Backup Documents 09/23/2014 Item #16D 1 (SAWCC) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO D
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 6
Print on pink paper. Attach IS 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 an 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. Jennifer A. Belpedio, ACA County Attorney Office S 1)4.-
2. BCC Office Board of County b
Commissioners \rte/5Y 1k-ck\k
3. Minutes and Records Clerk of Court's Office i-_- l
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,Grant Coordinator Phone Number
Contact/ Department Housing,Human,Veterans Services 239-252-2 99
Department
Agenda Date Item was 9/23/14 J Agenda Item Number 16.D.1
Approved by the BCC
Type of Document Subrecipient Agreement—Shelter for Number of Original 3 originals
Attached Abused Women and Children 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's original signature? GS V
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A V
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 V`
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 1/
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip GS 1/
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 WO and all changes made during the GS V '
meeting have been incorporated in the attached document. The ounty Attorney's
Office has reviewed the changes,if applicable. 6.1\rl- 4-
9. Initials of attorney verifying that the attached document is the version approved by the S QQ,,
BCC,all changes directed by the BCC have been made,and the document is ready for the 1- r J� ;+
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
in I
MEMORANDUM
Date: September 29, 2014
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Subrecipient Agreement with
the Shelter for Abused Women and Children for the
Emergency Solutions Grant
Attached are two originals of the item referenced above, (Item #16D1) approved by
the Board of County Commissioners on Tuesday, September 23, 2014.
The Minutes and Record's Department has held the third original copy of the
agreement amendment for the Board's Official Record.
If you have any questions, please feel free to call me at 252-8411.
Thank you.
Attachment
161_1
Grant#-E-14-UC-12-0024E
CFDA/CSFA#- 14.231
Subrecipient—The Shelter for Abused
Women and Children, Inc.
DUNS#- 836680769
IDIS#ESG14-01
FEID #- 59-2752895
FY End 06/30
Monitoring Deadline 11/2015
AGREEMENT BETWEEN COLLIER COUNTY
AND
THE SHELTER FOR ABUSED WOMEN AND CHILDREN, INC. 0
rc\
THIS AGREEMENT is made and entered into this oc3 day of T244-57-by
and between Collier County, a political subdivision of the State of Florida, ("COUNTY" or "Grantee") having
its principal address as 3339 E. Tamiami Trail, Naples FL 34112, and "THE SHELTER FOR ABUSED
WOMEN AND CHILDREN, INC.", a private not-for-profit corporation existing under the laws of the State
of Florida, having its principal office at P.O. Box 10102,Naples, FL 34101.
WHEREAS, the COUNTY is an entitlement County of the United States Department of Housing and
Urban Development (HUD) for a grant to execute and implement the Emergency Solutions Grant (ESG) grant
program in certain areas of Collier County, pursuant to the Homeless Emergency Assistance and Rapid
Transition to Housing (HEARTH) Act (24 CFR 576) amending the McKinney-Vento Homeless Act (42 U.S.C.
11371-11378); and
WHEREAS, pursuant to the aforesaid agreement, COUNTY is undertaking certain activities to
primarily benefit homeless individuals in Collier County with the use of ESG funds; to improve the quality of
life in Collier County by providing assistance for any of the following five (5) program components (street
outreach, emergency shelter, homelessness prevention, rapid re-housing assistance and Homeless Management
Information System [HMIS]); and
WHEREAS, each year, the COUNTY prepares a One-Year Action Plan detailing how it intends to
allocate funds received from HUD to conduct eligible activities for the benefit of homeless residents; and
WHEREAS, the Board of County Commissioners of Collier County approved the Collier County
Consolidated Plan — One Year Action Plan for Federal Fiscal Year 2013-2014 for the ESG Program with
Resolution 2014-129 on June 24,2014—Agenda Item 16D8; and
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is agreed by the
Parties as follows:
I. SCOPE OF SERVICES
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The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards
required as a condition of providing ESG funds, as determined by Collier County Housing, Human and Veteran
Services (HHVS), perform the tasks necessary to conduct the program as follows:
A. PROJECT DETAILS
Emergency Solutions Grant ESG Program
Project Component One: Personnel costs to support a Security Officer for 42 weeks for thirty
(30) hours per week at $16.00 per hour. The Security Officer monitors the emergency shelter
facility which is vital to daily operations. 75% of their 40 hour week will be charged to the
project.
Project Component Two: Utilities - which includes electric, phone & internet, trash removal,
and water and sewer costs to operate the shelter facility.
Project Component Three: Insurance cost necessary for the operation of the emergency shelter.
Project Component Four: Shelter Operations: Food and security system monthly recurring and
maintenance expenses.
1. Project Tasks
a. Maintain documentation on all households served in compliance with
24 CFR 576.500
b. Provide quarterly reports on meeting an ESG National Objective
c. Provide Environmental Review Assessment
2. ESG Documentation Requirements Compliance Criteria
Activities carried out with funds provided under this Agreement will contribute to a
program designed to be the first step in a continuum of assistance to enable homeless
individuals and families to move toward independent living as well as prevent
homelessness, as defined in 24 CFR Part 576 (Subpart B Eligible Activities 576.21).
B. SPECIAL GRANT CONDITIONS
1. Within 60 days of the execution of this agreement, the Subrecipient must deliver to HHVS for
approval a detailed program schedule for the completion of key milestones for the program
including the environmental review.
2. The Subrecipient must have the environmental requirement cleared by the HHVS prior to the
incurrence of costs on activities that would limit the choice of reasonable alternatives.
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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. Fraud Policy
g. Equal Opportunity Policy
h. Residential Anti-displacement and Relocation Policy
i. Sexual Harassment Policy
j. 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)
k. Procedures for meeting the requirements set forth in Section 504 of the
Rehabilitation Act of 1973, as amended (29 U.S.C. 794)
All services/activities funded with ESG funds must meet one of the ESG program components as
defined in 24 CFR 576:
• Street Outreach: funds may cover costs related to essential services for unsheltered persons
(including emergency health or mental health care, engagement, case management and services
for special populations.
• Emergency Shelter: funds may be used for renovation of emergency shelter facilities and the
operation of those facilities, as well as services for the residents (including case management,
child care, education, employment assistance and job training, legal, mental health, substance
about treatment, transportation and services for special populations).
• Homelessness Prevention and Rapid Re-Housing: both components fund housing relocation
and stabilization services (including rental application fees, security deposits, utility deposits or
payments, last month's rent and housing search and placement activities). Housing may also be
used for short or medium term rental assistance for those who are at-risk of becoming homeless
or transitioning to stable housing.
• HMIS: funds may be used to pay the costs for contributing data to the HMIS designated by the
Continuum of Care for the area. Eligible activities include (computer hardware, software, or
equipment, technical support, office space, salaries of operators, staff training costs and
participation fees).
II. TIME OF PERFORMANCE
Services/Activities of the SUBRECIPIENT shall start on the 1St day of January, 2015 and end on the
31St day of October,2015. The services/activities of the SUBRECIPIENT shall be undertaken and completed
in light of the purposes of this Agreement. Any funds not obligated by the expiration date of this Agreement
shall automatically revert to the COUNTY.
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III. AGREEMENT AMOUNT
The COUNTY agrees to make available NINETY EIGHT THOUSAND SIXTY FOUR DOLLARS
($98,064) for the use by the SUBRECIPIENT during the Term of the Agreement (hereinafter, the aforestated
amount including, without limitation, any additional amounts included thereto as a result of a subsequent
amendment(s) to the Agreement, shall be referred to as the "Funds").
The budget identified for the Shelter Operations Project shall be as follows:
ESG
Line Item Description ESG Funds Match
Funds
(1:1)
Project Component One: Personnel: 75% of $20,160
1FTE Security Officer, 30 hours per week
annually @ $16 per hour x 42 weeks:
Project Component Two: Utilities which $70,600
includes electric, phone & internet, trash
removal, and water and sewer costs to
operate the shelter facility.
