Backup Documents 07/08/2014 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 0 4 .,
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT y
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. Jennifer A. Belpedio, ACA County Attorney Office `\ \c)Ii4'
2. BCC Office Board of County TAb`{
Commissioners \ / —1\-2.A\\4\
3. Minutes and Records Clerk of Court's Office 1(21 ((4
t1:narr`
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 addit nal or missing information.
Name of Primary Staff Priscilla Doria, HVS Phone Number 239-252-53 2
Contact/ Department
Agenda Date Item was July 8,2014 Agenda Item Number 16.D.4
Approved by the BCC
Type of Document SHIP Fiscal Year 2014-2015 Funding Number of Original 1
Attached Certification 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. (I 'tial) applicable)
1. Does the document require the chairman's original signature?
2. Does the document need to be sent to another agency for additional signatures? If yes,
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed �J
by the Office of the County Attorney. s
4. All handwritten strike-through and revisions have been initialed by the County Attorney's /4
Office and all other parties except the BCC Chairman and the Clerk to the Board �l/
5. The Chairman's signature line date has been entered as the date of BCC approval of the
p_D
document or the final negotiated contract date whichever is applicable. nn v
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 °1
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8.
The document was approved by the BCC on 7leh' and all changes made
MI6
during the meeting have been incorporated in the attached document. The County ce-"
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready fort
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
1604
MEMORANDUM
Date: July 21, 2014
To: Priscilla Doria, Grants Coordinator
Housing, Human & Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: SHIP Fiscal Year 2014/2015 Funding Certificate
Attached is one (1) SCANNED COPY of the original referenced above, (Item
#16D4) adopted by the Board of County Commissioners on Tuesday, July 8, 2014.
The original has been kept in the Minutes and Records Department for the Board's
Official Record.
If you have any questions, please call 252-7240.
Thank you
Attachment
1604
State Housing Initiative Partnership (SHIP) Program
Fiscal Year 2014-2015 Funding Certification
Name of Local Government Collier County
Projected Allocation* $1,545,449.00
*See estimated allocation chart attached to this document. Funds are subject to approval of the
Governor and transfer of funds to Florida Housing Finance Corporation.
Strategies Does this Is this an Will this Total $
strategy approved strategy be Amount to be
serve: strategy in eligible for Expended
HO or current Special Needs
Rental? LHAP? Applicants?
(Y/N) (YIN)
Purchase Assistance HO Y Y $695,452.05
Owner Occupied HO Y Y $695,452.05
Rehabilitation
Total must equal total allocation for 2014-2015 minus administrative $1,390,904.10
costs
For strategies targeting the Special Needs requirement, describe any additional information
that will be utilized to ensure this goal is met:
Legislative Proviso Language
From the funds in Specific Appropriation 2247, each local government must use a minimum of 20 percent
of its allocation to serve persons with special needs as defined in section 420.0004, Florida Statutes.
Before this portion of the allocation is released by the Florida Housing Finance Corporation (FHFC), a
local government must cert that it will meet this requirement through existing approved strategies in
the local assistance plan or submit a new local housing assistance plan strategy for this purpose to the
FHFC for approval to ensure that it meets these specifications. The first priority of these special needs
funds must be to serve persons with developmental disabilities as defined in section 393.063, Florida
Statutes, with an emphasis on home modifications, including technological enhancements and devices,
which will allow homeowners to remain independent in their own homes and maintain their
homeownership.
160 4
420.0004 (13), F.S. "Person with special needs" means an adult person requiring independent living
services in order to maintain housing or develop independent living skills and who has a disabling
condition; a young adult formerly in foster care who is eligible for services under s. 409.1451(5); a
survivor of domestic violence as defined in s. 741.28; or a person receiving benefits under the Social
Security Disability Insurance (SSDI)program or the Supplemental Security Income (SSI)program or
from veterans'disability benefits.
393.063 (9), F.S. "Developmental disability"means a disorder or syndrome that is attributable to
retardation, cerebral palsy, autism, spina bifida, or Prader-Willi syndrome; that manifests before the age
of 18; and that constitutes a substantial handicap that can reasonably be expected to continue
indefinitely.
Certifications for SHIP Fiscal Year 2014-2015 Funding:
Collier County agrees that:
Local Government Name
1. The city/county has read and understands the legislative language above.
2. The city/county understands that we are required to meet the goals as described in the language for
the allocation of SHIP funds for fiscal year 2014-2015 in addition to meeting all other SHIP
program requirements in section 420.9071-9079, Florida Statutes, and chapter 67-37, Florida
Administrative Code.
3. The city/county will use at least 20%of the allocation of SHIP funds for fiscal year 2014-2015 for
special needs households as defined in section 420.0004 (13), Florida Statutes, and included below
through approved strategies or by incorporating new strategies, prioritizing funding for persons
with developmental disabilities as defined in section 393.063 (9), Florida Statutes, and included
below with an emphasis on home modifications, including technological enhancements and
devices.
4. The city/county agrees to tracking each household for special needs and will report such data as
part of the annual report or as required by FHFC.
Authorized Signature:
BOARD OF COUNTY COMMISSIONERS Approved for form and legality
OF COLLIER COUN , FLORIDA
TOM HENNING, CHAIR Ail Jenni er A. Belped • ssistant County Attorney Q) `be
This Certification has been approved on_ day of , i. 2014. Agenda Item# /(t, .0.i
Please return this completed forn#'as°a PDF dpcurr ent to robert.dearduff cr floridahousing.org
ATTEST:
&o � 8R0. K, Clerk
. . _`'�
(2)
By: