HomeMy WebLinkAboutContract 30579 w
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TEXAS STATE LIBRARY & ARCHIVES COMMISSION
INTERLIBRARY LOAN CENTER GRANT
Grant Number: 771
I. CONTRACTING PARTIES
Grantor: Texas State Library and Archives Commission (TSLAC)
Grantee: City of Fort Worth, Fort Worth Public Library
500 W. Third Street
Fort Worth, Texas 76102
II. TERM OF GRANT
September 1, 2004, to August 31, 2005
III. STATEMENT OF SERVICES TO BE PERFORMED
Grant-funded activities shall provide services outlined in the approved Interlibrary Loan Center
grant application. The Grantee will comply during the period of this contract and provide services
as outlined within the approved grant application (Interlibrary Loan Center Grant for State FY05)
as approved by the Grantor. The approved grant application submitted by Grantee becomes part of
this contract by this reference.
A. The Grantor will reimburse the Grantee for expenses incurred in processing and filling
interlibrary loan (ILL) requests for library materials and information from public, academic,
and special libraries and for processing interlibrary loan requests originating with the grantee.
The Grantor will also reimburse the Grantee for providing OCLC system use support to Texas
Group selective user libraries in the Grantee's service area.
B. The Grantee will provide free interlibrary loan service according to the operating procedures
set by the Grantor.
C. The Grantee will employ the following full-time equivalent (FTE) positions, whose work
assignments are exclusively to provide interlibrary loan services:
1 FTE Librarian Supervisor
1 FTE Library Assistant
.75 FTE Office Assistant
.75 FTE Office Assistant H
.75 FTE Page
.75 FTE Page
I FR
FY 2005 ILL Grant 1 of 11 �° ��.°
D. The Grantee will provide telephone line(s) directly into the interlibrary loan office, telephone
extension to local library telephones, and permit the computer(s) to be connected without
charge to access OCLC, or other appropriate technology.
E. The Grantee agrees to provide rapid and convenient access to its catalog of holdings and its
circulation system for use without charge by the project staff.
F. The budget allocations are based on the following performance objectives:
1. Fill 9,500 interlibrary loan requests from the Grantee's resources.
2. Process 58,300 interlibrary loan transactions.
3. Maintain an average response time of 24 hours for interlibrary loan requests.
4. Maintain a maximum turnaround time of 8.0 days for requests from the region filled by the
Grantee.
5. Maintain a maximum turnaround time of 15.0 days for requests referred to and filled by
other libraries.
G. The Grantee will comply during the period of this contract with its Interlibrary Loan Center
grant application.
H. The Grantee agrees, upon written request of Grantor, to participate fully in any special study,
survey, or other research and testing which is designed to evaluate or improve interlibrary loan
policies, procedures, or management.
IV. GRANT AMOUNTS AND DISBURSEMENT REQUIREMENTS
A. The total amount of the grant shall not exceed: $265,666
B. Source of funds:
Federal Funds, CFDA #45.310
Institute of Museum and Library Services, State Library Program
Federal Fiscal Year 2004 Carryover
C. The Grantee is restricted to one of two methods for requesting funds from the Grantor. The
Grantee may request an advance payment for estimated expenditures to be incurred for the
upcoming 30 days, or request a reimbursement of the actual expenditures for the Grantee's
normal billing cycle.
D. The Grantee must request payments from Grantor on the OMB Standard Form 270, Request
for Advance or Reimbursement. Payment requests may be submitted to Grantor monthly,
quarterly, or any other standard time period, at the discretion of the Grantee's governing entity;
however, requests may not be submitted more than once per month. A Form 270 is due to the
Grantor on or before the 15`h of the month to receive payment for the beginning of the
following month. Funds will generally be received by the Grantee within 10 days after Grantor
receives the funds from the federal government.
FY 2005 ILL Grant 2 of 11
E. If requesting a reimbursement, Grantee must use box 11 on the Form 270. Grantor must
receive final request for reimbursement on or before October 15, 2005.
F. If requesting an advance, the Grantee must follow procedures that minimize the time elapsing
between the receipt and the disbursement of advanced grant funds. Grantees requesting
advance funds must use box 12 (rather than box 11) on the Form 270. Requests for advance
funds will generally be disbursed by the first working day of the advance period on the request,
provided request forms are received by stated deadlines. Grantor must receive final request
for advance on or before July 31, 2005.
G. The Grantee will add any program income to the funds committed to the grant, using such
program income for the purposes and under the conditions of the grant. The source and
amount of the program income must be explained in box 12 of the quarterly Financial Status
Report.
H. The Grantee may not obligate grant funds after August 31, 2005. All obligations must be
liquidated on or before October 15, 2005. All unexpended funds in excess of$25.00 must be
returned to the Grantor along with the Final Financial Status Report (FSR). See Section VII.B.
of this contract for FSR due dates.
