Backup Documents 06/09/2015 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1604
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 Count Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Peggy Hager Community & Human
Services &A///-S
2. County Attorney Office County Attorney Office
3. BCC Office Board of County 114
Commissioners NA4 ( / (eXlt\\S
4. Minutes and Records Clerk of Court's Office
Y\ (t t ((S 3:2(pm
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, Grants Coordinator Phone Number 239-252-2399
Contact/ Department
Agenda Date Item was 6/9/15 Agenda Item Number 16D4
Approved by the BCC
Type of Document Amendment No 3 Number of Original 3
Attached Documents Attached
PO number or account
number if document is r AL—
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' l GS 5#42,tAf b
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A f
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 N/A
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 and all changes made during the GS
3!1- ii�hfi
meeting have been incorporated in the attached docuh ent. The County Attorney's e +,
Office has reviewed the changes, if applicable. (p kg
9. Initials of attorney verifying that the attached document is the versiona 55'
approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the p✓"
Chairman's signature. ►"
l: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
1 6 04
MEMORANDUM
Date: June 12, 2015
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to the Agreement between Collier County &
Habitat for Humanity of Collier County, Inc. for
Faith Landing Infrastructure Improvements
Grants: #B-13-UC-12-0016
Attached are two (2) originals of the item referenced above, (Item #16D4) approved
by the Board of County Commissioners on Tuesday, June 9, 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 252-8411.
Thank you.
Attachment
1604
Grant#-B-13-UC-12-0016
CFDA/CSFA#- 14.218
Subrecipient — Habitat for Humanity of
Collier County,Inc.
DUNS#-080676690
FETI#-59-1834379
Fiscal Year End: 6/30
IDIS Project#467
Monitor End: 12/31/2019-2023
THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
HABITAT FOR HUMANITY OF COLLIER COUNTY,INC.
Faith Landing Infrastructure Improvements
This Amendment is entered into this 941 day of J uNF 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, 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 January 28th 2014, the COUNTY entered into an Agreement for awarding Community
Development Block Grant Program funds to be used for Faith Landing Infrastructure Improvements
Project(hereinafter referred to as the"Agreement"); and
WHEREAS, the Parties desire to amend the Agreement to extend the project completion date and clarify
beneficiary requirements and deadlines in order to achieve a National Objective in accordance with 24 CFR 570.208.
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 Thro ugh 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".
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 funds, as determined by Collier County Housing, Human and
Veteran Services (HHVS) Community and Human Services (CHS), and the FY2013-2014 Action Plan
Habitat for Humanity of Collier County,Inc.
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identified and approved the Project 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 to Habitat for Humanity to fund construction of infrastructure and environmental
review for phase 2C of the Faith Landing Development in Immokalee in order to construct affordable single
family homes.
A. SPECIAL GRANT CONDITIONS
1. Within 60 days of the execution of this agreement, the Subrecipient must deliver to HHVS
CHS for approval a detailed project schedule for the completion of the environmental review
and infrastructure construction.
2. The Subrecipient must have the environmental requirement cleared by the HHVS CHS prior
to the incurrence of costs on activities that would limit the choice of reasonable alternatives.
3. The following resolutions and policies must be adopted by the Subrecipient's governing body
prior to the distribution of funds.
a. Affirmative Fair Housing Policy
b. Affirmative Fair Housing Marketing Plan
c. Procurement Policy including Code of Conduct
d. Affirmative Action Plan
e. Conflict of Interest Policy
f. Equal Opportunity Policy
g. Residential Anti-displacement and Relocation Policy
h. Sexual Harassment Policy
i. 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)
j. Procedures for meeting the requirements set forth in Section 504 of the
Rehabilitation Act of 1973, as amended(29 U.S.C. 794)
k. Fraud Policy
4. Construct 10 new housing units in phase 2C of the Faith Landing development as evidenced
by a Certificate of Occupancy issued no later than December 31, 2017. Failure to receive the
required Certificate of Occupancy will require the SUBRECIPIENT to repay the COUNTY
the CDBG investment in full.
B. PROJECT DETAILS
Project Component 1: Environmental Review and Infrastructure Construction.
Habitat for Humanity of Collier County,Inc.
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2013-2014 CDBG(CDBG13-03)
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The Subrecipient will engage in performing the environmental review, project delivery and
construction of infrastructure for phase 2C of the Faith Landing Development in Immokalee in order to
construct affordable single family homes. Habitat for Humanity will receive an amount up to $500,000
through an allocation of funds to perform the following CDBG activities:
Improvements Federal Funds
Project Component 1: Fund Environmental Review, Project $500,000
Delivery and Construction of the infrastructure for phase 2C of
the Faith Landing Development in Immokalee in order to
construct affordable single family homes in accordance with
Section III of this agreement.
