Backup Documents 01/14/2014 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP'S
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO J. 6 D
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than 61onday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. Jennifer Belpedio County Attorney Office
4. BCC Office Board of County �T
Commissioners 5 \
5. Minutes and Records Clerk of Court's Office �t
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Natali Betancur Phone Number 239-252-4059
Contact/ Department
Agenda Date Item was 01/14/14 Agenda Item Number 16D4
Approved by the BCC
Type of Document MOU Number of Original 2 1./
Attached Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? NB
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be NB
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A 1/..
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the NB
document or the final negotiated contract date whichever is applicable. f
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's NB V
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NB
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 11/12/13and all changes made during the NB
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for t •
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
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MEMORANDUM
Date: January 21, 2014
To: Natali Betancur, Operations Analyst
Park & Rec's Beach
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: MOU— The Southwest Florida Workforce Development Board, Inc.
Attached is one (1) copy of the document referenced above, (Item #16D4) approved by
the Board of County Commissioners on January 14, 2014.
An original is being kept in the Minutes and Records Department for the Board's
Official Record.
If you have any questions, please contact me at 252-7240.
Thank you.
Attachment
160 4 .
WFDB,'ParkcRecrea6on GPS2013-14
MEMORANDUM OF UNDERSTANDING
between
THE SOUTHWEST FLORIDA WORKFORCE DEVELOPMENT BOARD,INC.
and
COLLIER COUNTY,A POLITICAL SUBDIVISION OF THE STATE OF FLORIDA
FOR THE DELIVERY OF
2013-2014 AF1ER SCHOOL PROGRAMING
IMMOKALEE OUT-OF-SCHOOL TIME INITIATIVE(IOSTI)
IN COLLIER COUNTY
This Memorandum of Understanding is entered into between the Southwest Florida Workforce Development
Board, Inc. (hereinafter referred to as the"Workforce Board") and Collier County, a political Subdivision of the
State of Florida(hereinafter referred to as the"Parks and Recreation").
I. Purpose
The purpose of this Memorandum of Understanding is to support the implementation of the IOSTI locally
known as Guidance Programs for Success (hereinafter referred to as "GPS") in Collier County, Florida. The
2013-2014 GPS/TIF after school project will provide 150 students (grades 5 through 8) with out-of-school-time
programs. The GPS initiative is initiated and funded by the Naples Children and Education Foundation(NCEF).
II.Services to be Provided by Parks and Recreation
Parks and Recreation agrees to:
A. Provide fifty(50) additional students in grade 6 through grade 8 with an 18-day out-of-school-time
sports league titled the"GPS Middle School Sports Challenge" and located at the Immokalee Sports
Complex;
B. Structure the sports league to be offered three(3)days a week,two(2)hours a day for six-weeks and
to include homework support,organized sports and a pool celebration at the end of each session;
C. Collaborate with GPS Coordinator to monitor the success of the first league and determine additional
sports leagues to be offered up to but not to exceed the allocated funding;
D. Provide one hundred (100) additional students in grades 5-8 with a 26-day out-of-school-time
program titled "Super Sports Saturdays" at Parks and Recreation Community park and/or Sports
Complex;
E. Structure the Super Sports Saturdays program to be offered for three (3) hours each Saturday
throughout the school year and to include organized sports-related activities;
F. Implement the 7 Habits of Happy Kids ubiquitously throughout each Parks and Recreation out-of-
school-time program;
G. Submit in writing any and all proposed changes in program to the Workforce Board for written
approval prior to implementation;
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160 4 NI
WFDB!Parks.Recreation GPS2013-14
H. Report in writing on agreed upon deliverables (see Attachment A) including student enrollment
information, attendance verification and average daily attendance (ADA) for both Parks and
Recreation out-of-school-time programs;
I. Participate in GPS professional development and continuous improvement meetings to provide
reports and updates and to offer programmatic suggestions;
J. Maintain usual and customary records to be available upon request
K. Submit to the Workforce Board monthly invoices for services rendered. Such invoices may be
computer-generated and may be in electronic,facsimile,or paper format;
L. Submit final invoice and written report no later than June 30, 2014. Failure to submit final
invoice and report by June 30, 2014, will constitute breach of contract and may result in the
forfeiture of all or partial funding.