I. Per the approved grant application, funds are approved according to the following budget.
These budget categories are defined in UGMS, Section II, Attachment B, and in the TexNet
Center Policy Manual.
Personnel $152,404
Fringe Benefit 36,192
Travel 1,208
Equipment/Property 0
Supplies 6,500
Contractual 7,380
Other 21,000
Total Direct Costs $224,684
Indirect Costs 40,982
Total $265,666
V. WRITTEN PRIOR APPROVALS FOR FISCAL AND PROGRAMMATIC CHANGES
The Grantee must request written prior approval for fiscal and/or programmatic changes as
outlined in this Section. Grantee must receive written prior approval before obligating or
expending grant funds under any of the following conditions. Grantee must request written prior
approval on the Prior Approval Request form. Under no condition can a Grantee request to exceed
the total grant amount. Grantor must receive all prior requests on or before July 31, 2005.
Approvals received after this date will be considered on a case-by-case basis.
FY 2005 ILL Grant 3 of 11
A. Fiscal changes must have written prior approval under the following conditions:
1. Making cumulative transfers among budget cost categories or projects which are expected
to exceed ten (10) percent of the total grant; and/or,
2. Transferring any funds into a budget cost category that currently equals zero ($0).
B. Programmatic changes to the approved application (Interlibrary Loan Grant Application) must
have written prior approval under any of the following conditions:
1. Obtaining the services of a third party to perform activities that are central to the purposes
of the grant; and/or,
2. Changing the scope or objectives of the approved program, regardless of whether there is
an associated budget revision. A change in scope is a substantive difference in the
approach or method used to reach program objectives.
C. All changes to the items listed under the following cost categories, if any, must have written
prior approval. Written prior approval is also required if an item's cost or features are
substantially different from what the approved grant application specifies or from a previously
approved Prior Approval Request. Note: Written prior approval is required for ALL changes
involving the purchase of computer equipment or Internet services. In addition, Grantee must
comply with Internet Safety Certification requirements, as further outlined in Section XH of
this contract.
COST CATEGORIES
1. Preaward Costs
None
2. Insurance (if not required by the rg ant)
None
3. Rearrangements and Alterations of Facilities
None
4. Equipment/Property
None
VI. EQUIPMENT AND PROPERTY REQUIREMENTS
A. The Grantee agrees to maintain records on all equipment/property with an acquisition cost
above governing entity's capitalization level. Subject to the obligations and conditions set
forth in the Uniform Grant Management Standards (UGMS) Section III, Subpart C.32 (a),
title to equipment acquired under a grant will vest in the Grantee upon acquisition.
B. Equipment/Property is hereby defined as an article of nonexpendable, tangible personal
property having a useful life of more than one year, and an acquisition cost that equals or
exceeds the capitalization amount established by Grantee's governing entity. Grantee must
furnish a statement to Grantor certifying the governing entity's capitalizat'Qa.lQvel with each
Prior Approval Request Form for equipment and/or property.
FY 2005 ILL Grant 4 of 11
C. The UGMS Subpart C, Sec. 32, (d) (3) requires certain items of equipment (stereo systems,
still and video cameras, facsimile machines, VCRs and VCR/TV combinations, and cellular
and portable telephones) to be maintained on inventory if the item's cost is above $500, or if
the item could be easily lost or stolen.
D. When property is vested in the Grantee, the Grantee will dispose of equipment/property in
accordance with the UGMS Subpart C, Sec. 32, (e). When the Grantee has been given
federal or state equipment/property, Grantee will follow the UGMS Subpart C, Sec. 32, (f)
will be followed.
E. The Grantee must include any equipment/property acquired with grant funds in the required
bi-annual property inventory, and follow UGMS guidelines for property disposal. The
Grantee agrees to submit the Equipment/Property Acquired Form by October 31, 2005,
for all equipment/property purchased during the current grant year. This list must balance
the equipment/property purchased with prior approval amounts.
F. The UGMS Subpart C, Sec. 32, (d) requires the Grantee to reconcile the equipment/property
records with a physical inventory of the equipment/property every two years. This biennial
inventory does not need to be submitted to the Grantor, but must be maintained by the
grantee and will be subject to review by the grantor.
G. All changes to items listed in the Equipment/Property category outlined in Section V.C.4. of
this contract require written prior approval. This category includes equipment, furniture,
library materials, etc. purchased wholly or in part with grant funds. The prior approval
amount listed in that Section is the total approved capital expenditure amount, which is
defined as the cost of the equipment and/or property, including any cost necessary to put the
item into service, such as the cost of any modifications, attachments, accessories, or auxiliary
apparatus necessary to make the item usable for the purpose for which it is acquired.
Ancillary charges, such as taxes, duty, protective in-transit insurance, freight, and installation
may be included in, or excluded from, capital expenditure cost in accordance with the
Grantee's regular accounting practices.