Project Component Three: Insurance cost $4,804
necessary for the operation of the
emergency shelter.
Project Component Four: Shelter $2,500
Operations: Security system expenses and
Food to be purchased and provided for
persons to be served
ESG Match Requirement Documentation of ESG $98,064
Eligible matching funds
Modifications to the "Budget and Scope" may only be made if approved in advance. Budgeted fund
shifts between project components shall not be more than 10% and does not signify a change in scope. Fund
shifts that exceed 10% of a project component shall only be made with board approval.
All services/activities specified in Section I. Scope of Services shall be performed by SUBRECIPIENT
employees or shall be put out to competitive bidding under a procedure acceptable to the COUNTY and that
meets Federal requirements. The SUBRECIPIENT shall enter into contract for improvements with the lowest,
responsive and qualified bidder as further set for the in Section IX.D. of this Agreement. Contract
administration shall be handled by the SUBRECIPIENT and monitored by HHVS, which shall have access to
all records and documents related to the project.
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. SUBRECIPIENT may not request
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disbursement of ESG 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. Explanations will be required if two
consecutive months of $0 invoices are submitted. 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. Final invoices are due no
later than 90 days after the end of the agreement. Work performed during the term of the program but not
invoiced within 90 days without written exception from the Grant Coordinator will not be reimbursed The
County Manager or designee may extend the term of this Agreement for a period of up to 180 days. The
extension must be authorized prior to the expiration of the agreement. The extension must be authorized in
writing by formal letter to the Subrecipient.
No payment will be made until approved by HHVS 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 project deliverables and payment schedule:
PAYMENT DELIVERABLES
Deliverable Payment-Supporting Documents Submission Schedule
Project Component One: funding will Upon invoicing using Exhibit B Monthly
assist with emergency shelter personnel will reimburse allowable expenses
support of a Security Coordinator with documentation including but
(including taxes). not limited to properly completed
invoice, timesheets, payroll,
Project Component Two: Utilities which banking, canceled checks, utility
includes electric, phone & internet, trash document(s), and any additional
removal, and water and sewer costs to supporting documentation as
operate the shelter facility. needed.
Project Component Three: Insurance cost
necessary for the operation of the Final 10% ($9,806.40) released
emergency shelter. upon documentation of a
minimum of 450 persons served.
Project Component Four: Shelter Retainage will be deducted from
Operation: Security system expenses and each invoice.
Food to be purchased and provided for
persons to be served
ESG Match Supporting Match documentation Monthly
from Thrift Shoppe Revenue
PROGRAM DELIVERABLES
Deliverable Program—Deliverable Supporting Submission Schedule
Documents
Creation and maintenance of income N/A Ongoing
eligibility files on clients served
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Progress Reports Exhibit C Quarterly
Proof of Insurance Insurance Certificate Annually within 30
days of renewal
Affirmative Action Plan Plan Documents Within 60 days of
executed agreement
and updates submitted
annually
Annual Audit Audit Report with Management 6/30 annually
Letter and Exhibit E
IV. NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid),
commercial courier, and personal delivery, sent by facsimile or other electronic means. Any notice delivered or
sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written
communications under this Agreement shall be addressed to the individuals in the capacities indicated below,
unless otherwise modified by subsequent written notice.
COLLIER COUNTY ATTENTION: Gino Santabarbara, Grant Coordinator
3339 E Tamiami Trail, Suite 211
Naples, Florida 34112
239-252-2399
mailto:SantabarbaraGino @colliergov.net
SUBRECIPIENT ATTENTION: Rosa Leon, Grants Officer
The Shelter for Abused Women& Children
P.O. Box 10102
Naples, FL 34101
V. ADDITIONAL CONDITIONS AND COMPENSATION
The parties acknowledge that the Funds originate from ESG grant funds from HUD and must be
implemented in full compliance with all of HUD's rules and regulations and any agreement between COUNTY
and HUD governing ESG funds pertaining to this Agreement. In the event of curtailment or non-production of
said federal funds, the financial sources necessary to continue to pay the SUBRECIPIENT all or any portions of
the funds will not be available. In that event, the COUNTY may terminate this Agreement, which termination
shall be effective as of the date that it is determined by the County Manager or designee, in his-her sole
discretion and judgment, that the Funds are no longer available. In the event of such termination, the
SUBRECIPIENT agrees that it will not look to, nor seek to hold the COUNTY, nor any individual member of
the County Commissioners and/or County Administration, personally liable for the performance of this
Agreement, and the COUNTY shall be released from any further liability to SUBRECIPIENT under the terms
of this Agreement.
VI. GENERAL CONDITIONS
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A. SUBCONTRACTS
No part of this Agreement may be assigned or subcontracted without the written consent of the
COUNTY, which consent, if given at all, shall be at the COUNTY's sole discretion and judgment.
B. GENERAL COMPLIANCE
The SUBRECIPIENT agrees to comply with the requirements of Title 24 of the Code of Federal
Regulations, Part 576, the U.S. Housing and Urban Development regulations concerning HEARTH Act. The
SUBRECIPIENT also agrees to comply with all other applicable Federal, state and local laws, regulations, and
policies governing the funds provided under this contract. The SUBRECIPIENT further agrees to utilize funds
available under this Agreement to supplement rather than supplant funds otherwise available.
C. INDEPENDENT CONTRACTOR
Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating or
establishing the relationship of employer/employee between the parties. The SUBRECIPIENT shall at all times
remain an "independent contractor" with respect to the services to be performed under this Agreement. The
COUNTY shall be exempt from payment of all Unemployment Compensation, FICA, retirement, life and/or
medical insurance and Workers' Compensation Insurance, as the SUBRECIPIENT is an independent
contractor.
D. AMENDMENTS
The COUNTY or SUBRECIPIENT may amend this Agreement at any time provided that such
amendments make specific reference to this Agreement, and are executed in writing, signed by a duly
authorized representative of each organization, and approved by the COUNTY's governing body. Such
amendments shall not invalidate this Agreement, nor relieve or release the COUNTY or SUBRECIPIENT from
its obligations under this Agreement. No amendments to this agreement will be granted ninety (90) days prior to
end date of this agreement.
The COUNTY may, in its discretion, amend this Agreement to conform with Federal, state or local
governmental guidelines, policies and available funding amounts, or for other reasons. If such amendments
result in a change in the funding, the scope of services, or schedule of the activities to be undertaken as part of
this Agreement, such modifications will be incorporated only by written amendment signed by both Grantee
and SUBRECIPIENT.
Expiration of Agreement: If the SUBRECIPIENT does not complete the project within the time period,
the COUNTY Manager or designee may grant a cumulative time extension of no more than 180 days and
modify any subsequent project work plans to reflect the extension. The request must be submitted no later than
ninety (90) days prior to end date of the Agreement.
E. INDEMNIFICATION
To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold
harmless Collier County, its officers, agents and employees from any and all claims, liabilities, damages, losses,
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costs, and causes of action which may arise out of an act, omission, including, but not limited to, reasonable
attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally
wrongful conduct of the SUBRECIPIENT or any of its agents, officers, servants, employees, contractors,
patrons, guests, clients, licensees, invitees, or any persons acting under the direction, control, or supervision of
the SUBRECIPIENT in the performance of this Agreement. This indemnification obligation shall not be
construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an
indemnified party or person described in this paragraph. The SUBRECIPIENT shall pay all claims and losses of
any nature whatsoever in connection therewith and shall defend all suits in the name of the COUNTY and shall
pay all costs (including attorney's fees) and judgments which may issue thereon. This Indemnification shall
survive the termination and/or expiration of this Agreement. This section does not pertain to any incident
arising from the sole negligence of Collier County. The foregoing indemnification shall not constitute a waiver
of sovereign immunity beyond the limits set forth in Section 768.28, Florida Statutes. This section shall
survive the expiration or termination of this Agreement.
