Backup Documents 06/23/2015 Item #11J ORIGINAL DOCUMENTS CHECKLIST & ROUTING SP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 JA
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNURE
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.
2.
3. County Attorney Office County Attorney Office JAB
31 I >1 iC
4. BCC Office Board of County ki
Commissioners \�tZ/ ---I Vz I,\.,`;
5. Minutes and Records Clerk of Court's Office m
r , 1I31Jisa:.
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 Jace Kentner,Office of Business& 252-4040
Contact/ Department EconomicD velopment
Agenda Date Item was 6/23/15Agenda Item Number 11-J(formerly 16-F-2)
Approved by the BCC
Type of Document 2nd Amendment to Agreement with Number of Original One
Attached Economic Incubators,Inc. Documents Attached
PO number or account n/a
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 <_ s by...., JAB
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAB
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 6/23/15 and all changes made during the JAB
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 J•B
BCC,all changes directed by the BCC have been made,and the document is ready for th JTI
Chairman's signature. --�` ,
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
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Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Monday, August 03, 2015 2:30 PM
To: 'jace.ketner@colliergov.net'
Subject: Amendment#2 to an Agreement w/Economic Incubators,Inc.
Attachments: Item #11J 6_23_15 BCC Meeting).pdf
Hi Jace,
A copy of Amendment #2 to the Agreement w/Economic Incubators, Inc.,
approved by the Board (June 23rd Item #11J) is attached for your records.
Please let me know if you'd like a paper copy and I'd be happy to send you
one of those too.
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk of the Value Adjustment Board
Collier County Minutes & Records Dept.
239-252-8406
239-252-8408 (Fax)
•
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SECOND AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA
AND
ECONOMIC INCUBATORS,INC.
This AGREEMENT is made and entered into as of this 23rd day of June, 2015, by and between
COLLIER COUNTY, a political subdivision of the State of Florida(the "COUNTY" or"Fiscal Agent")
and ECONOMIC INCUBATORS, INC., a Florida not-for-profit corporation ("EII" or "Administrative
Entity").
WITNESSETH
WHEREAS, on November 18, 2014, Agenda Item 11.C, the Board of County Commissioners
approved an agreement between the County and EII (the "Agreement") designating EII as the
Administrative Entity for the Collier County Soft Landing Accelerator/Incubator Development Strategy
("Accelerator Project") , effective October 1,2014;
WHEREAS, on March 10, 2015, Agenda Item 11.F the Board of County Commissioners
approved the First Amendment to the Agreement between the County and EII, effective March 10,
2015;
WHEREAS, on April 28, 2015, Agenda Item 11.0 (formerly 16.F.3), the Board of County
Commissioners amended the Department of Economic Opportunity(the"DEO") Agreement funding the
Accelerator Project("Amended DEO Agreement");
WHEREAS, the Amended DEO Agreement provides for the contracting of regional global soft
landing services in five Southwest Florida counties;
WHEREAS, the Amended DEO Agreement requires the hiring of Eastern Collier County
Accelerator Director of Facilities & Compliance and Eastern Collier County Accelerator Maintenance
Specialist at a date later than required by the Agreement;
WHEREAS, the Amended DEO Agreement provides for the commencement of procurement of
facility design services,furnishings and equipment at a date later than provided for in the Agreement;
WHEREAS, there are expenditures which are necessary for the Accelerator Project which are
not reimbursable under the Amended DEO Agreement and the Agreement authorizes payment of these
expenses from Business Income if a special waiver and revenue plan is approved by the COUNTY in
accordance with Article XXXIX of the Agreement; and
WHEREAS,the parties wish to amend the Agreement as stated below.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein,
the parties hereto agree to amend the Agreement as set forth below.
1
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1. Exhibit B, Method of Payment, of the Agreement is hereby amended by replacing it in its
entirety as it is attached hereto.
2. Exhibit C, Request for Payment Form, of the Agreement is hereby amended by replacing it in
its entirety as it is attached hereto.
3. Exhibit N, Revenue Reuse Plan, which is attached hereto is adopted and incorporated into the
Agreement by this reference. The COUNTY authorizes the application of Business Income
and hereby waives prohibition of expending Business Income for the items delineated in
Exhibit N,Revenue Reuse Plan.
4. Exhibit D, Project Activity Report of the Agreement is hereby amended by replacing it in its
entirety as it is attached hereto.
5. Except as modified by this Second Amendment, all other terms and conditions of the
Agreement shall remain in full force and effect. If there is a conflict between the terms of this
Second Amendment and the Agreement,the terms of this Second Amendment shall prevail.
IN WITNESS WHEREOF, the parties have executed this Second Amendment to Agreement on
this 23rd day of June, 2015, with the intention to attach this Second Amendment to the original
Agreement.
AS TO THE COUNTY:
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,Clerk COLLIER COUNTY, FLORIDA
41
By: L, ,(,, 9 O L) r , By:
Attestas so. a �,�� Clerk Tim Nance,Chairman
Appro ksuth?l't Yth and legality:
?:3Jennifer`X. Belpedio1N
Assistant County Attorney 0 (o
AS TO ADMINISTRATIVE ENTITY:
ECONOMIC INCUBATORS, INC.,
a Florida not-for-profit co 'oration
r—? )
By:7)."Ackgrc-,40410Le , -
ITNESS
J..eph Patemo,Vice President
WITNES
2
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EXHIBIT B
METHOD OF PAYMENT
3
1
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METHOD OF PAYMENT
ADMINISTRATIVE ENTITY: Economic Incubators, Inc. ,
PROGRAM: Collier Soft Landing Accelerator/Incubator Strategy
Payment to EII shall be on a reimbursement basis. Reimbursement will be in accordance with
the approved budget and subject to receipt of a completed Request for Payment Form, Exhibit
C, along with documentation substantiating the expenditure of funds in accordance with this
Agreement. Payment Form Exhibit C, requests for reimbursement, shall be aligned by budget
line item. Other supporting documentation as may be required to comply with Grant
requirements. On a quarterly basis the Program Activity Report,Exhibit D will be provided.
Reimbursement requests will be submitted on a monthly basis. Reimbursement requests will
be submitted by the 15th day of the month to the Clerk's Finance and Office of Business &
Economic Development, for the immediately preceding month. Reimbursement request
submittals complying and conforming to this agreement's requirements will be processed in an
expeditious manner in accordance with provisions of the Local Government Prompt Payment
Act. Spending by category may not be exceeded without prior written approval of the County
Manager.
ContractBudEet Amount: For the contract period commencing on October 1, 2014, through
September 30, 2015,the contract amount and budget are as follows:
Budget Category Amount
Personnel Costs: (salaries,payroll taxes,fringe benefits,and other payroll 257,945
related costs)Director,Administrative Assistant,Web Developer Social Media
Marketer,Regional Global Soft Landing Specialist or contractors equivalent to a
FTE,Maintenance Specialist,Director of Facilities&Compliance,and Interns
Eastern Collier/Immokalee Leases/Both Projects Facilities &Equipment: 123,662
Insurance: 42,150
I 1T/Web/Communications/Software/Utilities: 57 305127,305
I Professionals Services: (Includes but not limited to 156 7508-6454
Legal,Auditing,Mentoring,Marketing,and Compliance)
Travel, Conferences &Education: 15,060
Supplies and Miscellaneous Costs: (Includes but is not limited to general 30,133
office and operating supplies,postage,shipping,printing&publishing,bank
charges,dues,subscriptions,background checks,drug screening,safety
inspections,operating licenses and permits and any other expenses that do not
otherwise fit into another budget category)
Accelerator Improvements &Electronic Equipment: (Including but not 450,000
limited to planning,design,engineering,permits,licenses,computers,servers,
printers,copiers,scanners,telecommunication,conferencing equipment,standard
&multi-functional office furniture&fixtures,modular work&quiet areas,
delivery,set-up,installation, service&warranties,all relevant taxes,&other
systems&equipment as needed&leasehold improvements)
Administrative Entity Fee: 50,000
Total Contract Amount 1,183,005
o/ ®
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Overall Year One Accelerator Program Budget: In the first year of the Accelerator Program,
two Accelerator sites will be established, managed, staffed and operated. Establishing the
Western Collier County site including leasehold improvements, equipment, and furniture and •
fixtures will be the responsibility of EII. Establishing the Immokalee site including related
improvements and equipment will be the responsibility of County staff. EII will be responsible
for managing,staffing and operating both sites.
