DocuSign Envelope ID: 
MISSISSIPPI

Form 
Revised 1013112016
STATE OF MISSISSIPPI
MISSISSIPPI DEPARTMENT OF HUMAN SERVICES
SUBGRANT SIGNATURE SHEET
P. 0. BOX 352
JACKSON, MISSISSIPPI 39205-0352

MDHS FUNDING DIVISION:

 

FIELD OPERATIONS

 

1. NAME,

ADDRESS PHONE NUMBER
Mississippi Community Education Center
PO. Box 12347
Jackson, Mississippi 39236
(601) 366-6405

 

 

FISCAL YEAR END DATE:

30-Jun
NAMEITITLE OF OFFICERS: (SUBGRANT ENTITY)

Dr. Nancy New, Executive Director

 

 

 

 

2. EFFECTIVE DATE:
October 1, 201'?

 

3. AGREEMENT NUMBER:

 

 

6012989! 6012990
4a. GRANT IDENTIFIER (funding source and year): TANF 2018
TANF 2018
b. CATALOG OF FEDERAL DOMESTIC ASSISTANCE (CFDA) 
93.558
5. BEGINNING AND ENDING DATES:
October 1, 2017 through September 30, 2018

 

6. SUBGRANT PAYM ENT ETHOD:

 

 

 

CURRENT NEEDSICASH ADVANCE
CONTACT PERSON: Dr. Nancy New COST REIMBURSEMENT
FAX: (001) 982-0080 OTHER
EMAIL: nnew@mscec.0rg
PHONE NUMBER: (601) 366-0405 7. PAGE 1 OF 4

 

NUMBER: 959441684

 

 

8. THE FOLLOWING FUNDS ARE OBLIGATED:

 

 

 

FEDERAL 21.500.000.00
STATE -
OTHER -
TOTAL 21,500,00000

 

 

 

 

ADMINISTRATION 493,035.00
SERVICES 21 ,006,065.00
OTHER 0 -

TOTAL 21,500,00000

 

 

9. THE SUBGRANTEE AGREES TO ADMINISTER THIS SUBGRANT IN ACCORDANCE WITH ALL FEDERAL ANDIOR STATE
PROVISIONS THAT ARE APPLICABLE TO SAID SUBGRANT. THE FOLLOWING DOCUMENTS ARE INCORPORATED HEREIN:

a. SUBGRANT SIGNATURE SHEET
b. BUDGET SUMMARY
0. COST SUMMARY SUPPORT SHEET
d. BUDGET NARRATIVE
e. SUBGRANT AGREEMENT
1) SCOPE OF SERVICES
2) GENERAL TERMS AND PROVISIONS

3) STANDARD ASSURANCES POLICY
4) DEBARMENT POLICY
5) DRUG FREE WORKPLACE POLICY
5) SUBGRANT MANUAL ACCEPTANCE
f. VERIFICATION OF 25% FIDELITY BOND
9. COPY OF BOARD RESOLUTION (if applicable)
h. COST ALLOCATION PLAN 8. INDIRECT COST RATES

 

10. IDENTIFICATION OF OTHER FUNDING (List all other funds requested, anticipated or held over from prior years
dedicated to this or similar programs including Federal, State, Local or Private funds. If additional space is needed,

ptease attach typed pages).

 

 

 

 

 

 

 

 

 

SOURCE PURPOSE CONTRACT II PERIOD (dates) AMOUNT
NIA 



11. APPROVED FOR MDHS: 1 2. APPROVED FOR SUBGRANTEE:
DocuSigned by: DocuSigned by
(v 43% 10/4/2017 9/29/2017
BY: DATE: BY:

 

Wewemn

Executive Director
TITLE

 

    
 

Executive Director

 

TITLE

 

 

 

DocuSign Envelope ID: 

MISSISSIPPI
Form 
Effective 1 0i31l2016

DEPARTMENT OF HUMAN SERVICES
BUDGET SUMMARY

Page

2 of

4 Pages

 

 

1. Applicant Agency:

Mississippi Community Education Center

 

2. Subgrant Number: Agreement Numbers

6012989/6012990

3. Grant ID TANF 2018

TANF 2013

4. Beginning

October 1, 2017

5. Ending

September 30, 2018

 

6. Submitted as Part of (check one):

a. Funding
Request 

13. Modi?cation 

c. Modi?cation

Effective Date

 

7. For

MDHS 8. Budget Activity

 

 

Use Only

Federal

State

Local

Program

In-Kind

Total

 

Administration 

493,935.00

493,935.00

 

Support Services 

21 ,006,065.00

21 ,006,065.00

 

 

 

 

 

 

 

 

 

 

 



 

 

 

 

 

 

 

 

 

 

 

 

 

DocuSign Envelope [Dz 

Mississippi MISSISSIPPI DEPARTMENT OF HUMAN SERVICES
Form COST SUMMARY SUPPORT SHEET
Revised 101019018 Page 3 of 4 Pages

 

1. Applicant Agency

Mississippi Community Education Center

2. Subgrant Number Agreement Number 3. Grant ID 2073 4. Beginning 5. Ending

0 6012989 TANF 201% October 1, 2017 September 30, 2018
6. Activity
Administration

Fr

 

 

 

      

 

 

 

Fedef?l Totat
Saiaries 390,000.00 - - - 390,000.00

Fringe 103,935.00 - - 103,935.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL 493,935.00 - - - 5 493,935.00

 

 

 

DocuSign Envelope ID: 

Mississippi MISSISSIPPI DEPARTMENT OF HUMAN SERVICES
Form COST SUMMARY SUPPORT SHEET
Revised 10(31/2016 Page 4 of 4 Pages

 

1. Applicant Agency
Mississippi Community Education Center

 

2. Subgrant Number Agreement Number 3. Grant ID 2013 4. Beginning 5. Ending

0 5012990 TANF 2013 October 1, 2017 September 30, 2018
ll5- Budget Activity
Support Services

 

 

 

 

 

Federal Program TotaI

 

Salaries 997,500.00 997,500.00

 

Fringe Benefits 265,833.75 265,833.75

 

Travel 65,950.00 65,950.00

 

Contractual Services 949,317.96 949,317.96

 

Commodities 379,401.37 379,401.37

 

Equip 81,282.04 81,282.04

 

6666666666966



18,266,77988 18,266,77988

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

TOTAL $21,006,065.00 - - - - $21,006,065.00

 

 

 

 

 

DocuSign Enveiope ED: 

Revised 2120]?

STATE OF NIISSISSIPPI
DEPARTNIENT OF HUMAN SERVICES
DIVISION OF FIELD OPERTIONS
SUBGRANT 

SUBGRANT AGREEMENT NUMBER: 60129891 6012990

The MISSISSIPPI DEPARTMENT OF HUMAN SERVICES, DIVISION OF FIELD
OPERATIONS, hereinafter referred to as and MISSISIPPI COMMUNITY
EDUCATION CENTER, hereinafter referred to as by the signatures af?xed
herein, do hereby make and enter into this Agreement.

WHEREAS, pursuant to Section 43-l~2 of the 1972 Mississippi Code Annotated, as amended and
42 U.S.C. ?604a, MDHS is authorized to enter into agreements with public and private agencies
for the purpose of purchasing certain services for, the bene?t of eligible individuals under the
Personal Responsibility and Work Opportunity Reconciliation Act of 1996, hereinafter the "Act";
and -

WHEREAS, the Sub grantee is eligible for entering into agreements with MDHS for the purpose of
providing services for the benefit of certain eligible individuals under the Act; and

WHEREAS, the services being contracted for in this Agreement are not otherwise available on a
non-reimbursable basis; and

WHEREAS, MDHS wishes to purchase such services from Sub grantee;

NOW THEREFORE, in consideration of the mutual understandings and agreements set forth,
MDHS and Subgrantee agree as follows:

SECTION I
PURPOSE

The purpose of this Agreement is to engage 2017 TANF services of the Subgrantee to perform
certain services under the Act.

SECTION II
RESPONSIBILITY OF SUBGRANTEE

The Subgrantee shall provide, perform, and complete in a satisfactory manner as determined by
MDHS, the services described in Exhibit A, entitled "Scope of Se1vices" which is made a part
hereof and incorporated by reference herein.

 

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SECTION 
TERM OF AGREEMENT

The Subgrantee shall undertake and complete services to be rendered under this Agreement
beginning October 1, 2017 or after all parties have signed, whichever is later, and end September
30,2018.

SECTION IV
SUBGRANT AMOUNT AND PAYMENT

A. SUBGRANT AMOUNT

As full and complete compensation for the services to be provided hereunder, total reimbursement
by MDHS shall not exceed Twenty One Million Five hundred Thousand Dollars and Zero Cents
for the term of this sub grant. These services shall be budgeted in accordance with
the Budget Sheets and Budget Narrative attached hereto as Exhibit and incorporated herein.

B. MAXIMUM LIABILITY

Irrespective of any other provisions of this Agreement, its attachments, laws and regulations or the
obligation of the Subgrantee, the liability of payment by MDHS to Subgrantee of federal and/or
state funds shall be limited to an amount not to exceed the sum of Twenty One Million Five Hundred
Thousand Dollars and Zero Cents ($21,500,0000) in consideration of all the activities and/or
services provided pursuant to this Agreement unless specifically increased in accordance with
Section of the Agreement.

C. CONSIDERATION AND NIETHOD OF PAYMENT

Payment method is either by Cash Advance as referenced on the Subgrant/Contract Signature
Sheet, Item 6. Eligible expenses are outlined in the Budget Summary and Cost Summary Support
Sheet(s), attached hereto and made a part hereof. For any request for funds to be processed, MDHS
must receive required program and ?scal reports as outlined in Section XIX of this
Agreement. Any increase, decrease or change in the funding under this Agreement that is
authorized by the parties, in compliance with applicable laws and policies, shall require a
modi?cation of the amounts listed in the Budget Summary and Cost Summary Support Sheets
pursuant to Section of this Agreement.

SECTION 
AVAILABILITY OF FUNDS

It is expressly understood and agreed that the obligation of MDHS to proceed under this Agreement
is conditioned upon the appropriation of funds by the Mississippi State Legislature and/or the
receipt of federal and state funds. In the event that the funds anticipated for the ful?lhnent of this
Agreement are, at any time, not forthcoming or are insuf?cient, either through the failure of the
federal government to provide funds, or of the State of Mississippi to appropriate funds, or through
the discontinuance or material alteration of the program under which funds were provided, or if

 

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funds are not otherwise available to MDHS for the performance of this Agreement, MDHS shall 
have the right to immediately terminate this Agreement, without damage, penalty, cost or expense
to MDHS of any kind whatsoever. The ultimate decision as to whether or not funds continue to be
available for the performance of this Agreement lies solely with MDHS.

SECTION VI
RELATIONSHIP OF THE PARTIES

It is expressly understood and agreed that MDHS enters into this Subgrant with Subgiantee

on a pm chase of service basis and not on an employe1- -employee relationship basis. Nothing
contained herein shall be deemed or construed by MDHS, the Sub g1 antee or any third party
as creating the relationship of principal and agent, partners, joint ventures, or any similar
such relationship between MDHS and the Sub grantee. Neither the method of computation
of fees or other charges, nor any other provision contained herein, nor any acts of MDHS
or the Subgrantee hereunder, creates or shall be deemed to create a relationship other than
the independent relationship of MDHS and the Sub grantee.

Subgrantee represents that it has, or will secure, at its own expense, applicable personnel
who shall be quali?ed to perform the duty required to be performed under this Subgrant.

Any person assigned by Sub grantee to perform the services hereunder shall be the employee
of Sub grantee, who shall have the sole right to hire and discharge its employee. MDHS may,
however, direct Subgrantee to replace any of its employees under this Subgrant. If
Subgrantee is notified within the ?rst eight (8) hours of assignment that the person is
unsatisfactory, Subgrantee will not charge MDHS for these hours. The Subgrantee will
replace the employee within 5 days after receipt of notice from MDHS.

It 13 furthe1 understood that the consideration explessed herein constitutes full and complete
compensation f01 all services and performances her,eunde1 and that any sum due and
payable to Subgi antee shall be paid as a gloss sum with no withholdings or deductions being
made by MDHS for any purpose fiom said Subgiant surn

Subgrantee shall pay when due all salaries and wages of its employees, and it accepts
exclusive responsibility for the payment of Federal Income Tax, State Income Tax, Social
Security, Unemployment Compensation and any other withholdings that may be required.

SECTION VII
TERMINATION OR SUSPENSION

TERMINATION FOR CAUSE

If, through any cause, Subgrantee fails to ful?ll in a timely and proper manner, as
determined by MDHS, its obligations under this Subgrant, or if Sub grantee violates any of
the covenants, agreements, or stipulations of this Subgrant, MDHS shall thereupon have the
right to terminate the Subgrant by giving written notice to Subgrantee of such termination

 

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D.

E.

and specifying the effective date thereof at least ?ve (5) days before the effective date of
such termination.

TERMINATION FOR CONVENIENCE

This Agreement may be terminated for convenience, in whole or in part, as follows:

1. By MDHS with the consent of the Subgrantee, in which case the two parties shall
agree upon the termination conditions, including the effective date, and in the case
of partial termination, the portion to be terminated; or

2. By the Sub grantee upon written noti?cation to MDHS, setting forth the reasons for
such termination, the effective date, and in the case of partial termination, the portion
to be terminated. However, if, in the case of a partial termination, MDHS determines
that the remaining portion of this subgrant will not accomplish the purposes for
which the subgrant was made, MDHS may, without the Subgrantee?s consent,
terminate this subgrant in its entirety.

TERNIINATION IN THE BEST INTEREST OF THE STATE

This Subgrant may be terminated by the MDHS in whole, or in part, with 15 days? notice
whenever MDHS makes the ?nal determination that such termination is in the best interest
of the State of Mississippi. Any such determination will be effected by delivery in writing
to the Subgrantee of a notice specifying the extent to which the Subgrant is terminated and
the date upon which termination becomes effective. Once the Subgrantee has received
notice of termination, Subgrantee shall not make further expenditures for the provision of
services under the Subgrant.