F. COUNTY RECOGNITION/SPONSORSHIPS
The SUBRECIPIENT agrees that all notices, informational pamphlets, press releases, advertisements,
descriptions of the sponsorships of the Program, research reports and similar public notices prepared and
released by the SUBRECIPIENT for, on behalf of, and/or about the Program shall include the statement:
"FINANCED BY U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
(HUD) AND COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
DEPARTMENT"
and shall appear in the same size letters or type as the name of the SUBRECIPIENT. This design concept is
intended to disseminate key information regarding the development team as well as Equal Housing Opportunity
to the general public. Construction signs shall comply with applicable COUNTY codes.
G. DEFAULTS, REMEDIES AND TERMINATION
In accordance with 24 CFR 576, this Agreement may also be terminated for convenience by either the
Grantee or the SUBRECIPIENT, in whole or in part, by setting forth the reasons for such termination, the
effective date, and, in the case of partial terminations, the portion to be terminated. However„ if in the case of a
partial termination, the Grantee determined that the remaining portion of the award will not accomplish the
purpose for which the award was made, the Grantee may terminate the award in its entirety.
(A) The following actions or inactions by SUBRECIPIENT shall constitute a Default under this
Agreement
1. Failure to comply with any of the rules, regulations or provisions referred to herein, or such
statutes, regulations, executive orders, and HUD guidelines, policies or directives as may
become applicable at any time;
2. Failure, for any reason, of the SUBRECIPIENT to fulfill in a timely and proper manner its
obligations under this Agreement;
3. Ineffective or improper use of funds provided under this Agreement; or
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4. Submission by the SUBRECIPIENT to the Grantee reports that are incorrect or incomplete in
any material respect.
5. Submission by the SUBRECIPIENT of any false certification;
6. Failure to materially comply with any terms of this Agreement; and
7. Failure to materially comply with the terms of any other agreement between the County and
the SUBRECIPIENT relating to the project.
In the event of any default by SUBRECIPIENT under this Agreement, the County may seek any
combination of one or more of the following remedies:
1. Require specific performance of the Agreement, in whole or in part;
2. Require the use of or change in professional management;
3. Require immediate repayment by SUBRECIPIENT to the County of all ESG funds
SUBRECIPIENT has received under this Agreement;
4. Apply sanctions set forth in 24 CFR 576, if determined by the County to be applicable;
5. Stop all payments until identified deficiencies are corrected;
6. Terminate this Agreement by giving written notice to SUBRECIPIENT of such termination
and specifying the effective date of such termination. If the Agreement is terminated by the
County as provided herein, SUBRECIPIENT shall have no claim of payment or claim of
benefit for any incomplete project activities undertaken under this Agreement.
H. MATCH REQUIRED
SUBRECIPIENT must match ESG grant funds dollar-for-dollar pursuant to 24 CFR 576.201. Matching
funds shall be provided after the date of the grant award. Funds used to match a previous ESG grant may not be
used to match a subsequent grant award. A SUBRECIPIENT may comply with is requirement by providing the
matching funds from any source, including any Federal source other than the ESG program, as well as state,
local and private sources. The SUBRECIPIENT must ensure the laws governing any federal funds to be used do
not prohibit those funds from being used to match ESG funds. In order to meet the matching requirement, the
matching contributions must meet all the requirements that apply to the ESG funds provided by HUD as
required by 24 CFR 576.201(c). Matching contributions may be in the form of the following:
1. Cash contributions; or
2. Non-cash contributions, calculated per requirements in 24 CFR 576.201(e), include the value of any
real property, equipment, goods, or services contributed to the SUBRECIPIENT's ESG program,
provided that if the SUBRECIPIENT had to pay for them with grant funds, the costs would have
been allowable. Non-cash contributions may include:
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a. The purchase value of any donated material or building. SUBRECIPIENT shall determine
the value of any donated material or building, or of any lease, using a method reasonably
calculated to establish a fair market value.
b. Match in the form of services provided by individuals must be valued at rates consistent with
those ordinarily paid for similar work in the SUBRECIPIENT's organization. If the
SUBRECIPIENT does not have employees performing similar work the rates must be
consistent with those ordinarily paid by other employers for similar work in the same labor
market.
3. Costs paid by program income shall count toward meeting the SUBRECIPIENT's matching
requirements, provided the costs are eligible ESG costs that supplement the ESG program.
VII. REVERSION OF ASSETS
In the event of a termination of this Agreement or upon expiration of the Agreement and in addition to
any and all other remedies available to the COUNTY (whether under this Agreement or at law or in equity) the
SUBRECIPIENT shall immediately transfer to the COUNTY any funds on hand at the time of termination (or
expiration) and any accounts receivable attributable to the use of ESG funds.
The COUNTY's receipt of any funds on hand at the time of termination shall not waive the COUNTY's
right (nor excuse SUBRECIPIENT's obligation) to recoup all or any portion of the funds, as the COUNTY may
deem necessary.
Any real property under the SUBRECIPIENT's control that was acquired or improved in whole or in
part with ESG funds in excess of$25,000 as outlined in 24 CFR 576 must either:
a. Be used to meet one of the ESG program components in 24 CFR 576.500(y) until five (5) years after
expiration of the term of this Agreement or for such longer period of time as determined to be
appropriate by the COUNTY and as memorialized by the COUNTY and the SUBRECIPIENT in an
amendment to this Agreement or such instrument as the COUNTY at its discretion determines
appropriate; or
b. If not used in accordance with the above subsection (a) the SUBRECIPIENT shall pay to the
COUNTY an amount equal to the current market value of the property less any portion of the value
attributable to expenditures of non-ESG funds for the acquisition of or improvements to, the
property. No payment is required after the period of time specified in subsection (a).
VIII. INSURANCE
SUBRECIPIENT shall not commence any work and/or services pursuant to this Agreement until all
insurance required under this Section and outlined in Exhibit "A" has been obtained, and carried, at all times
during its performance.
IX. ADMINISTRATIVE REQUIREMENTS
A. EXAMINATION OF RECORDS
The SUBRECIPIENT shall maintain sufficient records in accordance with 24 CFR 576.500 to determine
compliance with the requirements of this Agreement, the ESG Program and all other applicable laws and
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regulations. This documentation shall include, but not be limited to, the following:
B. DOCUMENTATION AND RECORDKEEPING
1. The SUBRECIPIENT shall maintain all records by the Federal regulation specified in 24 CFR
576.500 that are pertinent to the activities to be funded under this Agreement.
2. SUBRECIPIENT shall keep and maintain public records that ordinarily and necessarily would be
required by COUNTY in order to perform the service.
3. All reports, plans, surveys, information, documents, maps, books, records and other data
procedures developed, prepared, assembled, or completed by the SUBRECIPIENT for the
purpose of this Agreement shall be made available to the COUNTY by the SUBRECIPIENT at
any time upon request by the COUNTY or HHVS. Materials identified in the previous sentence
shall be in accordance with generally accepted accounting principles, procedures and practices,
which sufficiently and properly reflect all revenues and expenditures of funds provided directly
or indirectly by this Agreement, including matching funds and Program Income. These records
shall be maintained to the extent of such detail as will properly reflect all net costs, direct and
indirect labor, materials, equipment, supplies and services, and other costs and expenses of
whatever nature for which reimbursement is claimed under the provisions of this Agreement.
4. Upon completion of all work contemplated under this Agreement copies of all documents and
records relating to this Agreement shall be surrendered to HHVS if requested. In any event the
SUBRECIPIENT shall keep all documents and records in an orderly fashion in a readily
accessible, permanent and secured location for five (5) years, as required by 24 CFR 576.500(y),
after expiration of this Agreement with the following exception: if any litigation, claim or audit
is started before the expiration date of the 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 576.500(y). 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.
