Backup Documents 05/12/2015 Item #16D2 (Legacy Lakes) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLT'
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 Monday 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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Peggy Hager Community& Human 411
T /��
Services �
2. County Attorney Office County Attorney Office S /f' -)15
3. BCC Office Board of County 'ly l
Commissioners V / C\ \�5
4. Minutes and Records Clerk of Court's Office 7
611+115 100it•tv`
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 Gino Santabarbara Phone Number 239-252-2399
Contact/ Department — ,
Agenda Date Item yca 5/12/15 Agenda Item Number C 16D2
Approved by the B C --�
Type of Document Amendment#1 -Lc>A c La1C t S Number of Original 3
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' I gnature? 51-
� 0 1� GS
2. Does the document need to be sent to another agency for additional signatures. If yes, NA
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 GS
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 NA
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 GS
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's GS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip GS
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 May 12,2015 and all changes made GS i „, :`;
during the 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 coca>
BCC,all changes directed by the BCC have been made,and the document is ready for th;
Chairman's signature. te
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
MEMORANDUM
Date: December 11, 2015
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to the Agreement between Collier County &
Habitat for Humanity of Collier County, Inc.
Legacy Lakes
Grants: #B-14-UC-12-0016, #B-13-UC-12-0016
Attached are two (2) originals of the item referenced above, (Item #16D2) approved
by the Board of County Commissioners on Tuesday, May 12, 2015.
The Minutes and Record's Department has kept an original copy of the agreement as
part of the Board's Official Record.
If you have any questions, please feel free to call me at 252-7240.
Thank you.
Attachment
1 p
Grant#B-14-UC-12-0016
#B-13-UC-12-0016
CFDA/CSFA# 14.218
Subrecipient—Habitat for Humanity of
Collier County, Inc.
DUNS # - 080676690
Agreement#CD14-03
FEID # - 59-1834379
IDIS#-482
Fiscal Year End: 6/30
Monitor End: 9/30/2023
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
HABITAT FOR HUMANITY OF COLLIER COUNTY, INC.
Legacy Lakes Access Roadway (Woodcrest Drive)Infrastructure Project
This Amendment is entered into this/o774'day of Wew 2015, by and between
HABITAT FOR HUMANITY OF COLLIER COUNTY, INC., a private not-for-profit
corporation existing under the laws of the State of Florida, hereinafter referred to as
SUBRECIPIENT and Collier County, Florida, hereinafter to be referred to as "COUNTY,"
collectively stated as the "Parties."
WHEREAS, on September 23th 2014, the COUNTY entered into an Agreement with
the Community Development Block Grant Program funds to be used for Legacy Lakes Access
Roadway (Woodcrest Drive) Infrastructure Project Improvements Project (hereinafter
referred to as the "Agreement"); and
WHEREAS, the Parties desire to amend the Agreement to increase Community
Development Block Grant funding and to clarify beneficiary and milestones requirements.
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 Struek4hrough are deleted; Words Underlined are added
All references to "HHVS" shall now be "CHS" and all references to "Housing, Human and
Veteran Services" shall now be "Community and Human Services".
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 1 of 8
PART I
SCOPE OF WORK
The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any
standards required as a condition of providing CDBG assistance, as determined by Collier
• •• - - • • _, - -• •• • - - •• - • - - - . Collier County Community and Human
Services (CHS), to perform the tasks necessary to conduct the program as follows:
HHVS CHS, as an administrator of the CDBG program, will make available CDBG
funds up to the gross amount of$500,000 $715,000 to Habitat for Humanity of Collier County,
Inc. to fund construction and project delivery of an access road (Woodcrest Drive) to Legacy
Lakes development in order to construct units of new affordable housing in the subdivision.
1.1 SPECIAL GRANT CONDITIONS
A. Within thirty (30) calendar days of the execution of this agreement, the
SUBRECIPIENT must deliver to HMIS CHS for approval a detailed project
schedule for the completion of the project.