VII. REPORTING REQUIREMENTS
The State Legislature has charged the Grantor with submitting performance measurement reports
that specify the level of services provided by its programs and services. In accepting these grant
funds, the Grantee acknowledges responsibility for performing certain services on behalf of the
Grantor, as outlined in the approved Grant Application. Therefore, the Grantee is responsible for
submitting periodic reports that reflect the Grantee's level of performance on these services to the
Grantor. To comply with these requirements, the Grantee agrees to submit reports that are timely,
accurate, auditable, and consistent with definitions.
A. The Grantee agrees to submit ILL statistics to the Grantor monthly. The Grantee will maintain
a record of each interlibrary loan request submitted to other libraries.
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FY 2005 ILL Grant 5 of 11
B. The Grantee agrees to submit turnaround time data records to the Grantor within two weeks of
the completion of the data records.
C. The TSLAC has provided the OCLC interlibrary loan tool, ILLiad, to particular Grantees for
the purpose of facilitating the ELL process. Grantees who have been provided this tool will
provide quarterly narrative progress reports detailing steps taken to fully implement the use of
OCLC's ILLiad interlibrary loan management software tool. The progress reports will be
evaluated by the Grantor to certify that Grantee has made reasonable efforts to collaborate in a
timely fashion with the Grantor to ensure efficient and effective implementation of the tool.
Grantor is hosting the ILLiad server to benefit program participants, and timely
implementation is required to achieve full benefits of the software application. The quarterly
ILLiad reports are due on the same dates as the Financial Status Reports schedule, as listed in
Paragraph D of this Section.
D. The Grantee agrees to submit the quarterly Financial Status Report (FSR) for each project
funded under this contract on or before the due dates listed in the following schedule. In
addition, Grantee must submit with the FSR report, quarterly expenditure summary
information for all budget categories listed in Section IV.I of this contract, in a format to be
provided by Grantor.
Reporting Period eriod Due Date
September 1, 2004 - November 30, 2005 December 31, 2004
December 1, 2004 - February 28, 2005 March 31, 2005
March 1, 2005 - May 31, 2005 June 30, 2005
June 1, 2005- August 31, 2005 September 30, 2005
The final Financial Status Report is due on or before November 15, 2005.
E. The Grantee will send the Grantor a copy of all management letters issued by an auditor with
the reporting package (or written notification, as applicable) within 30 days of the audit. The
audit's Schedule of Expenditures of Federal and State Awards must list the amount of awards
expended for each award year separately.
VIII. GENERAL TERMS AND CONDITIONS
A. The Grantee will comply with the TexNet Center Policies Manual.
B. The Grantee will comply with the following three parts of the Governor's Office of Budget and
Planning, Uniform Grant Management Standards (UGMS), revised June 2004, located at
http://www.governor.state.tx.us/divisions/stategrants/guidelines/files/UGMS062004.doc.
1. Cost Principles for State and Local Governments and Other Affected Entities
(Adapted from OMB Circular A-87)
2. State Uniform Administrative Requirements for Grants and Cooperative Agreements
(Adapted from OMB Circular A-102)
FY 2005 ILL Grant 6 of 11
3. State of Texas Single Audit Circular
(Adapted from OMB Circular A-133)
C. For grants funded with federal funds, the Grantee will also comply with the Office of
Management and Budget (OMB) Circular A-133, Audits of States, Local Governments, and
Non-Profit Organizations (revised 6/97), located at
http://Www.whitehouse.govlomb/grants/grants circulars html.
D. The Grantee will comply with the Institute of Museum and Library Services' 45 Code of
Federal Regulations, Part 1183, Uniform Administrative Requirements for Grants and
Cooperative Agreements to States and Local Governments (adapted from OMB Circular A-
102).
E. All publicity relating to the grant award must include acknowledgement of the Institute of
Museum and Library Services and the Texas State Library and Archives Commission
whenever possible and practical. Publicity includes, but is not limited to press releases, media
events, public events, displays in the benefiting library, announcements on the Grantee's
Website, and materials distributed through the grant project. The Grantee will provide the
Grantor with one set of all public relations materials produced under this grant.
F. Grantee understands that acceptance of funds under this contract acts as acceptance of the
authority of the State Auditor's Office, or any successor agency, to conduct an audit or
investigation in connection with those funds. Grantee further agrees to cooperate fully with the
State Auditor's Office or its successor in the conduct of the audit or investigation, including
providing all records requested. Grantee will ensure that this clause concerning the authority
to audit funds received indirectly by Sub-grantees through Grantee, and the requirement to
cooperate, is included in any sub-grant awarded.
G. The Grantee agrees to maintain all financial and programmatic records, supporting documents,
statistical records, and other records relating to this grant award according to Section H,
Subpart C.42 of UGMS, and according to IMLS requirements. In general, Grantees must
maintain records for a minimum of seven years from the date the Grantee submits to Grantor
the last single audit or audit report for the grant period.
