HomeMy WebLinkAboutRehabilitation ContractSTATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
CONTRACT
(NON -STATE TERM)
NO. VJ278
Department of Education
Division: Vocational Rehabilitation
Bureau: N/A
Section: Contracts & Grants Program Office
Name of Contractor
City of Miami - Department of Parks & Recreation,
Disabilities Division
Address of principal place of business:
4560 Northwest 41h Terrace
Miami, Florida 33126
THIS CONTRACT is entered into as a contractual undertaking by and between the Florida Department of
Education/Division of Vocational Rehabilitation (DOE/DVR) and the above-named Contractor ("Contractor") as of the
effective date concerning the project identified below ("Projects).
1. Name of Proiect:
Employment Services and Supported Employment Services
11. Brief Summary of Nature and Purpose of Proiect:
The purpose of this Contract is to provide quality customer service as well as a method of funding for the
delivery of Employment Services and Supported Employment Services for customers of DOE/DVR.
Employment Services assist persons with disabilities seeking employment to choose, obtain, maintain, and
retain integrated employment in the community.
Supported Employment Services for customers of DOE/DVR are necessary because these individuals have
traditionally lacked the adequate and appropriate opportunities and supports necessary to assist them in the
preparation of obtaining, maintaining, and regaining meaningful community based employment.
111. Contract Documents:
The documents establishing and constituting the contractual relationship between the DOE/DVR and the
Contractor (referred to collectively as the `Contracts) supersede all prior agreements and understandings, written
or oral, regarding this Project and consist of the following:
A. This Contract, including all of the following attachments, which are hereby incorporated by reference and
made part hereof, and which are identified as follows (reference additional attachments as appropriate):
1. Attachment A -ES: Employment Services Detailed Description of Performance Duties, if applicable
2. Attachment A -SE: Supported Employment Services Detailed Description of Performance Duties, if
applicable
3. Attachment B -ES: Employment Services Payment Terms and Schedule, if applicable
4. Attachment B -SE: Supported Employment Payment Terms and Schedule, if applicable
5. Attachment C: Standard Terms and Conditions;
G. Attachment D: DOE/DVR Monthly Progress Report
7. Attachment E: DOEIDVR Notification of Approval Form
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8. Attachment F: Employment Services Referral Form
9. Attachment G: Supported Employment Services Referral Form
10. Attachment H: Vendor Certification Requirements
B. The following additional documents:
1. Vendor Certification documentation as required on Attachment H is incorporated by reference and
shall be maintained by the Vendor Certification Unit at the DOE/DVR Headquarters.
C. The provisions of this Contract and Attachments A, B, and C shall govern any inconsistent or conflicting
provisions in the other Contract documents identified above.
IV. Proiect Management:
The DOE/DVR and the Contractor designate their respective representatives, identified below ("Contract
Manager"), for coordination, communication, and management of the Project.
For the DOE/DVR:
Margaret Munsey
(Name)
Senior Management Analyst I
(Title)
2002A Old St. Augustine Road
Tallahassee, Florida 32301
(Mailing Address)
850-245-3386
850-245-3394
Margaret.Munsey(@vr.fldoe.org
(Phone, fax and e-mail)
V. Effective Date:
For the Contractor.
Nadia Arguelles
(Name)
Contract Representative
(Title)
4560 Northwest 41% Terrace
Miami, Florida 33126
(Mailing address)
305-461-7201 x221
305-461-7058
nar9uelles miamigov.com
(Phone, fax and e-mail)
This Contract shall be effective on January 1. 2009 or on the date upon which it is signed by both DOE/DVR and
Contractor, whichever is later.
VI. Expiration Date:
This Contract shall expire on September 30, 2011 unless cancelled earlier in accordance with its terms.
VII. Renewal:
Subject to the limitations set forth in Sections 287.057(14), and 287.058(1)(0, Florida Statutes, and Attachment
C, Section IV.D. Contract Renewals, this Contract is renewable at the option of the DOE/DVR for a renewal
period commencement and expiration dates as follows:
Renewal One: October 1, 2011—September 30, 2014
The DOE/DVR shall provide advance written notice of at least sixty (60) days of its decision to renew prior to the
Contract expiration date. The Contract will be renewed or extended only by written mutual consent of the
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Parties. Upon renewal of this Contract, DOE/DVR may elect to increase service rates based upon an
appropriate rate study and available resources.
VI II. Travel:
Contractor will not be reimbursed for travel.
IX. Notice:
Notice given pursuant to the terms and conditions of this Contract shall be sufficient if given to the recipient
Contract Manager either 1) in writing addressed to the applicable Contract Manager by certified mail, return
receipt requested, or 2) by hand delivery and be date and time stamped by the DVR Contract Manager,
X. AAppmval and Execution:
The DOE/DVR and the Contractor have caused this Contract to be executed by their undersigned officials, duly
authorized.
City of Miami - Department of Parks & Recreation Florida Department of Education/Division of
Disabilities Division Vocational Rehabilitation
(Contractor Name)
By:
Name:
Title:
Date:
By:
Name: David Guido
Title: For the Division Director
Date:
By:
Name: Dr. Eric Smith
Title: Commissioner
Date:
Approval of Departments Office of General Counsel
As to form and legality:
By:
Name: Charles Pellegrini
Title: Assistant General Counsel
Date:
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STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT A — ES
EMPLOYMENT SERVICES
DETAILED DESCRIPTION OF PERFORMANCE DUTIES
The detailed description of the Contractors performance duties and related provisions for the procurement Contract
entered into pursuant to Sections 287.057(5)(f)7&13, Florida Statutes for non-competitive procurement for
Employment Services with City of Miami - Department of Parks & Recreation, Disabilities Division, Contract No.
VJ278 are as follows:
PROJECT OVERVIEW:
A. Program Background and Purpose of Project.
The purpose of this Contract is for the Department of Education/Division of Vocational Rehabilitation
(DOE/DVR) to provide quality customer service in employment and supported employment outcomes
for individuals with disabilities as described in Scope of Work glow.
B. Scope of Work
Services provided will be consistent with the DOE/DVR Counselor's request on the Referral Form,
Individualized Plan for Employment (IPE), customer choice and the Rehabilitation Act of 1973, as
amended. This Contract does not include or allow for referrals to other public or private
employment agencies. The Contractor must prepare the customer and contact the employer prior to
the customer referral to the employer.
"Employment Services" are services provided to persons seeking employment and needing
assistance in developing or reestablishing skills, attitudes, personal characteristics, interpersonal skills,
work behaviors, functional capabilities, etc., to achieve positive employment outcomes.
a. Pre -Placement services may include:
1) Job seeking skills instruction (interviewing, completing applications, developing and using
job finding networks and resources).
2) Instruction in punctuality, grooming, attendance skills and other job readiness instruction.
3) Instruction in work practices to include such areas as payroll deductions, insurance,
retirement, benefits and safety.
4) Upon completion of pre -placement services, the individual is provided Job Development
and Placement and Job Retention Support services.
b. Job Development and Placement is the use of assessment information about the person
seeking employment to target the types of jobs available from potential employers in the local
labor market.
1) Contacting employers and building networks to develop and/or identify job opportunities
consistent with IPE and customers choice.
2) When appropriate, providing job -site consultation to identify or modify barriers to
employment.
3) Negotiating job accommodations.
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4) Assisting the job applicant in finding jobs and employers well matched to their
employment goals.
5) The first day of placement shall be the day the customer begins working on a job for
compensation as prescribed and collaborated between the Counselor, the Contract
Manager and the Contractor.
c. Job -Site Training may include:
1) Work site analysis and job site consultation.
2) Job carving if the individual is not eligible for supported employment, redesigning a
current position or creating a new position to meet the needs of the employer and
customer.
3) Assistive technology referral when the person does not qualify for supported employment
service.
4) Development of natural supports.
5) Assisting the employee with performance on the new job task on the job -site.
6) Helping the person to understand the job culture, industry practices and work behaviors
expected by the employer.
7) Training the employer and coworkers to understand the training methods and
accommodations needed by the worker.
8) Training a person to complete new tasks or changes in work schedule, adjusting to new
supervisors, and managing changes in non -working environments or other critical life
activities that may affect work performance.
d. Job Retention Support includes ongoing job support services that are employment-related,
needed to promote job retention and are to ensure that the individual maintains employment
for at least ninety (90) days of continuous employment and working with a single employer.
These services are based on the DOE/DVR Referral Form, IPE, customer choice and the
individual needs of the customer as a new employee, and may consist of:
1) Routine follow-up with the employer and the employee to promote continued job success.
2) Support services to address issues such as a decrease in productivity of the person
receiving services.
e. "Integrated Setting" means a setting typically found in the community in which the customer
interacts with non -disabled individuals, other than non -disabled individuals who are providing
services to the customer, to the same extent that non -disabled individuals in comparable
positions interact with other persons.
f. "Competitive Employment" means work in the competitive labor market that is performed on
a full-time or part-time basis in an Integrated Setting and for which the customer is
compensated at or above the minimum wage and not less than the customary or usual wage
paid by the employer for the same or similar work performed by individuals who are not
disabled.
g. "Employment Outcome" means entering full-time or, if appropriate, part-time Competitive
Employment in an Integrated Setting to the greatest extent practicable, which employment is
consistent with the customer's strengths, resources, priorities, concerns, abilities, capabilities,
interests, and informed choice, and maintaining such employment for a period of at least sixty
(60) continuous days after the Transition Date. To constitute an Employment Outcome, the job
placement must be consistent with the minimum weekly work hours, goal(s) and other terms of
the IPE, and must offer natural supports and regular opportunities for contact with non -
disabled co-workers and/or the public.
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C. Governing Statutory and Administrative Requirements.
The statutes and administrative rules or regulations to be implemented by this project are as follows:
Federal and State: The Rehabilitation Act of 1973 as amended, Florida Statutes, Chapter 413 (Part
II), Public Law 93-112 as amended by Public Laws 93-516, 98-221, 99-506, IOG-630,102-569, 103-
073, and 105-220. Other applicable regulations include the Education Department of General
Administrative Regulations (EDGAR), the State Plan and the State DOE/DVR Program Regulations
in 34 CFR Part 361.
D. Required Outcome of the Project.
To perform Employment Services on behalf of the DOE/DVR by accepting referrals, as appropriate,
and providing Services that lead to competitive employment and successful case closure as defined
in 34 CFR. Part 361.56.
E. Role of Contractor in the Project Outcome.
1. Upon receipt of the DOE/DVR Referral Form from the DOE/DVR Counselor and acceptance of the
referral by the Contractor, the Contractor shall furnish services directed at achieving an employment
outcome consistent with the definitions, terms and conditions of the Contract, DOE/DVR Referral
Form, IPE, and customer choice.
a. The Contractor may not change the Type of Services provided to any DOE/DVR customer on
the DOE/DVR Referral Form.
b. Should the Contractor not agree with the Type of Services on the DOE/DVR Referral Form they
are to submit to the DOE/DVR Counselor in writing a request and justification for changing the
Type of Services. Only upon written approval of the request by the DOE/DVR Counselor may
the Type of Services be changed.
2. The Contractor must complete the DOEIDVR Referral Form (Attachments F and G) and return it
signed to the DOE/DVR Counselor within fifteen (15) business days of receipt of referral. The
DOE/DVR Counselor will date and time stamp receipt of referral.
3. The Contractor shall submit a DOE/DVR Monthly Progress Report (Attachment D) to the DOE/DVR
Counselor by the tenth (10th ) of every month for each active Customer. The monthly progress
report shall provide sufficient detail to validate the services that were delivered during the month of
reporting. In the event a benchmark is reached between reporting periods, the most recent Monthly
Progress Report and an addendum attached if there have been significant changes will be
submitted to the DOE/DVR Counselor with the Notification of Approval Fort for Employment
Services (Attachment E). The Monthly Progress Report shall provide sufficient detail to validate
that all services on the DOE/DVR Referral form necessary for the benchmark identified on the
NOA, were delivered, The DOE/DVR Counselor will date and time stamp receipt of Monthly
Progress Reports.
4. The Contractor shall submit a DOE/DVR Notification of Approval Form (NOA) within five (5)
working days, after the customer's first day on the job and each subsequent benchmark thereafter,
to the DOE/DVR Counselor for each benchmark payment. Each NOA submitted for payment to
the DOE/DVR Contract Liaison requires the signature of the Contractor and DOE/DVR Counselor.
5. The Contractor shall maintain client files and documents to support deliverables in a safe and
secure location to protect the integrity of the records and the clients' safety and confidentiality.
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These records and their location shall be subject to inspection by the DOE/DVR and made
available for review upon request of the DOE/DVR.