Grand Total $500,000
1. Project Tasks
a. Maintain documentation on all households served in compliance with
24CFR 85.42
b. Provide quarterly reports on meeting a CDBG National Objective
c. Provide Environmental Review Assessment
d. Provide Site Design and Specifications
e. Prepare Bid Specifications and Engineer's Cost Estimate
f. Obtain Sealed Bids and provide procurement documentation
g. Submit invoices to HHVS CHS for environmental and construction of the
infrastructure costs
h. Provide for a lien for each parcel located in phase 2C, in the amount of CDBG
assistance until the project has completed construction
2. National Objective
0
°. .. - . . . •- _ r
570.208(a)(3).
The CDBG program funds awarded to Collier County must benefit low-moderate income
persons(LMI). As such the Subrecipient shall be responsible for ensuring that all activities
and beneficiaries meet the definition of Area Benefit Activities at 24 CFR 570.208 (a)(l).
II. TIME OF PERFORMANCE
Services of the SUBRECIPIENT shall start on the 14th day of January, 2014 and end on the 30th-day
o —201- 31st day December, 2017. The term of this Agreement and the provisions herein may be
Habitat for Humanity of Collier County,Inc.
Amendment#3
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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 shall reimburse the SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks as accepted and approved by HHVS CHS pursuant to the
submittal of quarterly progress reports. SUBRECIPIENT may not request disbursement of CDBG funds until
funds are needed for eligible costs, and all disbursements requests must be limited to the amount needed at the
time of the request. Invoices for work performed are required every month. SUBRECIPIENT may expend
funds only for allowable costs resulting from obligations incurred during the term of this agreement. If no work
has been performed during that month, or if the SUBRECIPIENT is not yet prepared to send the required
backup, a $0 invoice will be required. - . -. . •: . .' -: • _. ' - - : „! •- -•.-
s.,bmitted. Payments shall be made to the SUBRECIPIENT when requested as work progresses but, not
more frequently than once per month. Reimbursement will not occur if Subrecipient fails to perform the
minimum level of service required by this agreement. •- ., . . - - ., 6! .. • . - -- -
- - - - = = - = -- ' - - ••-• ' - - -:. Final invoices, for work performed during
-
the grant period, are due no later than 90 days after.the end.of the agreement, and may not be reimbursed
without written authorization from the Grant Coordinator.
No payment will be made until approved by HHVS CHS for grant compliance and adherence to any and all
applicable local, state or Federal requirements. Payment will be made upon receipt of a properly completed
invoice and in compliance with §218.70, Florida Statutes, otherwise known as the "Local Government Prompt
Payment Act."
The Following Table Details the Payment Schedule
Payment Deliverable Payment Schedule Submission Schedule
Environmental Review/ • Submission of monthly invoices • Monthly
Infrastructure on AIA G702-1992 form
Construction (attached as Exhibit "G") or
equivalent document per
contractor's Schedule of Values,
check stubs, timesheets, bank
statements and any other
additional documentation as
requested.
• Final 10% ($50,000) released
20 units of new affordable
Habitat for Humanity of Collier County,Inc.
Amendment#3
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Lam,'
1 6Q4
. . . . . . . . . . . . .
5% ($25,000) of retainage held will
be released upon documentation of
fully permitted and installed road
infrastructure to phase 2C of the
Faith Landing development.
2.5 % ($12,500) of retainage held
will be released upon the closing and
sale of 5 new housing units, to be
constructed in phase 2C of the Faith
Landing development, including
Certificate of Occupancy.
Final 2.5 % ($12,500) of retainage
held will be released upon the
closing and sale of an additional 5
new housing units, for a total of 10
new housing units to be constructed
in phase 2C of the Faith Landing
development.
The Following Table Details the Project Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies Policies as stated in this agreement Prior to the disbursement of funds
(Section I.A.3)
Insurance Exhibit A Prior to the disbursement of funds and
annually thereafter until 204-9 2023for
all unsold parcels in phase 2C
Detailed Project Schedule Project Schedule Within 60 days of Agreement
Execution
Project Plans And Specifications Engineer Site Plans Prior to Invitation to Bid
Invitation to Bid Sealed Bid Documents Prior to Invitation to Bid
Submission of Exhibit D Exhibit D Quarterly and Annually thereafter until
11/2018 2023
Financial and Compliance Audit Exhibit E Annually 180 days after FY end
Continued Use Certification Continued Use Affidavit Annually until 2018 2023
Program Income Reuse Plan Plan approved by the County Annually until 2018 2023
SIGNATURE PAGE TO FOLLOW ON NEXT PAGE
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Habitat for Humanity of Collier County,Inc.
Amendment#3
2013-2014 CDBG(CDBG13-03)
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1604
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
DWI T E. BRO ,CLERK COLLIER C LO IDA
Lig-t° OA-Ckel By:
Deputy Clerk TIM NANCE, CHAIRMAN
Dated: -141101 kalVV-_
Attest as( akman's
signature only, -
HABITAT FOR HUMANITY OF COLLIER
COUNTY,INC.