5. The SUBRECIPIENT shall maintain client data demonstrating client eligibility for services
provided following confidentiality as required by 24 CFR 576.500(x). Such data shall include,
but not be limited to, client name, address, income level or other basis for such determining
eligibility of client being homeless or "at risk of homelessness", all required data to adhere to
HMIS standards and description of service provided as required by 24 CFR 576.500. Such
information shall be made available to COUNTY monitors or their designees for review upon
request. The SUBRECIPIENT agrees that HHVS shall be the final arbiter on the
SUBRECIPIENT's compliance.
6. The SUBRECIPIENT must keep documentation showing that ESG grant funds were spent on
allowable costs in accordance with the requirements for eligible activities under 24 CFR 576.101
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through 576.109 and the cost principles in OMB Circulars A-87 (24 CFR Part 225) and A-122 (2
CFR Part 230).
7. The SUBRECIPIENT agrees to comply with 24 CFR 84.21-28 and agrees to adhere to the
accounting principles and procedures required therein, utilize adequate internal controls and
maintain necessary source documentation for all costs incurred.
8. The SUBRECIPIENT must develop and implement written procedures for confidentiality to
ensure:
a. All records containing personally identifying information (as defined in HUD's standards for
participation, data collection, and reporting in a local HMIS) of any individual or family who
applies for and/or receives ESG assistance will be kept secure and confidential;
b. The address or location of any domestic violence, dating violence, sexual assault, or stalking
shelter project assisted under the ESG will not be made public, except with written
authorization of the person responsible for the operation of the shelter; and
c. The address or location of any housing of a program participant will not be made public,
except as provided under a pre-existing privacy policy of the SUBRECIPIENT and
consistent with state and local laws regarding privacy and obligations of confidentiality; and
d. The confidentiality procedures of the SUBRECIPIENT must be in writing and must be
maintained in accordance with 24 CFR 576.500(x).
e. Disclosure — The SUBRECIPIENT understand that client information collected under this
Agreement is private and the use or disclosure of such information, when not directly
connected with the administration of the COUNTY or SUBRECIPIENT's responsibilities
with respect to services provided under this Agreement, is prohibited by applicable State or
Federal law unless written consent is obtained from such person receiving service and, in the
case of a minor, that of a responsible parent/guardian. The SUBRECIPIENT's written
procedures shall ensure confidentiality of records pertaining to the provision of family
violence prevention or treatment services with assistance as required by 24 CFR 576.500(x)
as set forth in 42 U.S.C. 11375(c)(5).
C. REPORTS AND EVALUATIONS (MONITORING)
Reimbursement may be contingent on the timely receipt of complete and accurate reports required by
this Agreement, and on the resolution of monitoring findings identified pursuant to this Agreement as deemed
necessary by the County Manager or designee.
During the term, SUBRECIPIENT shall submit quarterly progress reports based on Universal Data
Elements collected at the time of assessment. The COUNTY shall receive the reports electronically on the 15th
day of April, July, October and January respectively for the prior quarter period end. As part of the report
submitted in April 2015, the SUBRECIPIENT also agrees to include, a comprehensive final report covering the
agreed-upon Program objectives, activities and expenditures and including, but not limited to, performance data
on client feedback with respect to the goals and objectives set forth in Exhibit "C". Exhibit "C" contains an
example reporting form to be used in fulfillment of this requirement. Other reporting requirements may be
required by the County Manager or their designee in the event of Program changes; the need for additional
information or documentation arises; and/or legislative amendments are enacted. Reports and/or requested
documentation not received by the due date shall be considered delinquent and may be cause for default and
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termination of this Agreement.
The SUBRECIPIENT must participate in a HMIS at least on a quarterly basis. If a SUBRECIPIENT is a
victim service provider, it may use a comparable database that collects client-level data over time and generates
unduplicated aggregate reports based on the data. A victim service provider means a private nonprofit
organization whose primary mission is to provide services to victims of domestic violence, dating violence,
sexual assault or stalking. This term includes rape crisis centers, battered women's shelters, domestic violence
transitional housing programs and other programs.
During the term, SUBRECIPIENT shall submit an annual audit monitoring report (Exhibit D) to the
COUNTY no later than 180 days after the SUBRECIPIENT's fiscal year end.
The SUBRECIPIENT agrees that HHVS will carry out no less than one (1) annual on-site monitoring
visit and evaluation activities as determined necessary. At the COUNTY's discretion, a desk top review of the
activities may be conducted in lieu of an on-site visit. The continuation of this Agreement is dependent upon
satisfactory evaluations. The SUBRECIPIENT shall, upon the request of HHVS, submit information and status
reports required by HHVS or HUD to enable HHVS to evaluate said progress and to allow for completion of
reports required. The SUBRECIPIENT shall allow HHVS or HUD to monitor the SUBRECIPIENT on site.
Such site visits may be scheduled or unscheduled as determined by HHVS or HUD.
D. PURCHASING
All purchasing for services and goods, including capital equipment, shall be made by purchase order or
by a written contract and in compliance with thresholds of the Collier County Purchasing Policy, as shown
below. Should there be a conflict; the Purchasing Policy Thresholds will prevail.
Dollar Range ($) Quotes
Under$3K 1 Written Quote
$3K to $50K 3 Written Quotes
Request for Proposal (RFP)
Above $50K Invitation to Bid (ITB)
E. AUDITS AND INSPECTIONS
At any time during normal business hours and as often as the COUNTY (and/or its representatives) may
deem necessary, the SUBRECIPIENT shall make available all records, documentation and any other data
relating to all matters covered by the Agreement for review, inspection or audit.
F. QUESTIONED COSTS
If the SUBRECIPIENT submits charges and receives payment from the grant that are subsequently
questioned and disallowed. If the SUBRECIPIENT does not agree to repay the disallowed costs in a lump sum
payment by the date specified or begin and/or continue repayment under an installment plan approved by the
COUNTY, appropriate action, such as suspension of any current or future contract payments, termination of
Agreement(s), referral to COUNTY legal for further actions or any other appropriate actions necessary will be
taken to recover the disallowed costs. For purposes herein, the term "findings" refers to a deficiency in program
performance based on a statutory, regulatory or Agreement requirement for which sanctions or other corrective
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actions are authorized. 160
G. PROGRAM-GENERATED INCOME
Any "Program Income" (as such term is defined in 24 CFR 85.25 and 24 CFR 576.2) gained from any activity
of the SUBRECIPIENT funded by ESG funds shall be reported to the COUNTY, through an annual program
income re-use plan. The COUNTY shall approve the program income re-use plan utilized by the
SUBRECIPIENT and shall be in compliance with 24 CFR 576 in the operation of the Program
H. GRANT CLOSEOUT PROCEDURES
SUBRECIPIENT's obligation to the COUNTY shall not end until all closeout requirements are
completed. Activities during this closeout period shall include, but not be limited to: making final payments,
disposing of program assets (including the return of all unused materials, equipment, program income balances,
and receivable accounts to the COUNTY), and determining the custodianship of records. In addition to the
records retention outlined in Section IX.B.4, the SUBRECIPIENT shall comply with Section 119.021 Florida
Statutes regarding records maintenance, preservation and retention. A conflict between state and federal law
records retention requirements will result in the more stringent law being applied such that the record must be
held for the longer duration. Any balance of unobligated funds which have been advanced or paid must be
returned to the County. Any funds paid in excess of the amount to which the SUBRECIPIENT is entitled under
the terms and conditions of this Agreement must be refunded to the COUNTY. SUBRECIPIENT shall also
produce records and information that complies with Section 215.97, Florida Single Audit Act.
I. CORRECTIVE ACTION
Corrective action plans may be required for noncompliance, nonperformance, or unacceptable
performance under this contract. Penalties may be imposed for failures to implement or to make acceptable
progress on such corrective action plans.