TERMINATION FOR FORCE MAJEURE

If either Party is rendered unable, wholly or in part, by reason of strikes, accidents, acts of
God, weather conditions or other acts beyond its control and without its fault or negligence,
to comply with its obligations under this Sub grant, then such party shall have the option to
terminate this Sub grant, in whole or in part, upon giving written notice to the other Party.

PARTIAL TERMINATION

In the event of a partial termination, the Subgrantee shall incur no obligations other than
those specifically identi?ed in the agreement or contract governing the partial termination.

RIGHTS AND REMEDIES UPON TERNIINATION OR SUSPENSION

In the event of termination or suspension as provided in this Section, Subgrantee shall be
entitled to receive just and equitable compensation for unreimbursed obligations or
expenses that are reasonably and necessarily incurred in the satisfactory performance, as
determined by MDHS, of this Agreement, that were incurred before the effective date of
suspension or termination, and that are not in anticipation of termination or suspension.
Costs of the Subgrantee resulting from obligations incurred by the Subgrantee during a

 

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suspension or after termination of this subgrant are not allowable under this Agreement. In
no case, however, shall said compensation or payment exceed the total amount of this
subgrant as set forth in Section IV. Notwithstanding any provisions of this subgrant,
Subgrantee shall be liable to MDHS for damages sustained by MDHS by virtue of any
breach of this Agreement by Subgrantee, and MDHS may withhold any payments to
Subgrantee for the purpose of set off until such times as the exact amount of damages due
to MDHS from Subgrantee are determined.

In case of termination or suspension as provided hereunder, all property, ?nished or
un?nished documents, data, studies, surveys, drawings, photographs, manuals and reports
or other materials prepared by or for the Subgrantee under this Agreement shall, at the
option of MDHS, become the property of MDHS and shall be disposed of according to
directives.

The rights and remedies of MDHS provided in this Section shall not be exclusive and are in
addition to any other rights and remedies provided by law or in equity.

G. TERMINATION OR SUSPENSION

If the Sub grantee materially fails to comply with any of the covenants, terms or stipulations

of this Agreement, whether stated in a federal statute or regulation, an assurance, in the State

plan or application, a notice of award, or elsewhere, MDHS may, upon giving written notice

to Sub grantee, take one or more of the following actions, as appropriate in the

circumstances:

1. Temporarily withhold cash payments pending correction of the de?ciency by
Subgrantee or more severe enforcement action by 

2. Disallow (that is, deny both use of funds and, if applicable, 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 Sub grantee's
program;
4. Withheld further awards for the Sub grantee's program; or
5. Take other remedies that may be legally available.
SECTION 
COIVIPLAINT RESOLUTION

Subgrantee assures that persons requesting or receiving services under this Agreement shall have
the right to a complaint resolution procedure regarding any decision relating to this Agreement.
Said procedures may be under the Fair Hearing Procedure of the Mississippi Department of Human
Services, or under a conciliation process, or that required by the MDHS as authorized by the
Mississippi Administrative Procedures Law, Mississippi Code Annotated 1972, as amended,
Section 25-43?1 et. seq, or under the complaint procedure of the Personal Responsibility and Work
Opportunity Reconciliation Act of 1996, whichever is appropriate to the complaint as directed by
MDHS.

 

 

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SECTION IX
CODIPLIANCE WITH LAWS, RULES, AND REGULATIONS

Sub grantee shall comply with all applicable policies and procedures of MDHS and with all
applicable laws, rules and regulations of the federal government and of the State of Mississippi that
may affect the performance of services under this Agreement. The Sub grantee shall comply with,
among other regulations, the Act; the 2016 MDHS Subgrant/Contract Manual, and the applicable
Code of Federal Regulations. -

If the Subgrantee advertises or prints brochures, ?yers or any other material, printed or otherwise,
relating to, or promoting, the services which it is providing through this Sub grant, it shall
acknowledge that said funding for said Sub grant and for said advertising was provided by MDHS.

In executing this Subgrant, Subgrantee shall comply with all federal and/or state statutes or
regulations that are made applicable to the grant when properly promulgated and published by the
Federal andior State Government. It is specifically agreed that should additional federal legislation
be enacted, or should the US. Department of He alth and Human Services or other governing federal
agencies enacted new regulations or promulgate changes or amendments in existing regulations
which require changes in any provision of their grant, then those provisions of this Subgrant
affected thereby shall automatically be amended to conform to such federal statute or regulation as
of the effective date of their enactment.

SECTION 
STANDARD ASSURANCES

This Agreement is subject to the Subgrant/Contract Signature Sheet, the Budget and Cost Summary
Support Sheets, the Scope of Services (Exhibit A), Budget Narrative (Exhibit B), the Standard
Assurances, the Certifications Regarding Lobbying; Debarment, Suspension and Other
Responsibility Matters; and Drug-Free Workplace Requirements, the Certifications Regarding
Monitoring Findings; Audit Findings; and Litigation Occurring within the Last Three Years, the
Certi?cation of Adequate Fidelity Bonding (Exhibit C), Board Member?s Notification of Liability,
(Exhibit D) 2016 MDHS Subgrant/Agreement Manual Acceptance Form (Exhibit E), Federal
Debarment Veri?cation Requirement (Exhibit F) and Partnership Debarment Verification Form
(Exhibit G), Minority Vendor Veri?cation (Exhibit all of the foregoing being attached hereto
and incorporated by reference herein.
SECTION XI
AGREEMENTS BY SUBGRANTEE

A. GENERAL RESPONSIBILITY

It is understood and agreed that the Subgrantee may be entering into certain subcontracts
with eligible entities (hereinafter referred to as Subgrantee's Contractor/Subcontractor) for
the provision of the aforementioned services. Entities currently in a contractual relationship
with MDHS to provide the same or similar services are not eligible to enter into a

 

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Contract/ Subcontract with the Sub grantee. Such subcontracts shall be governed by all of
the provisions of this Agreement, and Subgrantee shall be fully responsible for the
performance of any Subgrantee?s Contractor/Subcontractor whatsoever and for any costs
disallowed as a result of monitoring of the Subgrantee by MDHS and/or as a result of
monitoring the Subgrantee's Contractor/Subcontractor either by MDHS or by the
Subgrantee. Copies of all subcontracts and modi?cations shall be forwarded to MDHS
funding division.

B. USE OF FUNDS

In any Contracts/Subcontracts which Subgrantee enters into with
Contractors/Subcontractors for provision of services and/or goods under this Agreement,
Subgrantee shall require that the funds obligated under said Contracts/Subcontracts shall be
used to support the Contracts/Subcontracts for the provision of only such services
authorized under this Agreement. Subgrantee agrees that it shall require all of such
Subgrantee's to comply with all local, municipal
and county health, safety and other ordinances and requirements and with all applicable
federal and state laws, statutes and regulations.

C. ADNIINISTRATIVE CHARGES

Sub grantee agrees that it has not imposed and shall not impose any administrative charges
on its subcontractors.

SECTION XII
ELIGIBILITY FOR SERVICES

Subgrantee agrees to provide services only to the target population described in the Scope of
Services (Exhibit A).

SECTION 
CONFIDENTIALITY

All information regarding applicants for and recipients of services under this Agreement shall be
available only to MDHS, Subgrantee, and/or to the appropriate subcontractor and to those persons
authorized in writing to receive same by the client, or as otherwise authorized by law. The
will guard against unauthorized disclosures. Nothing in this Section, however, shall
affect provisions of Section of this Agreement.

SECTION XIV
AUDIT

A. INTERNAL AUDITING

Subgrantee shall conduct internal auditing procedures to ensure that the services provided
and the activities performed with funds provided under this Agreement are in compliance

 

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with the provisions of this Agreement and with Subgrantee audit policy described in the
2016 MDHS Subgranthontract Manual and all applicable laws, statutes, rules and
regulations.

INDEPENDENT AUDITING

Subgrantee shall comply with the Single Audit Act of 1996, the applicable Of?ce of
Management and Budgets (OMB) Circular(s) and the 2016 MDHS Subgrant/Contract
Manual. The audit required under the Single Audit Act of 1996 must be performed by an
Independent Auditor.

RESPONSIBILITY 0F SUBGRANTEE

Subgrantee shall receive, reply to and resolve any audit and/or programmatic exceptions by
appropriate state and/or federal audit related to this Agreement and/or any resulting
Contract/ Subcontract.

SUPPLEMENTAL AUDIT

retains the right to perform a supplemental audit and review, when MDHS deems
the same to be appropriate, of any and all of the Subgrantee?s and/or its Contractort
Subcontractor's books, records and accounts, and to initiate such audit and to follow any
audit trail for a period of three (3) years from expiration date of this Agreement and for such
additional time as required to complete any such audit and/or to resolve any questioned
costs.

AUDIT EXCEPTIONS

Sub grantee shall pay to MDHS the full amount of any liability to the federal, state or local
government resulting from ?nal adverse audit exceptions under this Agreement and/or
under any Contract/Subcontract funded hereunder. Audit exceptions may result in
accepting a reduction of future amounts by a total equal to the amount disallowed or
deferred, and/01 by other methods approved by MDHS, including recouprnent of funds paid
to Sub gi antee undei this Agl cement.

SECTION XV
INDEMNIFICATION

MDHS shall, at no time, be legally responsible for any negligence or wrongdoing by the Sub grantee
and/or its employees, servants, agents, and/or subcontractors. Subgrantee agrees to indemnify,
defend, save and hold harmless MDHS from and against all claims, demands, liabilities, suits,
damages, and costs of every kind and nature whatsoever, including court costs and attorney?s fees,
arising out of or caused by Subgrantee and its employees, agents, contractors, and/or subcontractors
in the performance of this Subgrant. Subgrantee agrees that in any contract or subcontract into
which it enters for the provision of the services covered by this Agreement, it shall require that its

 

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Contractors/Subcontractors, their of?cers, representatives, agents, and employees shall release and
hold harmless MDHS and the State of Mississippi from and against any and all claims, demands,
liabilities, suits, damages, and costs of every kind and nature whatsoever, including court costs and
attorney?s? fees, arising out of or caused by the Contractor/ Subcontractor and/or its of?cers,
representatives, agents, and employees in the performance of such services.

SECTION XVI
INSURANCE

Subgrantee shall maintain Workers' Compensation insurance which shall inure to the bene?t of all
Subgrantee's personnel performing services under this Agreement, comprehensive general liability
insurance and employee ?delity bond insurance in the amount equal to 25% of the funds awarded
hereunder. Subgrantee shall furnish MDHS with a certi?cate of insurance providing the aforesaid
coverage, prior to the commencement of performance under this Agreement. In any subcontract
into which Sub grantee enters with Subcontractors, there shall be a like insurance provision in which
the Subcontractor shall provide the same coverage to and for its personnel.

SECTION XVII
RECORDS

A. MAINTENANCE OF RECORDS

Subgrantee shall maintain fiscal and program records, books, documents, and adhere to
Generally Accepted Accounting Principles, which suf?ciently and properly re?ect all direct
and indirect costs and cost of any nature expended in the performance of this agreement.
Such records shall be subject, at all reasonable times, to inspection, review, audit or the like,
by MDHS or by duly authorized federal and state personnel.

Fiscal Requirements and Audit. Subgrantee shall establish such fiscal control and fund
accounting procedures, including internal auditing procedures, as may be necessary to
assure the proper disbursal of and accounting for funds paid under this grant, including but
not limited to the Single Audit Act of 1996. Sub grantee shall keep, maintain and present to
MDHS, as required, necessary and proper vouchers, documentation and otherwise to
support the expenditure of funds and Subgrantee shall adhere to State and Federal guidelines
regarding subgrant provisions, ?nancial documentation, and certi?cations per OMB
Circular Cost Principles for Nonpro?t Organizations, A-87, Cost Principles
for State, Local and Tribal Governments and OMB Cost Principles for Educational
Institutions.

B. ACCESS TO RECORDS

Subgrantee agrees that MDHS, the federal grantor agency, the Comptroller General of the
United States and/or any of their duly authorized representatives shall have access to any
and all books, documents, papers, electronic media or records of the Subgrantee or of the
Subgrantee?s Contractors/ Subcontractors which are pertinent to the program for the purpose
of making audits, examinations, excerpts and transcripts of such records.

 

 

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C. RECORDS OF SUBGRANTEE

Subgrantee agrees that in any Contracts/Subcontracts into which it enters with
Contractors/Subcontractors it shall require said ContractorsfSubcontractors to maintain
fiscal and program records related to Contractor/Subcontractor's work performed under this
Agreement, in accordance with Records Retention and Access Policy, as set forth
in the 2016 MDHS Sub grant/Contract Manual.

D. FINANCIAL DOCUMENTS

The Subgrantee, by its signature affixed to this Sub grant Agreement, authorizes the release
to MDHS of any and all ?nancial documents and records maintained by such ?nancial
institutions as may be providing services to the Subgrantee which are pertinent to the
services performed under this Subgrant in order to make audit, examination, excerpts,
copies, and/or transcripts. Said ?nancial deposits and records shall include, but are not
limited to, statements of accounts, statements of deposits and/0r withdrawal, cancelled
checks and/or drafts. The request for said documents and/or records shall be made in writing
by MDHS directly to the Subgrantee providing services.

Further, prior to the disbursement of any funds under this Subgrant, the Subgrantee shall
provide, in writing, the name and address of the ?nancial institution which shall act as the
depository for said funds along with the speci?c account number(s) which shall be used in
the expenditure of the Subgrant funds.

SECTION 
AVAILABILITY OF INFORMATION

Subgrantee shall furnish information and cooperate with all federal and/or state investigations,
make such disclosure statements as may be required by the Agreement and other applicable federal
and state laws, and federal and state regulations.

SECTION XIX
REPORTING

A. REPORTING

Subgrantee shall furnish MDHS written reports of costs incun?ed and such reports
shall contain sufficient data to provide evidence of budget compliance and shall be due ten
(10) calendar days after the close of each month. Such reports shall be complete for the
period covered and shall contain financial details pertaining to the execution of their
subgrant.