H. The Grantee agrees to develop or revise, as necessary, any specific written documentation of
its current procedures for (1) collecting and reporting performance measures; (2) conducting a
fixed asset inventory; and/or, (3) any other issues identified in the Grantor's internal audit
report of grant activities. Drafts of this procedural documentation will be submitted to Grantor
by dates established mutually between Grantor and Grantee. Grantor will provide review and
guidance to enable final versions to be approved on or before established deadlines.
IX. ENFORCEMENT
A. Remedies for noncompliance. If a Grantee or Sub-grantee materially fails to comply with any
term of an award, whether stated in a federal or state statute or regulation, an assurance, in a
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FY 2005 ILL Grant 7 of 11
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state plan or application, a notice of award, or elsewhere, the Grantor may take one or more of
the following actions, or impose other sanctions, as appropriate in the circumstances:
1.Temporarily withhold cash payments pending correction of the deficiency by the Grantee or
Sub-grantee, or more severe enforcement action by the Grantor;
2.Disallow (that is, deny both use of funds and matching credit for) all or part of the cost of the
activity or action not in compliance;
3.Wholly or partly suspend or terminate the current award for the Grantee's or Sub-grantee's
program;
4.Withhold further awards for the program; or
5.Take other remedies that may be legally available.
B. Hearings, appeals. In taking an enforcement action, the Grantor will provide the Grantee or
Sub-grantee an opportunity for such hearing, appeal, or other administrative proceeding to
which the Grantee or Sub-grantee is entitled under any statute or regulation applicable to the
action involved.
C. Effects of suspension and termination. Costs of Grantee or Sub-grantee resulting from
obligations incurred by the Grantee or Sub-grantee during a suspension or after termination of
an award are not allowable unless the Grantor expressly authorizes them in the notice of
suspension or termination, or subsequently. Other Grantee or Sub-grantee costs during
suspension or after termination which are necessary, and not reasonably avoidable, are
allowable if:
1. The costs resulting from obligations which were properly incurred by the Grantee or Sub-
grantee before the effective date of suspension or termination are not in anticipation of it
and, in the case of a termination, are noncancelable; and,
2. The costs would be allowable if the award were not suspended, or expired normally, at the
end of the funding period in which the termination takes effect.
D. Relationship to Debarment and Suspension. The enforcement remedies identified in this
section, including suspension and termination, do not preclude Grantee or Sub-grantee from
being subject to "Debarment and Suspension" under E.O. 12549 (see UGMS Section III,
Subpart C, Sec. 35) and state law.
X. CONTACTS AT TSLAC
Questions or concerns about programmatic issues, monthly statistic reports, data turnaround
reports, quarterly narrative reports, and Prior Approval Requests should be directed to this grant's
Project Manager:
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FY 2005 ILL Grant 8 of 11
TexNet Coordinator
Phone: 512-463-5406
Fax: 512-936-2306
E-mail: sbennett @tsl.state.tx.us
Questions or concerns about regulatory or financial issues should be directed to:
Manager, Accounting and Grants Department
Phone: 512-463-6626
Fax: 512-475-0185
E-mail: llutz @tsl.state.tx.us
Documentation relating to required Requests for Reimbursement/Advance, Financial Status
Reports, annual Property/Inventory Reports, and any other miscellaneous forms and reports should
be directed to:
Grants Accountant
Phone: 512-463-5472
Fax: 512-475-0185
E-mail: sjustice @tsl.state.tx.us
Payments from Grantee to the Grantor, such as those for excess advanced funds or for interest
earned each quarter on advanced funds, should be mailed along with an explanation of the purpose
of the payment and must include the grant number. This information should be directed to:
Grants Accountant
Accounting and Grants Department
Texas State Library and Archives Commission
PO Box 12516
Austin, TX 78711-2516
XI. APPLICABLE AND GOVERNING LAW
A. The laws of the State of Texas shall govern this grant. All duties of either party shall be legally
performable in Texas. The applicable law for any legal disputes arising out of this contract
shall be the law of(and all actions hereunder shall be brought in) the State of Texas, and the
forum and venue for such disputes shall be Travis County, District Court.
B. This grant is subject to availability of funds.
XII. GRANT CERTIFICATIONS
A. The Grantor certifies that: (1) the services specified in the approved grant application, plan of
service, and this contract are necessary and essential for activities that are properly within the
FY 2005 ILL Grant 9 of 11
statutory functions and programs of the affected organizations; (2) the services, supplies or
materials contracted for are not required by Section 21 of Article 16 of the Constitution of
Texas to be supplied under contract given to the lowest bidder; and, (3) the grant is in
compliance with Texas Government Code § 441.006, General Powers and Duties, Texas
Government Code § 441.135 Grants (Systems Act), P.L. 104-208, the Library Services and
Technology Act (LSTA), the State Plan for the LSTA in Texas, and the Uniform Grant
Management Standards (UGMS).