In order to effectively enforce Resolution No. 2013-228, Housing Human and Veteran Services (HHVS)
has adopted an escalation policy to ensure continued compliance by SUBRECIPIENTS, Developers, or any
entity receiving grant funds from HHVS. HHVS's policy for escalation for non-compliance is as follows:
1. Initial non-compliance may result in Findings or Concerns being issued to the entity and will require
a corrective action plan be submitted to the Department within 15 days following the monitoring
visit.
o Any pay requests that have been submitted to the Department for payment will be held until the
corrective action plan has been submitted.
o HHVS will be available to provide Technical Assistance (TA) to the entity as needed in order to
correct the non-compliance issue.
2. If in the case an Entity fails to submit the corrective action plan in a timely manner to the
Department, the Department may require a portion of the awarded grant amount be returned to the
Department.
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o The County may require upwards of five percent (5%) of the acquisition amount be returned to
the Department, at the discretion of the Board of County Commissioners.
o The entity may be considered in violation of Resolution No. 2013-228
3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an issue that was
previously corrected, and has been informed by the Department of their substantial non-compliance
by certified mail; the Department may require a portion of the awarded grant amount or the amount
of the CDBG investment for acquisition of the properties conveyed, be returned to the Department.
o The Department may require upwards of ten percent(10%) of the acquisition amount be returned
to the Department, at the discretion of the Board of County Commissioners.
o The entity will be considered in violation of Resolution No. 2013-228
4. If in the case after repeated notification the Entity continues to be substantially non-compliant, the
Department may recommend the contract or award be terminated.
o The Department will make a recommendation to the Board of County Commissioners to
immediately terminate the agreement or contract. The Entity will be required to repay all funds
disbursed by the County for project that was terminated. This includes the amount invested by
the County for the initial acquisition of the properties.
o The entity will be considered in violation of Resolution No. 2013-228
If in the case the Entity has multiple agreements with the Department and is found to be non-compliant, the
above sanctions may be imposed across all awards at the discretion of the Board of County Commissioners.
X. OTHER PROGRAM REQUIREMENTS
A. OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE
The SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be subjected to,
discrimination under any activity carried out by the performance of this Agreement on the basis of race, color,
disability, national origin, religion, age, familial status, or sex. Upon receipt of evidence of such discrimination,
the COUNTY shall have the right to terminate this Agreement.
1. To the greatest extent feasible, homeless individuals have priority over other Section 3 residents in
accordance with 24 CFR 576.405(c). Section 3 of the Housing and Urban Development Act of 1968 as
amended (12 U.S.C. 1701u) and implementing regulations at 24 CFR Part 135 requires that to the greatest
extent feasible employment and economic opportunities be directed to low and very low income residents of
the and that contracts for work in connection with the project be awarded to business concerns that provide
economic opportunities for low and very low income persons residing in the metropolitan area(as defined in
42 U.S.C. 5302(a)) in which the project is located. To the maximum extent practicable the SUBRECIPIENT
shall involve homeless individuals and families in constructing, renovating, maintaining and operating
facilities assisted under ESG, in providing services assisted under ESG, and in providing services for
occupants of facilities assisted under ESG. This involvement may include employment or volunteer
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services. Section 3 is relative to any of the SUBRECIPIENT's subcontractors, their successors and assigns,
to those sanctions specified by the Agreement through which Federal assistance is provided. The
SUBRECIPIENT certifies and agrees that no contractual or other disability exists that would prevent
compliance with these requirements.
B. OPPORTUNITIES FOR SMALL AND MINORITY/WOMEN-OWNED BUSINESS
ENTERPRISES
The SUBRECIPIENT will use its best efforts to afford small businesses, minority business enterprises,
and women's business enterprises the maximum practicable opportunity to participate in the performance of this
contract. As used in this contract, the terms "small business" means a business that meets the criteria set forth in
section 3(a) of the Small Business Act, as amended (15 U.S.C. 632), and "minority and women's business
enterprise" means a business at least fifty-one (51) percent owned and controlled by minority group members or
women. For the purpose of this definition, "minority group members" are Afro-Americans, Spanish-speaking,
Spanish surnamed or Spanish-heritage Americans, Asian-Americans, and American Indians. The
SUBRECIPIENT may rely on written representations by businesses regarding their status as minority and
female business enterprises in lieu of an independent investigation.
C. AFFIRMATIVE ACTION PLAN
The SUBRECIPIENT agrees that it shall be committed to carry out pursuant to the COUNTY's
specifications an Affirmative Action Program in keeping with the principles as provided in President's
Executive Order 11246 of September 24, 1966. The COUNTY shall provide Affirmative Action guidelines to
the SUBRECIPIENT to assist in the formulation of such program. The SUBRECIPIENT shall submit a plan for
an Affirmative Action Program within 60 days of award of contract execution.
D. CONFLICT OF INTEREST
The SUBRECIPIENT must keep records to show compliance with the organizational conflicts of
interest requirements in 24 CFR 576.404(a) and 24 CFR 84.42, a copy of the personal conflicts of interest
policy or codes of conduct developed and implemented to comply with the requirements in 24 CFR 576.404(b)
and records supporting exceptions to the personal conflicts of interest prohibitions.
E. EMERGENCY SHELTERS
Any emergency shelter that receives assistance for shelter operations must also meet minimum safety,
sanitation and privacy standards (Exhibit E) as required by 24 CFR 576.403(b).
F. PERMANENT HOUSING
Assistance for program participants to remain or move into housing must meet the minimum habitability
standards (Exhibit F) provided in 24 CFR 576.403(c) and all applicable state and local housing codes, licensing
requirements and any other requirements in the jurisdiction in which the housing is located regarding the
condition of the structure and the operation of the housing.
G. COORDINATION WITH CONTINUUM OF CARE AND OTHER PROGRAMS
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The SUBRECIPIENT must document their compliance with the requirements of 24 CFR 576.400 for
consulting with the Continuum of Care and coordinating and integrating ESG assistance with programs targeted
toward homeless people and mainstream service and assistance programs (Exhibit G).
H. HOMELESS PARTICIPATION
The SUBRECIPIENT must document its compliance with the homeless participation requirements
under 24 CFR 576.405(c).
I. CENTRALIZED OR COORDINATED ASSESSMENT SYSTEMS AND PROCEDURES
The SUBRECIPIENT must keep documentation evidencing the use of and written intake procedures for
the centralized or coordinated assessment system(s) developed by the Continuum of Care in accordance with
the requirements established by HUD and identified in 24 CFR 576.500(g).
XI. CONDITIONS FOR RELIGIOUS ORGANIZATIONS
The SUBRECIPIENT must document their compliance with the faith-based activities requirements
under 24 CFR 576.406 and will not utilize ESG funds for inherently religious activities prohibited in the federal
statute, such as worship, religious instruction or proselytization.
XII. SEVERABILITY
Should any provision of the Agreement be determined to be unenforceable or invalid, such a
determination shall not affect the validity or enforceability of any other section or part thereof.
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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 C TY CI MISSIONERS OF
DWIGHT E. BRO ' , CLERK COLLIER INTY, '��,R1DA •
L. By: i
AtteStStrCliainiViisuty Clerk TOM HENNING, CHAIRMAN
signature linty.
(SEAL)
THE SHELTER FOR ABUSED WOMEN AND
CHILDREN, INC.
By:
Signature
Linda Oberhaus, Executive Director
Print Name, &Title
Approved as to form and legality:
Jenn r A.Belpe 1,~\
Assistant County Attorney
� c}
Item# �J I
Agenda p_1241-3-1 Y
Date
Date al I Zilo .1tf
Recd
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EXHIBIT "A"
INSURANCE REQUIREMENTS
The SUBRECIPIENT shall furnish to Collier County, c/o Housing, Human and Veteran Services
Department, 3339 E. Tamiami Trail, Suite 211, Naples, Florida 34112, Certificate(s) of Insurance evidencing
insurance coverage that meets the requirements as outlined below:
1. Workers' Compensation as required by Chapter 440, Florida Statutes.
2. Commercial General Liability including products and completed operations insurance in the
amount of$1,000,000 per occurrence and $2,000,000 aggregate. Collier County must be shown
as an additional insured with respect to this coverage.