As may be requested by MDHS, Subgrantee shall review and discuss any of such written
reports at such time and in such manner as may be deemed necessary by MDHS.

10

 

 

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B. TERMINATION REPORTS

Subgrantee shall furnish MDHS a written termination report within ten (10) days from the
termination date unless additional time is granted in writing by MDHS. The termination
report shall include information and data required by MDHS to furnish evidence of ?nancial
and programmatic compliance.

C. FINAL FISCAL REPORT

The Subgrantee shall provide a final ?scal report to MDHS within forty-five (45) calendar
days after the ending of this Agreement and this, along with the Subgrantee?s final ?scal and
programmatic report will be used forthe purpose of reconciling this Agreement to the actual
expenditures for activities and services rendered not to exceed the maximum amount as set
forth in Section IVA of this Agreement. Any funds paid by MDHS to Subgrantee and not
expended for activities or services under this Agreement or funds expended in violation of
this Agreement, shall be considered MDHS funds and shall be returned to MDHS in full.
Where deemed appropriate by MDHS and accepted by the Subgrantee, a reduction may be
allowed in future payments under future agreements by a total amount equal to the amount
disallowed or deferred, or by other methods approved by MDHS. Proper procedures for
closeout of the Subgrant, as detailed in the 2016 MDHS Subgrant/Agreement Manual,
Section 11, shall be followed.

D. TAX REPORTS

Subgrantee shall ?le timely federal and state tax reports as due and, if requested, shall
furnish MDHS a copy of all reports within ten (10) days after ?ling.

SECTION XX
DISPUTES

Any dispute concerning a question of fact under this Agreement which is not disposed of by
agreement of the Parties hereto shall be decided by the Director of the funding division. This
decision shall be reduced to writing and a copy thereof mailed or furnished to the Subgrantee and
shall be fmal and conclusive, unless, within thirty (30) days from the date of the decision,
Subgrantee mails or furnishes to the Executive Director of the Mississippi Department of Human
Services a written request for review. Pending final decision of the Executive Director or his
designee, the Subgrantee shall proceed in accordance with the decision of the Director of the
funding division.

In a review before the Executive Director or designee, the Subgrantee shall be afforded an
opportunity to be heard and to offer evidence in support of its position on the question and decision
under review. The decision of the Executive Director or designee shall be ?nal and conclusive
unless that decision is determined by a court of competent jurisdiction in Jackson, Hinds County,
State of Mississippi, to have been fraudulent, capricious or so grossly erroneous as necessarily to
imply bad faith, or that it was not supported by substantial evidence.

11

 

 Envelope ID: 

Revised 

SECTION XXI
WAIVER

Failure of either party hereto to insist upon strict compliance with any of the terms, covenants, and
conditions of this Agreement shall not be deemed a waiver or relinquishment of any similar right
or power hereunder at any subsequent time or of any other provision hereof, nor shall it be construed
to be a modi?cation of terms of this Agreement.

SECTION XXII
PATENTS, COPYRIGHTS, AND RIGHTS IN DATA

A. PATENTS

Should the activities of Subgrantee or its Contractor/Subcontractor include experimental,
developmental or research projects, this Agreement shall be amended to include
the standard patent rights clauses as set forth in Public Law 98-620 (1984), 37 CFR 40, Part
401 - Rights to Inventions Made By Nonpro?t Organizations and Small Business Firms
under Government Grants, Sub grants, and Cooperative Agreements or any other applicable
provision required by state and/or federal law, rule or regulation.

B. COPYRIGHTS

MDHS reserves a royalty-free, nonexclusive, and irrevocable license to reproduce, publish
or otherwise use, and to authorize others to use:

1. The copyright in any work developed under this Agreement, or under any subgrant
with any Subgrantee or its Contractors/Subcontractors' agreements; and

2. Any rights of copyright to which Subgrantee or its Contractors/Subcontractors
purchase ownership with grant support under this Agreement.

C. RIGHTS AND DATA

All systems, computer programs, operating instructions, and all other documentation
developed for or speci?cally relating to information processing of any kind under this
Agreement, and reports prepared by Subgrantee or its ContractorsISubcontractors will be
the property of MDHS and will remain so upon completion or termination of this
Agreement. All cards, magnetic tapes, disk packs, or other storage media, temporary
and/or permanent, containing programs and/or other information of any kind relating to
this Agreementshall be available for inspection by MDHS at any time, and all information
thereon shall belong to MDHS, and shall be delivered to MDHS on request
therefor.

Sub grantee shall maintain all master programs and master data ?les in a completely secure
manner, either by storing such programs and ?les in an appropriate limited access storage

12

 

DocuSign Envelope ID: 
Revised 2&017

area or by duplicating such programs and files and storing the duplicates in a secure
location in a manner satisfactory to MDHS. Such programs and ?les shall be identified by
program and ?le name.

SECTION 
ALTERATION OR MODIFICATION OF AGREEMENT

Any alteration, variation, modi?cation, or waiver of provisions of this Agreement shall be valid
only when agreed to by both parties hereto, reduced to writing, and duly signed by each Party.

SECTION XXIV
SEVERABILITY

If any term or provision of this Agreement is prohibited by the laws of the State of Mississippi or
is declared invalid or void by a court of competent jurisdiction, the remainder of the Agreement
shall not be affected thereby, and each term and provision of this Agreement shall be valid and
enforceable to the fullest extent permitted by law.

- . SECTION XXV
BINDING REPRESENTATIVES AND SUCCESSORS

The rights, privileges, bene?ts, and obligations created by this Agreement and by operation of law,
extend to and accrue and are obligatory upon the parties hereto, their personal or real
representatives, and successors.

SECTION XXVI
EQUIPMENT AND SUPPLIES

Equipment and supplies purchased with state funds under this Agreement shall be purchased and
accounted for in accordance with state law and procedures and in accordance with 
Inventory Management Policy within the 2012 MDHS Sub grant/Contract Manual.

SECTION XXVII
FUNDS USED TO SUPPLEMENT

Funds received under this Agreement and any Contract/Subcontract thereunder shall be used only
to supplement, not supplant, the amount of federal, state, and/or local funds otherwise expended
for the support of services the applicable participants in the Subgrantee's service area.

SECTION 
ASSIGNMENT

Subgrantee shall not assign or otherwise transfer the obligations or duties imposed pursuant to the

terms of this Agreement without the prior written consent of MDHS. Any attempted assignment
or transfer of its obligations without such consent shall be wholly void.

13

 

DocuSign Envelope ID: 
Revised 2;?2017

SECTION XXIX
CONFLICT OF INTEREST

Sub grantee must ensure that there exists no direct or indirect con?ict of interest in the performance
of the Subgrant. Subgrantee must warrant that no part of federal or state money shall be paid
directly or indirectly to an employee or of?cial of MDHS as wages, compensation or gifts in
exchange for acting as an of?cer, agent, employee, subcontractor or consultant to the Sub grantee
in connection with any work contemplated or pertaining to the Subgrant. MDHS will hold the
Subgrantee in strict compliance with the Code of Conduct in Section 6 of the 2016 MDHS
Subgrant/Contract Manual.

SECTION 
APPLICABLE LAW

This Agreement shall be construed and governed in accordance with the laws of the State of
Mississippi. Subgrantee expressly agrees that under no circumstances shall MDHS be obligated
to pay attorneys' fees or the cost of legal action to the Subgrantee.

SECTION 
E-VERIFY

Subgrantee represents and warrants that it will ensure its compliance with the Mississippi
Employment Protection Act (Senate Bill 29 88 from the 2008 Regular Legislative Session) and will
register and participate in the status veri?cation system for all newly hired employees. The term
"employee" as used herein means any person that is hired to perform work within the State of
Mississippi. As used herein, ?status veri?cation system" means the Illegal Immigration Reform
and Immigration Responsibility Act of 1996 that is operated by the United States Department of
Homeland Security, also known as the E-Verify Program, or any other successor electronic
veri?cation system replacing the E?Verify Program. Subgrantee agrees to maintain records of
such compliance and, upon request of the State, to provide a copy of each such verification to the
State. Subgrantee further represents and warrants that any person assigned to perform services
hereunder meets the employment eligibility requirements of all immigration laws of the State of
Mississippi. Subgrantee understands and agrees that any breach of these warranties may subject
Subgrantee to the following: termination of this Agreement and ineligibility for any state or
public contract in Mississippi for up to three (3) years, with notice of such cancellationftermination
being made public, or the loss of any license permit, certi?cation or other document granted to
Subgrantee by an agency, department or governmental entity for the right to do business in
Mississippi for up to (1) year, or (0) both. In the event of such termination/cancellation, Subgrantee
would also be liable for any additional costs incurred by the State due to contract canceilation or
loss of "license or permit."

14

 

DocuSign Envelope ID: 
Revised 2!:017

Any Agreement entered into between the Subgrantee and its Contractors/Subcontractors shall
contain the E?Verify clause with which said Contractors/Subcontractors shall comply in hiring
their employees.

SECTION 
TRANSPARENCY

This contractual agreement, including any accompanying exhibits, attachments, and appendices,
is subject to the ?Mississippi Public Records Act of 1983", codi?ed as section 25-61?1 et seq.,
Mississippi Code Annotated and exceptions found in Section 79?23-1 of the Mississippi Code
Annotated (1972, as amended). In addition, this Agreement, is subject to the provisions of the
Mississippi Accountability and Transparency Act of 2008 (MATA) codi?ed as Section 31~7~13 of
the Mississippi Code Annotated (1972, as amended). Unless exempted from disclosure due to a
court?issued protective order, this contract is required to be posted to the Department of Finance
and Administration?s independent agency contract website for public access. Prior to posting the
Agreement to the website, any information identi?ed by the Independent Contractor as trade
secrets, or other proprietary information including con?dential vendor information, or any other
information which is required con?dential by state or federal law or outside the applicable freedom
of information statutes will be redacted.

SECTION 
INCLUSION OF ALL TERMS AND CONDITIONS

This Agreement and any and all documents attached hereto or incorporated by reference herein,
including the Subgrant Signature Sheet, constitute the entire agreement of the parties with respect
to the subject matter contained herein and supersede and replace any and all prior negotiations,
understandings and agreements, written or oral, between the parties relating thereto. No other
understanding regarding the subject matter of this Agreement shall be deemed to exist or bind any
of the parties hereto.

15

 

 

DocuSign Envelope JD: 

Revised 2120]?

SECTION 
NOTICE

Notice as required by the terms of this Subgrant shall be certi?ed United States mail, postage
prep aid, to the Parties at their respective usual business addresses, or Notice may be hand-delivered
to that respective Party whose signature appears on this Subgrant as MDHS or Subgrantee. The
Parties agree to notify each other of any change of address.

For the faithful performance of the terms of this Agreement, the parties hereto have caused this
Agreement to be executed by their undersigned authorized representatives.

 

 

Mississippi Department of Human Mississippi Community Education Center
Services
DoeuSigned by:l DocuSigned by:
EWCW Ii 3am, Qg? igdni
K?693mFrieulthiorized Signature Signature
Printed Name: John Davis Printed Name: Dr. Nancy New
Title: Executive Director Title: Executive Director
10/4/2017 9 29 2017
Date: Date: 

 

 

16

 

 

 

DocuSign Envelope lD: 
EXHIBIT A

Scope of Work to be Performed

The attached scope of work supports the continued implementation of Families First services
which stimulate employment, support family ?nancial stability, promote literacy, and increase
graduation rates while continuing to support positive youth development, parenting, impacting
teen pregnancy rates, promoting positive father involvement and supporting Department of
Human Services County Of?ces through parenting education and parenting skills development.

The proposed ?whole family? approach will provide services for children, adolescents, teens,
adults and the elderly. The program utilizes a holistic approach to community education and
services by assessing family and community needs, and providing services from ?womb to
tomb.? Partnerships with state and community agencies will be utilized to both ?ll in service
gaps and ensure that quality services are not being unnecessarily replicated.

Client assessments will evaluate both individual and family needs, and a complete range of
appropriate services will be offered. The expanded program seeks to address the whole family
through in-house consultation and service delivery as well as partnerships with community and
state agencies. Families First will provide referrals for services that do not fall within the
community education program mental health services).

Program objectives have been carefully developed to address prominent needs related to family
stability and Gen+; to include, employability, literacy, family ?nancial stability, graduation rates,
parenting education, positive youth development, at risk youth, and senior citizens. Each
objective will be clearly described, speci?c, measureable and ambitious yet attainable.
Objectives include the following:

1. Increase employability in targeted populations through intensive wrap-around
workforce development services

2. Provide families with supports that will enable the upward mobility afforded
through educational attainment

3. Increase participant employability outcomes and support educational success
through provision of high school diploma program, educational support services,
and referrals to programs supporting increased educational attainment

4. Promote literacy across the State through programs for early childhood, youth and

adult learners

Support positive youth development through education

6. Provide a grass-roots, community?based program to support healthy choices, and
support positive youth outcomes

7. Increase awareness of the bene?ts of educational success, employment, literacy and
positive youth development

8. Provide quality services that are accessible to the family as a whole and educate
parents, co-parents, and expectant parents in the areas of appropriate discipline,
child development, health, safety, nutrition, newborn parenting, con?ict resolution,
responsible fathering, and soft and life skills training.

9. Provide services, activities, and events for senior citizens.



 

DocuSign Envelope ID: 

Priorities in the Identi?ed Target Area

The program supports the following priorities through the delivery of services in the identi?ed
service areas:

0 Reduce school dropout;

0 Increase graduation rates;

0 Increase literacy in early childhood, youth and adult learner populations;

0 Increase employability;

- Increase upward mobility and ?nancial stability of participant families;

0 Increase the network of referrals and support services within the State through
networking;

0 Increase family stability; and

Equip families and children with the skills necessary to more adequately solve
problems, make good choices and increase access to services

Geographic Overview

The program will utilize a regional service delivery model encompassing all 82 counties in the
State of Mississippi. Within each Region, a Regional Center will serve as the hub of activity
with services extending into the counties within the region.

