Backup Documents 02/11/2014 Item #16D 8 •
ORIGINAL DOCUMENTS CHECKLIST & ROUTING Sl416 D 8
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. Gino Santabarbara,Grant Coordinator Housing,Human,Veterans Services GS 03/06/14
Department
2. Jennifer A. Belpedio,ACA Office located within Housing,Human,
Veterans Services Department ),cti6 3 1?
/1 Lt
3. County Attorney's Office County Attorney's Office
4. BCC Office Board of County Commissioners -CA 3\\ 3\\o\A
5. Minutes and Records Clerk of Court's Office �1 " 31c t 114 Onato
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 Gino Santab rbara, Grant Coordinator Phone Number 239-252-23 9
Contact
Agenda Date Item was 02/11/14 Agenda Item Number 16.D.8
Approved by the BCC
Type of Document Subrecipient Agreement -Immokalee Number of Original 2 originals — S J Dt PIWE 5
Attached Housing& Family Services Documents Attached 7-/r4 827g. j4I
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 GS 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
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 GS V
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 GS
initials are required. /
5. In most cases(some contracts are an exception),the original document and this routing slip should be GS ✓
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 01/14/14 and all changes made during the GS �r ��z
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»
1608
MEMORANDUM
Date: March 12, 2014
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendments to the two CDBG Subrecipient Agreements with
Immokalee Non-Profit Housing, Inc. d/b/a Immokalee Housing
& Family Services extending the completion of upgrade project(s)
at Timber Ridge Community Center & Saunders Pines Playground
Attached for your records are copies of the items referenced above, (Item #16D8)
approved by the Board of County Commissioners February 11, 2014.
The Minutes and Record's Department held the original amendment documents for
the Board's Official Record.
If you have any questions, please feel free to call me at 252-8406.
Thank you.
Attachment
16Ub
Grant# - B-11-UC-12-0016
CFDA/CSFA# - 14.218
Subrecipient—Immokalee Non-Profit
Housing, Inc. d/b/a Immokalee
Housing & Family Services
DUNS # - 849855549
FETI # - 59-2716833
FY End 12-31
IDIS Project# 439
Monitoring Deadline 2 28 19 5-31-19
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
IMMOKALEE NON-PROFIT HOUSING, INC. d/b/a IMMOKALEE HOUSING & FAMILY
SERVICES
TIMBER RIDGE (CARL J. KUEHNER) COMMUNITY CENTER UPGRADES
This Amendment is entered into this 11th day of February 2014, by and between
IMMOKALEE NON-PROFIT HOUSING, INC. d/b/a IMMOKALEE HOUSING & FAMILY
SERVICES. a private not-for-profit corporation existing under the laws of the State of Florida, herein
after referred to as SUBRECIPIENT and Collier County, Florida, hereinafter to be referred to as
"COUNTY," collectively stated as the "Parties."
RECITALS
WHEREAS, on MAY 14, 2013, the COUNTY entered into an Agreement with the
Community Development Block Grant Program funds to be used for TIMBER RIDGE (CARL J.
KUEHNER) COMMUNITY CENTER UPGRADES (hereinafter referred to as the "Agreement");
and
WHEREAS, the Parties desire to amend the Agreement to include terms to amend the time of
performance.
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 Strucleugh are deleted; Words Underlined are added
* * *
Immokalee Non-Profit Housing,Inc.
d/b/a
Immokalee Housing&Family Services
CDBG(CDS 13-03)
Timber Ridge(Carl J.Kuehner)Community Center Page 1 of 3
1608
II. TIME OF PERFORMANCE
Services of the SUBRECIPIENT shall start on the 14th day of May, 2013 and end on the 28th
day ofFebruary,2014 31s day of May 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 CDBG funds or other CDBG assets, including program
income.
III. AGREEMENT AMOUNT
The COUNTY agrees to make available EIGHTEEN THOUSAND TWO HUNDRED AND
FIFTY DOLLARS ($18,250) for the use by the SUBRECIPIENT for TIMBER RIDGE (CARL J.
KUEHNER) COMMUNITY CENTER UPGRADES during the Term of the Agreement (hereinafter,
the aforestated amount including, without limitation, any additional amounts included thereto as a
result of a subsequent amendment(s) to the Agreement, shall be referred to as the "Funds"). The
SUBRECIPIENT project budget shall be as follows:
Line Item Description CDBG
Funds
Project Component#1-Community Center-Recover awnings $6,925
Project Component#2-Playground equipment $8,215
Project Component#3-Mailboxes $3,110
TOTAL $18,250
Modifications to the "Budget and Scope" may only be made if approved in advance. Budgeted
fund shifts between project components shall not be : .::- -: . -: -•- -- - o • -,e • -:
activities shall not be more than 10% and does not signify a change in scope. Fund shifts that exceed
10% of a project component shall only cost category and activity shall be made with board approval.