Expenditures Amount
EII:Western Collier Accelerator establishment as well as management,staffing and
operations for both sites:: Director,Administrative Assistant,Web Developer Social Media Marketer,
Regional Global Soft Landing Specialist or contractors eauivaleut to a FL' ,Maintenance Specialist,Director of
Facilities&Compliance,and Interns 1,183,005
County:Immokalee Culinary Accelerator establishment and Contract Management 1,240,000
County:Accelerator pilot phase(FY14)management,operations and preliminary
Immokalee Accelerator site selection&feasibility analysis 70,000
County:Accelerator Rent Budget&Funding Balance 297,924
Total Expenditures 2,790,929
Revenue/Sources
State Department of Economic Opportunity Collier Accelerator 2,500,000
County Contribution $290,929
Total Revenue/Sources $2,790,929
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EXHIBIT C
REQUEST FOR PAYMENT
Cg
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EXHIBIT-€
REQUEST FOR PAYMENT FORM
ADMINISTRATIVE ENTITY: Economic Incubators, Inc.
PROJECT: Collier Soft Landing Accelerator/Incubator Strategy
REQUEST NUMBER: MONTH: AMOUNT: $
FINANCIAL STATUS REPORT
1,-‘4%y i q, ` r �Y i ���rkt!} 3 "s }r" rn �L ,
1
, - �� 11
1 Personnel Costs:: Director,Administrative 257,945
Assistant,Web Design Developer&Social
Media Marketing,Director,Regional Global
Soft Landing Specialist or contractors
enuivalent to a FTE,Maintenance Specialist,
Director of Facilities&Compliance,and
Interns
2 Lease/Fac/Equi. 123,662 ---
3 Insurance 42,150 ---
4 IT/Web/Corn/Util 57,305127,305 ---
5 Professional Services 156 75086,750
6 Travel/Conf/Education 15,060 ---
7 Su..lies 30,133 ---
8 Accelerator Facilities 450,000
Sub-Total Grant Eligible 1,133,005 ---
9 Fixed Admin Fee(County Funded) 50,000
Total 1,183,005 ---
I certify that the service covered by this request have been provided to COUNTY in accordance with the
terms and conditions of the Agreement and that the documentation provided in the attached Project
Activity Report is true,accurate,and complete.
Authorized EII Signature Title Date
FOR COUNTY USE ONLY
INDEX CODE DOCUMENT#
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SUB OBJECT P.O.# APPROVED:
I verify that Collier County has received the goods and/or services.
TYPE OF REVIEW APPROVED DATE
FISCAL
PROGRAMMATIC
Bruce C.Register,Director,Economic Development
COMMENTS:
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INSTRUCTIONS FOR
REQUEST FOR PAYMENT FORM
1. General:
When requesting payment,EII must fill in the appropriate information accurately and within the
approved budget areas designated, accompanied by documentation substantiating payments or
expenses, and a Project Activity Report, if applicable. Duplicate the form and complete for
each payment requested. If additional forms are needed, contact the Economic Development
Department.
2. Organization:
Provide the operational title of Ell as it appears on your Agreement.
3, Program:
Provide the title of the program or general service area as contracted.
4. Request Number/Month(s)/Amount:
Provide the number of this request. Starting with number one for the first request of the
Agreement period and continue sequentially until the final request is made. Indicate month(s)
included with request. (Indicate the "number" and "final" when making the last request for
payment). The amount of this request must be equal to the Current Expenditure total under the
Financial Status Report section.
5. Financial Status Report:
a) Budget Categories: These are the only categories in which costs can be incurred and payment
requested and approved.
b)Total (Annual)Approved Budget: Provide the amount in each column that is the maximum
of allowable expenses under the terms of the Agreement.
c) Expenditures:
1. Current Request: Provide reimbursable dollar amounts which are being submitted in this
request for the current period. Make entries only in lines containing an approved budget
amount, as costs incurred in other than budgeted categories will not be allowed. Attach
back-up documentation of any and all expenses incurred during the current period.