Thirteen Regional Centers Adams County, DeSoto County, Durant County, Forrest County,
Harrison County, Hinds County, Jackson County, Lafayette County, Lauderdale County, Lee
County, Le?ore County, Lowndes County, and Madison County. Additional full-service Centers
will open to include: Washington County, Coahoma County, Pike County, Chickasaw County,
and an additional Center in DeSoto County.

Additional regional or sub-regional centers to be established through partnership agreement or
memorandum of understanding to expand the brick and mortar presence; thereby increasing
access for participants and reducing overhead costs to allow for increased direct-service.

Service Delivery Model

A regional service delivery model will be used for implementation of the program. The State
will be divided into 2 regions (North and South) with additional sub-regions located within.
Program oversight will be conducted by the Executive Director of Mississippi Community
Education Center (South Region) and Family Resource Center of Northeast Mississippi (North
Region). Additionally, there will be two Program Directors for each of the North and South
Regions. Each sub?region will have a physical location from which all services will originate.
Each sub-region will be managed by a Regional Coordinator.

Region Coordinators will hold the primary responsibility for accomplishing goals and objectives
within their designated region. Responsibilities include: recruitment and retention, service
delivery, volunteer recruitment, Coalition Board recruitment and participation, maintaining a
weekly presence in site locations within the designated service area, scheduling retreats, training

 

DocuSign Envelope ID: 

sessions and additional responsibilities determined necessary to accomplishing the goals and
objectives. These individuals will report to the program director. Program Trainers will be
utilized in delivery of each program component.

Program Trainers will conduct presentations and classes, schedule and conduct workshops,
classes and presentations per the scope of work and have a ?exible schedule that can
accommodate the scheduling of night and/or weekend work. Preferred experience includes:
bachelor?s degree in the fields of communications, education, public health or social work.

Scope of Services

Goal: Families First is proposing services designed to encompass the entire family, from infancy
to adulthood. Current and new program centers will provide more in-house services which are
being expanded to include early childhood and adult literacy programs, high school diploma and
credit recovery, employability and soft skills development, and abstinence and parenting
curriculum; while continuing to deliver services within the counties and communities (outside of
the brick?and-mortar centers).

1. Objective: Increase employability in targeted populations through work development
services

Activities:

0 Develop a system of referral to support the myriad points of entry and skill sets of
participants

0 Provide career assessment to match participant skills with employment type

0 Provide case management style oversight and guidance

0 Provide education designed to develop skills and knowledge essential for success in
obtaining entry-level jobs in the workforce

0 Provide job seekers with pie-employment skills and soft?skills core development

0 Prepare individuals for work

0 Promote job retention and advancement

2. Objective: Provide participants with a focused career assessment that evaluates core
workplace skills and interest and provides job seekers with timely and relevant
information about locally~present jobs and career pathways that match their and
interests.

Activities:

0 Provide remedial instruction

0 Provide referral to resources suppmting educational attainment and success

0 Provide on-line classes from a state and regionally accredited on-line provider with a
high school diploma option

0 Provide educational support services to promote success in reaching the assessed
educational outcomes deemed appropriate for the participant

 

DocuSign Envelope ID: 

3. Objective: Provide high school diploma and credit recovery programs.

Activities:

0 Provide remediation and core subject areas

0 Provide opportunities for small group and individual learning

0 Provide high school diploma option for identi?ed participants

0 Provide job and life skills education and advanced educational activities for identi?ed
participants

4. Objective: Provide programs to promote early childhood, youth and adult literacy as well
as remedial, evidence-based programs for adult learners.

Activities:

0 Provide evidenced?based reading skills and training

Provide individualized reading pro grams

Provide programs designed speci?cally for adult learners

Deliver early childhood and youth literacy education

Provide education on alcohol, drug and tobacco; including, specific information on
opioid abuse

5. Objective: Provide services and positive youth development/abstinence education and
encourage healthy choices.

Activities:

0 Provide technology and internet safety education

0 Provide bullying prevention education

0 Provide teen dating violence education and healthy relationships

0 Provide grassroots, community-based support to local teen pregnancy prevention
initiatives; to include, Healthy Teens for a Better Mississippi

0 Provide education on alcohol, diug and tobacco; including, speci?c information on
opioid abuse

6. Objective: Provide a publicity and marketing plan to reach local, regional, and national
audiences with interests in dropout prevention, non-traditional academic options, and
customized learning environments and academic success.

Activities:

0 Provide a dedicated website with key information and updates

0 Provide direct mailings to targeted audiences related to program outcomes, events,
and initiatives

0 Provide press releases to regional newspapers and magazines

0 Participate on public radio and television, talk shows and PSAs

 

DocuSign Envelope iD: 

7. Objective: Provide quality education to parents, co?parents, and expectant parents.

Activities:

0

Provide education in appropriate discipline and child development
Provide education in reducing stress and con?ict resolution techniques
Educate families in practices that keeps the family healthy as a whole
Provide education on good money management practices

Provide education and resources to build on family 

Provide supports for Access and Visitation needs for quali?ed families

8. Objective: Provide services, activities, and events for senior citizens

Activities:

Provide elder abuse and fraud awareness education

Provide computer literacy education

Connect participates to available resources within the community
Provide volunteer training

9. Objective: ?Connect the Dots? between state agencies, nonpro?ts, and other
organizations in the State to provide a greater network of support and increase access for
families

Activities:
0 Form partnerships with organizations that will streamline referral process for

participating families

Collaborate with community partners to increase access to services and
opportunities for participating families

Support and participate in activities such as conferences, trainings, and similar
activities that contribute to the quality and availability of services supporting
family stability

 

DocuSign Envelope ID: 

EXHIBIT 

Mississippi Community Education Center (TANF) 2017-2018 - Budget Narrative

I. Administration Budget Activity

A. Salaries
Calculations:

South State Director
Programtlr: Director
Assistant Director

B. Fringe Benefits

2. Med. Tax 1.45% of Gross Salaries

3. Unemp. ins/er. Comp Ins./ Bonding ins./ Liab. Ins. 4.00%
3. Health insurance/Retirement - 15%

Calculations:

Flatt:

Mea?. Tax

Unemp.lns/er. Comp lns./ Bonding lns. Llab. 

Health lnsurance/Retlrement

Total Administration Fringe Benefits

11. MCEC "Program" Budget Activity

A. Salaries
Calculations:
Calculations: Number
Accountant 1
Human Resource 1

Program Coordinator 1





Salary;

175,000.00 
105,000.00 5
110,000. 00 

Salarles
$390, 000. 00
$390, 000. 00
$390, 000. 00
$390, 000. 00

Montlg

6.20%

1.45%

4.00%
15%

14,583.33 -
8,750.00
9,166.67

Total Administration Salaries 5

Com ensatlon 

Total

 

    

390,000.00 2%

Total

 

 

 

$493,935.00
$493,935.00 2%

Total for Administration Salaries Fringe
Total Administration Budget

 

 

Salary Montlz Total

7,083.33
3,916.67 .
5,000.00

   

85,000.00 
47,000.00 5
60,000.00 5

DocuSign Envelope 

Program Coordinator

Program Coordinator
Program Coordinator
Program. Coordinator
Program Coordinator
Program Coordinator
Program Coordinator
Financiai Officer
Marketing Director

Data Manager

PR, Media Coordinator

Literacy Coordinator
Program Assistant
Program Assistant

Program Coordinator

B. Fringe Benefits




 

1. 6.2% of Gross Salaries

62,000.00

5 8, 000. 00
64, 000. 00
55, 000. 00
4 7, 000. 00
62, 000. 00
57, 000. 00
45, 000. 00
67, 000. 00
48,500. 00
44, 000. 00
54, 000. 00
32, 000. 00
35, 000. 00
75, 000. 00

5,166.67

4,833.33
5,333.33
4,563.33
3,916.67
5,166.67
4,750.00
3,750.00 .
5,533.33
4,041.67
3,666.67
4,500.00
2,666.67

2,916.67 
6,250.00



Total Program Salaries

 

$997,500.00

2. Med. Tax 1.45% of Gross Salaries

3. Unemp. [ns./er. Comp lns./ Bonding Liab. Ins. 4.00%

3. Heaith Insurance/Retirement 15%

Calculations: Salaries Com ensation 
$997,500.00 6.20%
Med. Tax $997,500.00 1.45%
Unemp.ins/er. Comp ins./ Bonding ins. Liab. ins $997,500.00 4.00%

Health insurance/Retirement $997,500. 00 15%

Total

 

 

   

Total Administration Fringe Bene?ts . .
Totai Salaries and Fringe Benefits $1,263,333.750 6%

C. Travel
Mileage, Gas 81 Lodging for staff for promotion and support of programs

DocuSign Envelope lD: 

3 Rate Percentage Total
Mileage: Miles 5 0.540 100%

Lodging: 35 nights 5 110 100%
Total Travel

 

 

 

D. Contractuai Services

 

Amount Months Percentage Total
6,000.00 12 100% 
6,000.00 12 100%

18,000.00 100%

Copier Leases
Printing Postage
Single Audit Act



Website Production, Hosting 8; Maintenanrie
Rent

Cell phone

Computer Assessment 8; Data Tool

1,800.00 12 100%
18,000.00 12 100%
3,000.00 12 100%
5,000.00 12 100%

?mm-mm

Utilities to include, cable, electric, gas, water,
telephone service land lines, fax machine
lines, internet pest control, garbage pick up,
yardwork maintenance

Advertising
iContractual labor for Setup of labs

6,250.00 12 100%
30,000.00 12 100%
1,559.83 $12.00 100% -
Total Contractual Services $949,317.96 4%

  



E. Commodities

Amount Months Percentage Toto!
Educational Curriculum Supplies 12,500.00 12 100%
Educational Curriculum 8: Supplies 5 1,000.00 12 100%
Training and Conference Fees 800.00 12 100%
Per Diem 5 500.00 12 100%

 

 

 

 

DocuSign Envelope 

 

Rallies and Events 5 2,500.00 12 100%
Coalition Meetings 5 2,000.00 12 100%
Organizational Meetings 300.00 12 100%
Desk/Chatrs/Cabinets/other Furnishing 10,000.00 12 100%

 

   

0

Quounitv Amount Per Item Percentage Amount Total
:16 Port Gigabit Ethernet Switch 5 $75.00 100%
Cat5e RJ-451ack 55 $2.10 100%
?Cat5e 1000ft Cable $160.00 100%
ERJ-AS Connectors Box of 100 $50.00 100%
4 Port Ivory Single-Gang Faceplate 25 $1.75 100%
Single?Gang Non-Metal Bracket 30 $1.50 100%
Single?Gang Brush Wall Plate 5 $7.00 100%
Keyboard 8t Mouse USB Combo 50 $30.00 100%
Monitor w/ Port 50 $125.00 100%
31": Cable 50 $6.00 100%
Microsoft Office 365 (Per Year) 10 $30.00 100%
5ft Adjustible Table 25 $200.00 100%
tProjector Ceiling Kit 5 $87.00 100%
42" TV $250.00 100%
50" HDMI Cable $50.00 100%
Full Motion TV Wall Mount $100.00 100%
Surge Protector 25 $15.00 100%
Teacher Desk $400.00 100%
Epson Powerlite Projector $450.00 100%
Cisco WAP371 $234.77 100%
Subtotal
Tax $0.07 100%
Total Commodities $379,401.37 2%

 

 

 

 



 



 

 

 

 

 

 

 

 

Ln

 

mm

 

 

 

 

LnLan')

 

 

 

F. Equipment

 

Amount Per Item Percentage Amount Total
Mac mini 2.66Hz Processor 60 $679.00 100%

 

 

 

 

DocuSign Envelope ID: 

 

 

3'

iMacBook 20 $999.00 100%
SonicWall 10 $1,200.00 100%
Pegasusz R4 12TB 1 $1,439.00 100%
?Apple Server 1 $3,308.00 100%
ESubtotal

iTax

Total for Equipment

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total Equipment $81,282.04 0%
Total Administration 5 3,233,220.12

F. Subsidies, Loans, Grants Amount Percentage Total
Subgrants to insure coverage of all counties
listed in scope of services 5 18,266,779.88 100%

 

TOTAL 5, 8: $18,266,779.88 85%
Total for Mississippi Community Education Center Budget Activity $21,500, 000.00

DocuSign Envelope ID: 

 

 

 

 

Program Coordinator

Program Coordinator
Program Coordinator
Program Coordinator
Program Coordinator
Program Coordinator
Program Coordinator
Financial Officer
Marketing Director
Data Manager
PR, Media Coordinator
Literacy Coordinator
Program Assistant
Program Assistant

Program Coordinator

B. Fringe Benefits

DocuSign Envelope ID: 

62, 000. 00

58, 000. 00
64, 000. 00
55, 000. 00
47, 000. 00
62, 000. 00
5 7, 000. 00
45, 000. 00
6 7, 000. 00
48,5 00. 00
44, 000. 00
54, 000. 00
32, 000. 00
35, 000. 00
75, 000. 00




 

l. FICA 6.2% of Gross Saiaries

2. Med. Tax 1.45% of Gross Salaries

3. Unemp. [ns./er. Comp ins/ Bonding Liab. ins. 4.00%

3. Health Insurance/Retirement 15%
Calcaiations:


Med. Tax

Salaries
$997,500. 00
$997,500. 00

Comp ins./ Bonding ins. Liab. ins $997,500.00

Health insurance/Retirement

C. Travei

$997,500.00
Total Administration Fringe Bene?ts

Mileage, Gas 8; Lodging for staff for promotion and support of programs

 

5,166.67

4,833.33
5,333.33
4,583.33
3,916.67
5,166.67
4,750.00
3,750.00
5,583.33
4,041.67
3,666.67
4,500.00
2,666.67 
2,916.67
6,250.00
Total Program Salaries $997,500.00



 

Com ensation Total

 