6. Contract and Vendor Certification Compliance
a. The Contractor shall maintain compliance with all Contract and Vendor Certification
requirements, terms and conditions throughout the term of this Contract. Written notice shall
be given to the DOE/DVR Contract Manager within ten (10) days should the Contractor
determine they are not in compliance with all Contract requirements. Non-compliance is
cause for suspension, termination, cause for payments to be denied or delayed, or subject to
re -payment for any services deemed to have been provided for any period(s) the Contractor
may be found to be not in compliance.
b. The Contractor will submit quarterly reports of staff changes to the DOE/DVR Contract
Manager by the 150' day of the month following the end of each quarter, listing the name, last 4
digits of the social security number, hire date of any new employee(s) and termination date of
any employee(s) for any staff changes that occurred during the previous quarter.
c. The Contractor shall ensure that all employees providing services to DOE/DVR clients during
the term of this Contract meet the same vendor certification requirements for this service. It is
therefore the Contractor's responsibility to submit to the DOEiDVR Vendor Certification Unit
located at 2002-A Old St. Augustine Road, Tallahassee, Florida 32301 the documents and
information set forth in the vendor certification requirements for Employment and Supported
Employment Services if the Contractor adds or replaces staff providing services during the
term of this Contract. DOE/DVR will date and time stamp receipt of all documentation
submitted.
Such staff must be approved and certified by the DOE/DVR prior to providing services to
DOEIDVR clients in accordance with the vendor certification requirements and this Contract.
F. Role of the DOEiDVR
1. The DOE/DVR's responsibilities include the following:
a. To designate a Contract Manager to act for the DOEiDVR in enforcing performance of the
terms and conditions of this Contract.
b. All referrals or approvals for changes for employment services shall be requested and
approved in writing by the DOE/DVR Counselor or their designee using the DOE/DVR Referral
Form.
c. To cooperate on all matters requiring concurrence or approval in order that the Contractor will
not be delayed in performing the contracted services or payment for services rendered and
approved.
d. Records shall be maintained by the DOE/DVR Contract Manager that outline the number of
services authorized, and expenditures made to date.
e. The degree and frequency of monitoring Contractual Services will be in accordance with the
policies of the DOEIDVR.
f. The DOE/DVR Contract Manager shall provide ongoing technical assistance and training for
the Contractor and the DOEIDVR Counselor.
g. All documentation received by the DOEIDVR Counselor, Contract Manager and Vendor
Certification will be dated and time stamped upon receipt.
iI. PROJECT PHASES AND DELIVERABLES:
A. Description of the Major Phases, Stages, or Other Organizational Structure of the Project.
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Not Applicable. This project does not contain any major phases or other organizational structure.
B. Deliverables.
The following is the itemized list of each Deliverable which the Contractor is required to provide to the
DOE/DVR, and for each Deliverable: the specifications for the Deliverable; the description of the
services leading to the Deliverable; and, the expected date of completion of the Deliverable.
Services as outlined above in Section I. A., and a properly completed Monthly Progress Report for
Employment / Supported Employment Services (see Section I.E.(3) and Attachment D) submitted to
the
DOE(DVR Counselor and a NOA (Attachment E) signed by the Contractor and Counselor for each
Benchmark
payment request.
C. Criteria for Final Completion of the Contract.
The criteria for final completion of the Contract are the delivery to, and approval by, the DOElDVR of all
Deliverables required by the Contract.
D. Acceptance Testing.
1. A properly completed and signed DOE(DVR Notification of Approval Form (Attachment E) as
required by the Contract.
E. Software Updates
If the project involves the use of software to be provided by or through the Contractor, periodic updates
to such software will be handled in accordance with the following:
Not Applicable. This project does not involve any software to be provided by or through the Contractor.
III. MODIFICATION OF STANDARD TERMS AND CONDITIONS.
Each of the following enumerated provisions supersedes or modifies, as indicated, the Section of
Attachment C, Standard terms and Conditions, to which it expressly refers:
IV. PERFORMANCE BOND
As provided in Attachment C, Section XVI:
A. The Contractor shall provide a performance bond ❑, another form of security ❑ or not applicable
Z.
B. If applicable, the amount of the Contractor's performance bond is ❑ is not ❑ the total amount of
the Contract. If the amount is not the total amount of the Contract it is the amount of $
C. If applicable, the form of the other security shall be identify ( ) in the amount of $
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V. ADDITIONAL TERMS AND CONDITIONS.
4
A. Special Terms and Conditions
1. Eligibility determination must be established per existing programmatic eligibility criteria outlined in
the Counselors' Manual for Vocational Rehabilitation Services.
2. Payments under this Contract will not be approved or paid until all services requested on the
DOE/DVR Referral Form are delivered and approved by the DOE/DVR Counselor on the NOA
(Attachment E), and the DOE/DVR Monthly Progress Report for Employment Services (Attachment
D) are completed and delivered to the DOE/DVR Counselor.
3. A contractor shall be entitled to receive only one (1) payment per referral for each benchmark
achieved.
B. Contract Performance and Payment Data
1. The DOE/DVR will collect data through the Rehabilitation Information Management System (RIMS)
on, at a minimum, contract referrals, referrals accepted and declined, services provided and
payments made to the contractor.
2. Data collected may be compiled into reports and provided to the Contractor, D0E/DVR Counselors,
clients and other stakeholders.
C. Termination for Inactivity
1. This contract may be terminated by DOE/DVR if no referrals are accepted by the Contractor within a
six (6) month period.
D. Dispute Resolution
1. If the Contractor disagrees with action taken by Vocational Rehabilitation pursuant to Section V,
Additional Terms and Conditions, the Contract Manager should be contacted for an informal
discussion.
2. If still dissatisfied with the decision, the Contractor shall within 30 days of the receipt of the notice of
remedies being applied, notify the Program Administrator of the Office of Contracts, Grants and
Vendor Certification in writing that the Contractor wishes to initiate a complaint.
3. The Program Administrator shall review the case and if a satisfactory resolution can not be found
will set a complaint hearing date that shall be no later than 30 calendar days from the date upon
which the Contractor's letter of complaint was received by the Division.
4. The hearing shall be conducted by the Director of the Division of Vocational Rehabilitation or his or
her designee and shall recommend a disposition to the Commissioner of Education.
5. Upon examining evidence and testimony received at the hearing, the Department shall notify the
Contractor in writing of the Commissioner's decision within ten calendar days of the hearing's
completion.
6. Appeal of the Commissioners decision shall be subject to applicable requirements and procedures
of Chapter 120, Florida Statutes.
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STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT A - SE
SUPPORTED EMPLOYMENT SERVICES
DETAILED DESCRIPTION OF PERFORMANCE DUTIES
The detailed description of the Contractor's performance duties and related provisions for the procurement Contract
entered into pursuant to Sections 287.057(5)(f)7&13, Florida Statutes for non-competitive procurement for Supported
Employment Services with City of Miami - Department of Parks & Recreation, Disabilities Division, Contract No.
VJ278 are as follows:
PROJECT OVERVIEW:
A. Program Background and Purpose of Project.
The purpose of this Contract is for the Department of Education0vision of Vocational Rehabilitation
(DOEIDVR) to provide quality customer service in supported employment outcomes for individuals with
disabilities as described in Scope of Work below.
B. Scope of Work
Services provided will be consistent with the DOE/DVR Counselor's request on the Referral Form,
Individualized Plan for Employment (IPE), customer choice and the Rehabilitation Act of 1973, as
amended. This Contract does not include or allow for referrals to other public or private
employment agencies. The Contractor must prepare the customer and contact the employer prior to
the customer referral to the employer. The first day of placement shall be the day the customer begins
working on the job.
"Supported Employment Services" Ongoing support services and other appropriate services
needed to support and maintain an individual with a most significant disability in supported
employment that is provided by the DVR. The following criteria apply:
It is for a period of time not to exceed 18 months, unless under special circumstances the eligible
individual and the rehabilitation counselor or coordinator jointly agree to extend the time to achieve
the employment outcome identified in the individualized plan for employment; and
Following transition, such services can be provided, as post -employment services that are
unavailable from an extended services provider and that are necessary to maintain or regain the
job placement or advance in employment.
"Individual with a disability" means an individual: who has a physical or mental impairment;
whose impairment constitutes or results in a substantial impediment to employment; and who can
benefit in terms of an employment outcome from the provision of vocational rehabilitation services.
"Most Significant Disability" means an eligible individual with a disability which:
1. Seriously limits three or more functional capacities in terns of work,
2. Requires three or more primary services, and
3. Services must be provided over an extended period of time (at least 12 months) and
4. Is not likely to be corrected through surgical intervention and/or other treatment modes.
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'Supported Employment' Competitive employment in an integrated setting consistent with the
strengths, resources, priorities, concerns, abilities, capabilities, interests, and informed choice of
the individuals. It includes ongoing support services for individuals with the most significant
disabilities. Such an individual is one:
For whom competitive employment has not traditionally occurred or for whom competitive
employment has been interrupted or intermittent as a result of a significant disability; and
Who, because of the nature and severity of their disabilities need intensive supported employment
services from DVR and extended services after transition in order to perform this work.
Supported Employment also includes transitional employment for individuals with the most
significant disabilities due to mental illness.
"Individual Career Plan" - To include, e.g., 1) Customer name, date of referral acceptance and
targeted employment outcome; 2) An exploration of the customers current support system; 3) an
analysis of the customers strengths and capacities in relation to the employment outcome identified
in the VR Individualized Plan for Employment; 4) determination of anticipated supports, and how
each will be provided, based upon the customers strengths and capacities and the employment
outcome identified in the VR Individualized Plan for Employment; 5) informants accessed in
information gathering and Career Plan development processes; and 6) a plan for job development
and implementation of supports. This Individual Career Plan will be submitted in narrative report
format, including all above described elements, within 30 working days of the date the customer
referral has been accepted.
"Job Placement" is a service organized to assist persons to choose, obtain and maintain
employment commensurate with their vocational interest, as well as their social, psychological,
communication, environmental, and medical needs and their abilities. Job placement occurs when
the customer begins working in an integrated community based setting where most of the
employees are not disabled and the customer interacts on a regular basis with non -disabled
employees and receives compensation as outlined in the definition for Competitive Employment..
'Stabilization' is achieved when the counselor, employment specialist, employer and consumer
agree that:
The initial intensive services identified on the IPE have resulted in the consumer demonstrating
acceptable job performance; and
A reasonable expectation that satisfactory job performance will be maintained with the kind and
level of ongoing support services being provided.
"Transition" occurs a minimum of 90 days after `stabilization." Responsibility for funding ongoing
support services transitions at this time from the DVR to the source of funding for the ongoing
support services.
"Supported Employment Outcome" Closure of a person successfully rehabilitated in a
supported employment outcome occurs when the following criteria are met:
90 days following stabilization and 60 days from transition to closure (to assure on-going supports
are successful following transition), or a minimum of 150 days of continuous employment following
stabilization.
"Supported Employment Services" or "Phase I Services" means all services needed to support
and maintain a customer in Supported Employment. These services are funded by the DOE/DVR
for a period of time not to exceed eighteen (18) months. Under special circumstances, which the
customer and DOEIDVR agree to in writing, the time may be extended to achieve the rehabilitation
objectives identified in the IPE.
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"Extended Services" or "Phase 11 Services" means ongoing support services and other
appropriate services that are needed to support and maintain a customer in Supported
Employment and that are provided after the Transition Date by a state agency, private nonprofit
organization, employer, or any other appropriate resource from non-DOE/DVR funds. Extended
Services include:
a. Necessary supports to maintain a customer in Supported Employment;
b. Services identified as Extended Services on the IPE;
c. An assessment of employment stability and provision or coordination of services at or away from
the worksite that are needed to maintain stability based on, at a minimum, twice monthly
monitoring at the work -site of each customer or off-site monitoring if warranted by special
circumstances, requested by the customer or listed in the IPE;
d. Job development and re -placement;
e. Social skills training;
f. Regular, necessary observation or supervision of the customer;
g. Follow-up services including monthly contacts with the employer and, as indicated, with family
members, guardians, advocates or authorized representatives of the customer and other
professional and informed advisors, in order to reinforce and stabilize the job placement;
Facilitation of natural supports on and off the work -site; and, natural supports are defined as
`working with employers to facilitate or enhance existing resources for support and accommodation
within the employment setting in order for the individual to receive ongoing support from the
employer or from co-workers."
C. Governing Statutory and Administrative Requirements.
The statutes and administrative rules or regulations to be implemented by this project are as
follows:
Federal and State: The Rehabilitation Act of 1973 as amended, Florida Statutes, Chapter 413 (Part
II), Public Law 93-112 as amended by Public Laws 93-516, 98-221, 99-506,100-630,102-569,103-
073, and 105-220. Other applicable regulations include the Education Department of General
Administrative Regulations (EDGAR), the State Plan and the State DOE/DVR Program
Regulations in 34 CFR Part 361.
D. Required Outcome of the Project.
To perform Supported Employment Services on behalf of the DOE/DVR by accepting referrals, as
appropriate, and providing Services that lead to competitive employment and successful case
closure as defined in 34 CFR. Part 361.56.
E. Role of Contractor in the Project Outcome.
1. Upon receipt of the DOE/DVR Referral Form from the DOE/DVR Counselor and acceptance of
the referral by the Contractor, the Contractor shall furnish services directed at achieving an
employment outcome consistent with the definitions, terms and conditions of the Contract,
DOE(DVR Referral Form, IPE, and customer choice.
a. The Contractor may not change the Type of Services provided to any DOE/DVR customer on
the DOE/DVR Referral Form.