III. Services to be Provided by the Workforce Board
The Workforce Board agrees to:
A. Provide fiscal services to the Parks and Recreation as necessary to support the implementation of the
2013-2014 GPS/Parks and Recreation Initiative;
B. Provide fund reimbursement within thirty (30) days of receipt of invoice; funding is not to exceed
the total amount of: $40,680 during 2013-2014; and,
C. Provide one Project Coordinator to assist in the full implementation of the 2013-2014 GPS/Parks and
Recreation out-of-school time programs.
N.General Conditions
A. Parks and Recreation and its representative signing this document attest that:
1. Parks and Recreation as an organization in part or as a whole is not presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from covered transactions by
any federal department or agency; and,
2. Parks and Recreation or any of its agents are not suspended or debarred or otherwise excluded from
receiving Federal funds.
B. Parks and Recreation and the Workforce Board agree that:
1. Each party is solely responsible for the negligent acts or willful omissions of its own designated
agents and agrees to hold the other parties harmless against any claim or suit, including all costs and
attorney's fees arising from the act,omission,or negligence of its own officers, agents,volunteers or
employees,including,but not limited to, claims or suits based on allegations of discrimination on the
basis of race,creed, color,national origin, gender, age, sexual orientation,or disability;
2. The parties to this Memorandum of Understanding who are State agencies or subdivisions of Florida
agree to be responsible for the negligent acts or willful omissions of their own designated agents
only to the extent allowed by§ 768.28,Florida Statutes;
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\VFDB'ParksRecreation ji PS^_013-14
3. Each party agrees to maintain the confidentiality of any shared student records as required by Florida
and Federal law, and that such records shall be used only for purposes allowed under § 1002.22,
Florida Statutes,and shall be shared only with written parental permission; and
4. Each party commits to support the other in its implementation and to work collaboratively with the
other and in consultation with the Florida Department of Education program office if any changes,
adjustments,or improvements to this arrangement become necessary or desirable.
V.Duration of Memorandum of Understanding
This Memorandum of Agreement shall begin when signed by all parties and shall end on June 30, 2014, except
as provided in Article V ("Termination") of this Memorandum of Understanding. It is understood that this
agreement may be amended during the program year at the direction of the Naples Children and Education
Foundation or as a result of programmatic need. Any such revisions shall be in writing and agreed upon by both
parties.
VI.Termination
Either party to this Memorandum of Understanding may terminate its responsibilities and agreements made
herein upon no less than thirty(30)days advance notice to each of the other parties. In the event of termination
by either party, payment will be made by the Workforce Development Board to Parks and Recreation for
services rendered through the effective date of termination.
In agreement with the provisions of this Memorandum of Understanding, the partners affix their signatures in
the spaces provided.
Tom Henning Date
Chairman
1l / 1 // 3
Joe erno,Executive Director Date
South est Florida Workforce Development Board, Inc.
ATTEST.` Approved as to form and legal;+v
D HT E. = -OCi, Clerk
Page 3 of 4 13y:. 1111'� -�%� Assis ounty A"Lrney
Attest as to Chairman, ��
signature only.
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WFDBIParksRecreation GPS2013-14
Attachment A:Deliverables NCEFRequired with each Invoice
Invoice Date � .= d ' Deliverables included with Invoice
®Attendance data verification and the Average Daily Attendance(ADA)for the
Monthly* time period covered in the invoice for all students in program(not solely funded
by GPS)
* or quarterly,if ® Assessment data collected during the time period being invoiced
applicable
® Written Program Report to include:
▪ Description of how funds were spent during time period invoiced
Summation of the goals(WIGs)that have been met or what progress has
been made toward each
▪ Listing any personnel(staff/board)changes that have occurred
• Description of how you are measuring the project's impact on students or
the broader community(include specific indicators of change and timeline)
® Receipts for any and all materials and payroll records to equal the total amount
of the funds requested in the invoice
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