 

6.20%

1.45%

4.00%
15%

   

Total Salaries and Fringe Benefits $1,263,333.750 6%

 

 

 

DocuSlgn Envelope ID: 

Rate Percentage Total
Mileage: Miles 5 0.540 100%

Lodging: 35 nights 5 110 100%
Total Travel

 

 

D. Contractual Services

Amount Months Percentage
6,000.00 12 100%
6,000.00 12 100%

18,000.00 100%

Copier Leases
Printing Postage
Single Audit Act

murm-

 

Website Production, Hosting Maintenance
Rent

Cell phone

Computer Assessment Data Tool

Utilities to include, cable, electric, gas, water,
telephone service land lines, fax machine
lines, internet pest control, garbage pick up,
yardwork 8: maintenance

Advertising
Contractual labor for Setup of labs

E. Commodities

Educational Curriculum Supplies
Educational Curriculum 8: Supplies
Training and Conference Fees

Per Diem





1,800.00
18,000.00
3,000.00
5,000.00

6,250.00
30,000.00
1,559.83

Amount
12,500.00
1,000.00
800.00
500.$12.00

Months
12
12
12
12

100A:
100/0
100%:
Total Contractual Services

Examine.
100
100%
100%
100%

 



0

0



 

$949,317.96 4%

Total

 

 

DocuSign Envelope 

Rallies and Events

Coalition Meetings
Organizational Meetings
Desk/Chairs/Cabinets/other Furnishing



2,500.00
2,000.00
300.00

10,000.00

Quounity

12
12
12
12

Amount Per Item

 

$216 Port Gigabit Ethernet Switch

5

$75.00

 

2CatSe Jack

55

$2.10

 

CatBe 1000ft Cable



$160.00

 

Connectors Box of 100



$50.00

 

4 Port Ivory Single?Gang Faceplate

25

$1.75

 

 

rSingIe-Gang Non?Metal Bracket

30

$1.50

 

Single-Gang Brush Wall Plate

$7.00

 

5Keyboard Mouse USB Combo

50

$30.00

 

Monitor w/ Port

50

$125.00

 

3ft Cable

50

$6.00

 

Microsoft Office 365 (Per Year)

10

$30.00

 

5ft Adjustible Table

 

25

$200.00

 

iProjector Ceiling Kit

$87.00

 

Ln

$250.00

 

2342" TV
so" HDMI Cable

Ln

$50.00

 

Full Motion TV Wall Mount

Ln

$100.00

 

Surge Protector

25

$15.00

 

Teacher Desk

$400.00

 

$450.00

 

EEpson Powerlite Projector
iCisco WAP371

LOLOLO

$234.77

 

Subtotal

 

 

,Tax

F. Equipment

Quaunitv

$0.07

Amount Per Item

 

?Mac mini 2.66Hz Processor

60

$679.00

 

100%
100%
100%
100%

Percen tag

100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%
100%

100%

Total Commodities

Percen tag

100%

 

9.
.9 Amount Toto!

   
 

Amount Total

 

   

 

$379,401.37 2%

DocuSign Envelope ED: 

 

MacBook

SonicWall

fPegasusZ R4 12TB
Server
ESubtotal

xTax

Total for Equipment

 

 

F. Subsidies, Loans, Grants
Subgrants to insure coverage of at! counties
Eisted in scope of services

Amount

20 $999.00 100%
10 $1,200.00 100%
1 $1,439.00 100%
1 $3,308.00 100%

Total Equipment
Totai Administration

Percentage

18,266,779.88 3.00%

TOTAL 5, 

Total for Mississippi Community Education Center Budget Activity

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

$81,282.04 0%
3,233,220.12

Total

 

$18,266,779.88 85%
$21,500, 000.00

 

 

DocuSign Envelope ID: 

 
 

up? rut uu u: 

necessaries ID: weretsassessconsternation.
EXHIBIT 

MDHS subgrant/Agreement hfianual (Revised 11f2/2016) Page 1
STANDARD AND CERTIFICATIONS 1 Section 4

OVERVIEW

Each Subgrantee and any lower~tier subrecipient must assure compliance with the regulations, policies,
guidelines, and requirements imposed by the Federal grantor agency and MDHS. The assurances listed in
this section may not be applicable to a particular project or program, and there may be additional
assurances required by certain Federal awarding agencies. Therefore, all subgrautees are responsible for
knowing the speci?c requirements of their awards. Templates for required certi?catiOns are available 
online through subgrantees? MDHS employee account at 

in addition, each subgrantee must certify in writing that it will comply with the following
regulations:
0 Lobbying;
Suspension and Debarment;
Drug?Free Workplace;
Unresolved Monitoring and Audit Findings; and
Fidelity Bond Coverage.

STANDARD ASSURANCES
The Subgrantee assures that it:

1. Has the legal authority to apply for and receive the subgrant; that a resolution, motion, or similar
action has been duly adopted or passed as an of?cial act of the subgrantee?s governing body,
authorizing the subgrant, including all understandings and assurances contained therein, and
directing and authorizing the person identi?ed as the of?cial representative of the Subgrantee to act
in connection with the subgrant and to provide such additional information as may be required;

2. Shall give MDHS, the State Auditor's Office, the Federal grantor agency, and the Comptroller
General, or any other appropriate authorized state or Federal representatives, access to and the right
to examine and cepy all records, books, papers, documents, or items related to the subgrant for as
long as these records are required to be retained;

3. Shall establish and maintain both ?scal and program controls and accounting procedures in accordance
with Generally Accepted Accounting Principles and Federal grantor agency and MDHS directives; and
will keep and maintain such books and records for audit by MDHS, by the Federal grantor agency, by
the State Auditor, or by their authorized representatives; and will maintain either electronic or paper files
of all such records, books, papers, documents, or items for a period of at least three (3) years from the
date of submission of the ?nal Claim Support Sheet, or, if any litigation, claim, audit, or action has begun
before the expiration of the three~year period, will retain all such items until the completion of the action
and resolution of all issues involved or until the end of the regular three~year period, whichever is later,
and will obtain written approval from the MDHS Division of Program integrity or Funding Division
Director prior to destroying any such items as described above upon the expiration of the above-stated
period. The request shall be completed by submission of the Request to Dispose of

18

 

 

MDHS Subgrant/Agreement Manual (Revised 11/2/2016) Page 2
STANDARD ASSURANCES AND CERTIFICATIONS Section 4

Request to Dispose of Records form 

4. Shall comply with the Single Audit Act Amendments of 1996;

5.

Shall comply with the OMB Uniform Administrative Requirements, Cost Principles, and
Audit Requirements for Federal Awards;

Shall provide, in a timely manner, written disclosure, all violations of Federal criminal law
involving fraud, bribery, or gratuity violations potentially affecting the subgran?r;

Shall establish safeguards to prohibit employees from using their positions for a purpose
that involves nepotism, or constitutes, or presents the appearance of any other personal or
organizational con?ict of interest, or personal gain;

Shall comply with all Federal and State statutes relating to discrimination, including, but not
limited to:

Titie VI of the Civil Rights Act of 1964, prohibiting discrimination on the basis of race,
color, or national origin;

Title Vii of the Civil Rights Act of 1964, relating to non?discrimination in matters of .
recruitment, hiring, promotion, and other employment practices;

Title of the Civil Rights Act of 1968, as amended, relating to nondiscrimination the,
sale, rental, or ?nancing of housing;

Title IX of the Education Amendments of 1972, as amended, prohibiting discrimination on
the basis of gender in federally assisted education programs and activities;

Age Discrimination Act of 1975, prohibiting discrimination on the basis of age;

Section 504 of the Rehabilitation Act of 1973, prohibiting discrimination on the basis of
handicaps;

Subtitle A, Title II of the Americans with Disabilities Act (ADA) (1990);

Omnibus Reconciliation Act of 1981, prohibiting discrimination on the basis of race, color,
religion, sex, national origin, age, and handicap;

Drug Abuse Of?ce and Treatment Act of 1972, as amended, relating to non?discrimination
on the basis of drug abuse;

Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation
Act of 1970, as amended, relating to non~discrimination on the basis of alcohol abuse or
alcoholism;

i9

 

DocuSign Envelo 9 ID: 

UUG

Dig?! tl?W lUp? lUl U0 {El 34120.; 

MDHS Subgrant/Agreement Manual (Revised 11/2/2016) Page 3
STANDARD ASSURANCES AND CERTIFICATIONS Section 4

10.

ii.

12.

13.

14.

15.

16.

17.

Sections 523 and 52?? of the Public Health Service Act of 1912, as amended, relating to
con?dentiality of alcohol and drug abuse patient records; and

Any other non-discrimination provisions in the speci?c statute(s) Under which these monies
will be granted or awarded and the requirements of any other non?discrimination statute(s)
which may apply to this subgrant or award.

Shall ensure that buildings and facilities owned, occupied, or ?nanced by the United States
government are accessible to and usable by physically handicapped persons in accordance
with the Architectural Barriers Act of 1968;

Shall comply with the requirements of the provisions of the Uniform Relocation Assistance
and Real Property Acquisition Act of 1970, which provide for fair and equitable treatment
of persons displaced or whose preperty is acquired as a result of Federal and federally
assisted programs. These provisions apply to all interests in real property acquired for
project purposes regardless of Federal participation in purchases;

Shall comply with the provisions of the Hatch Act, as amended, which limit the political
activities of employees whose principal employment activities are funded in whole or in part
with Federal funds;

Shall comply, as applicable, with the provisions of the Davis-Bacon Act, the Copeland Act,
and the Contract Work Hours and Safety Standards Act, regarding labor standards for
federally assisted construction subagreements;

Shall conform with Executive Order (E0) 11246, entitled "Equal Employment
Opportunity," as amended by 130 11375, and as supplemented in Department of Labor
regulations (41 CFR Part 60) and will incorporate an equal opportunity clause in federally
assisted construction contracts and subcontracts;

Shall comply with the minimum wage and maximum hours provisions of the Federal Fair
LaborStandards Act;

Shall comply with the Intergovernmental Personnel Act of 1970 relating to prescribed
standards for merit systems for programs funded under one of the 19 statutes or regulations
speci?ed in Appendix A of OPM's Standards for a Merit System of Personnel
Administration;

Shall comply, if applicable, with Section 102(a) of the Flood Disaster Protection Act of
1973, which requires recipients in a Special ?ood hazard area to participate in the program
and to purchase ?ood insurance if the total cost of insurable construction and acquisition is
$10,000 or more;

Shall comply with the Lead?Based Paint Poisoning Prevention Act, which prohibits the use
of lead?based paint in construction or rehabilitation of residence structures;

20

 

 EnvelopelD: 9132A93D4

MDHS Subgrant/Agreement Manual (Revised 11/2/2016) Page 4
STANDARD ASSURANCES AND CERTIFICATIONS Section 4

18.

19.

20.

21.

22.

23.

24.

25.

26.

27.

28.

Shall assist the Federal grantor agency in assuring compliance with Section 106 of the
National Historic Preservation Act of 1966, as amended; E0 1 1593; and the Archaeological
and Historic Preservation Act of 1974;

Shall comply with environmental standards which may be prescribed pursuant to the
following: institution of environmental quality control measures under the National
Environmental Policy Act of 1969 and E0 11514; noti?cation of violating facilities
pursuant to E0 11738; protection of wetlands pursuant to E0 11990; evaluation of
?ood hazards in flood plains in accordance with E0 11988; assurance of project
consistency with the approved State management program developed under the Coastal
Zone Management Act of 1972; conformity of Federal actions to State (Clean Air)
Implementation Plans under Section 176 of the Clean Air Act of 1955, as amended; 
protection of underground sources of drinking water under the Safe Drinking Water Act of
1974, as amended; protection of endangered species under the Endangered Species Act
of 1973, as amended; (1) Section 6002 of the Resource Conservation and Recovery Act; and
the Coastal Barriers Resources Act;

Shall comply with the Wild and Scenic Rivers Act of 1968 related to protecting components
or potential components of the national wild and scenic rivers system;

Shall comply with Public Law (PL) 93?348 regarding the protection of human subjects
involved in research, development and related activities supported by this subgrant;

Shall comply with the Laboratory Animal Act of 1966 pertaining to the care, handling, and
treatment of warm blooded animals held for research, teaching, or other activities supported
by this subgrant;

Shall comply with Federal regulations regarding criteria for cost sharing or matching
contributions;

Shall assure all funds received shall be used only to supplement services and activities that
promote the purposes for which the grant is awarded, and not supplant, unless speci?caliy
authorized by the program regulations and the appropriate MDHS Divisioa;

Shall provide certi?cation regarding lobbying to comply with Section 319, PL 101~121 
USC 1352);

Shall provide the required certi?cation regarding their exclusion status and that of their
principal?s prior to the award in accordance with 1303 12549 and 12689 Debarment and
Suspension; 

Shall provide certi?cation to comply with the Drug-Free Workplace Act of 1988;

Shell comply with The Privacy Act of 1974 (5 USC ?552a) related to gathering and
disclosure of information and documentation maintained on individuals;

21

 

 Envelope ID: F644 F351 -0231 902A93D4

MDHS Manual (Revised 11/12/2016) Page 5

STANDARD ASSURANCES AND CERTIFICATIONS Section 4

29, Shall comply with all applicable requirements of all other Federal and State laws, Executive
Orders, regulations, and policies governing the program(s) for which these monies are
provided and with the terms and conditions of the Subgrant Agreement, including but not
limited to all documentation/information required by the MDHS ?mding divisions for
federal reporting purposes. -

30. Shall comply with all requirements of the Federal Funding Accountability and
TranSparency Act (FFATA). This includes providing the greater at DUNS number and other
information such as executive compensation data when required so the grantor can meet the
reporting requirements of FFATA. 

