FDACS-02032 Rev. 02/23 Page 14of28 Florida Department of Agriculture and Consumer Services Division of Administration BUDGET PLAN 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient FEIN: 596000264 23-DG-11083112-001 Subrecipient Legal Name: City of Apalachicola Number of Category/Descrption Personnel- Cost per Unit Units Grant Amount Match Amount Fringe Benefits- Travel (not authorized) Equipment (not authorized) Supplies- Planting materials: $15 per tree (maximum allowed) Small excavator and operator: $2,990. Labor to prepare site and plant: $6,800. Supplemental hand watering during 60-day grow-in period: $1,500. Average of $226.47 per tree 34trees $255 $255 Contractual (if authorized) $1,495 $1,495 $3,250 $3,550 $900 (less than 10%of grant award) $3,850 $600 $3,850 Trees - including delivery. 34 trees FDACS-02032 Rev. 02/23 Page 15 of28 Other Expenses Total Direct Charges Indirect Charges Total Amount $9,750 $9,750 $9,750 $9,750 The budget plan must not exceed two pages (insert #) 81 %" by 11" single sided pages. Additional pages beyond the page limitation will not be considered. The requested grant amount is rounded to $10,000 from $9,750. The source of the City's matching funds is the Reforestation Fund which itself is funded by fees paid by property owners tocut down trees that are protected by the City's Tree Ordinance. The City spends Fund money to buy and plant trees on City-owned properties (e.g.. parks, squares, and rights of ways along streets). There is currently over $16,000 in the Fund. The City Commission has authorized the spending of money from the Fund to serve as the City's match for this grant. FDACS-02032 Rev. 02/23 Page 16 of28 Florida Department of Agriculture and Consumer Services Division of Administration KEY PERSON/STAFF 2CFR200 Instructions for Application Packet- Key Person /S Staff *Ifai 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 2. Subrecipient FEIN Record the employer or taxpayer identification number as assigned by the Internal Revenue 3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The name The header section of the key person/staff must have the funding opportunity number, subrecipient federal Each application must include descriptions of key personnel and their qualifications to meet the requirements oft the notice of funding opportunity. An individual form will be completed for each key person/staff member. Include an Key personnel are individuals who contribute in a substantive and meaningful way to the execution or development oft the project. Reimbursement of salary costs are not required for an individual to be considered key personnel. Funding Opportunity. Service. must match the name listed in SAM. identification number and subrecipient legal name. estimate of the number or hours or percentage of time devoted to the project. Consultants or contract employees may be included if they meet the definition. FDACS-02032 Rev. 02/23 Page 17 of28 Florida Department of Agriculture and Consumer Services Division of Administration KEY PERSON/STAFF 2CFR200 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. 1.F Federal Financial Assistance Funding Opportunity Number: 2.S Subrecipient FEIN: 3.S Subrecipient Legal Name: Person Name: Phone Number: Qualifications: Title: Email Address: Hours of % of time devoted to the project: FDACS-02032 Rev. 02/23 Page 180f28 Florida Department of Agriculture and Consumer Services Division of Administration PERFORMANCE SITE/LOCATIONS 2CFR200 Instructions for Application Packet - Performance Site/Locations *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 2. Subrecipient FEIN - Record the employer or taxpayer identification number as assigned by the Internal 3. Subrecipient Legal Name - Record the legal name of applicant that will undertake the scope of work. The Funding Opportunity. Revenue Service. name must match the name listed in SAM. Each application must include al list of site(S)locations/s) where the work will be performed. ofi facilities cost must be based upon the square footage used by the project activities. The reimbursement of facilities cost will only be allowable for site(s)location(s) listed on the form. The allocation FDACS-02032 Rev. 02/23 Page 19of28 Florida Department of Agriculture and Consumer Services Division of Administration PERFORMANCE SITE/LOCATIONS 2CFR200 1. Federal Financial Assistance Funding Opportunity Number: 2. Subrecipient FEIN: 23-06-17083112-001 3. Subrecipient Legal Name: City of Apalachicola 596000264 lam submitting an application as an individual, and not on behalf of a company, state, local, or tribal Check Box government, academia, or other type of organization. ProectPerformance Site Primary Location Street Address: 13th Street and Avenue B City: Apalachicola Phone Number: 850-653-9319 Street Address: City: State: Florida Zip Code plus 4: 32320-1955 Mailing Address (IF different from above): City of Apalachicola, 192 Coach Wagoner Blvd., Apalachicola, FL 32320 Fax Number: 850-653-2205 County: Franklin ProectPerformance Site Congressional District: 2 ProjectPerformance Site Location 1 State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProectPertormance Site Congressional District: ProectPerformance Site Location 2 Street Address: City: State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProectPertormance Site Congressional District: ProjectPerformance Site Location 3 Street Address: FDACS-02032 Rev. 02/23 