2. Year to Date(YTD) Request: Provide a total amount of all funds requested to date and
include the amount of this request. (This amount will be the previous "Year to Date" total
plus the"Current"period request.)
d) Remaining Balance: Provide the total balance of funds available in each line item where an
approved budget amount appears. (This amount will be the Total Approved Budget minus
the Expenditures year to date (YTD). This figure cannot be a negative. Payment from any
budget category cannot exceed the amount in the approved budget, unless modified within
the terms of this Agreement.
e) Authorized EII Signature: Provide the signature of a person within EII, duly authorized to
sign for,or obligate Ell certifying the goods and/or services rendered under this request were
provided as contracted.
f) Title: Provide the official ElI/organization title of the person signing the request (i.e.,
Chairman,Treasurer,Director,etc.).
g) Date: Provide the date that the signature was affixed in e.above,
cf
(T2)
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EXHIBIT
C-4
lin n n'v '�`Nd i n £�b11 ,� �� 7 v ' s ,�+' .' !G�1�' d �',m't) , 3 4,.„.7t"
) ,a a C. "a ,�3 t tt 3i q7 a x �.fpt J � .',.34.44.,;$70,5,.,.-4..4.:;7140,..!
4 m�i rf ,._`" 'r ,4 '"' .#,*fit'.
nnx ,4 :- 5� - �qs G { ,O =� t � 1��� a0, "`;` I l j��i '0444,. ' `
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.mt T�.S {g..!w...o+. ��ll��. M1��0.F1'w�� X i# x{3.yi . �� .. �'*.e ..
,.,7,,,:s.;4147.77.11„„ Salaries: Director,Administrative Assistant,Web Design Developer&Social Media Marketing,Director,
a Regional Global Sofl Landing Specialist or contractors enuivalunt to a ETE,Maintenance Specialist,Director of
,. ,�_a _' Facilities&Compliance,and Interns 220,542
Taxes 16,871
Yuran
1,411
iikit
5,236Taxes-State
13,885
� y, � ° a8�' x
xP M1t t z hw, '� ryg;A. �`f d ,a � (( A 'S k. ,Gro Instef , d "yD33o 4 1 3 ak m c,
,;.
8,874
17,040,7.•,"t°,,,774';',,,,” yyBldg rep&mot2_,,,1., 2g884Equipment lease
40,009
expense 3,550
30,525Equip rep&!tint ld � -, ;I '� aam;ital d , , ,�w mTu--ff-74:117,,c',6,..,,,,-,,,
oc �a ,, l :w"' .° zwt? . .,'. '..' a " .. " .
II
s x wra Insurance-bldp/egwp I 29,400
Insurance-liabili /external w/c 12 750
' � ::„‘:414,..,!,_,
is .rug .r 5 P� t' SS,,, 4 ,r:771::.4,-11-, " ,,, ,. . `a :1!-':::t:'
a c
Ca.°...,.�i�� �.0.,._vv„�i. .-IE�'.f v�..7 .ia.s* �<as''^.. _ a,t 3_. .R __ ..
"��{4,`;: id's' Backup services 2,219
Cloud services 5,000}4)2t1A
Communications-cell L9J6q{g}
Communications-data 20.0004gg4)4
Communications-voice 6 ti809 440
Disposal 0
Help desk-outsourced 015,5.30
It/web outsourced 012,325
Software/virus 5,525
Utilities 10,000
Web site svc
044420
Software&su 5 865
.,;t:%, ,ar.y. 4,041,4'''.r. e ms'_. vim.. .e*.�aa I i9 Y`` 3`'^r X144" $.,f.:w,� .wrs',_5.�7�.;Vit. '� , .,...._.^.
�+�ir,.• Legal fees 12,188
Marketin 50 000_
Mentoring services R9 250!9,230
Auddgtttn &monttonn 5 312
l+ 9 �1!'P Pe l �n�. ' '"'" s ."F. ''S »a. �, •!'",'-'-i;&.,..,' r i, k
` b: I i t a, 'g�" e'",i" . „ht a « f f moi'"!'& �.'�.: n n.i - 4� �c ,�, saG. r r.