B. The following resolutions and policies must be adopted by the SUBRECIPIENT's
governing body within thirty (30) days of conveyance:
1. Affirmative Fair Housing Policy
2. Affirmative Action/Equal Opportunity Policy
3. Fraud Policy
4. Conflict of Interest Policy
5. Equal Opportunity Policy
6. Procurement Policy
7. Residential Anti-displacement and Relocation Policy
8. Sexual Harassment Policy
9. Procedures for meeting the requirements set forth in Section 3 of the Housing
and Urban Development Act of 1968, as amended (12 U.S.C. 794 1 u)
10. Procedures for meeting the requirements set forth in Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C. 794)
C. Provide household beneficiary information, to ensure that at least 51% of the
beneficiaries of the income surveyed area are low to moderate income beneficaries, to
be completed no later than September 30, 2018. The area for the intended project
benefit must be fully surveyed by the SUBRECIPIENT prior to closeout and final
payment. Failure to serve the required percentage of low to moderate income
beneficiaries will require the SUBRECIPIENT to repay the COUNTY the CDBG
investment in full.
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 2 of 8
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2
1602
1.2 PROJECT DETAILS
A. Project Description/Budget
Improvements Federal Funds
Project Component 1: Construction of an entry road to Legacy Lakes $439,782
development in order to construct new affordable housing in the $650,000
subdivision.
Project Component 2: Project Delivery — CDBG eligible project $60,218
delivery tasks necessary for completion of the project. $65,000
Total: $500,000
$715,000
* * *
B. National Objective
The CDBG program funds awarded to Collier County must benefit low-moderate-and
middle income persons (LMMI LMI). As such the SUBRECIPIENT shall be
responsible for ensuring that all activities and beneficiaries meet the definition of
Area Benefit Activities (LMA).
C. Project Outcome
The SUBRECIPIENT will engage in performing the construction and project delivery of
an entry road (Woodcrest Drive) to Legacy Lakes development in order to construct new
affordable housing. The SUBRECIPIENT will obtain beneficiary income data for each of
the new homes built benefited by the project prior to project closeout.
D. Performance Deliverables
The Following Table Details the Project Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies Policies as stated in this Within thirty (30) days of
(Section 1.1) agreement Agreement Execution
Insurance Insurance Certificate-Exhibit A Annually within thirty (30) days
of renewal
Detailed Project Schedule Project Schedule Within thirty (30) days of
Agreement Execution
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 3 of 8
C��
Project Plans And Specifications Site Plans and Rehabilitation Prior to Construction Start
Specifications
Environmental Review Environmental Review Record Prior to obligation of any CDBG
funds for construction.
Submission of Progress Report Exhibit C &D Quarterly Reports until full
occupancy. Annually thereafter
until 2023
Financial and Compliance Audit Exhibit F Annually one hundred eighty
(180)days after FY end
Eligible households beneficaries Income Eligibility(Exhibit E) Maintain in client files
(51%LMI)
Continued Use Certification Continued Use Affidavit Annually until 2023
E. Payment Deliverables
The Following Table Details the Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component One: Submission of supporting documents Submission of monthly
Funding costs will include but must be provided as backup as invoices
not limited to the following evidenced by completed AIA G702-
expenses: The Construction of an 1992 form or equivalent document per
access road(Woodcrest Drive)to contractor's Schedule of Values, check
Legacy Lakes development. stubs, bank statements and any other
additional documentation as requested.
Final 10% (43,978.20) 5% ($32,500)
of retainage held will be released upon
documentation of fully permitted and
installed entry road to Legacy Lakes
development. and final beneficiary
of Occupancy of the 51% of the new
housing units constructed in the
2.5 % ($16,250) of retainage held will
be released upon the closing and sale
of 26% or 15 new housing units, to be
constructed in the Legacy Lakes
Development, including Certificate of
Occupancy,to low to moderate income
households.
Final 2.5 % ($16,250) of retainage
held will be released upon the closing
and sale of an additional 25% or 14
units, for a total of 51% or 29 units, of
the new housing units to be
constructed in the Legacy Lakes
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 4 of 8
i -y.
fe
Development, including Certificate of
Occupancy,to low to moderate income
households and provide documented
surveys of the service area to
demonstrate and ensure that all
activities and beneficiaries meet the
definition of Area Benefit Activities
(LMA).
Project Component Two: Submission of supporting documents Submission of monthly
Funding costs will include but must be provided as backup as invoices
not limited to the following evidenced by timesheets, payroll
expenses: Project Delivery. registers, banking documents, vehicle
logs, and any additional documents as
needed.
Final 10% (6,021.80) released upon
Drive) to the Legacy Lakes
development
5% ($3,250) retainage released upon
documentation of a fully installed and
permitted access road (Woodcrest
Drive) to the Legacy Lakes
development.