B. The Grantee certifies by this contract that it will comply with the Assurances—Non-
Construction programs (OMB Standard Form 424B), the Certification Regarding Debarment,
Suspension, Ineligibility and Voluntary Exclusion Lower Tier Covered Transactions, and the
Certification Regarding Lobbying, as submitted to the Grantor. Additional assurances are
listed in UGMS, Subpart B.14.
C. The Grantee affirms that it has not given, offered to give, nor intends to give at any time
hereafter, any economic opportunity, future employment, gift, loan, gratuity, special discount,
trip, favor or service to a public servant in connection with this contract. The Grantee further
affirms that its employees or agents shall neither solicit nor accept gratuities, favors or
anything of monetary value from contractors, potential contractors, or parties to any sub-
agreements.
D. The Grantee has provided to the Grantor the mandatory Internet Safety Certification
(Certification) that it is in compliance with requirements of the Children's Internet Protection
Act (CIPA) for any federal funds under this grant that will be used to purchase computers used
to access the Internet or pay for the direct costs of accessing the Internet. Grantee agrees to
collect, as required and appropriate, certification forms from all libraries receiving benefits of
federal funds expended under this contract.
E. The Grantee further certifies that no federal funds from this grant award will be made available
for a public library, or public elementary or secondary school library that does not currently
receive E-rate services, to purchase computers used to access the Internet or pay for the direct
costs of accessing the Internet, unless the library has certified compliance with the applicable
CIPA requirements. Should federal funds awarded as part of this grant be used to purchase
computers for a public library, or public elementary or secondary school library that does not
currently receive E-rate services, to purchase computers used to access the Internet or pay for
the direct costs of accessing the Internet, Grantee will submit a revised Certification form, and
ensure revised Certification forms are received from all other libraries receiving benefits of
federal funds expended under this contract.
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FY 2005 ILL Grant 10 of 11
SIGNATURES
GRANTOR GRANTEE
Texas State Library and Archives Commission City of Fort Worth, Fort Worth Public
Library
4
Edward Seidenberg, Assistant State L brarian Sig ure/(Musst�ee an official empowered
to enter into contracts)
q.. v Libby Watson
Date Typewritten or Printed Name
Assistant City Manager
Donna Osborne, Chief Fiscal Officer Title
Date Date
APROYED AS `20 WORM AND LEGALITY:
Assistant City Attorney
ATTESTED BY
jW/1A
Contract huthorizatioi
Date
FY 2005 ILL Grant It of 11
Instructions for Certification
1. By signing and submitting this proposal, the prospective lower tier participant is providing the certification set
out below.
2. The certification in this clause is a material representation of fact upon which reliance was placed when this
transaction was entered into. If it is later determined that the prospective lower tier participant knowingly
rendered an erroneous certification, in addition to other remedies available to the Federal Government, the
department or agency with which this transaction originated may pursue available remedies, including
suspension and/or debarment.
3. The prospective lower tier participant shall provide immediate written notice to the person to which this proposal
is submitted, if at any time, the prospective lower tier participant learns that its certification was erroneous when
submitted or has become erroneous by reason of changed circumstances.
4. The terms "covered transaction," "debarred," "suspended," "ineligible," "lower tier covered transaction,"
"participant" "person," "primary covered transaction," "principal," "proposal," and "voluntarily excluded," as
used in this clause, have the meanings set out in the Definitions and coverage sections of rules implementing
Executive Order 12549. You may contact the person to which this proposal is submitted for assistance in
obtaining a copy of those regulations.
5. The prospective lower tier participant agrees by submitting this proposal that, should the proposed covered
transaction be entered into, it shall not knowingly enter into any lower tier covered transaction with a person who
is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this covered transaction,
unless authorized by the department or agency with which this transaction originated.
6. The prospective lower tier participant further agrees by submitting this proposal that it will include the clause
title "Certification Regarding Debarment, Suspension, Ineligibility, and Voluntary Exclusion--Lower Tier
Covered Transaction," without modification, in all lower tier covered transactions and in all solicitations for
lower tier covered transactions.
7. A participant in a covered transaction may rely upon a certification of a prospective participant in a lower tier
covered transaction that it is not debarred, suspended, ineligible, or voluntarily excluded from the covered
transaction, unless it knows that the certification is erroneous. A participant may decide the method and
frequency by which it determines the eligibility of its principals. Each participant may, but is not required to,
check the Nonprocurement List.
8. Nothing contained in the foregoing shall be construed to require establishment of a system of records in order to
render in good faith the certification required by this clause. The knowledge and information of a participant is
not required to exceed that which is normally possessed by a prudent person in the ordinary course of business
dealings.