3. Automobile Liability Insurance covering all owned, non-owned and hired vehicles used in
connection with this contract in an amount not less than $1,000,000 combined single limit for
combined Bodily Injury and Property Damage. Collier County shall be named as an additional
insured.
DESIGN STAGE(IF APPLICABLE)
In addition to the insurance required in 1 — 3 above, a Certificate of Insurance must be provided as
follows:
4. Professional Liability Insurance in the name of the SUBRECIPIENT or the licensed design
professional employed by the SUBRECIPIENT in an amount not less than $1,000,000 per
occurrence/$1,000,000 aggregate providing for all sums which the SUBRECIPIENT and/or the
design professional shall become legally obligated to pay as damages for claims arising out of
the services performed by the SUBRECIPIENT or any person employed by the
SUBRECIPIENT in connection with this contract. This insurance shall be maintained for a
period of two (2) years after the certificate of Occupancy is issued. Collier County shall be
named as an additional insured.
CONSTRUCTION PHASE(IF APPLICABLE)
In addition to the insurance required in 1 — 4 above, the SUBRECIPEINT shall provide or cause its
Subcontractors to provide original certificates indicating the following types of insurance coverage prior to any
construction:
5. Completed Value Builder's Risk Insurance on an "All Risk" basis in an amount not less than one
hundred (100%) percent of the insurable value of the building(s) or structure(s). The policy shall
be in the name of Collier County and the SUBRECIPIENT.
6. In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C.
4001), the Subrecipient shall assure that for activities located in an area identified by the Federal
Emergency Management Agency (FEMA) as having special flood hazards, flood insurance
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under the National Flood Insurance Program is obtained and maintained as a condition of
financial assistance for acquisition or construction purposes (including rehabilitation).
OPERATION/MANAGEMENT PHASE(IF APPLICABLE)
After the Construction Phase is completed and occupancy begins, the following insurance must be kept
in force throughout the duration of the loan and/or contract:
7. Workers' Compensation as required by Chapter 440, Florida Statutes.
8. Commercial General Liability including products and completed operations insurance in the
amount of$1,000,000 per occurrence and $2,000,000 aggregate. Collier County must be shown
as an additional insured with respect to this coverage.
9. Automobile Liability Insurance covering all owned, non-owned and hired vehicles used in
connection with this contract in an amount not less than $1,000,000 combined single limit for
combined Bodily Injury and Property Damage. Collier County as an additional insured.
10. Property Insurance coverage on an "All Risk" basis in an amount not less than one hundred
(100%) of the replacement cost of the property. Collier County must be shown as a Loss payee
with respect to this coverage A.T.I.M.A.
11. Flood Insurance coverage for those properties found to be within a flood hazard zone for the full
replacement values of the structure(s) or the maximum amount of coverage available through the
National Flood Insurance Program (NFIP). The policy must show Collier County as a Loss
Payee A.T.I.M.A.
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EXHIBIT "B" 16 13 1
COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
Sub recipient Name: The Shelter for Abused Women and Children, Inc
Sub recipient Address: P.O. Box 10102,Naples, FL 34101
Project Name: Emergency Solutions Grant Emergency Shelter Operations Project
Project No: CD14-02 Payment Request#
Total Payment minus Retainage:
Period of Availability: 10/01/14—09/30/15
The Agency has incurred the indebtedness listed below between and
SECTION II: STATUS OF FUNDS
1. Grant Amount Awarded $
2. Sum of Past Claims Paid on this Account $
3. Total Grant Amount Awarded Less Sum Of
Past Claims Paid on this Account $
4. Amount of Previous Unpaid Requests (Include Retainage) $
5. Amount of Today's Request $
6. 10% Retainage Amount Withheld $
7. Current Grant Balance (Initial Grant Amount
Awarded Less Sum of all requests) $
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
(approval required $15,000 and above) (approval required $15,000 and above)
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tool
EXHIBIT "C"
Emergency Shelter Grants (ESG) Program Client Characteristics Report
Report Period:
Fiscal Year:
Contract Number:
Organization/s:
Program/s:
Contact Name:
Contact Number:
Elderly:
1. Ethnicity and Race of clients served:
Non Hispanic Hispanic
0 0
0 0
Report Selection Criteria o 0
0 o
White Black/African American Asian American Indian/Alaskan Native 0 0
Native Hawaiian/Other Pacific Islander American Indian/Alaskan 0 0
Native/White Asian and White Black/African American and White 0 0
American Indian/Alaskan Native and Black African American 0 0
0 0
Other/Multi-Racial TOTAL 0 0
0 Barracks
Group/Large House
UNKNOWN 0 0 -Scattered Site Apartment
Single Family Detached House
Single Room Occupancy
2. Number of adults and children served: Mobile Home/Trailer
Hotel/Motel
a. Residential Other Apartment/Complex
Other Single Family Duplex
Number of Adults
Number of Children
Number of Unknown Age
b. Non Residential
Number of Adults
Number of Children
Number of Unknown Age
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V. 2012
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3. Number of individuals/families served, by categories:
Number of individual households(singles)
Unaccompanied 18 and over Male Female
Unaccompanied 17 and under Male Female
Number of Families with children
Headed by single 18 and over Male Female
Headed by single 17 and under Male Female
Headed by two parents 18 and over
Headed by two parents 17 and under
Number of Families with no children
TOTAL
4. Total project(s)/service(s) provided to clients in range:
a. emergency shelter facilities shelter h. employment I. transitional
b. vouchers for shelters 1. outreach
c. drop-in center k. soup kitchen/meal distribution
d. food pantry I. health care
e. mental health m. HIV/AIDS services
f. alcohol/drug n. other(please list)
g. child care
5. Number of clients served by sub population (duplicated count):
a. Chronically Homeless g. Severely Mentally Ill
b. Victims of Domestic Violence h. runaway/throwaway youth
c. Elderly h. Other disability (Physical and/or Developmental)
d. Veterans
e. Individuals with HIV/AIDS
f.Chronic Substance Abuse(alcohol and/or drug)
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(Chronically Homeless-HUD definition of a chronically homeless person is an unaccompanied homeless individual with a disabling condition who has
either. 1)been continuously homeless for a year a more, or 2)has had at least four episodes of homelessness in the past three years.)
6. Clients housed by shelter type:
Non Hispanic Hispanic
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 0
0 Barracks
Group/Large House
-Scattered Site Apartment
Single Family Detached House
Single Room Occupancy
Mobile Home/Trailer
Hotel/Motel
Other Apartment/Complex
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EXHIBIT "D"
ANNUAL AUDIT MONITORING REPORT
OMB Circular A-133 Audits of States, Local Governments, and Non-Profit Organizations requires the Collier
County Housing, Human and Veterans Services Department to monitor our subrecipients of federal awards
and determine whether they have met the audit requirements of the circular and whether they are in
compliance with federal laws and regulations. Accordingly, we are requiring that you check one of the
following, provide all appropriate documentation regarding your organization's compliance with the audit
requirements, sign and date this form.
Subrecipient Name The Shelter for Abused Women and Fiscal Year
Children, Inc. Period
Total State Financial Assistance Expended during $
most recently completed Fiscal Year
Total Federal Financial Assistance Expended during most $
recently completed Fiscal Year
Check Appropriate Boxes
We have exceeded the $500,000 federal/state expenditure threshold for our fiscal year ending
❑ as indicated above and have completed our Circular A-133 audit. A copy of the audit report
and management letter is attached.
We exceeded the $500,000 federal/state expenditure threshold for our fiscal year ending as
❑ indicated above and expect to complete our Circular A-133 audit by . Within
30 days of completion of the A-133 audit, we will provide a copy of the audit report and
management letter.
We are not subject to the requirements of OMB Circular A-133 because we:
❑ Did not exceed the $500,000 federal/state expenditure threshold for the fiscal year
❑ indicated above
❑ Are a for-profit organization
❑ Are exempt for other reasons —explain
An audited financial statement is attached and if applicable, the independent auditor's
management letter.