31. Shell comply with the Pilot program forenhancement of contractor employee
whistleblower protections (48 CPR 3.908-3, 48 CFR 52.203~17 and 41 U.S.C. 4712).
Speci?cally, the subgrouteeilower-tier subrecipient shall provide written noti?cation to all
employees, of the subgrantee/lower-tier subrecipient, of employee whistleblower rights and
protections under 41 U.S.C. 4712, as described in 48 CFR 3.908 of the Federal Acquisition
Regulation. Subgrantees shall also include in each agreement with lowerwtier subrecipients
the required whistleblower provisions, as mandated in 48 CFR 52203-17.

32. Shall ensure that it will require any lower-tier subrecipients to comply with the above
listed regulations and any other applicable requirements of all other Federal and State
laws, Executive Orders, regulations, and policies governing the program(s) for which
these monies are provided and with the terms and conditions of the Subgrant Agreement,
including but not limited to all documeiitation/infonnation required by the MDHS funding
divisions for federal reporting purposes.

As a duly authorized representative of the subgrantee, I hereby assure and certify compliance
with the above mentioned provisions and all other applicable Federal and state statutes,
regulations, policies, guidelines, and requirements of the Subgrant/Agreement Manual, as well
as the speci?c terms and conditions of the Subgrant/Agreement.

SUBGRANTEE NAME AND ANY OTHER NAMES UNDER WHICH THE SUBGRANTEE HAS

DONE BUSINESS:
Mississippi Community Education Center

 

 

SUBGRANTEE ADDRESS AND ANY OTHER ADDRESSES THE SUBGRANTEE HAS USED:
1430 Lelia Dr. Jackson. MS 39216

 

TYPED NAME AND TITLE, OF THE AUTHORIZED REPRESENTATIVE:
Dr. Nancy New Executive Director

SIGNATURE OF AUTHORIZED REPRESENTATIVE AND DATE:
DocuSlgned by:

NW 9/20/2017




22

DoouSign Envelope ED: 

Board Members Noti?cation of Liability
Revised Apiil 19, 20M

EXHIBIT 
FOR NON 5114 A GENCIES ONL 

Mississippi Department of Human Services
Board Member?s Noti?cation of Liability

Liability
MDHS assumes no liability for actions of the Subgrantee or its employees, agents or representatives
under this Subgrant. Subgrantee agrees to indemnify, defend, save and hold harmless MDHS from and
against all claims, demands, liabilities, suits, damages and costs of every kind and nature whatsoever,
including court costs and attorney?s fees, arising out of or caused by Subgrantee and/or its agents,
employees, contractors, or Subcontractors, in the performance of this Subgrant. The Subgrantee acting
through its Board of Directors assumes liability in the event the Subgraatee misuses funds or fails to
perform according to the provisions of the Subgrant. The Subgrantee shall notify each Board member,
in writing, within 15 days of receiving the executed Subgrant of this requirement, and the Sabgrantee

shall sign a statement of this effect prior to receiving funds under this subgrant.

I acknowledge and agree to notify all members of the Board of Directors, if appiicable, in writing
of the aesumption by Mississippi Community Education Center of in the event
that Mississippi Community Education Center misuses funds or fails to perform
according to the provisions of the Subgrant. Further, I will keep a copy of said noti?cation letter as a

permanent part of the Subgrant ?le.

DocuSignsd by:
Signatu?e of E?tity?s Dire toMi?MU? 
Name: ancy 6w 
Missismpp: Community Education Center

Organisational;
Date:

 

 

23

 

DocuSign EnvelopeJD: 


FORM Raised F?m?ry I. 3011

EXHIB IT 

MDHS Subgrant/Agreement Manual Acceptance Form

Subgranthontract Manual Coordinator

Each Subgrantee should designate a Mississippi Department of Human Services Subgrant/Contract
Manual coordinator who is familiar with the agency?s operations. The coordinator?s name, address,
and telephone number should be sent directly to the Director, Of?ce of Monitoring, Mississippi
Department of Human Services, by the beginning of each contract period. The subgrantee should
only notify the Director, Office of Monitoring, MDHS, in writing of any change in assignment.

 

Mississippi Community Education Center

 

As duly authorized representative of the
I certify that said organization will comply with the above

provisions and that I have accessed as of this date, a copy of the 2016 Mississippi Department
of Human Services Sabgraat/Agreement Manual.

 

DocuSlgnad by:

 

 

 

 

MW 9/20/2017
Wastes- Date
Nancy New Mississippi Community Education Center
Title Organization

Federal charment Veri?cation Font:
Revised April 5, 2016

24

 

DocuSign {Envelope? ID: 

EXHIBIT 

MISSISSIPPI DEPARTMENT OFHUMAN SERVICES
FEDERAL DEBARMENT VERIFICATION FORM
Please Prin Wm Clearly in Blue Ink

 

 

 

 

 

 

 

 

 

 

 

Subgrantee?s/Contractor?s Name Mississippi Community Education Center
Authorized Official?s Name Nancy New

DUNS Number 959441684

Address 1430 Lelia Drive Jackson, MS 39216
Phone Number 601-366-6405

Are you Currently registered with

mmgov {Respond Yes or No) Yes

Registration Status (Type Active or Inactive) Active

Active Exclusions am Yes orNo) No

 

 

I hereby certify that Mississippi Community Education Center is not on the iist for federal debarment
Subgrantee?s NameIContractor?s Name

on -?Systam for Award Management.

Docusignad by:

9/ 20/ 2017
Of?cial Date

Partnership Debarment Verification Form 

25

 

002%? Enve?ope ?1 



Revised April 5, 2016

EXHIBIT 

MISSISSIPPI DEPARTMENT OF HUMAN SERVICES
DEBARMENT VERIFICATION FORM
Please Prin?Tvpe Cleorlv in Bfae Ink

 

Subgrantee?s/Contractor?s Name

 

Mississippi Community Education Center

 

 

 

 

 

Authorized Official's Name Nancy New
DUNS Number 9594141684
Address 1430 Loiia Drive, Jackson, MS 39216

 

 

 

Phone Number

 

601 4368-8405

 

 

I hereby certify that all entities who are in partnership with MDHS (subcontractors, subrecipients, at al.)
are not on the fedora! dobarmeot list on msamgov System for Award Management. Proof of
documentation of partnership veri?cation with SAM she? be kept on ?le and the debarment status shail
be checked prior to submission of every contractisubgrant and modi?cation to MDHS.

Doousignad by:

NWMW

9/20/2017

 

Of?cial

Date

26

 

DocuS?gn Envelope ED: 

EXHIBIT 

STATE OF MISSISSIPPI
Minority Vendor Self Certi?cation Form

Please complete the following itlfonna?on on this form and netum immediately to the Mississippi
Depmnnent of Finance and Adminish?ation, Attention: Vendor File Maintenance, PO. Box 1060, Jackson,
Mississippi 39215. Forms may also be faxed to (601)359-5525. .

Name of Business: Mississippi Community Education Center

 

 

 

 

Address: 1430 Lem Drive Post Office Box:
City: Jackson State: MS Zip: 39216
Telephone me I.D.: 58~2046994

 

SAAS Vendor #5 (if known):

 



Asueed inth?eprovelon,mearsa minority?owed byonowmore
economkallydisadveniaged andmreeits
byoneormorem mdividualsasaoo'?oed unda?theMinoritym

waid?ieSmaH Embossed 15 infotmation.

Sioulelyou receiire additional Shanaornmdaes'etarmln mpleting 3155mm!

plmeali the madam Developmer?mdmiity, Enterprise Divisionat?Oi?BSQ?EMB. a.

APPLICABLE NOT APPLICABLE

IF MINORITY STATUS IS APPLICABLE, PLEASE CHECK APPROPRIATE CODE BELOW:

 

Minority Business Enterprise Women Business Enterprise
A (Asian Indian) (Asian Indian)
(Asian Pacific) Asian Pacific)
(Black American 0 (Biack American)
(Hispanic American) (Hispanic American)

(Native American) (Native American)
(Other) Non Ethnic Women



The undersigned oe?i?a under the penalties (administrative ?pension and/or ineligibility for
participation) set forth in the Minority Business Enterprise Ad: 57- 69, and the Small Businm Ad:
15 USS, Section 637 that the company dassi?oa?on and selected information above is true
and correct. The endemigned will advhe ofany mange in such dossi?ca?on at once.

Docusluned by:

Business: Mississippi Community Education Centercerti?ed WW My
Data: 9/ 20/ 2017 Title: Executive Director Nancy New

lssueDateMmh 31, 2002
27

 

DocuSign [Envelopelm 

MISSISSIPPI MINORITY BUSINESS ENTERPRISE ACT 57-69

WNORlTYasusad Slamsand who
is: Bladmme?cans racial groups ofAfrlca; HE?mnlc Wm of Mexican, mm Rloan, Cuban, CanoaVSouth America,
Spam-sh or Formguese (Home ororigln: Native Anagram In any oflhe otiglnal peoples Norm mm; Asian Paci?c
Mm origins af?ne Far East, Soulheast Asia, the Indian submminont; Women.

MWOME) W55 as {sod In misprwision means a socially and mmomlcally
disadvantaged small oonosm algantzed for performing a Lse?ll mm which is om and
by one arm Individuals ormlnonw business W, at ofwhom one 
ofthe 

OWNEDAND CONTROLLED as load lo misproylslon mma business in M?dwnsormomlnodussormlnorny 
enterprisesmatomsand 
managementand daily businsmopemtiomof?iebmimss.

SMALL BUSINESS ACTI5 USCS, SECTION 637 

For the purposes of this provblon, the lam socially and annonlcally dmntaged small business oormm means any small
business calm whim is at least 51% domed by one or more socially and manually dlsadvanlaged
lndeuals, atloastSIO/n byone. ormesocialw
and individuals, and ?len'lanagementand daily buslnassopolalions . ofsud1 small hmlneasoormn
are by mormesoda?y and musically disadvantaged 

sawed in this provision meam who havebeenalmecten to racial and emnlc pmjudkn
ormlollal bias because oftholr identity mernbersofgmup and wl?aout regard to that individual qualities.

ECONOWCAJLY DISADVANTAGED as land in moans Individuals who ans sodally disadvantaged whose ability
to compete In the free enterprise system has been impaired due to diminished capital and aedlt oppomm?rtles as compared
to othols In the same area who are not socially disadvantaged. In Willing the degree of diminished credit and
casual the Administration shall (msldar, out not be [Emma is, the WIS and net worth of sum sodally
dsadvantagod individual. In the economic disadvanlage of an Indian bibs, the Shall oonskier,
whorsavailable, inhma?onsudw asthefollowing: ?lopwcaplla Inmme of the tribe excluding Judgmentawards,
the pemmtoge ofthe local Indian population below the poverty level, and the hibes amass to capital markets.

WOMEN OWNED BUSINESS mum ENTHIPRISE as mod {n this pmvisbn meals a socially and 
disadvantaged small business oonmm organ?zad for pro?t a commonly useful fundlon which Is at least 51%

ownedbyoneormomwmlen: andwhosemanagamsntand byoneornmwomon


To view the above men?onsd Ads In their entirety log onto and 

IanDateW?Jlm

28

 

DocuSign Enveiope iD: 

8. SEQ
1" it}? 
.4

a
twain/in
'F?MI-E-irliijri??
l?i Plo'} 

Company It) Number: 651849

 

THE PROGRAM FOR EMPLOYMENT VERIFICATION
MEMORANDUM OF UNDERSTANDING

ARTICLE I
PURPOSE AND AUTHORITY

This Memorandum of Understanding (MOU) sets forth the points of agreement between the
Department of Homeland Security (DHS) and Ms Community Education Center (Employer)
regarding the Employer's participation in the Employment Eligibility Veri?cation Program (E-
Verify). This MOU explains certain features of the E-Verify program and enumerates speci?c
responsibilities of DHS, the Social Security Administration (SSA), and the Employer. E~Verify is
a program that electronically confirms an employee?s eligibility to work in the United States after
completion of the Employment Eligibility Veri?cation Form (Form For covered government
contractors, E-Verify is used to verify the employment eligibility of all newly hired employees and
all existing employees assigned to Federal contracts or to verify the entire workforce if the
contractor so chooses.

Authority for the E~Verify program is found in Title IV, Subtitle A, of the Illegal Immigration
Reform and Immigrant Responsibility Act of 1996 (IIRIRA), Pub. L. 104-208, 110 Stat. 3009, as
amended (8 U.S.C. 1324a note). Authority for use of the E?Verify program by Federal
contractors and subcontractors covered by the terms of Subpart 22.18, ?Employment Eligibility
Veri?cation?, of the Federal Acquisition Regulation (FAR) (hereinafter referred to in this MOU as
a ?Federal contractor with the FAR E?Verify clause?) to verify the employment eligibility of
certain employees working on Federal contracts is also found in Subpart 22.18 and in Executive
Order 12989, as amended.

ARTICLE II
FUNCTIONS TO BE PERFORMED
A. RESPONSIBILITIES OF SSA

1. SSA agrees to provide the Employer with available information that allows the Employer to
confirm the accuracy of Social Security Numbers provided by all employees veri?ed under this
MOU and the employment authorization of US. citizens.

2. SSA agrees to provide to the Employer appropriate assistance with operational problems that
may arise during the Employer's participation in the E-Verify program. SSA agrees to provide
the Employer with names, titles, addresses, and telephone numbers of SSA representatives to
be contacted during the E-Verify process.

3. SSA agrees to safeguard the information provided by the Employer through the E-Verify
program procedures, and to limit access to such information, as is appropriate by law, to
individuals responsible for the veri?cation of Social Security Numbers and for evaluation of the
E-Verify program or such other persons or entities who may be authorized by SSA as governed

Page 1 of 13 E-Verify MOU for Employer i Revision Date 09i01109 

 

DocuSign Envelope ID: SD2A93D4

srr- i-r-r. :51:

Company ID Number: 651849

 

by the Privacy Act (5 U.S.C. 552a), the Social Security Act (42 U.S.C. 1306(a)), and SSA
regulations (20 CFR Part 401).

4. SSA agrees to provide a means of automated veri?cation that is designed (in conjunction with
DHS's automated system if necessary) to provide con?rmation or tentative noncon?rrnation of
US. citizens? employment eligibility within 3 Federal Government work days of the initial inquiry.