9. Except for transactions authorized under paragraph 5 of these instructions, if a participant in a covered
transaction knowingly enters into a lower tier covered transaction with a person who is suspended, debarred,
ineligible, or voluntarily excluded from participation in this transaction, in addition to other remedies available to
the Federal Government, the department or agency with which this transaction originated may pursue available
remedies, including suspension and/or debarment.
N
FY99\Grrants\Forms\Certification Regarding Debarment.doc ✓ tl\7�S','S 1� V !���i
1
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBILITY AND VOLUNTARY
EXCLUSION
LOWER TIER COVERED TRANSACTIONS
This certification is required by the regulations implementing Executive Order 12549, Debarment and
Suspension, 34 CFR Part 85, Section 85.510, Participant's responsibilities. The regulations were published as
Part VII of the May 26, 1988 Federal Re gist (pages 19160-12911). Copies of the regulations may be obtained
by contacting the person to which this proposal is submitted.
(BEFORE COMPLETING CERTIFICATION, READ INSTRUCTIONS ON REVERSE)
(1) The prospective lower tier participant certifies, by submission of this proposal, that neither it nor its
principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily
excluded from participation in this transaction by any Federal department or agency.
(2) Where the prospective lower tier participant is unable to certify to any of the statements in this
certification, such prospective participant shall attach an explanation to this proposal.
Fort Worth Public Library
Applicant
Libby Watson, Assistant City Manager
Name and Tit f Authorized C tifying Official
y � o
Signature Date
OMB Approval No.0348-0040
ASSURANCES- NON-CONSTRUCTION PROGRAMS
Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing
instructions, searching existing data sources, gathering and maintaining the data needed,and completing and reviewing the collection of
information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for
reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0040),Washington, DC 20503.
PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.
SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY.
NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the
awarding agency. Further, certain Federal awarding agencies may require applicants to certify to additional assurances. If such
is the case,you will be notified.
As the duly authorized representative of the applicant, I certify that the applicant:
1. Has the legal authority to apply for Federal assistance Act of 1973, as amended (29 U.S.C. §794), which
and the institutional, managerial and financial capability prohibits discrimination on the basis of handicaps; (d)
(including funds sufficient to pay the non-Federal share the Age Discrimination Act of 1975, as amended (42
of project cost)to ensure proper planning, management U.S.C. §§6101-6107), which prohibits discrimination
and completion of the project described in this on the basis of age; (e) the Drug Abuse Office and
application. Treatment Act of 1972 (P.L. 92-255), as amended,
relating to nondiscrimination on the basis of drug
2. Will give the awarding agency, the Comptroller General abuse; (f) the Comprehensive Alcohol Abuse and
of the United States and, if appropriate, the State, Alcoholism Prevention, Treatment and Rehabilitation
through any authorized representative, access to and Act of 1970 (P.L. 91-616), as amended, relating to
the right to examine all records, books, papers, or nondiscrimination on the basis of alcohol abuse or
documents related to the award; and will establish a alcoholism; (g) §§523 and 527 of the Public Health
proper accounting system in accordance with generally Service Act of 1912 (42 U.S.C. §§290 dd-3 and 290 ee
accepted accounting standards or agency directives. 3), as amended, relating to confidentiality of alcohol
and drug abuse patient records; (h) Title VIII of the
3. Will establish safeguards to prohibit employees from Civil Rights Act of 1968 (42 U.S.C.§§3601 et seq.),as
using their positions for a purpose that constitutes or amended, relating to nondiscrimination in the sale,
presents the appearance of personal or organizational rental or financing of housing; (i) any other
conflict of interest,or personal gain. nondiscrimination provisions in the specific statute(s)
under which application for Federal assistance is being
4. Will initiate and complete the work within the applicable made; and, Q) the requirements of any other
time frame after receipt of approval of the awarding nondiscrimination statute(s) which may apply to the
agency. application.
5. Will comply with the Intergovernmental Personnel Act of 7. Will comply, or has already complied, with the
1970 (42 U.S.C. §§4728-4763) relating to prescribed requirements of Titles II and 111 of the Uniform
standards for merit systems for programs funded under Relocation Assistance and Real Property Acquisition
one of the 19 statutes or regulations specified in Policies Act of 1970 (P.L. 91-646) which provide for
Appendix A of OPM's Standards for a Merit System of fair and equitable treatment of persons displaced or
Personnel Administration(5 C.F.R.900,Subpart F). whose property is acquired as a result of Federal or
federally-assisted programs. These requirements apply
6. Will comply with all Federal statutes relating to to all interests in real property acquired for project
nondiscrimination. These include but are not limited to: purposes regardless of Federal participation in
(a)Title VI of the Civil Rights Act of 1964 (P.L. 88-352) purchases.
which prohibits discrimination on the basis of race,color
or national origin; (b) Title IX of the Education 8. Will comply, as applicable, with provisions of the
Amendments of 1972, as amended (20 U.S.C. §§1681- Hatch Act (5 U.S.C. §§1501-1508 and 7324-7328)
1683,and 1685-1686),which prohibits discrimination on which limit the political activities of employees whose
the basis of sex; (c)Section 504 of the Rehabilitation principal employment activities are funded in whole or
in part with Federal funds.