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b. Should the Contractor not agree with the Type of Services on the DOE/DVR Referral Form
they are to submit to the DOE/DVR Counselor in writing a request and justification for
changing the Type of Services. Only upon written approval of the request by the DOE/DVR
Counselor may the Type of Services be changed.
2. The Contractor must complete the DOE/DVR Referral Form(Attachments F and G) and return it
signed to the DOE/DVR Counselor within fifteen (15) business days of receipt of referral.
3. The Contractor shall submit a DOE/DVR Monthly Progress Report (Attachment D) to the
DOE/DVR Counselor by the tenth (10th) of every month for each active Customer. The monthly
progress report shall provide sufficient detail to validate the services that were delivered during the
month of reporting. in the event a benchmark is reached between reporting periods, the most
recent Monthly Progress Report and an addendum attached if there have been significant changes
will be submitted to the DOE/DVR Counselor with the Notification of Approval Form (Attachment
E). The Monthly Progress Report shall provide sufficient detail to validate that all services on the
DOE/DVR Referral form necessary for the benchmark identified on the NOA were delivered.
4. The Contractor shall submit a DOE/DVR Notification of Approval Form (NOA) within five (5)
working days, after the customer's first day on the job and each subsequent benchmark thereafter,
to the DOEIDVR Counselor for each benchmark payment. Each NOA submitted for payment to
the DOE/DVR Contract Liaison requires the signature of the Contractor and DOE/DVR Counselor.
5. The Contractor shall maintain client files and documents to support deliverables in a safe and
secure location to protect the integrity of the records and the clients` safety and confidentiality.
These records and their location shall be subject to inspection by the DOE/DVR and made
available for review upon request of the DOEIDVR.
6. Contract and Vendor Certification Compliance
a. The Contractor shall maintain compliance with all Contract and Vendor Certification
requirements, terms and conditions throughout the term of this Contract. Written notice shall be
given to the DOEIDVR Contract Manager within ten (10) days should the Contractor determine
they are not in compliance with all Contract requirements. Non-compliance is cause for
suspension, termination, cause for payments to be denied or delayed, or subject to re -payment for
any services deemed to have been provided for any period(s) the Contractor may be found to be
not in compliance.
b. The Contractor will submit quarterly reports of staff changes to the DOEIDVR Contract
Manager by the 15th day of the month following the end of each quarter, listing the name, last 4
digits of the social security number, hire date of any new employee(s) and termination date of any
employee(s) for any staff changes that occurred during the previous quarter.
c. The Contractor shall ensure that all employees providing services to DOEIDVR clients
during the term of this Contract meet the same vendor certification requirements for this service. It
is therefore the Contractor's responsibility to submit to the DOE/DVR Vendor Certification Unit
located at 2002-A Old St. Augustine Road, Tallahassee, Florida 32301 the documents and
information set forth in the vendor certification requirements for Employment and Supported
Employment Services if the Contractor adds or replaces staff providing services during the term of
this Contract. Such staff must be approved and certified by the DOEIDVR prior to providing
services to DOEIDVR clients in accordance with the vendor certification requirements and this
Contract.
F. Role of the DOE/DVR
Non State Tenn OGG-CM 07
Revised July 31, 2008
GWL
13
1. The DOEIDVR's responsibilities include the following:
a. To designate a Contract Manager to act for the DOE/DVR in enforcing performance of the terms
and conditions of this Contract.
b. All referrals or approvals for changes for supported employment services shall be requested and
approved in writing by the DOE/DVR Counselor or their designee using the DOEIDVR Referral
Form.
c. To cooperate on all matters requiring concurrence or approval in order that the Contractor will not be
delayed in performing the contracted services or payment for services rendered and approved.
d. Records shall be maintained by the DOE/DVR Contract Manager that outline the number of
services authorized, and expenditures made to date.
e. The degree and frequency of monitoring Contractual Services will be in accordance with the
policies of the DOE/DVR.
f. The DOE/DVR Contract Manager and the Contract Liaison shall provide ongoing technical
assistance and training for the Contractor and the DOE/DVR Counselor.
g. All documentation received by the DOE/DVR Counselor, Contract Manager and Vendor
Certification will be dated and time stamped upon receipt.
11, PROJECT PHASES AND DELIVERABLES:
A. Description of the Major Phases, Stages, or Other Organizational Structure of the Project.
Not Applicable. This project does not contain any major phases or other organizational structure.
B. Deliverables.
The following is the itemized list of each Deliverable which the Contractor is required to provide to the
DOE/DVR, and for each Deliverable: the specifications for the Deliverable; the description of the
services leading to the Deliverable; and, the expected date of completion of the Deliverable.
1. Services as outlined above in Section I. A. and a properly completed Monthly Progress Report (see
Section I. E. (3) and Attachment D) submitted to the DOEIDVR Counselor and a NOA (Attachment
E) signed by the Contractor and Counselor for each Benchmark payment request.
C. Criteria for Final Completion of the Contract.
The criteria for final completion of the Contract are the delivery to, and approval by, the DOE/DVR of all
Deliverables required by the Contract.
D. Acceptance Testing.
1. A properly completed and signed DOEIDVR Notification of Approval Form (Attachment E) as
required by the Contract.
E. Software Updates
If the project involves the use of software to be provided by or through the Contractor, periodic updates
to such software will be handled in accordance with the following:
Not Applicable. This project does not involve any software to be provided by or through the Contractor.
Non State Tenn oGC-CM 07 Revised duty 31, 2008
GWL
14
Ill. MODIFICATION OF STANDARD TERMS AND CONDITIONS.
Each of the following enumerated provisions supersedes or modes, as indicated, the Section of
Attachment C, Standard terms and Conditions, to which it expressly refers:
IV. PERFORMANCE BOND
As provided in Attachment C, Section XVI:
A. The Contractor shall provide a performance bond ❑, another form of security ❑ or not applicable
B. If applicable, the amount of the Contractor's performance bond is ❑ is not ❑ the total amount of the
Contract.
If the amount is not the total amount of the Contract it is the amount of $
C. If applicable, the form of the other security shall be identify ( ) in the amount of $
V. ADDITIONAL TERMS AND CONDITIONS.
A. Special Terms and Conditions
1. Eligibility determination must be established per existing programmatic eligibility criteria outlined in
the Counselors' Manual for Vocational Rehabilitation Services.
2. Payments under this Contract will not be approved or paid until all services requested on the
DOEIDVR Referral Form are delivered and approved by the DOE/DVR Counselor on the NOA
(Attachment E), and the DOE/DVR Monthly Progress Report for Employment / Supported
Employment Services (Attachment D) are completed and delivered to the DOE/DVR Counselor.
3. A contractor shall be entitled to receive only one (1) payment per customer for each benchmark
achieved.
B. Contract Performance and Payment Data
1. The DOE/DVR will collect data through the Rehabilitation Information Management System (RIMS)
on, at a minimum, contract referrals, referrals accepted and declined, services provided and
payments made to the contractor.
2. Data collected may be compiled into reports and provided to the Contractor, DOE/DVR Counselors,
clients and other stakeholders.
C. Termination for Inactivity
1. This contract may be terminated by DOE/DVR if no referrals are accepted by the Contractor within a
six (6) month period.
D. Dispute Resolution
1. If the Contractor disagrees with action taken by Vocational Rehabilitation pursuant to
Section V, Additional Terms and Conditions, the Contract Manager should be contacted for
an informal discussion.
Non State Term oGGCM 07
Revised July 31, 2008
GwL
15
2. If still dissatisfied with the decision, the Contractor shalt within 30 days of the receipt of the
notice of remedies being applied, notify the Program Administrator of the Office of
Contracts, Grants and Vendor Certification in writing that the Contractor wishes to initiate a
complaint.
3. The Program Administrator shall review the case and if a satisfactory resolution can not be found
will: set a complaint hearing date that shall be no later than 30 calendar days from the date upon
which the Contractor's letter of complaint was received by the Division.
4. The hearing shall be conducted by the Director of the Division of Vocational Rehabilitation or his or
her designee and shall recommend a disposition to the Commissioner of Education.
5. Upon examining evidence and testimony received at the hearing, the Department shall notify the
Contractor in writing of the Commissioner's decision within ten calendar days of the hearing's
completion.
6. Appeal of the Commissioner's decision shalt be subject to applicable requirements and procedures
of Chapter 120, Florida Statutes.
Non State Term OGG-CM 07 Revised July 31, 2008
GWL
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STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
PROCUREMENT CONTRACT —ATTACHMENT B — ES
PAYMENT TERMS AND SCHEDULE FOR EMPLOYMENT SERVICES
The ,Payment Terms and Schedule for the procurement contract for Employment Services awarded to City of Miami -
Department of Parks & Recreation, Disabilities Division, Contract No. VJ278 are as follows:
An "X" in the box adjacent to each provision in this section signifies that the provision is applicable to the
Contract into which this Attachment B is incorporated.
Not applicable. This is an open ended fixed-rate contract with payment for performance for achieving specified
benchmarks as described in Section V.A.
A. Either 1 or 2 applies.
❑ 1. The total payment shall be the amount entered in the space provided in Section II below.
Or
❑ 2. The total payment shall be an amount not to exceed the amount entered in the
space provided in Section II, below.
B. Either 1, 2 or 3 applies.
❑ 1. The total payment shall be paid as a single, lump sum payment upon the Contractor meeting the
criteria for completion of the Contract.
1619
❑ 2. The total payment shall be paid as scheduled progress payments in accordance with Section 111,
below, which prescribes the amount of each payment, the specified Deliverable s) that must be received and
approved prior to each payment, and the project payment date.
or
® 3. Other. (Please explain). Payments are fixed rate for performance as described in Section V.A.
C. If 1. or 2. applies, check whether any of the following apply_
❑ 1. The total payment included amounts, which are set aside for specked services as described in Section
IV, below. Records shall be kept by the Contractor to account for amounts earned for each activity. In the
event that the full amount set aside for any activity is not earned, the unearned amount shall revert to the
DOE/DVR and shall be reflected as adjustment to the final payment.
Or
® 2. Contract payments shall be based on a system of rates as prescribed in Section V, below, which shall
account for all or a portion of the total contract payment also as prescribed in Section V, below.
Non State Term OGC-CM 07 Revised July 31, 2008
GWL
17
II. As specified in Section I. A., the amount of the total payment, or the amount that the total payment shall not
exceed is the following: Total payment is based on level of performance during the term of the contract at fixed
rates for achieving performance benchmarks.
III. The schedule of progress payments, the Deliverable (s) required to be received and approved, and the projected
Payment dates are set forth below, The actual date of payment shall be governed by the receipt and approval of
the Deliverables(s), not by the projected payment date which is included to assist in planning the Contract
services and managing the project.
Amount of Payment Projected Date Description of Deliverables
Not Applicable. Rate and performance payments are described in Section V.A. below.
IV. The amounts included in the total payment which are set aside for specified services in accordance with
Section 1.C.1., above, the specified activity to which each amount pertains, and the criteria under which the
Contractor earns portions of the amount which is set aside are described below:
Amount Set Aside Description of Activity Criteria for Earninq Portion of the Amount which is set aside
Not Applicable. No funds are being set-aside for this project.
V. The system of rates upon which contract payments are based is prescribed as follows:
A. As applicable, the type of work or the professional designation of a worker to whom
the rate applies, the dollar amount of the rate, and the time unit covered by the rate
amount are set forth below.
B. The following payment amounts are for the period 10/1/08 through 9/30/11:
C. Each invoice which requests a payment upon the system of rates:
—shall identify the pertinent dollar amount per time unit and the category of type of work, or professional
designation of a worker, in language which corresponds to subsection V. A., above;
—shall specify the totals of the time units and amount of payment sought for each category of type of worker
and for each worker; and
—shall be documented by time and performance records which are adequate for pre -audit and post -audit.
Not Applicable: See Invoice Requirements above.
Non State Tenn oGC-CM 07 Revised July 31, 2008
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Employment Services:
IFFY October 1, 2008— September 30, 2009
$5,000
Placement
25%
$1,250
45 Das
25%
$1,250
90 Das
50%
$2,500
Employment Services:
IFFY October 1, 2009 — September 30, 2010
$5,250
Placement
25%
$1,312
45 Das
25%
$1,313
90 Das
50%
$2,625
Employment Services:
IFFY October 1, 2010 — September 30, 2011
$5,250
Placement
25%
$1,312
45 Das
25%
$1,313
90 Das
50%
$2,625
C. Each invoice which requests a payment upon the system of rates:
—shall identify the pertinent dollar amount per time unit and the category of type of work, or professional
designation of a worker, in language which corresponds to subsection V. A., above;
—shall specify the totals of the time units and amount of payment sought for each category of type of worker
and for each worker; and
—shall be documented by time and performance records which are adequate for pre -audit and post -audit.
Not Applicable: See Invoice Requirements above.
Non State Tenn oGC-CM 07 Revised July 31, 2008
GWL
18
* ALL OVERPAYMENTS OR FUNDS DISALLOWED TO CONTRACTOR WILL BE REIMBURSED TO DOE/DVR
WITHIN 30 DAYS OF WRITTEN NOTIFICATION TO AVOID SUSPENSE OF FUTURE PAYMENTS.