5. SSA agrees to provide a means of secondary veri?cation (including updating SSA records as
may be necessary) for employees who contest SSA tentative noncon?rrnations that is designed
to provide ?nal con?rmation or noncon?rmation of US. citizens? employment eligibility and
accuracy of SSA records for both citizens and non-citizens within 10 Federal Government work
days of the date of referral to SSA, unless SSA determines that more than 10 days may be
necessary. In such cases, SSA will provide additional veri?cation instructions.

B. RESPONSIBILITIES OF DHS

1. After SSA veri?es the accuracy of SSA records for employees through E-Verify, DHS agrees
to provide the Employer access to selected data from DHS's database to enable the Employer
to conduct, to the extent authorized by this MOU:

- Automated veri?cation checks on employees by electronic means, and
- Photo veri?cation checks (when available) on employees.

2. DHS agrees to provide to the Employer appropriate assistance with operational problems that
may arise during the Employer's. participation in the E??Verify program. DHS agrees to provide
the Employer names, titles, addresses, and telephone numbers of DHS representatives to be
contacted during the E-Verify process.

3. DHS agrees to make availabie to the Employer at the E?Verify Web site and on the E?Verify
Web browser, instructional materials on E-Verify policies, procedures and requirements for both
SSA and DHS, including restrictions on the use of E-Verify. DHS agrees to provide training
materials on E?Verify.

4. DHS agrees to provide to the Employer a notice, which indicates the Employer's participation
in the E-Verify program. DHS also agrees to provide to the Employer anti-discrimination notices
issued by the Of?ce of Special Counsel for Immigration?Related Unfair Employment Practices
(OSC), Civil Rights Division, US. Department of Justice.

5. DHS agrees to issue the Employer a user identi?cation number and password that permits
the Employer to verify information provided by employees with DHS's database.

6. DHS agrees to safeguard the information provided to DHS by the Employer, and to limit
access to such information to individuals responsible for the veri?cation of employees?
employment eligibility and for evaluation of the E?Verify program, or to such other persons or
entities as may be authorized by applicable law. information will be used oniy to verify the
accuracy of Social Security Numbers and empioyment eligibility, to enforce the Immigration and

Page 2 of 13 1 E-Verify MOU for Empioyeri Revision Date WW.th.gOVIE-Verify

 

 

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Nationality Act (INA) and Federal criminal laws, and to administer Federal contracting
requirements.

7. DHS agrees to provide a means of automated veri?cation that is designed (in conjunction
with SSA veri?cation procedures) to provide con?rmation or tentative noncon?rmation of
employees' employment eligibility within 3 Federal Government work days of the initial inquiry.

8. DHS agrees to provide a means of secondary veri?cation (including updating DHS records as
may be necessary) for employees who contest DHS tentative noncon?rmations and photo non-
match tentative noncon?rmations that is designed to provide ?nal con?rmation or
noncon?rmation of the employees' employment eligibility within 10 Federal Government work
days of the date of referral to DHS, unless DHS determines that more than 10 days may be
necessary. In such cases, DHS will provide additional veri?cation instructions.

C. RESPONSIBILITIES OF THE EMPLOYER

1. The Employer agrees to display the notices supplied by DHS in a prominent place that is
clearly visible to prospective employees and all employees who are to be veri?ed through the
system.

2. The Employer agrees to provide to the SSA and DHS the names, titles, addresses, and
telephone numbers of the Employer representatives to be contacted regarding E-Verify.

3. The Employer agrees to become familiar with and compiy with the most recent version of the
E-Verify User Manual.

4. The Employer agrees that any Employer Representative who will perform employment
veri?cation queries will complete the E?Verify Tutorial before that individual initiates any queries.

A. The Employer agrees that all Employer representatives will take the refresher tutorials
initiated by the E-Verify program as a condition of continued use of E-Verify.

B. Failure to complete a refresher tutorial will prevent the Employer from continued use
of the program.

5. The Employer agrees to comply with current Form procedures, with two exceptions:

- If an employee presents a "List identity document, the Employer agrees to only
accept "List documents that

contain a photo. (List documents identi?ed in 8 C.F.R. can be
presented during the Form l-9

process to establish identity.) If an employee objects to the photo requirement for
religious reasons, the Employer

should contact E?Verify at 888-464-4218.

If an employee presents a DHS Form  ~551 (Permanent Resident Card) or Form l-766
(Employment Authorization Document) to complete the Form l?9, the Employer agrees to
make a photocopy of the document and to retain the photocopy with the employee?s
Form l-Q. The photocopy must be of suf?cient quality to allow for veri?cation of the photo

Page 3 of 13 i E-Verify MOU for Employer 5 Revision Date osrorros 

 

DocuSign Envelope 

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Company umber: 651849

 

and written information. The employer will use the photocopy to verify the photo and to
assist DHS with its review of photo non?matches that are contested by employees. Note
that employees retain the right to present any List A, or List and List C, documentation
to complete the Form DHS may in the future designate other documents that
activate the photo screening tool.

6. The Employer understands that participation in E-Verify does not exempt the Employer from
the responsibility to complete, retain, and make available for inspection Forms l-9 that relate to
its employees, or from other requirements of applicable regulations or laws, including the
obligation to comply with the antidiscrimination requirements of section 2748 of the INA with
respect to Form l-Q procedures, except for the following modi?ed requirements applicable by
reason of the Employer?s participation in E?Verify: (1) identity documents must have photos, as
described in paragraph 5 above; (2) a rebuttable presumption is established that the Employer
has not violated section of the Immigration and Nationality Act (INA) with respect
to the hiring of any individual if it obtains con?rmation of the identity and employment eligibility of
the individual in good faith compliance with the terms and conditions of E~Verify; (3) the
Employer must notify DHS if it continues to employ any employee after receiving a ?nal
nonconfirmation, and is subject to a civil money penalty between $550 and $1,100 for each
faiiure to notify DHS of continued employment following a ?nal noncon?rmation; (4) the
Employer is subject to a rebuttable presumption that it has knowingly employed an unauthorized
alien in violation of section if the Employer continues to employ an employee after
receiving a ?nal noncon?rmation; and (5) no person or entity participating in E-Verify is civilly or
criminally liable under any law for any action taken in good faith based on information provided
through the con?rmation system. DHS reserves the right to conduct Form l?Q and E?Verify
system compliance inspections during the course of E~Verify, as well as to conduct any other
enforcement activity authorized by law.

7. The Employer agrees to initiate E~Verify veri?cation procedures for new employees within 3
Employer business days after each employee has been hired (but after the Form has been
completed), and to complete as many (but only as many) steps of the E-Verify process as are
necessary according to the E?Verify User Manual, or in the case of Federal contractors with the
FAR E-Verify clause, the E-Verify User Manual for Federal Contractors. The Employer is
prohibited from initiating veri?cation procedures before the employee has been hired and the
Form l~9 completed. If the automated system to be queried is temporarily unavailable, the 3-day
time period is extended until it is again operational in order to accommodate the Employer?s
attempting, in good faith, to make inquiries during the period of unavailability. Employers may
initiate veri?cation by notating the Form l-Q in circumstances where the employee has applied
for a Social Security Number (SSN) from the SSA and is waiting to receive the SSN, provided
that the Employer performs an EnVerify employment veri?cation query using the employee?s
SSN as soon as the SSN becomes available.

8. The Employer agrees not to use E~Verify procedures for pro?employment screening of job
applicants, in support of any unlawful employment practice, or for any other use not authorized
by this MOU. Employers must use E?Verify for all new employees, unless an Employer is a
Federal contractor that quali?es for the exceptions described in Article Except as
provided in Article the Employer will not verify selectively and will not verify employees
hired before the effective date of this MOU. The Employer understands that if the Empioyer
uses the E~Verify system for any purpose other than as authorized by this MOU, the Employer

Page 4 of 13 1 E-Veriiy MOU for Employer Revision Date 

 

DocuSign Envelope lDi'l'i?Ir? IS Fl Biti'rIIE {?55 5.54

Company ID Number: 651849

 

may be subject to appropriate legal action and termination of its access to SSA and DHS
information pursuant to this MOU.

9. The Employer agrees to follow appropriate procedures (see Article below) regarding
tentative noncon?rmations, including notifying employees in private of the ?nding and providing
them written notice of the ?ndings, providing written referral instructions to employees, allowing
employees to contest the ?nding, and not taking adverse action against employees if they
choose to contest the finding. Further, when employees contest a tentative noncon?rmation
based upon a photo non-match, the Employer is required to take af?rmative steps (see Article
below) to contact DHS with information necessary to resolve the challenge.

10. The Employer agrees not to take any adverse action against an employee based upon the
employee's perceived employment eligibility status while SSA or DHS is processing the
veri?cation request unless the Employer obtains knowledge (as defined in 8 C.F.R. 
that the employee is not work authorized. The Employer understands that an initial inability of
the SSA or DHS automated veri?cation system to verify work authorization, a tentative
noncon?rmation, a case in continuance (indicating the need for additional time for the
government to resolve a case), or the ?nding of a photo non-match, does not establish, and
should not be interpreted as evidence, that the employee is not work authorized. in any of the
cases listed above, the employee must be provided a full and fair opportunity .to contest the
?nding, and if he or she does so, the employee may not be terminated or suffer any adverse
employment consequences based upon the employee?s perceived employment eligibility status
(including denying, reducing, or extending work hours, delaying or preventing training, requiring
an employee to work in poorer conditions, refusing to assign the employee to a Federal contract
or other assignment, or otherwise subjecting an employee to any assumption that he or she is
unauthorized to work) until and unless secondary veri?cation by SSA or DHS has been
completed and a final noncon?rmation has been issued. If the employee does not choose to
contest a tentative noncon?rmation or a photo non-match or if a secondary veri?cation is
completed and a final noncon?rmation is issued, then the Employer can ?nd the employee is not
work authorized and terminate the employee?s employment. Employers or employees with
questions about a ?nal noncon?rmation may call E?Verify at 1-888-464?4218 or 080 at 1?800-
255-8155 or 1-800-237-251 5 (TDD).

11. The Employer agrees to comply with Title VII of the Civil Rights Act of 1964 and section
2748 of the INA, as applicable, by not discriminating unlawfully against any individual in hiring,
firing, or recruitment or referral practices because of his or her national origin or, in the case of a
protected individual as de?ned in section 274B(a)(3) of the INA, because of his or her
citizenship status. The Employer understands that such illegal practices can include selective
veri?cation or use of E?Verify except as provided in part below, or discharging or refusing to
hire employees because they appear or sound ?foreign? or have received tentative
nonconfirmations. The Employer further understands that any violation of the unfair immigration?
related employment practices provisions in section 2748 of the INA could subject the Employer
to civil penalties, back pay awards, and other sanctions, and violations of Title VII could subject
the Employer to back pay awards, compensatory and punitive damages. Violations of either
section 2748 of the INA or Title may also lead to the termination of its participation in E-
Verify. If the Employer has any questions relating to the anti-discrimination provision, it should
contact 080 at 1?800-2558155 or 1~800~237-2515 (TDD).

Page 5 of 13 i E-Verify MOU for Employer Revision Date 

 

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12. The Employer agrees to record the case veri?cation number on the employee's Form l-9 or
to print the screen containing the case veri?cation number and attach it to the employee?s Form
IS.

13. The Employer agrees that it wiil use the information it receives from SSA or DHS pursuant
to E-Verify and this MOU only to confirm the employment eligibility of employees as authorized
by this MOU. The Employer agrees that it will safeguard this information, and means of access
to it (such as PINS and passwords) to ensure that it is not used for any other purpose and as
necessary to protect its con?dentiality, including ensuring that it is not disseminated to any
person other than employees of the Employer who are authorized to perform the Employer's
responsibilities under this MOU, except for such dissemination as may be authorized in advance
by SSA or DHS for legitimate purposes.

14. The Employer acknowledges that the information which it receives from SSA is governed by
the Privacy Act (5 U.S.C. 552a(i)(1) and and the Social Security Act (42 U.S.C. 1306(a)),
and that any person who obtains this information under false pretenses or uses it for any
purpose other than as provided for in this MOU may be subject to criminal penalties.

15. The Employer agrees to cooperate with DHS and SSA in their compliance monitoring and
evaluation of E-Verify, including by permitting DHS and SSA, upon reasonable notice, to review
Forms l-9 and other employment records and to interview it and its employees regarding the
Employer's use of E?Verify, and to respond in a timely and accurate manner to DHS requests
for information relating to their participation in E?Verify.

D. RESPONSIBILITIES OF FEDERAL CONTRACTORS WITH THE FAR E-VERIFY CLAUSE

1. The Employer understands that if it is a subject to the employment veri?cation terms
in Subpart 22.18 of the FAR, it must verify the employment eligibility of any existing employee
assigned to the contract and all new hires, as discussed in the Supplemental Guide for Federal
Contractors. Once an employee has been veri?ed through E-Verify by the Employer, the
Employer may not reverify the employee through E?Verify.

a. Federal contractors with the FAR E-Verify clause agree to become familiar with and
comply with the most recent versions of the E?Verify User Manual for Federal Contractors and
the E~Verify Supplemental Guide for Federal Contractors.

b. Federal contractors with the FAR E-Verify clause agree to complete a tutorial for
Federal contractors with the FAR E-Verify clause.