Previous Edition Usable tandhed Form 4249�Aev,7-97)
Authorized for Local Reproduction Prescril5edby p1140,CircolarA-102
9. Will comply, as applicable,with the provisions of the Davis- 12. Will comply with the Wild and Scenic Rivers Act of
Bacon Act (40 U.S.C. §§276a to 276a-7), the Copeland Act 1968 (16 U.S.C. §§1271 et seq.) related to protecting
(40 U.S.C. §276c and 18 U.S.C. §874), and the Contract components or potential components of the national
Work Hours and Safety Standards Act (40 U.S.C. §§327- wild and scenic rivers system.
333), regarding labor standards for federally-assisted
construction subagreements. 13. Will assist the awarding agency in assuring compliance
with Section 106 of the National Historic Preservation
10. Will comply, if applicable, with flood insurance purchase Act of 1966, as amended (16 U.S.C. §470), EO 11593
requirements of Section 102(a) of the Flood Disaster (identification and protection of historic properties), and
Protection Act of 1973 (P.L. 93-234) which requires the Archaeological and Historic Preservation Act of
recipients in a special flood hazard area to participate in the 1974(16 U.S.C. §§469a-1 et seq.).
program and to purchase flood insurance if the total cost of
insurable construction and acquisition is$10,000 or more. 14. Will comply with P.L. 93-348 regarding the protection of
human subjects involved in research,development,and
11. Will comply with environmental standards which may be related activities supported by this award of assistance.
prescribed pursuant to the following: (a) institution of
environmental quality control measures under the National 15. Will comply with the Laboratory Animal Welfare Act of
Environmental Policy Act of 1969 (P.L. 91-190) and 1966 (P.L. 89-544, as amended, 7 U.S.C. §§2131 et
Executive Order (EO) 11514; (b) notification of violating seq.) pertaining to the care, handling, and treatment of
facilities pursuant to EO 11738; (c) protection of wetlands warm blooded animals held for research, teaching, or
pursuant to EO 11990; (d) evaluation of flood hazards in other activities supported by this award of assistance.
floodplains in accordance with EO 11988; (e) assurance of
project consistency with the approved State management 16. Will comply with the Lead-Based Paint Poisoning
program developed under the Coastal Zone Management Prevention Act (42 U.S.C. §§4801 et seq.) which
Act of 1972 (16 U.S.C. §§1451 et seq.); (f) conformity of prohibits the use of lead-based paint in construction or
Federal actions to State (Clean Air) Implementation Plans rehabilitation of residence structures.
under Section 176(c) of the Clean Air Act of 1955, as
amended (42 U.S.C. §§7401 et seq.); (g) protection of 17. Will cause to be performed the required financial and
underground sources of drinking water under the Safe compliance audits in accordance with the Single Audit
Drinking Water Act of 1974, as amended (P.L. 93-523); Act Amendments of 1996 and OMB Circular No.A-133,
and, (h) protection of endangered species under the "Audits of States, Local Governments, and Non-Profit
Endangered Species Act of 1973, as amended (P.L. 93- Organizations."
205).
18. Will comply with all applicable requirements of all other
Federal laws, executive orders, regulations,and policies
governing this program.
SIGNATUR F AUTHORIZED CERTIFYING OFFICIAL TITLE
Assistant City Manager
APPLI ANT ORGANI TION DATE SUBMITTED
Fort Worth Public Library
Standard Form,424&(ggv.7-97)$agk_„
'S
Attactiment t
INTERNET SAFETY CERTIFICATION FOR APPLICANT
TECHNICAL ASSISTANCE NEGOTIATED GRANTS (ILL)
FEDERAL PROGRAM YEAR 2005 FUNDS
As the duly authorized representative of the applicant, I hereby certify that
(check only one of the following boxes)
A. ❑ The applicant public library has complied with the requirements of Section 9134(0(1) of
the Library Services and Technology Act.
B. ❑ The applicant public library has not yet complied with the requirements of Section
9134(f)(1) of the Library Services and Technology Act. However, the applicant library is
undertaking actions, including any necessary procurement procedures, to put into place an
Internet safety policy that meets these requirements. The applicant library will be in compliance
with the requirements of Section 9134(f)(1) before the library receives funding for a subsequent
program year.
C. N The requirements of Section 9134(f) of the Library Services and Technology Act do not
apply to the applicant library because no funds made available under the LSTA program will be
used to purchase computers used to access the Internet or to pay for direct costs associated with
accessing the Internet for a public library or public elementary school or secondary school
library that does not receive discounted E-Rate services under the Communications Act of
1934, as amended.
