Backup Documents 06/09/2015 Item #16D17 (CASL, Inc.) ORIGINAL DOCUMENTS CHECKLIST & ROUTING 4
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Wendy Klopf Community and Human 14/ 07/08/15
Services
2. County Attorney Office County Attorney Office
c)ctiC —1 IP P5
3. BCC Office Board of County `
Commissioners \A•1‘47\5/ '110`IS
4. Minutes and Records Clerk of Court's Office ,
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 Geoffrey Magon/Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 06/09/15 ' Agenda Item Number 16.D.17
Approved by the BCC
Type of Document Amendment to an Agreement Number of Original 2
Attached t' ( Documents Attached
•PO number or account NA
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? C.: -1-f3
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 WK
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 WK
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 WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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_6/9/15 and all changes made WK
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 c.),13
BCC,all changes directed by the BCC have been made,and the document is ready for e
Chairman's signature. 4, `�
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
1 6 017
MEMORANDUM
Date: July 13, 2015
To: Geoffrey Magon, Grants Coordinator
Collier County Housing Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment No. 1 to an agreement between Collier County and
Community Assisted & Supported Living, Inc. to clarify the length of
time in which records must be kept regarding HOME Program funds
Attached for your records is an original copy of the amendment document referenced
above, (Item #16D17) approved by the Board of County Commissioners June 9, 2015.
The remaining original document 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
1 6 0 17
Grant#- M-14-UC-12-0217
CFDA/CSFA#- 14.239
Subrecipient — Community Assisted and
Supported Living, Inc.
DUNS # - 940621519
Agreement# CD14-09
IDIS# - 492
FEID#- 65-0869993
Fiscal Year End: 12-31
Monitor End: 10/2025
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COMMUNITY ASSISTED AND SUPPORTED LIVING, INC. (CASL)
THIS AMENDMENT is entered into this 11 day of it.A.0 e 2015, by and between the
"Community Assisted and Supported Living, Inc." a private not-for-profit corporation existing under the
laws of the State of Florida, herein after referred to as "SUBRECIPIENT", having its principal office at 1401
16th Street, Sarasota, FL 34236; and Collier County, Florida, having its principal address as 3339 E.
Tamiami Trail, Naples FL 34112, hereinafter to be referred to as "COUNTY", collectively stated as the
"PARTIES."
RECITALS
WHEREAS, on September 23, 2014, the COUNTY entered into an Agreement, with the HOME
Investment Partnerships (HOME) Grant Program funds to be used for the Rehabilitation of Multi Family
Properties Project (hereinafter referred to as the "Agreement"); and
WHEREAS, the Parties desire to amend the Agreement to conform to the Department of Housing and
Urban Development's HOME requirement regarding the records retention period.
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 Strueh-Thfough are deleted; Words Underlined are added
* * *
Part II "Grant Control Requirements", Section 2.2D "Records and Documentation", is hereby amended as
follows:
* * *
D. Upon completion of all work contemplated under this Agreement copies of all documents
and records relating to this Agreement shall be surrendered to CHS if requested. In any event the
CASL
HOME(HM 14-01)
Rehab of Multi-Family Properties Page 1 of 3
SUBRECIPIENT shall keep all documents and records in an orderly fas j M6nD 4d7y
accessible, permanent and secured location for three (3) five (5) years after the date of
submission of the annual performance and evaluation report, as prescribed in 24 CFR 91.520
with the following exception: if any litigation, claim or audit is started before the expiration date
of the three (3) five (5) year period, the records will be maintained until all litigation, claim or
audit findings involving these records are resolved. The COUNTY shall be informed in writing if
an agency ceases to exist after closeout of this Agreement of the address where the records are to
be kept as outlined in 24 CFR 85.42. Meet all requirements for retaining public records and
transfer, at no cost, to COUNTY all public records in possession of the SUBRECIPIENT upon
termination of the contract and destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements. All records stored
electronically must be provided to the COUNTY in a format that is compatible with the
information technology systems of the public agency.
(Signature Page to Follow)
CASL
HOME(HM14-01)
Rehab of Multi-Family Properties Page 2 of 3
1 6 0 1?
IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized Orson
or agent, hereunder set their hands and seals on the date first written above.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E.B1OCK, CLERK COLLIER CQj FLORIDA
61 : leAL0(
attt
vra4tCe_
Attest asan'S TIM NANCE, CHAIRMAN
DatedSlgg t
EAS}
COMMUNITY ASSISTED AND SUPPORTED 'i
LIVING, INC.
By:
----,/
J. SCO 1'I ELLER,CEO FOR
COMMUNITY ASSISTED AND SUPPORTED
LIVING, INC.
Approved as to form and legality:
1�4w
Jennifer A. Be1pe.tx '
Assistant County Attorney iz?> U,\
Item#yri
Agenda( . �[ II
DateDate ---�---=
1,4
Rec'd 1 O_t
CASL
1-IOME(HM14-0l)
Rehab of Multi-Family Properties Page 3 of 3 Deputy 'lerk
1