By: /_ � y . ./...(,,... ./,
NICK 4ULOHERAS
EXECUTIVE V.P. OF LAND DEVELOPMENT
FOR HABITAT FOR HUMANITY OF COLLIER
COUNTY, INC.
Approved as to form and legality:
Jennifer A. Belpedic; Gq
Habitat for Humanity of Collier County,Inc.
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2013-2014 CDBG(CDBG13-03)
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1 4" r, ,
41.'
EXHIBIT "B"
I ' 9 ,
e . . . ,, ...
1111\ • 9 • I ! I LI IS
WI sr • . ••• MP U, ••• Mr ./
Sub recipient Name: Habitat For Humanity of Collier County, Inc.
Sub recipient Address:
Project Name: Environmental Review and Infrastructure Construction
Project No: Payment Request It
Dollar Amount Requested: $ Date____________________
Period of Availability: 3/11/11 3/11/15
SECTION II: STATUS OF FUNDS
-1, - . - •.--:. - • .. 2.-:
$ $5007000
2, Sum of Past Claims Paid on this Account
$
3, Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account $
4, • --:. - : ' - ': . - - ;.•: ' -: .
$
5, Amount of Today's Request
$
6, 10%Retainage Amount Withheld
$
Less Sum of all requests) $
I certify that this request for payment has been made in accordance with the terms and conditions of the
-: . . : -:. ;- : " -: -::- : -: :- '- , : - ..- -: .•
been followed.
Signature Date ,
Title
Authorizing Grant Coordinator
Supervisor (approval authority under$11,999)
Dept Director (approval required$15,000 and above)
Habitat for Humanity of Collier County,Inc.
Amendment#3
2013-2014 CDBG(CDBG13-03)
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,..
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EXHIBIT "B"
COLLIER COUNTY HOUSING,HUMAN AND VETERAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
Sub recipient Name:
Sub recipient Address:
Project Name:
Project No: IDIS# Payment Request#
Total Payment minus Retainage: $0.00
Period of Availability:
The Agency has incurred the indebtedness listed below between and
SECTION II: STATUS OF FUNDS
1. Grant Amount Awarded $0.00
2. Sum of Past Claims Paid on this Account $0.00
3. Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account $0.00
4. Amount of Previous Unpaid Requests (Minus Retainage) $0.00
5. Amount of Today's Request $0.00
6. 10% Retainage Amount Withheld $0.00
7. Current Grant Balance (Initial Grant Amount Awarded Less Sum of all
requests)(Includes Retainage) $0.00
I certify that this request for payment has been made in accordance with the terms and conditions
of the Agreement between the COUNTY and us as the SUBRECIPIENT. To the best of my
knowledge and belief, all grant requirements have been followed.
Signature Date
Title
Authorizing Grant Coordinator Authorizing Grant Accountant
Supervisor Department Director
capproval required$15,000 and above) (approval required$15,000 and above)
Habitat for Humanity of Collier County,Inc.
Amendment#3
2013-2014 CDBG(CDBG13-03)
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1 604 EXHIBIT "D"
QUARTERLY PROGRESS REPORT
Sub-recipients:Please fill in the following shaded areas of the report
Agency Name: , t' € �` . oili , oUiitV ;''''-„t'''''''''''''''—'
y. _, ., � . ... -',404':3„""''''' Date: , ?' ;
1
ignili
,,� -...n t �"fr�l .r. may., 'S.i.4' .� ''r,x.3. N41 7 5 '.
Project Title: s n e([;{ff9iglr}i. kzan g , wu },z,N zr,? :: : u - IP,
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�1 d �r » -.-. . li 'h h 1 .� Irl r
ki �' * - 4 Alternate 4 ;A in sn
Program Contact: bk, r.,„, i.t 4. t, ,.� K
#..,y,r. „ ..:: Contact:
} � I
wa:" 1-,d!�' ,5'4i " x3v5 ` y6
Telephone Number -.
MO
r. 4 ,' a
IN" , x
"REPORT FOR QUARTER ENDING:(check one that applies to the �'
corresponding grant period): 03/31/44-15 1 3 06/30/4415au 9/3043 15 „ 12/31/44-15
Please take note: The CDBG/HOME/ESG Program year begins October 1,2013-September 30,2014. Each quarterly report needs to include cumulative data
beginning from the start of the program year October 1,2013.
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Please list the out 9 a ,}f � on&'su nt t !
1. sinCeMaith 14,2014 � '. x4'- � `
A.Outcome Goals: list the outcome goals)from your approved application 8 sub-recipient agreement.
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ii- .. s% o �,-y »Gs r •`-s t -.f P aeti 'z',e � - -'-- +� ' ii` 1e '� '-�i _,_ ;, i3 r-"�;`s` �`
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Habitat for Humanity of Collier County,Inc.
Amendment#3
2013-2014 CDBG(CDBG13-03)
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