VI. For purchases pursuant to state term contracts, the total payment for completion of all requirements of the
Contract which makes specific the DOE/DVR's procurement under a State Term Contract awarded to the
Contractor by the Department of Management Services reflects a savings to the DOE/DVR in comparison to
the total projected amount for the same work under the rates established in the State Term Contract No VJ278,
as explained below.
Not Applicable. This is not a state -term contract.
VII. Federal funds awarded through the DOE/DVR by this Contract, if any.
Not Applicable. This is a procurement contract not a grant award; and, the total amount of funds is based on total
services needed and purchased throughout the term of the Contract.
As needed, further description or explanation of the information prescribed in Section V. A., above, such as but not
limited to conditions precedent to the commencement of work, payment caps by category, or conditions under
which the time or dollar amount may be adjusted are as follows:
1. Invoice Requirement: The Contractor shall request payment on a monthly basis through the submission of an
accurate and properly completed invoice to the Contract Liaison within fifteen (15) days following the end of the
month for which services were rendered. All invoices shall itemize the names of Customers served, their
customer I.D. number, type of service provided and the date performance benchmark was achieved. Along
with the invoice, the Contractor agrees to submit supporting documentation evidencing that the services were
rendered. This supporting documentation includes, but is not limited to, the DOE/DVR Notification of Approval
Form (Attachment E) which has been signed and approved by the Contractor and the DOE/DVR Counselor.
2. Final Invoice (Withholding Payment). The Contractor must submit the final invoice for payment to the DOE/DVR
no more than sixty (60) days after the Contract ends or is terminated. If the Contractor fails to do so, all rights
to payment are forfeited and the DOE/DVR will not honor any requests submitted after the aforesaid time
period unless a written request for extension is received prior to the sixty (60) day deadline. If the final invoice
cannot be submitted within the required sixty (60) days period, the Contractor must submit a written request for
extension, to the Contract Manager, prior to the sixty (60) day deadline. The request must include a
description of the circumstances beyond the Contractor's/Recipient's control that resulted in a need for
additional time for the submission of the invoice. The DOE/DVR Contract Managers shall respond to these
requests within ten (10) days after receipt of the request.
3. Any payment due under the terms of this Contract may be withheld until all reports, deliverables and/or services
due from the Contractor and necessary adjustments thereto, have been approved by the DOE/DVR. The
DOEIDVR has final authority on any dispute on invoice payments.
4. The Contractor represents and agrees that information submitted in support of its requests for payment is the basis
of payment and is true and accurate to the best of knowledge of the responsible signatory. A violation of this
provision shall subject the violator to the provisions of s. 68.082, Florida Statutes, pertaining to false claims
against the state and /or s. 837.06, Florida Statutes pertaining to false official statements.
Non Slate Term OGC-CM 07 Revised July 31, 2008
GWL
19
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
PROCUREMENT CONTRACT — ATTACHMENT B — SE
PAYMENT TERMS AND SCHEDULE FOR SUPPORTED EMPLOYMENT SERVICES
The Payment Terms and Schedule for the procurement contract for Employment Services awarded to City of Miami -
Department of Parks & Recreation, Disabilities Division, Contract No. VJ278 are as follows:
I. An "X" in the box adjacent to each provision in this section signifies that the provision is applicable to the Contract
into which this Attachment B is incorporated.
Not applicable. This is an open ended fixed-rate contract with payment for performance for achieving specified
benchmarks as described in Section V.A.
D. Either 1 or 2 applies.
❑ 1. The total payment shall be the amount entered in the space provided in Section II below.
Or
❑ 2. The total payment shall be an amount not to exceed the amount entered in the
space provided in Section II, below.
E. Either 1, 2 or 3 applies.
❑ 1. The total payment shall be paid as a single, lump sum payment upon the Contractor meeting the
criteria for completion of the Contract.
or
❑ 2. The total payment shall be paid as scheduled progress payments in accordance with Section III,
below, which prescribes the amount of each payment, the specked Deliverable s) that must be received and
approved prior to each payment, and the project payment date.
or
® 3. Other. (Please explain). Payments are fixed rate for performance as described in Section V,A.
F. If 1. or 2. applies, check whether any of the following apply:
❑ 1. The total payment included amounts, which are set aside for specified services as described in Section
IV, below. Records shall be kept by the Contractor to account for amounts earned for each activity. In the
event that the full amount set aside for any activity is not earned, the unearned amount shall revert to the
DOE/DVR and shall be reflected as adjustment to the final payment.
Or
® 2. Contract payments shall be based on a system of rates as prescribed in Section V, below, which shall
account for all or a portion of the total contract payment also as prescribed in Section V, below,
Non State Term OGC-CM 07
Revised July 31, 2008
GWL
20
II. As specked in Section I. A., the amount of the total payment, or the amount that the total payment shall not
exceed is the following: Total payment is based on level of performance during the term of the contract at fixed
rates for achievina performance benchmarks.
III. The schedule of progress payments, the Deliverable (s) required to be received and approved, and the projected
Payment dates are set forth below. The actual date of payment shall be governed by the receipt and approval of
the Deliverables(s), not by the projected payment date which is included to assist in planning the Contract
services and managing the project.
Amount of Payment Proiected Date Description of Deliverables
Not Aoplicable. Rate and performance pavments are described in Section V.A. below.
IV. The amounts included in the total payment which are set aside for specified services in accordance with
Section 1.C.1., above, the specified activity to which each amount pertains, and the criteria under which the
Contractor earns portions of the amount which is set aside are described below:
Amount Set Aside Description of Activity Criteria for Earning Portion of the Amount which is set aside
Not Applicable. No funds are beinq set-aside for this
V. The system of rates upon which contract payments are based is prescribed as follows:
A. As applicable, the type of work or the professional designation of a worker to whom
the rate applies, the dollar amount of the rate, and the time unit covered by the rate
amount are set forth below.
B. The following payment amounts are for the period 10/1108 through 9/30/11:
Supported Employment Services:
FFYOctober 1, 2008 - September 30, 2009
$7,700
Individual Career Plan 15%
$1,155
Placement 15%
$1,155
Stabilization 20%
$1,540
Transition 20%
$1,540
Employment Outcome 30%
$2,310
Supported Employment Services:
FFY October 1, 2009 - September 30, 2010
$8,085 ;
Individual Career Plan 15%
$1,213
Placement 15%
$1,213
Stabilization 20%
$1,617
Transition 20%
$1,617
Employment Outcome 30%
$2,425
Supported Employment Services:
FFY October 1, 2010 - September 30, 2011
$8,085
Individual Career Plan 15%
$1,213
Placement 15%
$1,213
Stabilization 20%
$1,617
Transition 1 20%
$1,617
Employment Outcome 30%
$2,425
Non State Tenn oGC-CM 07
Revised July 31, 2008
GWL
21
nnc/m /n nw..b....1 to— V m7a
C. Each invoice which requests a payment upon the system of rates:
--shall identify the pertinent dollar amount per time unit and the category of type of work, or professional
designation of a worker, in language which corresponds to subsection V. A., above;
--shall specify the totals of the time units and amount of payment sought for each category of type of worker
and for each worker; and
--shall be documented by time and performance records which are adequate for pre -audit and post -audit.
Not Applicable: See Invoice Requirements above.
* ALL OVERPAYMENTS OR FUNDS DISALLOWED TO CONTRACTOR WI LL BE REIMBURSE D TO DOE/DVR
WITHIN 30 DAYS OF WRITTEN NOTIFICATION TO AVOID SUSPENSE OF FUTURE PAYMENTS.
VI. For purchases pursuant to state term contracts, the total payment for completion of all requirements of the Contract
which makes specific the DOE/DVR's procurement under a State Term Contract awarded to the Contractor by the
Department of Management Services reflects a savings to the DOE/DVR in comparison to the total projected amount for
the same work under the rates established in the State Term Contract No VJ278, as explained below.
Not Applicable. This is not a state -term contract.
VII. Federal funds awarded through the DOE/DVR by this Contract, if any.
Not Applicable. This is a procurement contract not a grant award; and, the total amount of funds is based on total
services needed and purchased throughout the term of the Contract.
As needed, further description or explanation of the information prescribed in Section V. A., above, such as but not
limited to conditions precedent to the commencement of work, payment caps by category, or conditions under
which the time or dollar amount may be adjusted are as follows:
1. Invoice Requirement: The Contractor shall request payment on a monthly basis through the submission of an
accurate and properly completed invoice to the Contract Liaison within fifteen (15) days following the end of the
month for which services were rendered. All invoices shall itemize the names of Customers served, their
customer I.D. number, type of service provided and the date performance benchmark was achieved. Along
with the invoice, the Contractor agrees to submit supporting documentation evidencing that the services were
rendered. This supporting documentation includes, but is not limited to, the DOE/DVR Notification of Approval
Form (Attachment E) which has been signed and approved by the Contractor and the DOE/DVR Counselor.
2. Final Invoice (Withholding Payment). The Contractor must submit the final invoice for payment to the DOE/DVR
no more than sixty (60) days after the Contract ends or is terminated. If the Contractor fails to do so, all rights
to payment are forfeited and the DOE/DVR will not honor any requests submitted after the aforesaid time
period unless a written request for extension is received prior to the sixty (60) day deadline. If the final invoice
cannot be submitted within the required sixty (60) days period, the Contractor must submit a written request for
extension, to the Contract Manager, prior to the sixty (60) day deadline. The request must include a
description of the circumstances beyond the Contractor's/Recipient's control that resulted in a need for
additional time for the submission of the invoice. The DOE/DVR Contract Managers shall respond to these
requests within ten (10) days after receipt of the request.
3. Any payment due under the terms of this Contract may be withheld until all reports, deliverables and/or services
due from the Contractor and necessary adjustments thereto, have been approved by the DOE/DVR. The
DOE/DVR has final authority on any dispute on invoice payments.
4. The Contractor represents and agrees that information submitted in support of its requests for payment is the basis
of payment and is true and accurate to the best of knowledge of the responsible signatory. A violation of this
provision shall subject the violator to the provisions of s. 68.082, Florida Statutes, pertaining to false claims
against the state and /or s. 837.06, Florida Statutes pertaining to false official statements.
Non State Term OGC-CM 07 Revised July 31, 2008
GWL
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DOE/DVR Contract No: VJ278
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
I_ Composition of Contract; Entire Contract: No
Modifications Except in Writing. The agreement
between the Department of Education/Division of
Vocational Rehabilitation (DOE/DVR) and Contractor
concerning the subject matter hereof consists of the
Contract, this Attachment and all other attachments and
exhibits referenced herein or in the Contract. In the
event there is any inconsistency between the provisions
of the Contract and the provisions of this Attachment or
any other attachment or exhibit, the provisions of the
Contract shall govem and control. The Contract, this
Attachment and all other attachments and exhibits
referenced herein or in the Contract may be referred to
collectively as the 'Contract. The Contract represents
the total and complete agreement of DOE/DVR and
Contractor relating to the subject matter of the Contract
The Contract supersedes any prior or contemporaneous
written or oral agreements or representations relating to
the subject matter of the Contract. No purported
modification of the Contract shall be valid or binding on
either party unless such modification is contained in a
document executed by both parties.
It. The Contractor Agrees:
A. To comply with all applicable laws, statutes and
regulations of the State of Florida and the United States,
and to complete any forms required under such laws,
statutes and regulations, whether or not such forms are
referenced in this Contract.
B. Audits and Records.
1. To maintain (in accordance with generally accepted
accounting procedures) and retain, during and for five
(5) years after termination of this Contract, books,
records and all other documents relating to this Contract.
Such will sufficiently and property reflect all expenditures
of funds provided by DOE/DVR under this Contract
(collectively, the `Records'). if an audit has been
initiated and audit findings have not been resolved at the
end of such five (5) year period, Contractor shall retain
the Records unfit resolution of the audit findings.
2. To assure that state personnel, federal personnel and
personnel authorized by the DOEIDVR shall have full
access to the Records during the time Contractor is
obligated to retain same.
3. To provide access to and, at the request of
DOE/DVR, to furnish whatever information is deemed
Non Stare Term OGC-CM 07
necessary by DOE/DVR to be assured of satisfactory
performance of the terms and conditions of the Contract.
This includes access to financial reports, personnel and
personnel work records. Any written comments from
DOE/DVR to the Contractor regarding deficiencies in
Contractor's performance must be responded to by the
Contractor within the time specified in such comments.
The Contractor shall either rectify such deficiencies or
supply a reasonable written justification for not
correcting such deficiencies.
4. The contractor agrees to permit onsite visits by
designated DOE/DVR employees or agents to conduct
audits to ensure compliance with Section 20.055, Florida
Statutes. These audits may require department access
to records and data, computers and communications
devices and other materials whether owned or operated
by the Contractor. Access may include, but is not limited
to, user level and/or system level access to any
computing or communications device; access to
information (electronic, hardcopy, etc.) that may be
produced, transmitted, or stored on the Contractor's
equipment or premises; access to work areas; and
access to interactively monitor and log traffic on the
Contractors networks.
5. To file with the DOEIDVR such Records as the
DOE/DVR may require (in its sole discretion) within one
(1) year after the completion of performance under this
Contract.