(If findings were noted, please enclose a copy of the responses and corrective action plan.)
Certification Statement
I hereby certify that the above information is true and accurate.
Signature Date
Print Name and Title
EXHIBIT "E"
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EMERGENCY SHELTERS 16 D 1
The SUBRECIPIENT must adhere to 24 CFR 576.403(b) for the following minimum standards for
Emergency Shelters, as applicable:
24 CFR 576.403(b): Minimum standards for emergency shelters. Any building for which Emergency Solutions
Grant(ESG) funds are used for conversion, major rehabilitation, or other renovations, must meet state or local
government safety and sanitation standards, as applicable, and the following minimum safety, sanitation and
privacy standards. Any emergency shelter that receives assistance for shelter operations must also meet the
following minimum safety, sanitation and privacy standards. The COUNTY may also establish standards that
exceed or add to these minimum standards.
(1) Structure and materials. The shelter building must be structurally sound to protect residents
from the elements and not pose any threat to health and safety of the residents. Any
renovation(including major rehabilitation and conversion) carried out with ESG assistance
must use Energy Star and WaterSense products and appliances.
(2) Access. The shelter must be accessible in accordance with Section 504 of the Rehabilitation
Act(29 U.S.C. 794) and implementing regulations at 24 CFR Part 8; the Fair Housing Act
(42 U.S.C. 360, et seq.) and implementing regulations at 24 CFR part 100; and Title II of the
Americans with Disabilities Act (42 U.S.C. 12131, et. Seq.) and 28 CFR part 35; where
applicable.
(3) Space and security. Except where the shelter is intended for day use only, the shelter must
provide each program participant in the shelter with an acceptable place to sleep and
adequate space and security for themselves and their belongings.
(4) Interior air quality. Each room or space within the shelter must have a natural or mechanical
means of ventilation. The interior air must be free of pollutants at a level that might threaten
or harm the health of residents.
(5) Water supply. The shelter's water supply must be free of contamination.
(6) Sanitary facilities. Each program participant in the shelter must have access to sanitary
facilities that are in proper operating condition, are private and are adequate for personal
cleanliness and the disposal of human waste.
(7) Thermal environment. The shelter must have any necessary heating/cooling facilities in
proper operating condition.
(8) Illumination and electricity. The shelter must have adequate natural or articial illumination to
permit normal indoor activities and support health and safety. There must be sufficient
electrical sources to permit the safe use of electrical appliances in the shelter.
(9) Food preparation. Food preparation areas, if any, must contain suitable space and equipment
to store, prepare and serve food in a safe and sanitary manner.
(10) Sanitary conditions. The shelter must be maintained in a sanitary condition.
(11) Fire safety. There must be at least one working smoke detector in each occupied unit of
the shelter. Where possible, smoke detectors must be located near sleeping areas. The fire
alarm system must be designed for hearing-impaired residents. All public areas of the shelter
must have at least one working smoke detector. There must also be a second means of exiting
the building in the event of fire or other emergency.
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EXHIBIT "F"
PERMANENT HOUSING
The SUBRECIPIENT must adhere to 24 CFR 576.403(b) for the following minimum standards for Permanent
Housing, as applicable:
24 CFR 576.403(c): Minimum standards for permanent housing. The SUBRECIPIENT cannot use ESG funds
to help a program participant remain or move into housing that does not meet the minimum habitability
standards provided in this paragraph. The COUNTY may also establish standards that exceed or add to these
minimum standards.
(1) Structure and materials. The shelter building must be structurally sound to protect residents
from the elements and not pose any threat to health and safety of the residents. Any
renovation (including major rehabilitation and conversion) carried out with ESG assistance
must use Energy Star and WaterSense products and appliances.
(2) Access. The shelter must be accessible in accordance with Section 504 of the Rehabilitation
Act (29 U.S.C. 794) and implementing regulations at 24 CFR Part 8; the Fair Housing Act
(42 U.S.C. 360, et seq.) and implementing regulations at 24 CFR part 100; and Title II of the
Americans with Disabilities Act (42 U.S.C. 12131, et. Seq.) and 28 CFR part 35; where
applicable.
(3) Space and security. Except where the shelter is intended for day use only, the shelter must
provide each program participant in the shelter with an acceptable place to sleep and
adequate space and security for themselves and their belongings.
(4) Interior air quality. Each room or space within the shelter must have a natural or mechanical
means of ventilation. The interior air must be free of pollutants at a level that might threaten
or harm the health of residents.
(5) Water supply. The shelter's water supply must be free of contamination.
(6) Sanitary facilities. Each program participant in the shelter must have access to sanitary
facilities that are in proper operating condition, are private and are adequate for personal
cleanliness and the disposal of human waste.
(7) Thermal environment. The shelter must have any necessary heating/cooling facilities in
proper operating condition.
(8) Illumination and electricity. The shelter must have adequate natural or articial illumination to
permit normal indoor activities and support health and safety. There must be sufficient
electrical sources to permit the safe use of electrical appliances in the shelter.
(9) Food preparation. Food preparation areas, if any, must contain suitable space and equipment
to store, prepare and serve food in a safe and sanitary manner.
(10) Sanitary conditions. The shelter must be maintained in a sanitary condition.
(11) Fire safety. There must be at least one working smoke detector in each occupied unit of
the shelter. Where possible, smoke detectors must be located near sleeping areas. The fire
alarm system must be designed for hearing-impaired residents. All public areas of the shelter
must have at least one working smoke detector. There must also be a second means of exiting
the building in the event of fire or other emergency.
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EXHIBIT "G"
COORDINATION WITH CONTINUUM OF CARE AND OTHER PROGRAMS
The SUBRECIPIENT must adhere to 24 CFR 576.400 and coordinate with the Continuum of Care and other
programs.
(a) Consultation with the Continuum of Care. The SUBRECIPIENT and COUNTY must consult with the
Continuum of Care to determine how to allocate ESG funds each program year; developing the performance
standards for, and evaluating the outcomes of, projects and activities assisted by ESG funds; and developing
funding, policies, and procedures for the administration and operation of the HMIS.
(b) Coordination with other targeted homeless services. The SUBRECIPIENT and COUNTY must coordinate
and integrate, to the maximum extent practicable, ESG-funded activities with other programs targeted to
homeless people in the area covered by the Continuum of Care or area over which the services are coordinated
to provide a strategic, community-wide system to prevent and end homelessness for that area. These programs
include:
(1) Shelter Plus Care Program (24 CFR part 582);
(2) Supportive Housing Program (24 CFR part 583);
(3) Section 8 Moderate Rehabilitation Program for Single Room Occupancy Program for Homeless Individuals
(24 CFR part 882);
(4) HUD—Veterans Affairs Supportive Housing (HUD–VASH) (division K, title II, Consolidated
Appropriations Act, 2008, Pub. L. 110-161 (2007), 73 FR 25026 (May 6, 2008));
(5) Education for Homeless Children and Youth Grants for State and Local Activities (title VII–B of the
McKinney-Vento Homeless Assistance Act (42 U.S.C. 11431 et seq. ));
(6) Grants for the Benefit of Homeless Individuals (section 506 of the Public Health Services Act (42 U.S.C.