n
:11. :1. J
Conf.&meet. 3,060
Travel 12,000
Education 0
,: :„.,,,,,„„7:;1.frlt,. ., t ',;;:.4 A<;,;r ,"', ..!;;;':P.,44:.,_,._ -..-...7.1-+•.,,,'';.,'A g',t. m. ,-i-l'.711 1..'ir. . Y,.,,k,..,',-.7,- ,-.0i,-
:givatel. lathsv,i 11,, ,,%;i:,..,;,:,:,..,,qi,,,,!',:,±7.:*4.4,0 ,.+Stiotio",-.7;14.0,•-4',7., '„0,..,;`,1 .0-n,,,„,_,..,, ,A.1.4.7,,,,;.?. ,,.,reiturw,
Background 850
Bank charges 3,060
Drug screening 298
Dues&subscrip 850
Office supplies 13,600
i2ASe 5,100
Printin!&publ 6,375
,`2:14,,''VW,--',...:77-N itipt.'`!-,7'D..,,r:;„'•F-.,41*,tmokz,k4L;a4t,vr..44.,:.,,,;",;-, 1%ii,,,..at
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,,- ..',,,..::;.'. ;..'. '''..';.',,:t''•,,,,1--,0,-,,,J!,, ,L..,_ . ,..,.;!,...., , ri, "'RIM'', ,2 t 4041 IV 0'i'#61)he,F0',.,''',.8i"7,,,,
0(1,00-'11q7'4*A1';j:If'ligIZAt,:; 611t,7 .n;';-'331:,,,,,,0,;,-.;:0.7,,,- 3,1, ;:i..e..,,,, q;,,, .,',..;_. 4,,,,,-, ,iV•,i, ;,,t,,,,
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--,'-',--U.. .ilt,wir,,',..,","1-'!ti,",''„,veq•'45°,:,1,, ,4_A,'.,-,•;,,I..44.n.r:gf4-AttaM-LWtk.;.' '''''''i.-"',',it4''''''' 1,1,1,Mit Iittar.*,".,;14SW:I'''N. ,V0'7' ,!:agell:„C,I,
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EXHIBIT D
PROJECT ACTIVITY REPORT
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PROJECT ACTIVITY REPORT
ADMINISTRATIVE ENTITY: Economic Incubators,Inc.
PROJECT: Collier Soft Landing Accelerator/Incubator Strategy
REPORT PERIOD THROUGH
ACCOMPLISHMENTS:
Report A:Implementing Operations B:Implementing Team Quarterly
No. Payment
1. a.Establish accounting controls,fiscal Director on board. 12,500
Submit management,and audit preparation.
12/30/14 b.Establish human resource functions
including payroll,benefits,and insurance.
2. a.Maintain accounting controls,fiscal
Submit management,and audit preparation. Assistant,Intern,and Web 12,500
3/31/15 b.Maintain human resource functions Developer Social Media
including payroll,benefits,and insurance. Marketer on board.
c.Facility Selection and lease for Western
Collier County Accelerator,accomplished.
d.Start procuring equipment and furnishings
for Western Collier County Accelerator,as
needed.
3. a.Maintain accounting controls,fiscal
Submit management,and audit preparation Regional Global Soft Landing 12,500
6/30/15 b.Maintain human resource functions Specialist on board or
including payroll,benefits,and insurance. contractors equivalent to a
c.Commence procurement of procure
equipment and furnishings for Western
Collier County Accelerators,as needed.
d:--_. _ -• _ . .. _.__ _. _ • _:
Cuter
4 a.Maintain accounting controls,fiscal Proceed with recruitment 12,500
Submit management,and audit preparation. process for a Eastern Collier
9/30/15 b.Maintain human resource functions County Accelerator Director
including payroll,benefits,and insurance. of Facilities&Compliance
c. -- -.• -- and Eastern Collier County
Accelerator Maintenance
accomplished Specialist.
d-Secure lease or sublease for Eastern Collier
County Accelerator.
CI `
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II. PROBLEMS:
III. STATUS REPORT ON PROVISION OF SERVICES: (include report period and year-
to-date)
UNITS OF ANNUAL YEAR
SERVICE PROGRAM REPORT TO %OF GOAL
PROVIDED GOAL PERIOD DATE COMPLETED
Project Activity
Reports 4
IV. OTHER COMMENTS: Quarterly Project Activity Reports become due 30 days following
the last day of reporting period. Reporting periods for purposes of this agreement should
commence October 1, 2014 unless otherwise specified.