6. To allow public access to all documents, papers,
letters, or other materials made or received by
Contractor in conjunction with this Contract, subject to
the provisions of Chapter 119, Florida Statutes, §i1 (F)
below and other applicable law. DOE/DVR may
unilaterally cancel this Contract if the Contractor refuses
to allow access by members of the public to all
documents, papers, letters and materials made or
received in conjunction with the Contract that are subject
to Chapter 119, Florida Statutes, and are not exempt
from public inspection by Section 119.071 Florida
Statute and other provisions of general or special law.
7. In accordance with the provisions of OMB Circular A-
133, as revised, in the event that it expends equal to or
in excess of the Federal thresholds for awards in its
fiscal year and is otherwise subject to OMB Circular A-
133, to have a single or program -specific audit
conducted in accordance with the provisions of OMB
Revised July 31, 2008
GWL
23
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
Circular A-133, as revised. In determining the Federal
awards, expended in its fiscal year, the Contractor shall
consider all sources of Federal awards, including
Federal funds received from DOE/DVR. The
determination of amount of Federal awards expended
should be in accordance with the guidelines established
by OMB Circular A-1 33, as revised. An audit conducted
by the Auditor General in accordance with the provisions
of OMB Circular A-133, as revised, will meet the
requirement of this part.
8. In connection with- the audit requirements addressed
above in Section 11, Paragraph 7, to fulfill the
requirements relative to auditee responsibilities as
provided in Subpart c of OMB Circular A-133, as
revised.
9. If it expends less than the Federal threshold for
awards in its Fiscal year, an audit conducted in
accordance with the provisions of OMB Circular A-133,
as revised is not required. in the event that the
Contractor expends less than the Federal threshold for
awards in its fiscal year and elects to have an audit
conducted in accordance with the provision of OMB
Circular A-133, as revised, the cost of the audit must be
paid from non -Federal funds (i.e., the cost of such an
audit must be paid from funds obtained from other than
Federal entities).
10. In accordance with 215.97, Florida Statutes,
applicable rules of the Office of the Governor and the
Comptroller, if it expends a total amount of State awards
(i.e., State Financial assistance provided to the
Contractor to cant' out a State project) equal to or in
excess of the State threshold in any fiscal year of such
Contractor, and is otherwise subject to 215.97, Florida
Statutes, to have a single State or project -specific audit
for such fiscal year. In connection with the audit
requirements addressed in paragraph 10, the Contractor
shall ensure the audit complies with the requirements of
215.97(7) Florida Statutes. This includes submission of
a reporting package as defined by 215.97(2)(d), Florida
Statutes.
11. If it expends less than the State threshold for awards
in its fiscal year, an audit conducted in accordance with
the provisions of 215.97, Florida Statutes, is not
required. In the event that the Contractor expends less
than the State threshold for awards in its fiscal year and
elects to have an audit conducted in accordance with the
provision of 215.97, Florida Statutes, the cost of the
Non State Tam OG"M 07
audit must be paid from non -State funds (i.e., the cost of
such an audit must be paid from the funds obtained from
other than State entities).
C. Monitoring by DOFJDVR.
1. To permit persons duly authorized by the DOE/DVR,
state and federal auditors full access to and the right to
examine any of said records and documents at all
reasonable times during the period of this Contract,
during said retention period or as long as records
retained, which ever is later. Those persons authorized
to do so shall be entitled to inspect any records, papers,
documents; facilities, or services of the Contractor
relevant to this Contract and may interview Contractors
of services and employees of the Contractor to be
assured of satisfactory performance of the terms and
conditions of the Contract. Following such inspection
DOE/DVR shall deliver to the Contractor a written report
of the findings, including specifically any noted
deficiencies concerning the manner in which services
are being provided. The Contractor will correct all noted
deficiencies identified by the DOE/DVR within the
specified period set forth in the recommendations.
2. In addition to reviews of audits conducted in
accordance with OMB Circular A-133, as revised,
monitoring procedures may include, but not be limited to,
on site visits by DOE/DVR, limited scope audits as
defined by OMB Circular A-133, as revised, and/or other
procedures. By entering into this Contract, the
Contractor agrees to comply and cooperate with any
monitoring procedures/process deemed appropriate by
the DOE/DVR. in the event DOEIDVR determines that a
limited scope audit of the Contractor is appropriate, the
Contractor agrees to comply with any additional
instructions provided by DOE/DVR regarding such audit.
The Contractor further agrees to comply and cooperate
with any inspections, reviews, investigations, or audits
necessary by the Comptroller or the Auditor General or
other authorized body.
D. Indemnification. To indemnify, defend, and hold
harmless DOEIDVR, its attorneys, agents, and
employees, to the full extent allowed by law, from all
claims, suits, judgments, debts., or damages, arising out
of Contractor's performance or failure to perform under
this contract., the negligent acts, negligent omissions or
willful conduct of the Contractor relating
Revised July 31, 2008
GWL
24
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
to this Contract. The indemnification shalt include
reasonable attorney's fees and costs incurred by the
DOE/DVR, its attorneys, agents and employees in the
defense of any such suits, claims, or causes of action, as
aforesaid. Nothing in this Contract is intended to serve as
a waiver of sovereign immunity, nor shall anything in this
Contract be construed as consent by a state agency or
political subdivision of the State of Florida to be sued by
third parties in any matter arising out of any agreement.
E. insurance. The Contractor must carry general liability
insurance, which shall include errors and omissions
coverage. The amount of coverage shall be a minimum of
$1,000,000 or the aggregate total of all contractual
agreements between the Contractor and the agencies and
political subdivisions of the State of Florida, whichever is
greater. The Contractor shall add the Department as an
additional insured on the general liability coverage. The
insurance shall cover all of the Contractor's operations
under this Contract and shall be effective throughout the
Term of this Contract, as well as any renewals or
extensions thereto. It is not the intent of this Contract to
limit the types of insurance otherwise required by this
Contract or that the Contractor may desire to obtain or be
required to obtain by law. The Contractor must submit a
Certificate of Insurance indicating coverage for general
liability purposes and additional insured coverage, and
shall maintain and pay for same throughout the Term of
this Contract. A Certificate of Insurance indicating
adequate coverage shall be submitted to the Department
prior to the time the Contract is entered. Any and all
insurance policies shall be through insurers qualified to do
business in Florida.
F. Safeguarding Information.
1. Not to use or disclose any information concerning
applicants or recipients of services under or incident to
this Contract for any purpose not in conformity with state
regulations and Federal law or regulations (45 CFR, Part
205.50, 34 CFR PART 361.38 and other applicable laws),
except upon written consent of the applicant or recipient,
or the responsible parent or guardian when authorized by
law.
2. The Contractor is subject to all provisions of
confidentiality of client records as set forth in § 413.341,
Florida Statutes.
G. Return of Funds The Contractor agrees to return to
DOE/DVR any overpayment due to unearned funds or
funds disallowed pursuant to the terms of this Contract,
the Vocational Rehabilitation Act of 1973, as amended, or
appropriate state, federal regulations, rules and/or laws.
In the event that the Contractor or its independent auditor
discovers that an overpayment has been made, the
Contractor shall repay said overpayment immediately
together with an explanation of the funds returned. The
return shall be due within forty-five (45) days following the
expiration or early termination of this Contract, or within
ten (10) days after the overpayment is discovered,
whichever is sooner. If Contractor fails to timely repay
such funds, the Contractor shall pay to DOE/DVR, in
addition to such funds, interest at the rate set pursuant to
Section 55.03, Florida Statutes. Interest shall immediately
begin to accrue on the unpaid principal balance at the
highest rate allowable by applicable laws, through the date
on which such funds are fully repaid.
H. Unusual incident Retorting To report to DOE/DVR
and the Florida Abuse Hotline knowledge of reasonable
suspicion of abuse, neglect, or exploitation of a child, aged
person, or disabled adult. The Florida Abuse Hotline's
statewide toll-free telephone number is 1-800-962-2873.
Such reporting to be done in a manner prescribed in
Chapter 415, Florida Statutes. This is binding upon both
the Contractor and its employees.
i. Transportation Disadvantaged. If customers will be
transported under this Contract, to subcontract with the
designated Community Coordinated Transportation
Contractor, or otherwise comply with the provisions of
Chapter 427, Florida Statutes.
J. Civil Rights Certification.
1. To comply with:
a. Title VI of the Civil Rights Act of 1964, as amended,
which prohibits discrimination on the basis of race, color,
or national origin in programs and activities receiving or
benefiting from federal financial assistance.
b. Section 504 of the Rehabilitation Act of 1973, as
amended, which prohibits discrimination on the basis of
disability in programs and activities receiving or
Non Sri TAm Or.(.-rM m Revised July 31. 2008
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
benefiting from federal financial assistance.
c. Title IX of the Education Amendments of 1972, as
amended, which prohibits discrimination on the basis of
gender in education programs and activities receiving or
benefiting from federal financial assistance.
d. The Age Discrimination Act of 1975, as amended,
which prohibits discrimination on the basis of age in
programs or activities receiving or benefiting from
federal financial assistance.
e. The Omnibus Budget Reconciliation Act of 1981,
which prohibits discrimination on the basis of gender or
religion in programs and activities receiving or benefiting
from federal financial assistance.
f. Title VIi of the Civil Rights Act of 1964, as amended,
which prohibits discrimination with respect to
employment, compensation, and terms and conditions of
employment on the basis of race, color, religion, gender,
or national origin.
g. Florida Human Relations Act, which prohibits
discrimination on the basis of race, color, religion,
gender, national origin, age, disability, or marital status.
h. Americans with Disabilities Act, which prohibits
discrimination by public and private entities on the basis
of disability in employment, public accommodations,
transportation, state and local government services, and
in telecommunications.
i. All other applicable laws, regulations and standards
that prohibit discrimination on any basis on which
discrimination is prohibited by any of the above -
referenced laws.
K. Independent Capacity of the Contractor.
1. To be solely liable for the performance of all tasks
contemplated by this Contract which are not the
exclusive responsibilities of DOEiDVR.
2. To act in the capacity of an independent contractor
and not as an officer, employee or agent of the State of
Florida. The Contractor shall not represent to others that
it has the authority to bind DOE/DVR unless specifically
authorized in writing to do so. In addition to the
Contractor, this is also applicable to its officers, agents,
employees, subcontractors, or assignees in performance
of this Contract.
3. Neither the Contractor, its officers, agents,
employees, subcontractors, nor assignees are entitled to
state retirement or state leave benefits, or to any other
\I� N -a- T.. MIS H• M
compensation of state employment as a result of
performing the duties and obligations of this Contract.
4. The DOE/DVR will not furnish services or support (e.
g., office space, office supplies, telephone service,
secretarial or clerical support) to Contractor.
5. All deductions for social security, withholding taxes,
income taxes, contributions to unemployment
compensation funds and all necessary insurance for the
Contractor, the Contractors officers, employees, and
agents shall be the responsibility of the Contractor.
L. Sponsorship. As required by Section 286.25, Florida
Statutes, that all notices, informational pamphlets, press
releases, advertisements, descriptions of sponsorship of
the program research reports, and similar public notices
prepared and released by the Contractor shalt include
the statement: 'Sponsored by DOEiDVR and the State
of Florida.' If the sponsorship reference is in written
material, the words 'State of Florida, Department of
Education/ Division of Vocational Rehabilitation' shall
appear in the same size type and emphasis as the name
of Contractor or other applicable organization.
M. Invoices
1. The Contractor shall submit properly completed
monthly invoices in detail sufficient for a proper pre -audit
and post -audit thereof and in a form acceptable to the
DOEIDVR covering services rendered and/or goods
provided under this Contract together with expenditure
reports to support all requests for payment. The
Contractor shall request payment on a monthly basis
through the submission of properly completed invoices
to the Contract Liaison within fifteen (15) days following
the end of the month for services that were rendered.
These invoices shall be on Contractor's letterhead and
must state the total number of customers who received
services, the date(s) the services were provided,
together with the names of clients served during the
payment period. Payments may be authorized only for
services listed on the invoice, which are in accord with
terns and conditions of this Contract. This requirement
shall in no way affect the Final Invoice (Withholding
Payment) requirements.
2. Final Invoice (Withholding Payment). The Contractor
must submit the final invoice for payment to the
0-4-4 J, 'MQ
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
DOE/DVR no more than sixty (60) days after the
Contract ends or is terminated. If the Contractor fails to
do so, all rights to payment is forfeited and the
DOE/DVR will not honor any requests submitted after
the aforesaid time period unless a written request for
extension is received prior to the sixty (60) day deadline.
The DOEIDVR Contract Liaison shall review all payment
requests of the Contractor in a manner that will allow the
Contractor to submit an invoice within sixty (60) days. If
the final invoice cannot be submitted within the required
sixty (60) days period, the Contractor must submit a
written request for extension, to the Contract Manager,
prior to the sixty (60) day deadline. The request must
include a description of the circumstances beyond the
Contractors control that resulted in a need for additional
time for the submission of the invoice. The DOE/DVR
Contract Managers shall respond to these requests
within ten (10) days after receipt of the request.
3. Any payment due under the terms of this Contract
may be withheld until all reports due from the Contractor
and necessary adjustments thereto, have been
approved by the DOE/DVR. The DOE/DVR has final
authority on any dispute on invoice payments.