D. ❑ The applicant is not a public library.
I further certify that one of the following is true: either no LSTA funds from the grant award
will be used by the applicant to purchase computers used to access the Internet or to pay for
direct costs associated with accessing the Internet for a public library or public elementary
school or secondary school library served by the applicant; or, if any part of the LSTA grant
funds are used for such purposes, applicant will obtain the appropriate certifications from
libraries receiving such purchases or payments.
I further certify that the applicant will obtain appropriate certifications from any public library
or publi elementary school or secondary school library receiving any portion of LSTA grant
funds rded to the applicant.
Signature of Auth ed Representative
Libby Watson
Printed Name of Authorized Representative
Assistant City Manager
Title of Authorized Representative
9
Date
Fort Worth Public Library
Name of Applicant Library/Program ;�1 A�RRPP,r �
!A
CERTIFICATION REGARDING LOBBYING
for
CONTRACTS, GRANTS, LOANS, AND COOPERATIVE AGREEMENTS
(Required for grants exceeding$100,000)
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,
to any person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the making of any Federal grant, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any Federal
grant or cooperative agreement.
2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with this Federal grant or cooperative agreement, the undersigned shall complete and
submit Standard Form -LLL, 'Disclosure Form to Report Lobbying,' in accordance with its
instructions.
3. The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subgrants, contracts under grants and
cooperative agreements, and subcontracts) and that all subrecipients shall certify and disclose
accordingly.
This certification is a material representation of fact upon which reliance was placed by the Texas State
Library when this transaction was made or entered into. Submission of this certification is a
prerequisite for making or entering into this transaction imposed by Section 1352, Title 31, U.S. Code.
Any person who fails to file the required certification shall be subject to a civil penalty of not less than
$10,000 and not more than $100,000 for each such failure.
Fort Worth Public Library Interlibrary Loan
Organization Name Project
Libby Watson, Assistant City Manager
Name an We of Authorized Representative
Signature Date
34 CFR 82.110 TSL 9304 FY99\Grants\Forms\Certification Regarding I
City of Fort Worth, Texas
Mayor and Council Communication
COUNCIL ACTION: Approved on 6/8/2004 - Ordinance No. 15998
DATE: Tuesday, June 08, 2004
LOG NAME: 841LLLOAN REFERENCE NO.: **C-20108
SUBJECT:
Accept a Grant from fhe Texas State Library and Archives Commission and the U.S. Department of
Education for the Interlibrary Loan Program and Related Agreement and Appropriation Ordinance
RECOMMENDATION:
It is recommended that the City Council:
1. Authorize the City Manager to apply for and accept a grant for the Interlibrary Loan Program in the
amount of $260,202 from the Texas State Library and Archives Commission and the U.S. Department of
Education; and
2. Authorize the City Manager to execute a grant agreement with the Texas State Library and Archives
Commission relating to such grant; and
3. Adopt the attached appropriation ordinance increasing estimated receipts and appropriations by
$260,202 in the Grants Fund upon receipt of the grant; and
4. Apply indirect costs using the most recently approved indirect cost rate of 21.73% for the Library
Department.
DISCUSSION:
The Texas State Library and Archives Commission and the U.S. Department of Education propose to grant
$260,202 to the City of Fort Worth Public Library to provide resource sharing and interlibrary loan services
to a 20 county area of North Texas. The Fort Worth Library serves as the "Major Resource Center' under
the Texas Library Systems Act for this area.
The grant is for the state fiscal year, September 1, 2004, through August 31, 2005. It will continue to
subsidize resource sharing in the North Texas area and to provide local libraries with a means of acquiring
the use of materials from libraries throughout the United States. This is the 28th year of this grant
program.
This program is budgeted at $260,202 with the funding agencies defraying the costs listed below:
Personnel $ 149,521.00
Fringe Benefits $ 35,513.00
Travel $ 1,200.00
Supplies $ 6 ,500.00
Contractual $ 2,610.00
Other $ 24,650.00
Equipment $ N/A
Logname: 84ILLLOAN Page I of 2
Indirect Costs $ 40,208.00
Total $ 260,202.00
FISCAL INFORMATION/CERTIFICATION:
The Finance Director certifies that upon approval of the above recommendations and adoption of the
attached appropriation ordinance, funds will be availalbe in the current operating budget, as appropriated, of
the Grants Fund.
TO Fund/Account/Centers FROM Fund/Account/Centers
GR76 451458 084308936000 $260,202.00 GR76 5(VARIOUS) 08430936010 $260,202.00
Submitted for City Manager's Office by: Libby Watson (6183)
Originating Department Head: Gleniece Robinson (7706)
Additional Information Contact: Wayne Gray (7797)
Logname: 84ILLLOAN Page 2 of 2