Backup Documents 01/28/2014 Item #16D14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI6 D 14
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Sue Filson(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Rosa Munoz, Grant Coordinator Housing, Human,Veterans Services RM 01/28/14
Department
2. Jennifer A. Belpedio,ACA Office located within Housing,Human,
Veterans Services Department V)-2) 3f s iJ�
3. County Attorney's Office County Attorney's Office 'j1 •
WA/ -31∎L L\
4. BCC Office Board of County Commissioners
5. Minutes and Records Clerk of Court's Office y) Y 361(t(1 l r60
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Sue Filson,need to contact staff for additional or missing
information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Rosa Munoz,Grant Coordinator Phone Number 239-252-5713
Contact _
Agenda Date Item was 01/28/14 ✓ Agenda Item Number i6 D.}3
Approved by the BCC / _ 1.6-D-)z-3
Type of Document Amendment#3 -CCHA-TBRA ✓ Number of Original 2 originals )/
Attached Documents Attached
INSTRUCTIONS& CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Original document has been signed/initialed for legal sufficiency.(All documents to be signed by the RM V
Chairman,with the exception of most letters,must be reviewed and signed by the Office of the
County Attorney.This includes signature pages from ordinances,resolutions,etc. signed by the
County Attorney's Office and signature pages from contracts,agreements,etc.that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.) /
2. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and N/A V
all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the document or RM
the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and RM
initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip should be RM
provided to the BCC office within 24 hours of BCC approval. 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!
6. The document was approved by the BCC on 01/28/14 and all changes made during the 714-)
meeting have been incorporated in the attached document. The County Attorney's Office has
reviewed the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
«matter_number»/«document_number»
16014
MEMORANDUM
Date: March 14, 2014
To: Rosa Munoz, Grants Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to an Agreement between Collier County
and the Collier County Housing Authority, Inc. (CCHA)
Attached is an original copy of the document referenced above, (Item #16D14)
approved by the Board of County Commissioners on Tuesday, January 28, 2014.
The second original will be held in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
16fli4
Grant# - M-11-UC-12-0017
CFDA/CSFA#- 14.239
Subrecipient—Collier County Housing
Authority, Inc.
DUNS #- 040977514
IDIS# 405
FETI # - 59-1490555
FY End 9/30
Monitoring Deadline 1/2017
THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COLLIER COUNTY HOUSING AUTHORITY, INC.
TENANT BASED RENTAL ASSISTANCE (TBRA) PROJECT
This Amendment is entered into this a c31-4 day of a , 2014, by and
between Collier County, a political subdivision of the State of Flori a, hereina er referred to as
"COUNTY", and the "Collier County Housing Authority, Inc., a special independent district of the
State of Florida, created in accordance with Florida Statute Section 421.27 et seq.," a private not-for-
profit corporation existing under the laws of the State of Florida", herein after referred to as
SUBRECIPIENT , collectively stated as the "Parties".
RECITALS
WHEREAS, on October 25, 2011 the COUNTY entered into an Agreement with the HOME
Investment Partnerships (HOME) Program funds for the Tenant Based Rental Assistance (TBRA)
Program which will provide assistance to eligible low income persons. (hereinafter referred to as the
"Agreement"); and
WHEREAS, on February 12, 2013 and October 22, 2013 the Agreement was amended.
WHEREAS, the Parties desire to amend the Agreement to include terms required by Chapter
2013-154, Laws of Florida and make other modifications to the agreement
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable
consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree
to amend the Agreement as follows:
Words Steel;;-Through are deleted; Words Underlined are added
* * *
III. TIME OF PERFORMANCE
2011 HOME(HM 11-01)
CCHA TBRA
Amendment#3 Page 1 of 3
16D14* *
Services of the SUBRECIPIENT shall start on the 25th day of October, 2011 and end on the
31st day of January July, 2014. The term of this Agreement and the provisions herein may be
extended by amendment to cover any additional time period during which the SUBRECIPIENT
remains in control of HOME funds or other HOME assets, including program income.
* * *
EXHIBIT "A"
SCOPE OF SERVICES
COLLIER COUNTY HOUSING AUTHORITY, INC.
HOME
TENANT BASED RENTAL ASSISTANCE (TBRA) PROJECT
A. PROJECT SCOPE:
The SUBRECIPIENT will be responsible for the following:
B. BUDGET:
Modifications to the "Budget and Scope" may only be made if approved in advance by the
COUNTY. Modifications to the budget and scope will be performed in accordance with CMA
5330. Budgeted fund shifts between cost categories and activities shall not be more than 10%
and does not signify a change in scope. Fund shifts that exceed 10% of a cost category and
activity shall only be made with board approval.
C. PROJECT WORK PLAN:
The following Project Work Plan is in effect for program monitoring requirements only and as
such, is not intended to be used as a payment schedule.
Date Start Date End Work Plan
10/01/2011 10/2012 Begin rental, security deposit and utility assistance
10/01/2011 01/201'1 Completion of all TBRA assistance
07/31/14
2011 HOME(HMI1-01)
CCHA TBRA
Amendment#3 Page 2 of 3
16014
IN WITNESS WHEREOF,the Parties have each, respectively, by an authorized person or
agent, hereunder set their hands and seals on the date first written above.
ATTEST: .r; BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E: BROCK,QCLEI COUNTY, F RID
bU'. ` C , By: _
Attest a ` "S O R ING, CH MAN
signature oniy.
Dated: 3 - 1 "L ;alp(
(SEAL)
COLLIER COUNTY HOUSING AUTHORITY, INC.
By: )�//6_ z .f.L' ./•'.
recipient Signature,
Esmeralda Serrata, Executive Director
Subrecipient Name and Title
Approved as to form and legality:
COO •
Jennifer A. Belpe..y•, Assistant County Attorney
2011 HOME(HM11-01)
CCHA TBRA
Amendment#3 Page 3 of 3
0