4. The Contractor represents and agrees that
information submitted in support of its requests for
payment is the basis of payment and is true and
accurate to the best of knowledge of the responsible
signatory. A violation of this provision shall subject the
violator to the provisions of s. 68.082, Florida Statutes,
pertaining to false claims against the state and /or s.
837.06, Florida Statutes pertaining to false official
statements.
N. Lobbying, Fund-raising and Program Income.
1. To comply with §216.347, Florida Statutes, which
prohibits expenditure of contract funds for lobbying the
Legislature or a state agency. Fund raising activities
shall not be charged to, or reimbursed from, any
DOE/DVR Contract proceeds.
2. Program income shall be used, at the direction of the
DOE/DVR, to either reduce the Contract award or fund
additional services eligible for State and Federal funding.
For purposes of this Contract, 'program income' shall
mean gross income received by Contractor directly
generated by a grant supported activity, or earned as a
result of this Contract during the term of this Contract. If
N— c►d. Tun.. rY'f'-r&A m
any payment due under this Contract results directly
from a budget line item submitted by Contractor and
Contractor's actual costs or expenditures during the
Contract term are less than the amount budgeted, the
resulting excess payment shall be deemed, for purposes
of this Contract, "program income.°
0. ONE -STOPS. To inform DOE/DVR immediately if
they are or become a party to any contract with any
State of Florida Department ONE STOP, or any 'one-
stop partner' under the Workforce Investment Act of
1998.
P. Staff, Facilities and Equipment. To maintain
sufficient staff, facilities and equipment to deliver the
goods and services described in this Contract, and to
immediately notify the DOE/DVR whenever Contractor is
unable or is going to be unable to provide the required
quality or quantity of goods or services. In addition, all
facilities or other places of business used in the delivery
of services must comply with the design and
construction accessible to the physically handicapped
per 'Architectural Barriers Act of 1968' Section 504 of
the Act and ADA.
Q. Authority of Person Executing Contract.
Contractor represents that the person executing this
Contract (and any portion thereof) has the actual
authority to so execute on behalf of Contractor and that
all actions, corporate or otherwise, necessary to such
authority have occurred.
R. Relationship of Customer to DOEIDVR. If the
Contractor is hiring or placing for employment any
customer of DOE/DVR pursuant to the terms of this
Contract, such customer is not an employee of
DOE/DVR for any purpose, whatsoever, including
without limitation the provision of workers' compensation
benefits. Contractor shall notify the employer of this
fact.
S. Certification regarding, Debarment. Suspension,
Ineligibility and Voluntary Exclusion, and
Acknowledgment and Representation regarding the
Convicted Vendors List.
1. If the amount of federal funds received by Contractor
hereunder exceeds $25,000, the Contractor.
Ravicm hdv11 W=
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
a. Certifies, by signing this Contract, that neither the
Contractor nor any of its principals is presently debarred,
suspended, proposed for debarment, declared ineligible,
or voluntarily excluded from participation in this Contract
by any federal department or agency and, if the
Contractor is unable to certify to any of the statements
contained in this section, Contractor shall attach an
explanation to this Contract;
b. Acknowledges and agrees this certification is a
material representation of fact upon which reliance is
placed when this Contract is entered into. If it is later
determined that the signer or Contractor knowingly
rendered an erroneous certification, the Federal
Government may pursue available remedies, including
suspension and/or debarment;
c. Agrees to provide immediate written notice to the
Contract Manager at any time the Contractor learns that
its certification was erroneous when submitted or has
become erroneous by reason of changed
circumstances;
d. Acknowledges and agrees the terms 'debarred,"
'suspended," 'ineligible,' 'person,* 'principal,' and
'voluntarily excluded,` as used in this certification, have
the meanings set out in the Definitions and Coverage
section of rules implementing Executive Order 1254,
Debarment and Suspension, signed February 18, 1986.
Contractor may contact the Contract Manager for
assistance in obtaining a copy of these rules and
regulation.
e. Agrees by submitting this certification that it shall not
knowingly enter into any subcontract with a person who
is debarred, suspended, declared ineligible, or
voluntarily excluded from participation in this Contract
unless authorized by the Federal Government; and
f. Agrees it will require each person or entity
subcontracted under this Contract receiving payment of
$25,000 or more in federal monies to submit a signed
copy of this certification to DOEIDVR.
2. If the amount of federal funds received by Contractor
hereunder exceeds $100,000, the undersigned, on
behalf of himseff/her5etf and the Contractor, certifies to
the best of his or her knowledge and belief that:
a. No Federal appropriated funds have been paid or will
be paid, by or on behalf of the undersigned or the
Contractor, to any person for influencing or attempting to
influence an officer or employee of any agency, 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;
b. If any funds, other than Federal appropriated funds,
have been paid or will be paid to any person for
influencing or attempting to influence an officer or
employee of any agency, a member of Congress, an
officer or employee of Congress, in connection with this
Federally funded agreement, the undersigned shall
complete and submit Standard Form -LLL, "Disclosure
Form to Report Lobbying," in accordance with its
instructions; and
c. The undersigned shall require that the language of
this certification be included in the award documents for
all subawards (including subcontracts, subgrants and
contracts under grants, loans and cooperative
agreements) and that all subrecipients shall certify and
disclose accordingly.
The undersigned and Contractor acknowledge THIS
CERTIFICATION IS A MATERIAL REPRESENTATION
OF FACT UPON WHICH RELIANCE WAS PLACED
WHEN THIS CONTRACT WAS MADE OR ENTERED
INTO. SUBMISSION OF THIS CERTIFICATION IS A
PREREQUISITE TO MAKING OR ENTERING THIS
CONTRACT IMPOSED BY SECTION 1352, TITLE 31,
U.S. CODE. ANY PERSON WHO FAILS TO FILE THE
REQUIRED CERTIFICATION SHALL BE SUBJECT TO
A CIVIL PENALTY OF NOT LESS THAN $10,000 AND
NOT MORE THAN $100,000 FOR EACH SUCH
FAILURE.
3. If the amount of funds to be received by Contractor
hereunder exceeds the threshold amount provided in
Section 287.017, Florida Statutes, for CATEGORY
TWO, the undersigned, on behalf of himself/herself, the
Contractor, and any affiliate thereof, acknowledges and
represents that, as defined and described in Section
287.133, Florida Statutes, persons or affiliates placed on
the convicted vendor list—following a conviction for a
public entity crime may not be awarded or perform the
work under this Contract and that neither the
undersigned, the Contractor, nor any affiliate thereof had
been placed on the above -
nom, Gr=ro Tarm f)rr'-r d m Revised July 31. 2008
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C — STANDARD TERMS AND CONDITIONS
referenced convicted vendor list within thirty-six (36)
months prior to the effective date of this Contract.
T. Vendor Certification. The DOE/DVR adopts the
standards for vendor qualifications as those established
by Florida Statutes, national certification boards and
industries that are applicable. When a vendor is
employed in an occupation for which national, state or
industry standards have not been established, the DVR
may adopt standards, as it deems appropriate, to ensure
the provision of quality services to individuals with
disabilities. An appeals process shall be developed to
include the DVR as the final authority. (Adopted July 12,
2001.) The Contractor and any subcontractors shall
comply with the DVR vendor certification standards
applicable to the services for which it is contracting and
shall maintain such -certification throughout the tem} of
the contract.
U. My Florida Market Place All prospective vendors are
required to register online with the My Florida
marketplace (MFMP) E -procurement system in order to
become certified with DVR. Vendor registration can be
completed by visiting the MFMP website at
https://vendor.myfloridamarketpalce.com/. For additional
information or questions, the prospective vendor should
contact the MFMP customer service help desk at 1-866-
FLA-EPRO (1-866-352-3776) Registration must take
place prior to completing the—DVR Standard Vendor
Application process.
III. THE DOE/DVR Agrees
A. Contract Amount.
1. To pay for contracted services in an amount not to
exceed the Contract Amount as stated in the Contract,
subject to the availability of funds. If the Legislature fails
to make the necessary appropriation, the Department
will determine if there are other unencumbered funds
which are available and which can be lawfully expended
to pay for the DOEIDVR's obligations hereunder. If the
DOE/DVR determines that there are no such funds, the
DOE/DVR shall promptly notify the Contractor. The
giving of notice shall be deemed to have cancelled this
Contract by mutual consent, with the date of notice
being the date of cancellation.
2. The State of Florida's performance and obligation to
pay under this Contract is contingent upon an annual
appropriation by the Legislature.
3. Contractor shall not be paid under this Contract for
any services for which it is paid under any other contract
or from any other source.
4. Except as may otherwise be expressly stated in this
Contract, DOE/DVR shalt not be obligated to pay any
amount for expenses, services rendered, or goods
provided prior to the effective date of this Contract or for
which an invoice for payment has not been submitted
consistent with ill. B.
B. Contract Payment.
1. Pursuant to Section 215.422, Florida Statutes, and
not later than twenty (20) days after the receipt of the
invoice and receipt, inspection and approval of the
services, to file with the State Comptroller the voucher
authorizing payment of an invoice submitted to
DOE/DVR. Submission is to be contingent upon
inspection and approval of the goods or services, except
that, in the case of a bona fide dispute, the voucher shall
contain a statement of the dispute and authorize
payment only in the amount not disputed. Such
approval is for authorizing payments and does not
constitute a final approval of services purchased under
this Contract. The date on which an invoice is deemed
received is the date on which a properly completed
invoice is first received at the place designated by
DOE/DVR. A payment is deemed to be issued on the
first working day that payment is available for delivery or
mailing to the Contractor.
2. If a warrant in payment of an invoice is not issued
within forty (40) days after the receipt of the invoice and
receipt, inspection, and approval of the services,
DOE/DVR shall pay to the Contractor, in addition to the
amount of the invoice, interest at the relevant rate
authorized under Section 215.422, Florida Statutes, or
pay the separate interest penalty set by the Comptroller
pursuant to s. 55.03 Florida Statutes in addition to the
invoice amount. The Contractor should contact DOE's
Fiscal section at 850-245-0402 or Purchasing Office at
850-245-9170. Invoices returned to Contractor due to
preparation errors will result in a payment delay. Invoice
payment requirements do not start until a property
completed invoice is provided to DOE/DVR.
C. Comptroller's Hotline. Vendors who may be
experiencing problems in obtaining timely payment(s)
kL - Ct- T...... M/ /.&1 1%9 RcviQm 1111V qi 9fm
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C - STANDARD TERMS AND CONDITIONS
from a state agency may contact the Vendor
Ombudsman at 1-866-515-3962 or the State
Comptroller's Hotline at 1-800-451-4327. This paragraph
is being provided for notice purposes only.
D. Website. DOE/DVR's website is
http://www.rehabworks.org, Documents on this website
are updated to reflect the most recent version(s)
available.
IV. The Contractor and DOEIDVR Mutually Agree:
A. Cancellation
1. Cancellation at Will. DOE/DVR with or without cause
may cancel this Contract upon no less than thirty- (30)
days notice.
2. Cancellation Because of tack of Funds. In the event
funds to meet DOE/DVR's obligations hereunder
become unavailable, the DOEIDVR may, at its
discretion, suspend or cancel the Contract upon no less
than twenty-four (24) hours notice in writing to the
Contractor. In the event the DOE/DVR chooses to
exercise its cancellation option under this section,
neither party hereto shall have any further rights or
obligations hereunder. In the event the DOEIDVR
suspends this Contract but does not reinstate it before
the end of the Contract tens; such suspension shall be
considered an exercise of the DOEIDVR cancellation
option.
3. Cancellation for Breach. The DOE/DVR may cancel
this Contract for reasons of the Contractor's non-
performance upon no less than thirty430) days notice in
writing to the Contractor. If applicable, DOEIDVR may
employ the default provisions in Chapter 60A1.006(3),
Florida Administrative Code. Waiver of breach of any
provisions of this Contract shall not be deemed a waiver
of any modification of the term of this Contract. The
provisions herein do not limit DOE/DVR's rights to
remedies at law or in equity.
4. Failure to have performed any Contract obligation with
DOE/DVR in a manner satisfactory to the DOE/DVR will
be a sufficient cause for cancellation and termination of
Contractor's status. To be terminated as a Contractor
under this provision, the Contractor must 1) have
previously failed to satisfactorily perform in a Contract
with the DOEIDVR; 2) have been notified by DOE/DVR
of unsatisfactory performance, and have failed to corned
the unsatisfactory performance to the satisfaction of
DOE/DVR; and 3) have had a contract terminated by
DOEIDVR for cause.
5. Cancellation pursuant to Section II. C. 6. DOE/DVR
may cancel for Contractor's refusal to allow access to
public documents, etc. that are made or received in
conjunction with the Contract that are subject to Chapter
119, Florida Statutes and not otherwise exempt from
public inspection.
6. Cancellation for employment of unauthorized aliens.
The employment of unauthorized aliens by any
Contractor is considered a violation of Section 274 (e) of
the Immigration and Nationality Act. If the Contractor
knowingly employs unauthorized aliens, such violation
shall be cause for unilateral cancellation of the Contract.