0. Federal contractors with the FAR E~Verify clause not enrolled at the time of contract
award: An Employer that is not enrolled in E~Verify at the time of a contract award must enroll
as a Federal contractor with the FAR E-Verify clause in E-Verify within 30 calendar days of
contract award and, within 90 days of enrollment, begin to use E-Verify to initiate veri?cation of
employment eligibility of new hires of the Employer who are working in the United States,
whether or not assigned to the contract. Once the Employer begins verifying new hires, such
veri?cation of new hires must be initiated within 3 business days after the date of hire. Once
enrolled in E-Verify as a Federal contractor with the FAR E?Verify clause, the Employer must
initiate veri?cation of employees assigned to the contract within 90 calendar days from the time

Page 6 of 13 E-Verify MOU for Employer] Revision Date OQIOHOQ hS.gOVIE-Verify

 

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of enrollment in the system and after the date and selecting which employees will be veri?ed in
E-Verify or within 30 days of an employee?s assignment to the contract, whichever date is later.

d. Employers that are already enrolled in E-Verify at the time of a contract award but are
not enrolled in the system as a Federal contractor with the FAR E-Verify clause: Employers
enrolled in E-Verify for 90 days or more at the time of a contract award must use E?Verify to
initiate verification of employment eligibility for new hires of the Employer who are working in the
United States, whether or not assigned to the contract, within 3 business days after the date of
hire. Employers enrolled in E-Verify as other than a Federal contractor with the FAR E-Verify
clause, must update E?Verify to indicate that they are a Federal contractor with the FAR E-
Verify clause within 30 days after assignment to the contract. If the Employer is enrolled in 
Verify for 90 calendar days or less at the time of contract award, the Employer must, within 90
days of enrollment, begin to use E?Verify to initiate verification of new hires of the contractor
who are working in the United States, whether or not assigned to the contract. Such veri?cation
of new hires must be initiated within 3 business days after the date of hire. An Employer
enrolled as a Federal contractor with the FAR E?Verify clause in E-Verify must initiate
veri?cation of each employee assigned to the contract within 90 calendar days after date of
contract award or within 30 days after assignment to the contract, whichever is later.

e. Institutions of higher education, State, local and tribal governments and sureties:
Federal contractors with the FAR E~Verify clause that are institutions of higher education (as
defined at 20 U.S.C. 1001(a)), State or local governments, governments of Federally recognized
Indian tribes, or sureties performing under a takeover agreement entered into with a Federal
agency pursuant to a performance bond may choose to only verify new and existing employees
assigned to the Federal contract. Such Federal contractors with the FAR E~Verify clause may,
however, elect to verify all new hires, and/or all existing employees hired after November 6,
1986. The provisions of Article paragraphs 1.a and 1.b of this MOU providing timeframes
for initiating employment veri?cation of employees assigned to a contract apply to such
institutions of higher education, State, local and tribal governments, and sureties.

f. Veri?cation of all employees: Upon enrollment, Employers who are Federal contractors
with the FAR E?Verify clause may elect to verify employment eligibility of all existing employees
working in the United States who were hired after November 6, 1986, instead of verifying only
new employees and those existing employees assigned to a covered Federal contract. After
enrollment, Employers must elect to do so only in the manner designated by DHS and initiate E-
Verify veri?cation of all existing employees within 180 days after the election.

g. Form I-Q procedures for existing employees of Federal contractors with the FAR 
Verify clause: Federal contractors with the FAR E?Verify clause may choose to complete new
Forms l-9 for all existing employees other than those that are completely exempt from this
process. Federal contractors with the FAR E~Verify clause may also update previously
completed Forms l?Q to initiate E?Verify veri?cation of existing employees who are not
completely exempt as long as that Form l-Q is complete (including the SSN), complies with
Article ll.C.5, the employee?s work authorization has not expired, and the Employer has
reviewed the information re?ected in the Form l-9 either in person or in communications with the
employee to ensure that the employee's stated basis in section 1 of the Form l?9 for work
authorization has not changed (including, but not limited to, a lawful permanent resident alien
having become a naturalized US. citizen). if the Employer is unable to determine that the Form

Page 7 or 13 E-Verify wrou for Employer Revision Date 09:01:09 

 

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Company ID Number: 651849

 

complies with Article if the employee?s basis for work authorization as attested in
section 1 has expired or changed, or if the Form contains no SSN or is otherwise incomplete,
the Employer shall complete a new l-9 consistent with Article or update the previous 
to provide the necessary information. If section 1 of the Form l-9 is otherwise valid and up~to~
date and the form otherwise complies with Article ll.C.5, but re?ects documentation (such as a
US. passport or Form [?551) that expired subsequent to completion of the Form l-Q, the
Employer shall not require the production of additional documentation, or use the photo
screening tool described in Article subject to any additional or superseding instructions
that may be provided on this subject in the Supplemental Guide for Federal Contractors.
Nothing in this section shall be construed to require a second veri?cation using E-Verify of any
assigned employee who has previously been veri?ed as a newly hired employee under this
MOU, or to authorize veri?cation of any existing employee by any Employer that is not a Federal
contractor with the FAR E?Verify clause.

2. The Employer understands that if it is a Federal contractor with the FAR E-Verify clause, its

compliance with this MOU is a performance requirement under the terms of the Federal

contract or subcontract, and the Employer consents to the release of information relating to

compliance with its veri?cation responsibilities under this to contracting officers or other

of?cials authorized to review the Employer?s compliance with Federal contracting requirements.
ARTICLE 

REFERRAL OF INDIVIDUALS TO SSA AND DHS
A. REFERRAL TO SSA

1. if the Employer receives a tentative noncon?rmation issued by SSA, the Employer must print
the notice as directed by the E-Verify system and provide it to the employee so that the
employee may determine whether he or she will contest the tentative noncon?rmation. The
Employer must review the tentative noncon?rmation with the employee in private.

2. The Employer will refer employees to SSA field of?ces only as directed by the automated
system based on a tentative noncon?rmation, and only after the Employer records the case
veri?cation number, reviews the input to detect any transaction errors, and determines that the
employee contests the tentative noncon?rmation. The Empioyer will transmit the Social Security
Number to SSA for veri?cation again if this review indicates a need to do so. The Employer will
determine whether the employee contests the tentative noncon?rmation as soon as possible
after the Employer receives it.

3. If the employee contests an SSA tentative noncon?rmation, the Employer wilt provide the
employee with a system-generated referral letter and instruct the employee to visit an SSA
office within 8 Federal Government work days. SSA will electronically transmit the result of the
referral to the Employer within 10 Federal Government work days of the referral unless it
determines that more than 10 days is necessary. The Employer agrees to check the E-Verify
system regularly for case updates.

4. The Employer agrees not to ask the employee to obtain a printout from the Social Security
Number database (the Numident) or other written veri?cation of the Social Security Number
from the SSA.

Page 8 of 13 E-Verify MOU for Employer Revision Date 09i01i?09 

 

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B. REFERRAL TO DHS

1. If the Employer receives a tentative noncon?rmation issued by DHS, the Employer must print
the tentative noncon?rmation notice as directed by the E-Verify system and provide it to the
employee so that the employee may determine whether he or she will contest the tentative
nonconfirmation. The Employer must review the tentative noncon?rmation with the employee in
private.

2. if the Employer ?nds a photo non?match for an employee who provides a document for which
the automated system has transmitted a photo, the employer must print the photo non?match
tentative noncon?rmation notice as directed by the automated system and provide it to the
employee so that the employee may determine whether he or she will contest the ?nding. The
Employer must review the tentative noncon?rmation with the employee in private.

3. The Employer agrees to refer individuals to DHS only when the empioyee chooses to contest
a tentative noncon?rmation received from DHS automated veri?cation process or when the
Employer issues a tentative noncon?rmation based upon a photo non?match. The Employer will
determine whether the employee contests the tentative noncon?rmation as soon as possible
after the Employer receives it.

4. If the employee contests a tentative noncon?rmation issued by DHS, the Employer will
provide the employee with a referral letter and instruct the employee to contact DHS through its
toll?free hotline (as found on the referral letter) within 8 Federal Government work days.

5. If the employee contests a tentative noncon?rmation based upon a photo non-match, the
Employer will provide the employee with a referral letter to DHS. DHS will electronically transmit
the result of the referral to the Employer within 10 Federal Government work days of the referral
unless it determines that more than 10 days is necessary. The Employer agrees to check the E-
Verify system regularly for case updates 

6. The Employer agrees that if an employee contests a tentative noncon?rmation based upon a
photo non-match, the Employer will send a copy of the employee?s Form l-551 or Form l?766 to
DHS for review by:

- Scanning and uploading the document, or

Sending a photocopy of the document by an express mail account (paid for at

employer expense).

If the Employer determines that there is a photo non?match when comparing the photocopied
List document described in Article ?.05 with the image generated in E-Verify, the Employer
must forward the employee?s documentation to OHS using one of the means described in the
preceding paragraph, and allow DHS to resolve the case.

ARTICLE IV

SERVICE PROVISIONS

Page 9 of 13 E~Vertfy MOU for Employer Revision Date 

 

 

DocuSign Envelope ED: 



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Company ID Number: 651849

 

SSA and DHS will not charge the Employer for veri?cation services performed under this MOU.
The Employer is responsible for providing equipment needed to make inquiries. To access E-
Verify, an Employer will need a personal computer with Internet access.

ARTICLE 

PARTIES

A. This MOU is effective upon the signature of all parties, and shall continue in effect for as long
as the SSA and DHS conduct the E?Verify program unless modi?ed in writing by the mutual
consent of all parties, or terminated by any party upon 30 days prior written notice to the others.
Any and all system enhancements to the E-Verify program by DHS or SSA, including but not
limited to the E?Verify checking against additional data sources and instituting new veri?cation
procedures, will be covered under this MOU and will not cause the need for a supplemental
MOU that outlines these changes. DHS agrees to train employers on all changes made to E-
Verify through the use of mandatory refresher tutorials and updates to the E?Verify User
Manual, the E-Verify User Manual for Federal Contractors or the E-Verify Supplemental Guide
for Federal Contractors. Even without changes to E-Verify, DHS reserves the right to require
employers to take mandatory refresher tutorials. An Employer that is a Federal contractor with
the FAR E-Verify clause may terminate this MOU when the Federal contract that requires its
participation in E~Verify is terminated or completed. In such a circumstance, the Federal
contractor with the FAR E-Verify clause must provide written notice to DHS. If an Employer that
is a Federal contractor with the FAR E?Verify clause fails to provide such notice, that Employer
will remain a participant in the E-Verify program, will remain bound by the terms of this MOU
that apply to participants that are not Federal contractors with the FAR E~Verify clause, and will
be required to use the E?Verify procedures to verify the employment eligibility of all newly hired
employees.

B. Notwithstanding Article V, part A of this MOU, DHS may terminate this MOU if deemed
necessary because of the requirements of law or policy, or upon a determination by SSA or
DHS that there has been a breach of system integrity or security by the Employer, or a failure
on the part of the Employer to comply with established procedures or legal requirements. The
Employer understands that if it is a Federal contractor with the FAR E?Verify clause, termination
of this MOU by any party for any reason may negatively affect its performance of its contractual
responsibilities.

C. Some or all SSA and DHS responsibilities under this MOU may be performed by
contractor(s), and SSA and DHS may adjust veri?cation responsibilities between each other as
they may determine necessary. By separate agreement with DHS, SSA has agreed to perform
its responsibilities as described in this MOU.

D. Nothing in this MOU is intended, or should be construed, to create any right or bene?t,
substantive or procedural, enforceable at law by any third party against the United States, its
agencies, of?cers, or employees, or against the Employer, its agents, officers, or employees.

E. Each party shall be solely responsible for defending any claim or action against it arising out

of or related to E?Verify or this MOU, whether civil or criminal, and for any liability wherefrom,
including (but not limited to) any dispute between the Employer and any other person or entity

Page 10 of 13 E?Verify MOU for Empioyeri Revision Date 09i01l09 

 

 

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regarding the applicability of Section 403(d) of IIRIRA to any action taken or allegedly taken by
the Employer.

F. The Employer understands that the fact of its participation in E-Verify is not con?dential
information and may be disclosed as authorized or required by law and DHS or SSA policy,
including but not limited to, Congressional oversight, E?Verify publicity and media inquiries,
determinations of compliance with Federal contractual requirements, and responses to inquiries
under the Freedom of Information Act (FOIA).

G. The foregoing constitutes the full agreement on this subject between DHS and the Employer.

H. The individuals whose signatures appear below represent that they are authorized to enter
into this MOU on behalf of the Employer and DHS respectively.

Page 11 of 13 [IE-Verify MOU for Employer] Revision Date 09l011'09 

 

 Envelope iD: 

    

Company iD Number: 651849

E-Verify

 

 

To be accepted as a participant in E-Verify, you should only sign the Employer?s Section
of the signature page. If you have any questions, contact E?Verify at 888464-4218.

 

Zach New

Employer -M_s Community Education Center -. 

 

Name Type or Print)

Electronically Signed



03I13I2013

 

Signature

 

Date

 

 

USCIS Veri?cation Division I

Department of Homeland Security Verifieatio?n Diyision

 

Name (Please Type or Print)

Electronlcaliy Signed

Title - 

03l13l2013

 

Signature -- . .

Date . ..

 

 

 

 

Information Requrred for the E~Verify Program 

Information relating to your Company 

 

. Comparwame

Ms Community Education Center

 

 

.Cgmpany Facility Address;

1447 Lelia Drive 

 

1 _H_'Jackson, MS 39216 

 

_'Co.mpany Alternaie

P. Box12347

 

Address: I

Jackson us 39236

 

 

.

 

County or Parish: 

Employer Identi?cation
Number:

 

 

582046994

 

Page 12 of 13 i E-Verify MOU for Employer Revision Date 09l01i09



 

 

DocuSign Envelope IDr-it? 

Company ID Number: 651849

 

 

North American Industry
Classi?cation Systems

 

Code: 6?

 

Administrator?

 

Number of EmploySeS: 20 t0 99 .

Number of Sites Vent? ed
for: 1

 

 

Are you verifymg for men; than 1 sitS? If ySs, plSaSS prowde number of verl?ed for,
in each State - -- - . . . . . .

MISSISSIPPI 1' stU

 

 

 

Information relating to the Program for your Company on policy
questions or operational problemS? 

 

Name: - 3 I Zach New

'Te'cphoneNn-mber: (601)982-1827 'I'Fax?mber: 

 

 

E?mailAddgeSs; -. znew@mscec.org

 

Page 13 of 13 E-Verify MOU for Employer Revision Date OQJOHOQ