Page 20 of28 City: State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProectPerformance Site Congressional District: ProjectPerformance Site Location 4 Street Address: City: State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProectPerformance Site Congressional District: ProjectPerformance Site Location 5 Street Address: City: State: Zip Code plus 4: Mailing Address (lf different from above): Phone Number: Fax Number: County: ProectPerformance Site Congressional District: ProectPerformance Site Location 6 Street Address: City: State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProjectPerformance Site Congressional District: ProjectPerformance Site Location 7 Street Address: City: State: Zip Code plus 4: Mailing Address (If different from above): Phone Number: Fax Number: County: ProjectPerformance Site Congressional District: FDACS-02032 Rev. 02/23 Page 21 of28 Florida Department of Agriculture and Consumer Services FEDERAL ASSURANCE FOR FEDERAL FINANCIAL ASSISTANCE SUBRECIPIENT AWARD Division of Administration 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient Legal Name: Subrecipient FEIN: As the duly authorized representative of the Subrecipient, Icertify 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 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 3. Will establish safeguards to prohibit employees from using their positions for a purpose that constitutes or presents the 4. Will initiate and complete the work within the applicable time frames after receipt of approval of the Recipient. 5. Will comply with the Intergovernmenta. Personnel Act of 1970 (42 U.S.C. $54728-4763) 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 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.551681- 1683, and 1685-1686), which prohibits discrimination on the basis ofs 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. $56101-6107), 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; () 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) S$523 and 527 oft 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, () 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 oft 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. S$327-333), regarding project described in this application. directives. appearance of personal or organizational conflict of interest, or personal gain. al Merit System of Personnel Administration (5 C.F.R. 900, Subpart F). the requirements of any other nondiscrimination statute(s) which may apply to the application. labor standards for federally-assisted construction subagreements. FDACS-02032 Rev. 02/23 Page 22 of28 10. Will comply, if applicable, with flood insurance purchase requirements of Section 102(a) oft 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 floodi insurance ift 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. $$1451 et seq.); () conformity of Federal actions to State (Clean Air) Implementation Plans under Section 176(c) of the Clean. Air Act of 1955, as amended (42 U.S.C. $$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 12. Will comply with the Wild and Scenic Rivers Act of 1968 (16 U.S.C. $$1271 et seq.) related to protecting components or 13. Will assist the awarding agency in assuring compliance with Section 106 of the National Historic Preservation Act of 1966, as amended (16 U.S.C. $470), EO 11593 (identification and protection of historic properties), and the Archaeological and 14. Will comply with P.L. 93-348 regarding the protection of human subjects involved in research, development, and related 15. Will comply with the Laboratory Animal Welfare Act of 1966 (P.L. 89-544, as amended, 7 U.S.C. $$2131 et seq.) pertaining to the care, handling, and treatment of warm-blooded animals held for research, teaching, or other activities 16. Will comply with the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. $$4801 et seq.) which prohibits the use of 17. Will cause to be performed the required financial and compliance audits in accordance with the Single Audit Act Amendments of 1996 and 2 CFR, Part: 200 Uniform Administrative Requirements, Costs Principles and Audit Requirements 18. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies governing 19. Will comply with the requirements of Section 106(g) of the Trafficking Victims Protection Act (TVPA) of 2000, as amended (22 U.S.C. 7104) which prohibits grant award recipients or a subrecipient from (1) Engaging in severe forms oft trafficking in persons during the period of time that the award is in effect, (2) Procuring a commercial sex act during the period of time that the award is in effect or, (3) Using forced labor in the performance of the award or subawards under the award. 