B. Re -negotiation or Modification.
1. Modification of provisions of this Contract shall only
be valid when they have been reduced to writing and
duly signed by both parties. The Rate of Payment and
the total dollar amount may be adjusted to reflect price
level increases and changes in the Rate of Payment
when these have been established through the
appropriations process subsequently identified in
DOEIDVR's budgets.
2. In the event that the Governor and Cabinet are
required to impose a mandatory reserve on
appropriations, the Department shall amend this
Contract to place in reserve the amount determined by
DOE/DVR to be necessary because of the mandatory
reserve. Such amendments may provide for
adjustments in the deliverable products and services as
may be necessary.
C. Notice and Contact. All notices to DOE/DVR and
invoices for payment should be directed to the attention
of the Contract Liaison. All notices to Contractor and
payments under this Contract shall be directed to
Contractor's Contract Representative. In the event that
a different Contract Liaison or Contractor's Contract
Representative is designated after execution of this
Contract, notice of the name and address of the new
Liaison or Representative shall be sent in writing within
thirty (30) days of such change. The Contractor shall
keep DOE/DVR informed of its current telefax number at
all times. Unless otherwise provided herein, any notice
to be given hereunder shall be in writing and shall be
sent by hand -delivery, overnight mail, by U.S. certified
mail, postage prepaid, return receipt requested or by
telefax. Any notice given by property addressed and
stamped U.S. certified mail, return receipt requested,
shall be deemed to be given three (3) days following the
date of mailing. Notice by overnight mail shall be
deemed to be given one (1) day after such mailing.
Notice by telefax shall be deemed to constitute notice by
hand -delivery.
RovicrNi .6 iM �1 �f1nA
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
ATTACHMENT C - STANDARD TERMS AND CONDITIONS
D. Remedies of the DOE/DVR Cumulative. In addition
to all remedies available to DOE/DVR hereunder, in the
event Contractor breaches its obligations under this
Contract, DOE/DVR shall be entitled to exercise any
remedy available or provided under Florida law. All
rights and remedies granted in this Contract to the
DOE/DVR and available at law or equity shall be
cumulative and not mutually exclusive.
E. Non -waiver of Defaults. Failure of DOE/DVR to
declare any default immediately upon the occurrence
thereof, or delay in taking any action in connection
therewith, shall not waive such default. DOE/DVR shall
have the right to declare any such default at any time
and take such action as might be lawful or authorized
hereunder, in law or in equity. No waiver of any term,
provision, condition or covenant of this Contract by
DOE/DVR shall be deemed to imply or constitute a
further waiver by DOE/DVR of any other term, provision,
condition or covenant of this Contract. No payment by
DOE/DVR shall be deemed a waiver of any default
hereunder.
F. Captions; Goveming Law.
1. This Contract shall be governed by and construed in
accordance with Florida law. Caption headings are
inserted for convenience only and shall be ignored in
interpreting the provisions of this Contract.
2. Venue for purposes of any action brought to enforce
or construe the Contract shall lie in Leon County,
Florida.
G. Mutual Drafting and Negotiation.
1. Both parties agree that, in the event of a dispute
over this Contract, the provisions hereof shall be
construed to give meaning to the intention of the parties.
2. The Contractor and DOE/DVR acknowledge that they
have had their respective attorneys review and approve
this Contract or that they have had the opportunity to do
so.
H. All Terms and Conditions Included, This Contract
and its attachments as referenced contain all the terms
and conditions agreed upon by the parties. There are
no provisions, terms, conditions, obligations other than
those contained herein, and this Contract shall
supersede all previous communications,
representations, or Contracts, either verbal or written
between the parties. If any terms or provisions of the
Contract are found illegal or unenforceable, the
remainder of the Contract shall remain in full force and
u-- na_... r__ —1 nu m
effect and the terms of provisions shall be stricken.
RavicJA .hdv II 9W
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
MONTHLY PROGRESS REPORT – ATTACHMENT D (Page 1)
E -FORMS AVAILABLE
"MUST BE COMPLETED ON ALL DVR CUSTOMERS FROM THE TIME OF PROGRAM START UNTIL DVR CLOSURE. REPORTS
SHOULD REFLECT PROGRESS TOWARD IPE AND/OR EMPLOYMENT PLAN OBJECTIVES." E -FORMS ARE AVAILABLE.
Name: LD.#:
DVR Counselor: Support Coordinatorl Case Manager
Contractor and
Contract #
Contractor's Representative E-mail:
Job Coach / Employment Specialist:
EMPLOYMENT SERVICES MONTHLY PROGRESS REPORT:
Address:
Telephone #:
JOB DEVELOPMENT, PLACEMENT AND RETENTION SERVICES
1. —Contacting employers and building networks to develop and/or identify job opportunities consistent with the IPE and customer's
choice.
Monthly Report Activities and Services Rendered:
2. —Assisting the job applicant in finding jobs and employers well matched to their employment goals.
Monthly Report Activities and Services Rendered:
3. —Routine follow-up with the employer and the employee to promote continued job success.
Monthly Report Activities and Services Rendered:
4. Support services to address issues such as a decrease in productivity of the person receiving services.
Monthly Report Activities and Services Rendered:
PRE -PLACEMENT ACTIVITIES AND INSTRUCTION
5. — Job seeking skills instruction
Monthly Report Activities and Services Rendered:
6. —Instruction in work practice to include payroll deductions, insurance, retirement benefits and safety.
Monthly Report Activities and Services Rendered:
7. _ Upon completion of pre -placement services, the individual is provided job development, placement and retention.
Monthly Report Activities and Services Rendered:
8. —Where appropriate, providing job site consultation to identify or modify barriers to employment.
Monthly Report Activities and Services Rendered:
0-4-.4 1.,6 91 OMR
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
MONTHLY PROGRESS REPORT - ATTACHMENT D (Page 2)
E -FORMS AVAILABLE
9. _ NEGOTIATING JOB ACCOMMODATIONS.
MONTHLY REPORT ACTIVITIES AND SERVICES RENDERED:
10 PUNCTUALITY, GROOMING, ATTENDANCE SKILLS AND OTHER JOB READINESS INSTRUCTION.
MONTHLY REPORT ACTIVITIES AND SERVICES RENDERED:
JOB SITE TRAINING SERVICES
11. _ Work site analysis and job site consultation.
Monthly Report Activities and Services Rendered:
12. —Job carving, if individual is not eligible for supported employment.
Monthly Report Activities and Services Rendered:
13. — Assistive technology referral, if individual not eligible for supported employment.
Monthly Report Activities and Services Rendered:
14. _ Development of natural supports.
Monthly Report Activities and Services Rendered:
15. — Training the employer and co-workers to understand training methods and accommodations.
Monthly Report Activities and Services Rendered:
16. —Training a person to complete new task or changes in work schedule.
Monthly Report Activities and Services Rendered:
IT ^ Assisting the employee with performance on the new job task on the job site.
Monthly Report Activities and Services Rendered:
18.. _ Helping the person to understand the job culture, industry, practices, and work behaviors expected by the employer.
Monthly Report Activities and Services Rendered:
Employment Services, identify date each benchmark achieved as applicable at time of report.
Placement:
45 days of satisfactory Employment
90 days of satisfactory Employment:
D—';nM Inhe 11 9MA
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
MONTHLY PROGRESS REPORT - ATTACHMENT D (Page 3)
E -FORMS AVAILABLE
SUPPORTED EMPLOYMENT MONTHLY PROGRESS REPORT:
SUPPORTED EMPLOYMENT IS COMPETITIVE EMPLOYMENT IN AN INTEGRATED SETTING MAINTAINED THROUGH THE PROVISION OF
EXTENDED SERVICES. THESE SERVICES INCLUDE THE FOLLOWING:
1. Individual Career Plan: To be submitted in narrative format, including all described elements (see referral), within 30 working days of the date the
customer referral has been accepted.
1 JOB PLACEMENT— A SERVICE ORGANIZED TO ASSIST PERSONS TO CHOOSE, OBTAIN, AND MAINTAIN EMPLOYMENT COMMENSURATE
WITH THEIR VOCATIONAL INTEREST
3. STABILIZATION — ACHIEVED WHEN THE DOE/DVR COUNSELOR, EMPLOYMENT SPECIALIST, EMPLOYER AND CUSTOMER AGREE THAT
THE INITIAL INTENSIVE SERVICES IDENTIFIED ON THE IPE RESULTED IN THE CUSTOMER DEMONSTRATING ACCEPTABLE JOB
PERFORMANCE.
4. TRANSITION — OCCURS A MINIMUM OF NINETY (90) DAYS AFTER STABILIZATION.
5. SUPPORTED EMPLOYMENT SERVICES OR PHASE I SERVICES —ALL SERVICES NEEDED TO SUPPORT AND MAINTAIN A CUSTOMER IN
SUPPORTED EMPLOYMENT.
6. EXTENDED SERVICES OR PHASE It SERVICES —ONGOING SUPPORT SERVICES AND OTHER APPROPRIATE SERVICES THAT ARE
NEEDED TO SUPPORT AND MAINTAIN A CUSTOMER IN SUPPORTED EMPLOYMENT THAT ARE PROVIDED AFTER THE TRANSITION
DATE.
Supported Employment— DATE BENCHMARK ACHIEVED
INDIVIDUAL CAREER PLAN DATE: EMPLOYMENT DATE:
90 DAYS OF STABILIZED EMPLOYMENT: STABILIZATION DATE:
150 DAYS OF STABILIZED EMPLOYMENT:
EMPLOYMENT INFORMATION THIS SECTION TO BE COMPLETED FOR EMPLOYMENT SERVICES AND SUPPORTED
EMPLOYMENT
Employer.
Supervisor.
Address:
City/State/Zip:
Job Tdle/Description: (Including DOT Code)
Average Weekly Work Hours this month: IPE Work Hours Goal:
Average Weekly Job Coach intervention hours this month:
Number of Fmployffl Absences this mol3th- HoudyWage,
Contractor's Authorized Representative(print name
Si nature: Date:
COMPANY NAME
SUPERVISOR NAME
ADDRESS
Raviem -111v ll ')"
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
NOTIFICATION OF APPROVAL —ATTACHMENT E (Pagel)
E -FORMS AVAILABLE
Customer I.D. number: I DVR Counselor:
RATE CONTRACT #:
CONTRACTOR:
TELEPHONE #: FAX #: E -Mail:
ADDRESS:
EMPLOYMENT SERVICES SECTION - Check 0IBox Below and Provide Date Benchmark Was Achieved
Service Fee Code
Program Approved (Check Only One)
Program Cost
Program Cost
FFY 08109: $5,000.0
FFY 09/10: $5,250.00
FFY 10111: $5,250.00
G10570
❑Placement Date -
$1,250.00 $1,312.00
G10571
E]45 -Day Benchmark — — - --- -
$1,250.00 $1,313.00)
G10572
❑90 Day Benchmark -
$2,500.00 $2,625.00
SUPPORTED EMPLOYMENT SERVICES SECTION
Service Fee Code
Program Approved (Check 0 Only One)
Program Cost:
Program Cost
FFY 08109 $7,700.00
FFY 09/10: $8,085.00
FFY 10/11: $8,085.00
G10558
[]Individual Career Plan
$1,155.00
$1,213.00
G10550
❑Placement
$1,155.00
$1,213.00
G10551
❑Stabilization
$1,540.00
$1,617.00
G10552
[]Transition
$1,540.00
$1,617.00
$2,425.00
G10553$2,310.00
❑150 Days of Stabilized Employment
NOTE: INCLUDE ALL APPLICABLE PREVIOUS BENCHMARK DATES)
Date of Placement: 90 -Day (Transition) Date:
Date of Stabilization 150 -Day Outcome Date:
TO BE COMPLETED FOR EMPLOYMENT AND SUPPORTED EMPLOYMENT SERVICES:
Employec Phone Number:
Address:
Job Title:
Weekly Hours: Hourly Wage: I Employer Paid Health Insurance Yes ❑ No ❑ Other Benefits:
w,,, ck�f. ra..,, nrnrRA m Revised July 31 2008
GUIDELINES FOR COMPLETION OF THE NOA FORM
Purpose: The purpose is to provide a guide for the review, authorization and approval of payment of services
purchased and received. The Notification of Approval (NOA) Form was developed to allow Contractors to certify that
services were provided in compliance with the contract and for Counselors to have a mechanism to review and
approve or disapprove services prior to the invoice package being submitted to the Contract Liaison for payment.
Step One: Contractor Responsibility
Complete all sections of the NOA as appropriate, sign and submit with appropriate supporting documentation to the
DOE/DVR Counselor within five (5) business days of the achievement of the appropriate benchmark.
Step Two: DOE/DVR Counselor
Within five (5) business days review and either approve or disapprove (with reason) the NOA, sign the NOA and
return it to the Contractor. The DOEIDVR Counselor may contact the Contractor to discuss any discrepancies or
concerns prior to approving or disapproving the NOA.
Step Three: Contractor Responsibility
Submit the NOA, signed and approved by the DOE/DVR Counselor, to the Contract Liaison in accordance with
Attachment B: Payment Terms and Conditions. The Contract Liaison will audit and contact either / or both the
Contractor and/or DOEIDVR Counselor regarding discrepancies, corrections or non-compliance issues.