SUPPORTING ATTACHMENTS: With each Request for Payment, a Project Activity Report
must provide details for each period and at year end, documenting the delivery of the services in
the Accelerator Office space, to its tenants and other client businesses, including but not limited
to: outreach and promotion efforts, training/education programs, number of businesses receiving
technical assistance/counseling, number of businesses created, number of jobs created, average
salary of jobs created/ranges, and report any new business spinoffs. The Project Activity Reports
should outline these efforts and report quantify the results. A summary of revenues and expenses
is to be included as part of the report.
91
0
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EXHIBIT N
REVENUE REUSE PLAN
Revenue Reuse Plan Quarterly Report
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REVENUE REUSE PLAN
ADMINISTRATIVE ENTITY: Economic Incubators,Inc.
PROJECT: Collier Soft Landing Accelerator Strategy
1. Consistent with the Accelerator Project Budget this Revenue Reuse Plan will govern the use
of Business Income as provided for and defined by Article XXXIX of this Agreement and is
intended to support all authorized program costs, in the event STATE or COUNTY funds are not
available or not reimbursable for the following categories of expenses:
A. Organizational Expenses. Authorizes EII to utilize Business Income for purchases
not customarily reimbursable by STATE or COUNTY funds related to organization of
the administrative entity and to procure mission critical items typically considered
appropriate for organizations with similar missions. Specifically, membership in the
Florida Retail Association in the amount of$100 Attorney's fees and expenses for the
incorporation and 501(c)(3) designation of EII not to exceed$7,600 are allowable.
B. Other Expenses. Authorizes EII to utilize Business Income for purchases not
customarily reimbursable by STATE or COUNTY funds to procure mission critical items
typically considered appropriate for organizations with similar missions. Such
expenditures include but are not limited to Food and Non-Alcoholic Beverages (not to
exceed $2,400), Program events, Symposiums, Guest Speakers and Presentations, Pitch
Events and other related Program Activities.
2. The Administrative Entity will report Business Income and expenditures through quarterly
submission,to the Fiscal Agent, of the Revenue Reuse Plan Quarterly Report,the form is herein
below. At the expiration of the term of this Agreement, EII will be required to update the
Revenue Reuse Plan and obtain approval prior to implementation.
3. Revenue Reuse Estimated Budget.
Business Income Revenue Source: Accelerator Member use fees.
Business Income Revenue Estimate $12,000
Business Income Approved Budget Categories:
Budget Category Estimated
Budget
Organizational Expenses(not to exceed $7,600) 7,600
Other Expenses(no maximum) 2,000
Other Expenses: Food and Non-Alcoholic Beverages(not to exceed$2,400 2,400
monthly)
Total $12,000
0
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Revenue Reuse Plan Quarterly Report
Date Business Income Report submitted: Reporting Period
From to
Description of activities that generated the Business Income(BI): (add listing if required)
Description of activities funded by Business Income(BI): (add listing If required)
1. Business Income Brought Forward
p2. Total Amount of Business income Earned during Eastern
this reporting period by Accelerator(Eastern& Western
Available Business Income
4. Amount of Business Income Expended this Organizational expenses
reporting period by category Other Expenses Program
events,sVmPoSiums,guest
speakers,presentations,pitch
nights a other program activities
Other Expenses Food and
Non-Alcoholic Beverages
S. Balance Business Income
I7 patisifAk,MlDi3 t 4341-.: .:l+, VI ,ral0,ar*7416,-
Budget Category Budget Current Budget Bi Expanded this Remaining
Balance Reporting Period Balance
Organizational expenses $7,600.00 $0.00 $0.00 $0.00
Other Expenses $2,000.00 $0.00 $0.00 .$0 oo
Other Exp Food/Non-Alcoholic $2,400.00 $0.00 $0.00 $0.00
Total $12,000.00 $0.00 $0.00
1�
$0.00... ��, :.,..� OtL o Pre ➢ 'Mr�Y^ d". �,
To the best of my knowledge, the data on this form is correct and all disbursements were made In accordance with grant
regulations.I certify that all Business income Is maintained in a separate fundlaccount.
Name and Signature of Preparer: Name and Signature of Authorizing Official:
Print Name Print Name
0