2.5 % ($1,625) of retainage held will
be released upon the closing and sale
of 26% or 15 new housing units,to be
constructed in the Legacy Lakes
Development, including Certificate of
Occupancy,to low to moderate income
households.
Final 2.5 %($1,625)of retainage held
will be released upon the closing and
sale of an additional 25%or 14 units,
for a total of 51%or 29 units,of the
new housing units to be constructed in
the Legacy Lakes Development,
including Certificate of Occupancy,to
low to moderate income households.
* * *
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 5 of 8
1�
I D
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, 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
•WIGHT,E. : COL UNTTY,IFLORIDA
Ai.walk
By:
• t as to Chairman's v. D`'• -r TIM NANCE,CHAIRMAN
signature only.
f ` HABITAT FOR HUMANITY OF COLLIER
Dated:1\A �,V 4 c J COUNTY, INC.
(SEAL) /' �
By: �, G�� 7�
NICK KOUL ERAS, EXECUTIVE V.P.
OF LAND DEVELOPMENT FOR
HABITAT FOR HUMANITY OF COLLIER
COUNTY,INC.
Approved as to form and legality:
Jennifer A. Belpectic) }, 0 S
Assistant CountyAttorn QJ��
Habitat for Humanity of Collier County,Inc.—First Amendment
20142015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 6 of 8
EXHIBIT "D" in
1) 2
1 0 I
QUARTERLY PERFORMANCE REPORT DATA
GENERAL
Grantee is required to submit to HUD, through the Integrated Disbursement and Information
System ("IDIS") Performance Reports. The County reports information on a quarterly basis. To
facilitate in the preparation of such reports, SUBRECIPIENT shall submit the information
contained herein within ten (10) days of the end of each calendar quarter.
QUARTERLY PROGRESS REPORT
Sub-recipients:Please fill in the following shaded areas of the report
Agency Name: Habitat for Humanity of Collier County,Inc. Date:
Project Title: Legacy Lakes Roadway Infrastructure Project
Alternate
Program Contact: Cormac Giblin *`- "", Contact: Nick Kouloheras
Telephone Number: 239-775-0036
*REPORT FOR QUARTER ENDING:(check one that applies to the
corresponding grant period): 0 12/31/14 03/31/15 006/30/15 0 9/30/15 0
Please take note: Each quarterly report needs to include cumulative data beginning from the start of the agreement date.
Please list the outcome goal(s)from your approved application&sub-recipient agreement and indicate your progress in meeting
1. those goals since the beginning of the agreement.
A.Outcome Goals: list the outcome goal(s)from your approved application&sub-recipient agreement.
Outcome 1: Environmental Review Clearance
Outcome 2: Construction of an access road to Legacy Lakes development(Woodcrest Drive)
e . . - •• °. . - . - . .
Outcome 3: 26% or 15 new housing units, to be constructed in the Legacy Lakes Development, including
Certificate of Occupancy,to low to moderate income households.
Outcome 4: 51% or 14 new housing units, to be constructed in the Legacy Lakes Development, including
Certificate of Occupancy, to low to moderate income households.
Outcome 5: Submission of final beneficiary information of low to moderate income households, must be
completed.
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 7 of 8
46n2
d
B.Goal Progress: Indicate the progress to date in meeting each outcome goal.
Outcome 1:
ry
Is this project still in compliance with the original project schedule?If more than 2 months behind schedule,must submit a new
2. timeline for approval.
0 0
Yes No
If no,explain:
3. Since October 1,2014,of the persons assisted,how many....
a. ...now have new access(continuing)to this service or benefit? 0
b. ...now has improved access to this service or benefit? 0
c. ...now receive a service or benefit that is no longer substandard? 0
TOTAL: 0
4. What funding sources are applied for this period/program year?
$ $
Section 108 Loan Guarantee - HOPWA -
$
Other Consolidated Plan Funds - CDBG
$ $
Other Federal Funds - ESG -
$: $
State/Local Funds HOME -
Total
$ Entitlement $
Total Other Funds - Funds -
Habitat for Humanity of Collier County,Inc.—First Amendment
2014-2015 CDBG(CDBG14-03)
Legacy Lakes Access Roadway(Woodcrest Drive)Infrastructure Project Page 8 Of 8