M— eff. T- nr_rru n7 Revised July 31, 2008
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
EMPLOYMENT SERVICES REFERRAL FORM– ATTACHMENT F (Page 1)
Name: SSN: Date:
Address: City/State/Zip: Telephone
Employment Outcome: Chosen Contractor.
Disability:
My counselor and I have discussed and agree that the following services will be provided to assist me in becoming employed:
(Check applicable items)
❑ JOB DEVELOPMENT, PLACEMENT AND RETENTION -ALL REFERRALS MUST INCLUDE AT LEAST ONE ITEM FROM 1-4
BELOW.
1. Contacting employers and building networks to develop and/or identify job opportunities consistent with the IPE and
Customer's choice.
2. Assisting the job applicant in finding jobs and employers well matched to their employment goals.
3._Routine follow-up with the employer and the employee to promote continued job success.
4.`Support services to address issues such as a decrease in productivity of the person receiving services.
❑ PRE -PLACEMENT ACTIVITIES AND INSTRUCTION - IF SELECTED MUST INCLUDE AT LEAST ONE ITEM
FROM 5-10 BELOW AND AT LEAST ONE ITEM FROM JOB DEVELOPMENT, PLACEMENT AND RETENTION FROM 1-4 ABOVE.
5 Job seeking skills instruction.
6.` Instruction in work practice to include payroll deductions, insurance, retirement benefits and safety.
7.—Upon completion of pre -placement services, the individual is provided job development, placement and retention.
8. Where appropriate, providing job site consultation to identify or modify barriers to employment.
9. _Negotiating job accommodations.
10._Punctuality, grooming, attendance skills and other job readiness instruction.
❑ JOB SITE TRAINING SERVICES -IF SELECTED MUST INCLUDE AT LEAST ONE ITEM FROM 11-18 BELOW
AND AT LEAST ONE ITEM FROM JOB DEVELOPMENT, PLACEMENT AND RETENTION FROM 1-4 ABOVE.
11. Work site analysis and job site consultation.
12.— Job carving, if individual is not eligible for supported employment.
13. Assistive technology referral, if individual not eligible for supported employment.
14.—Development of natural supports.
15. --Training the employer and co-workers to understand training methods and accommodations.
16. --Training a person to complete new task or changes in work schedule.
17. Assisting the employee with performance on the new job task on the job site.
18.—Helping the person to understand the job culture, industry, practices, and work behaviors expected by the employer.
Customer's Signature DVR Counselor
Signature Authorized Representative Date
Employment Services Wdtten Referral Authorization 12111102 DOENR-VCMT064
Non State Term OGC-CM 07 Revised July 31, 2008
GWL
37
DOE/DVR Contract No: VJ278
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
EMPLOYMENT SERVICES REFERRAL FORM— ATTACHMENT F (Page 2)
Name: SSN: Date: Purpose of Referral:
Documents Attached. Must include those that describe impediments to employment (check all included)
❑ Medical Reports
❑ Psychological Reports
❑ Vocational Evaluation Reports
❑ IPE
❑ Other
DVR Counselors Comments:
The Contractor must complete this section and return the signed form to the DVR Counselor within fifteen (15) business days of
receipt of referral.
❑ This individual is accepted for employment services.
❑ This referral will be concluded without provision of employment services because:
_ The individual missed scheduled appointment.
_ The individual declined services.
_ The individual experienced medical instability and cannot participate in employment services at this time.
_ The individual left the area, and is not expected to return.
Other
Contractor's Signature Date
Comments:
Non State Tenn OGC-CM 07 Revised July 31, 2008
GWL
38
DOE/DVR Contract No: VJ278
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
SUPPORTED EMPLOYMENT SERVICES REFERRAL FORM— ATTACHMENT G (Page 1)
Name: SSN: Date:
Address: City/State/Zip: Telephone #:
EmDlovment Outcome: Chosen Contractor:
My counselor and I have discussed and agree that the following services will be provided to assist me in becoming employed:
Supported Employment is Competitive Employment in an Integrated Setting maintained through the provision of Extended
Services. These services include the following:
"Individual Career Plan" - To include, e.g., 1) Customer name, date of referral acceptance and targeted
employment outcome; 2) An exploration of the customers current support system; 3) an analysis of the
customers strengths and capacities in relation to the employment outcome identified in the VR Individualized
Plan for Employment; 4) determination of anticipated supports, and how each will be provided, based upon
the customers strengths and capacities and the employment outcome identified in the VR Individualized
Plan for Employment; 5) informants accessed in information gathering and Career Plan development
processes; and 6) a plan for job development and implementation of supports. This Individual Career Plan
will be submitted in narrative report format, including all above described elements, within 30 working days
of the date the customer referral has been accepted.
"Job Placement" is a service organized to assist persons to choose, obtain and maintain employment commensurate with their
vocational interest, as well as their social, psychological, communication, environmental, and medical needs and their abilities. Job
placement occurs when the customer begins working in an integrated community based setting where most of the employees are
not disabled and the customer interacts on a regular basis with non -disabled employees and receives compensation as outlined in
the definition for Competitive Employment. .
"Stabilization" is achieved when the counselor, employment specialist, employer and consumer agree that:
The initial intensive services identified on the IPE have resulted in the consumer demonstrating acceptable job performance; and
A reasonable expectation that satisfactory job performance will be maintained with the kind and level of ongoing support services
being provided.
"Transition" occurs a minimum of 90 days after `stabilization." Responsibility for funding ongoing support services transitions at
this time from the DVR to the source of funding for the ongoing support services.
"Supported Employment Outcome" Closure of a person successfully rehabilitated in a supported employment outcome occurs
when the following criteria are met:
90 days following stabilization and 60 days from transition to closure (to assure on-going supports are successful following
transition),or a minimum of 150 days of continuous employment following stabilization.
"Supported Employment Services" or "Phase I Services` means all services needed to support and maintain a customer in
Supported Employment These services are funded by the DOE/DVR for a period of time not to exceed eighteen (18) months.
Under special circumstances, which the customer and DOE/DVR agree to in writing, the time may be extended to achieve the
rehabilitation objectives identified in the IPE.
"Extended Services" or "Phase II Services" means ongoing support services and other appropriate services that are needed to
support and maintain a customer in Supported Employment and that are provided after the Transition Date by a state agency,
private nonprofit organization, employer, or any other appropriate resource from non-DOE/DVR funds. Extended Services include:
Non State term OGC-CM 07 Revised July 31, 2008
GWL
39
DOE/DVR Contract No: VJ278
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
SUPPORTED EMPLOYMENT SERVICES REFERRAL FORM— ATTACHMENT G (Page 2)
a. Necessary supports to maintain a customer in Supported Employment;
b. Services identified as Extended Services on the IPE;
c. An assessment of employment stability and provision or coordination of services at or away from the worksite that are
needed to maintain stability based on, at a minimum, twice monthly monitoring at the work -site of each customer or
off-site monitoring if warranted by special circumstances, requested by the customer or listed in the IPE;
d. Job development and re -placement;
e. Social skills training;
f. Regular, necessary observation or supervision of the customer,
g. Follow-up services including monthly contacts with the employer and, as indicated, with family members, guardians,
advocates or authorized representatives of the customer and other professional and informed advisors, in order to
reinforce and stabilize the job placement; facilitation of natural supports on and off the work -site; and,
natural supports are defined as `working with employers to facilitate or enhance existing resources for
support and accommodation within the employment setting in order for the individual to receive ongoing
support from the employer or from co-workers."
Customer's Signature DVR Counselor's Signature
Authorized Representative Date
Purpose of Referral
Documents Attached( Check all that apply):
❑ Medical Reports
❑ Psychological Reports
❑ Vocational Evaluation Reports
❑ IPE
❑ Other
Supported Employment Services:
Phase 11 Services will be funded by and
coordination of the transition to Phase 11 services will be conducted by the Supported Employment Services' Contractor.
Non State Term OGC-CM 07 Revised July 31, 2008
GWL
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DOEIDVR Contract No: VJ278
STATE OF FLORIDA, DEPARTMENT OF EDUCATION
DIVISION OF VOCATIONAL REHABILITATION
SUPPORTED EMPLOYMENT SERVICES REFERRAL FORM— ATTACHMENT G (Page 3)
The Contractor must complete this section and return the signed form to the DVR Counselor within fifteen (15) business
days of referral.
❑ This individual is accepted for supported employment services.
❑ This referral will be concluded without provision of supported employment services because:
The individual missed scheduled appointment.
The individual declined services.
The individual experienced medical instability and cannot participate in supported employment services at this time.
The individual left the area, and is not expected to return.
Other
Contractor's Signature Date
Comments:
Non State Term OGC-CM 07 Revised July 31, 2008
GWL
41
DOEtDVR Contract No: VJ278
State of Florida, Department of Education
Division of Vocational Rehabilitation
VENDOR CERTIFICATION REQUIREMENTS
ATTACHMENT H - Page 1
PART ONE
Providers of Employment Services and Supported Employment Services for the Division of Vocational Rehabilitation (DVR) may
be either an individual* or an agency* provider. Both individual* and agency* providers who render this service must provide the
following on behalf of his or her organization:
1. A completed DVR Standard Vendor Application for Contracted Service Providers.
2. Attestation of General Liability Insurance (minimum $1,000,000) including errors and omissions coverage.
3. Attestation of Workers' Compensation and Employer Liability insurance in accordance with Chapter 440 of the Florida
Statutes or a copy of your certificate of exemption.
4. A completed Affidavit of Good Moral Character for the individual or agency representative applying andlor for every
person under the individual or agency that will be providing services to clients.
5. Attestation of Florida Department of Law Enforcement Background Check.
6. Three letters of written reference including contact information. References cannot be from employees of DOE/DVR.
7. Attestation of Required Information for Transporting DVR Clients.
8. A completed Disclosure Statement.
g. A completed DVR Areas and Counties Where Services Will Be Provided.
10. A completed Disclosure of Assignments or Subcontractors.
11. A completed Oath of Not for Profit or Governmental Agency Status.
12. A list of names and the last 4 digits of the customer I.D. number of employees providing contracted services to the
DOE/DVR clients.
PART TWO
In addition to the documentation required above in Part One, both individual* and agency* providers who render this service
must select and meet at least one of the qualfication requirements below and provide the applicable documentation on behalf of
his or her organization. The Contractor must submit a written request to Vendor Certification for approval of any changes to the
Certification Option chosen during the term or the Contract and any Amendments.
Non State Tenn OGC-CM 07 Revised July 31, 2008
GWL
42
DOE/DVR Contract No: VJ278
State of Florida, Department of Education
Division of Vocational Rehabilitation
VENDOR CERTIFICATION REQUIREMENTS
ATTACHMENT H— Page 2
OPTION A: EDUCATION AND/ OR EXPERIENCE
Agency* providers must submit the following documentation for each employee who will be providing employment services
to DOE/DVR clients. Individual` providers must submit the following documentation for themselves.
1. A copy of a Masters Degree or Baccalaureate Degree from an accredited college or university and written
documentation (resume) of one year of successful experience and employment in counseling, job placement, job
coaching or public vocational rehabilitation program; OR,
2. A copy of an Associates in Arts Degree from an accredited college or university and written documentation (resume) of
two years of successful experience and employment in counseling, job placement, job coaching or public vocational
rehabilitation program may be used as a substitute for the required college education and experience; OR,
3. Written documentation (resume) of four years of successful experience and employment in counseling, job placement,
job coaching or public vocational rehabilitation program may substitute on a year -for -year basis for the required college
education and experience;
4. In addition, for Supported Employment only, a copy of a training certificate from a state or nationally recognized
supported employment program; '
OR
OPTION B: ACCREDITATIONS
1. Proof of current accreditation from The Commission on Accreditation of Rehabilitation Facilities (CARF) in the
area of employment services or supported employment services; OR,
2. Proof of current accreditation from the Joint Commission on Accreditation of Health Care Organizations (JCAHO),
OR,
3. For Supported Employment only, a copy of the Florida Department of Children and Families, Home and
Community -Based Waiver Services Provider Certificate with an approved designation of Supported Employment
*Definition of Terris:
Agency means business, organization, or entity that has one or more staff employed to carry out these services. All employees
of an agency who render this service for DVR consumers must meet the qualifications specified above. The agency shall
maintain a personnel file documenting qualifications of all employees rendering this service for DVR consumers subject to review
by DVR.
Individual means a provider who personalty renders all services directly to consumers and does not employ others to render
services.
SERVICES AND THE TERMS AND CONDITIONS OF SERVICES TO BE PROVIDED ARE DETAILED IN THE DOEIDVR
EMPLOYMENT SERVICES CONTRACT, BUT AT A MINIMUM, THE FOLLOWING IS TO BE PROVIDED: Employability skills
training, job -seeking skills, personal and vocational adjustment training, job development, job analysis, job coaching, and
coordination of rehabilitation technology, plus placement and follow-up in employment for a minimum of 90 continuous days with
a single employer in accordance with the Rehabilitation Act of 1973, as amended.
Non State Term OGC-CM 07 Revised July 31, 2008
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DOEIDVR Contract No: VJ278