* * *
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Immokalee Non-Profit Housing,Inc.
d/b/a
Immokalee Housing&Family Services
CDBG(CDS 13-03)
Timber Ridge(Carl J.Kuehner)Community Center Page 2 of 3
• 1608
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: BOARD OF COUNT COMMISSIONERS OF COLLIER
DWIGHT E. BROCK, CLERK COUNTY, FL I 'ID)
.1 pL • By:
Attest ash iii, y Clerk TOM HENNING, CHA • AN
signature only. ` •
Dated: &13—api'c
(SEAL)
IMMOKALEE NON-PROFIT HOUSING, INC. d/b/a
IMMOKALEE HOUSING& FAMILY SERVICES
By: 'v. ' V
Subrecipient Signature,
Susan M. Golden, Executive Director
Subrecipient Name and Title
Approved as to form and legality:
Jennifer A. Belped •, • ssistant County Attorneys
Item#
Immokalee Non-Profit Housing,Inc. Agenda Ai ,---
Date 1
d/b/a
Immokalee Housing&Family Services Date !� U
CDBG(CDS 13-03) Rec'd v ' ` r
Timber Ridge(Carl J.Kuehner)Community Center Page 3 of 3 go.. Ar/
ep up. C�
1608
Grant# - B-09-UC-12-0016 &
B-10-UC-12-0016
CFDA/CSFA# - 14.218
Subrecipient—Immokalee Non-Profit
Housing, Inc. d/b/a Immokalee
Housing & Family Services
DUNS # - 849855549
FETI # - 59-2716833
FY End 12-31
IDIS Project# 443
Monitoring Deadline 2 28 19 5-31-19
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
IMMOKALEE NON-PROFIT HOUSING, INC. d/b/a IMMOKALEE HOUSING & FAMILY
SERVICES
SANDERS PINES PLAYGROUND UPGRADES
This Amendment is entered into this 11th day of February 2014, by and between
IMMOKALEE NON-PROFIT HOUSING, INC. d/b/a IMMOKALEE HOUSING & FAMILY
SERVICES. a private not-for-profit corporation existing under the laws of the State of Florida, herein
after referred to as SUBRECIPIENT and Collier County, Florida, hereinafter to be referred to as
"COUNTY," collectively stated as the "Parties."
* * *
RECITALS
WHEREAS, on MAY 14, 2013, the COUNTY entered into an Agreement with the
Community Development Block Grant Program funds to be used for SANDERS PINES
PLAYGROUND UPGRADES (hereinafter referred to as the "Agreement"); and
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; and
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 Struck Through are deleted; Words Underlined are added
* * *
Immokalee Non-Profit Housing,Inc.
d/b/a
Immokalee Housing&Family Services
CDBG(CDS 13-04)
Sanders Pines Playground Upgrades Page 1 of 3
16138
II. TIME OF PERFORMANCE
Services of the SUBRECIPIENT shall start on the 14th day of May, 2013 and end on the 28th
Feb y-20?-4-31st day of May 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 CDBG funds or other CDBG assets, including program
income.
III. AGREEMENT AMOUNT
The COUNTY agrees to make available THIRTEEN THOUSAND FIVE HUNDRED
DOLLARS ($13,500) for the use by the SUBRECIPIENT for SANDERS PINES PLAYGROUND
UPGRADES during the Term of the Agreement (hereinafter, the aforestated amount including, without
limitation, any additional amounts included thereto as a result of a subsequent amendment(s) to the
Agreement, shall be referred to as the "Funds"). The SUBRECIPIENT project budget shall be as
follows:
Line Item Description CDBG
Funds
Project Component#1-Playground equipment $10,315
Project Component#2-Mailboxes $ 3,185
TOTAL
$13,500
Modifications to the "Budget and Scope" may only be made if approved in advance. Budgeted
fund shifts between project components shall not be 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 project component shall only : .. . . • • . be made with board approval.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Immokalee Non-Profit Housing,Inc.
d/b/a
Immokalee Housing&Family Services
CDBG(CDS 13-04)
Sanders Pines Playground Upgrades Page 2 of 3
. 1608
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: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROtK, CL K COUNTY, L Vt 'IDA
t
Attest as ~'4 er TOM HENNIN •HAIRMAN
signature only.
Dated: 3-la, ,1
(SEAL)
SUBRECIPIENT'S ORGANIZATION.
By: a.v .s ' am
Suubrecipient Signature
Susan M. Golden, Executive Director
Subrecipient Name and Title
Approved as to form and legality:
Jennifer A. Belpe 'o, Assistant County Attorney
Immokalee Non-Profit Housing,Inc.
d/b/a
Immokalee Housing&Family Services
CDBG(CDS 13-04)
Sanders Pines Playground Upgrades Page 3 of 3
dJ