20. Will comply with and enforce the requirements for a drug-free workplace as mandated in 2 CFR Part 421, Requirements 21. Will comply with 2 CFR 417, Subpart C to ensure that any vendor or subcontractor that carries out the provisions oft this 22. Will comply with the Executive Order 13513 entitled' "Federal Leadership on Reducing Text Messaging While Driving" by prohibiting employees, contractors, and subcontractors from texting while driving on official business and or in federally owned, rented or leased vehicles or privately owned vehicles when on official government business or when performing any Species Act of 1973, as amended (P.L. 93-205). potential components of the national wild and scenic rivers system. Historic Preservation Act of 1974 (16 U.S.C. $$469a-1 et seq.). activities supported by this award of assistance. supported by this award of assistance. lead-based painti in construction or rehabilitation of residence structures. for Federal Awards, Subpart F Audit Requirements. this program. for Drug-Free Workplace". agreement are not debarred or suspended. work for or on behalf of or in cooperation with the federal government. Authorized Representative Name: Signature of Authorized Representative: Application Organization: Title: Date Signed: FDACS-02032 Rev. 02/23 Page 23 of28 Florida Department of Agriculture and Consumer Services Division of Administration CERTIFICATION REGARDING LOBBYING 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient Legal Name: Subrecipient FEIN: The undersigned certifies, to the best of his or her knowledge and belief, that: 1.N 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 ofa 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.lfany funds other than Federal appropriated funds have been paid or will be paid to any person fori influencing or attempting toi 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 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 3. The undersigned shall require that the language oft 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 4. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission oft 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 toi file the required certification shall be subject to a civil penalty or not less instructions. subrecipients shall certify and disclose accordingly. than $10,000 and not more than $100,000 for each such failure. Authorized Representative Name: Signature of Authorized Representative: Application Organization: Title: Date Signed: FDACS-02032 Rev. 02/23 Page 24 of28 Florida Department of Agriculture and Consumer Services CERTIFICATION REGARDING DEBARMENTS, SUSPENSION, INELIGIBILTY AND VOLUNTARY EXCLUSION - LOWER TIER Division of Administration FEDERALLY FUNDED TRANSACTIONS 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient Legal Name: Subrecipient FEIN: This certification is pursuant to Executive Order 12549, Debarment and Suspension and implemented at 2 CFR parts 180 and 1880. Instructions for Certification 1.E 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. Ifiti 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 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 4.7 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 5. The prospective lower tier participant agrees by submitting this form that, should the proposed covered transaction be entered into, its 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 6.7 The prospective lower tier participant further agrees by submitting this form that it willi include this clause titled "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions,"wthout 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 al lower tier covered transaction that is not debarred, suspended, ineligible, or voluntarily excluded from the covered transaction, unless itl knows that the certification is erroneous. A participant may decide the method and frequency by which it determines the eligibility of its 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 andi information of a participant is not required to exceed that may pursue available remedies, including suspension and/or debarment. erroneous by reason of changed circumstances. this proposal is submitted for assistance in obtaining a copy of those regulations. with which this transaction originated. principals. Each participant may, buti is not required to, check the Nonprocurement List. which is normally possessed by a prudent person in the ordinary course of business dealings. FDACS-02032 Rev. 02/23 Page 25 of28 9. Except for transactions authorized under paragraph 5 of these instructions, ifap participant in a covered transaction knowingly enters into al 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 1.7 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 b.H Have not within at 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 C. Are not presently indicted for or otherwise criminally or civilly charged by a governmental entity (Federal, State or local) with d. Have not within at three-year period preceding this application/proposal had one or more public transactions (Federal, State, 2. Where the prospective lower tier participant is unable to certify to any of the statements in this certification, such covered transactions by any Federal department or agency. receiving stolen property; commission of any of the offenses enumerated in paragraph (1)(b) of this certification; and orl local) terminated for cause or default. prospective lower tier participant shall attach an explanation to this proposal. Authorized Representative Name: Signature of Authorized Representative: Application Organization: Title: Date Signed: FDACS-02032 Rev. 02/23 Page 26 of28 Florida Department of Agriculture and Consumer Services Division of Administration CERTIFICATION STATEMENT 2CFR200 Federal Financial Assistance Funding Opportunity Number: Subrecipient Legal Name: Subrecipient FEIN: 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.I Ifs 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: Signature of Authorized Representative: Application Organization: Title: Date Signed: FDACS-02032 Rev. 02/23 Page 270 of28 13th Street B D 15th Street