290aa-5);
(7) Healthcare for the Homeless (42 CFR part 51c);
(8) Programs for Runaway and Homeless Youth (Runaway and Homeless Youth Act (42 U.S.C. 5701 et seq.));
(9) Projects for Assistance in Transition from Homelessness (part C of title V of the Public Health Service Act
(42 U.S.C. 290cc-21 et seq.));
(10) Services in Supportive Housing Grants (section 520A of the Public Health Service Act);
(11) Emergency Food and Shelter Program (title III of the McKinney-Vento Homeless Assistance Act (42
U.S.C. 11331 etseq.));
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(12) Transitional Housing Assistance Grants for Victims of Sexual Assault, Domestic Violence, Dating
Violence, and Stalking Program (section 40299 of the Violent Crime Control and Law Enforcement Act (42
U.S.C. 13975));
(13) Homeless Veterans Reintegration Program (section 5(a)(1)) of the Homeless Veterans Comprehensive
Assistance Act (38 U.S.C. 2021);
(14) Domiciliary Care for Homeless Veterans Program (38 U.S.C. 2043);
(15) VA Homeless Providers Grant and Per Diem Program (38 CFR part 61);
(16) Health Care for Homeless Veterans Program (38 U.S.C. 2031);
(17) Homeless Veterans Dental Program (38 U.S.C. 2062);
(18) Supportive Services for Veteran Families Program (38 CFR part 62); and
(19) Veteran Justice Outreach Initiative (38 U.S.C. 2031).
(c)System and program coordination with mainstream resources. The SUBRECIPIENT and COUNTY must
coordinate and integrate, to the maximum extent practicable, ESG-funded activities with mainstream housing,
health, social services, employment, education, and youth programs for which families and individuals at risk of
homelessness and homeless individuals and families may be eligible. Examples of these programs include:
(1) Public housing programs assisted under section 9 of the U.S. Housing Act of 1937 (42 U.S.C. 1437g) (24
CFR parts 905, 968, and 990);
(2) Housing programs receiving tenant-based or project-based assistance under section 8 of the U.S. Housing
Act of 1937 (42 U.S.C. 1437f) (respectively 24 CFR parts 982 and 983);
(3) Supportive Housing for Persons with Disabilities (Section 811) (24 CFR part 891);
(4) HOME Investment Partnerships Program (24 CFR part 92);
(5) Temporary Assistance for Needy Families (TANF) (45 CFR parts 260-265);
(6) Health Center Program (42 CFR part 51 c);
(7) State Children's Health Insurance Program (42 CFR part 457):
(8) Head Start (45 CFR chapter XIII, subchapter B);
(9) Mental Health and Substance Abuse Block Grants (45 CFR part 96); and
(10) Services funded under the Workforce Investment Act (29 U.S.C. 2801 et seq. ).
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(d) Centralized or coordinated assessment. Once the Continuum of Care has developed a centralized
assessment system or a coordinated assessment system in accordance with requirements to be established by
HUD, each ESG-funded program or project within the Continuum of Care's area must use that assessment
system. The recipient and subrecipient must work with the Continuum of Care to ensure the screening,
assessment and referral of program participants are consistent with the written standards required by paragraph
(e) of this section. A victim service provider may choose not to use the Continuum of Care's centralized or
coordinated assessment system.
(e) Written standards for providing ESG assistance. IThe COUNTY must have written standards for providing
ESG assistance and must consistently apply those standards for all program participants. The recipient must
describe these standards in its consolidated plan.
At a minimum these written standards must include:
(i) Standard policies and procedures for evaluating individuals' and families' eligibility for assistance under
ESG;
(ii) Standards for targeting and providing essential services related to street outreach;
(iii) Policies and procedures for admission, diversion, referral, and discharge by emergency shelters assisted
under ESG, including standards regarding length of stay, if any, and safeguards to meet the safety and shelter
needs of special populations, e.g., victims of domestic violence, dating violence, sexual assault, and stalking;
and individuals and families who have the highest barriers to housing and are likely to be homeless the longest;
(iv) Policies and procedures for assessing, prioritizing, and reassessing individuals' and families' needs for
essential services related to emergency shelter;
(v) Policies and procedures for coordination among emergency shelter providers, essential services providers,
homelessness prevention, and rapid re-housing assistance providers; other homeless assistance providers; and
mainstream service and housing providers (see §576.400(b) and (c) for a list of programs with which ESG-
funded activities must be coordinated and integrated to the maximum extent practicable);
(vi) Policies and procedures for determining and prioritizing which eligible families and individuals will receive
homelessness prevention assistance and which eligible families and individuals will receive rapid re-housing
assistance;
(vii) Standards for determining what percentage or amount of rent and utilities costs each program participant
must pay while receiving homelessness prevention or rapid re-housing assistance;
(viii) Standards for determining how long a particular program participant will be provided with rental
assistance and whether and how the amount of that assistance will be adjusted over time; and
(ix) Standards for determining the type, amount, and duration of housing stabilization and/or relocation services
to provide to a program participant, including the limits, if any, on the homelessness prevention or rapid re-
housing assistance that each program participant may receive, such as the maximum amount of assistance,
maximum number of months the program participant receive assistance; or the maximum number of times the
program participant may receive assistance.
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Participation in HMIS. The SUBRECIPIENT must ensure that data on all persons served and all acctivities 1
(f) p
assisted under ESG are entered into the applicable community-wide HMIS or a comparable database, in
accordance with HUD's standards on participation, data collection, and reporting under a local HMIS. If the
subrecipient is a victim service provider or a legal services provider, it may use a comparable database that
collects client-level data over time (i.e., longitudinal data) and generates unduplicated aggregate reports based
on the data. Information entered into a comparable database must not be entered directly into or provided to an
HMIS.
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«
EXHIBIT H
LOCAL AND FEDERAL RULES, REGULATIONS AND LAWS
1. 24 CFR Part 576 Emergency Solutions Grants Program
2. Environmental Protection Agency (EPA) regulations pursuant to 24 CFR Part 50 as amended.
3. Section 104(b) and Section 109 of Title I of the Housing and Community Development Act of 1974 as
amended
4. Title VI of the Civil Rights Act of 1964 as amended, along with Executive Order 13166
5. Title VIII of the Civil Rights Act of 1968 as amended
6. 24 CFR 570.601 Subpart K - The regulations issued pursuant to Executive Order 11063 which prohibits
discrimination and promotes equal opportunity in housing.
7. Executive Order 11246 ("Equal Employment Opportunity"), as amended by Executive Orders 11375 and
12086 - which establishes hiring goals for minorities and women on projects assisted with federal funds and
as supplemented in Department of Labor regulations.
8. Title VII of the 1968 Civil Rights Act as amended by the Equal Employment Opportunity Act of 1972, 42
U.S.C. § 2000e, et. seq. The SUBRECIPIENT will, in all solicitations or advertisements for employees
placed by or on behalf of the SUBRECIPIENT, state that it is an Equal Opportunity or Affirmative Action
employer.
9. 24 CFR 135 —Regulations outlining requirements of Section 3 of the Housing and Urban Development Act
of 1968, as amended. Compliance with the provisions of Section 3 of the HUD Act of 1968, as amended,
and as implemented by the regulations set forth in 24 CFR 135, and all applicable rules and orders issued
hereunder prior to the execution of this contract, shall be a condition of the Federal financial assistance
provided under this contract and binding upon the COUNTY, the SUBRECIPIENT and any of the
SUBRECIPIENT's Sub-recipients and subcontractors. Failure to fulfill these requirements shall subject the
COUNTY, the SUBRECIPIENT and any of the SUBRECIPIENT's Sub-recipients and subcontractors, their
successors and assigns, to those sanctions specified by the Agreement through which Federal assistance is
provided. The SUBRECIPIENT certifies and agrees that no contractual or other disability exists that would
prevent compliance with these requirements.
The SUBRECIPIENT further agrees to comply with these "Section 3" requirements and to include the
following language in all subcontracts executed under this Agreement:
"The work to be performed under this Agreement is a project assisted under a program
providing direct Federal financial assistance from HUD and is subject to the
requirements of Section 3 of the Housing and Urban Development Act of 1968, as
amended (12 U.S.C. 1701). Section 3 requires that to the greatest extent feasible
opportunities for training and employment be given to low- and very low-income
residents of the project area, and that contracts for work in connection with the project
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be awarded to business concerns that provide economic opportunities for low- and very
low-income persons residing in the metropolitan area in which the project is located."
The SUBRECIPIENT further agrees to ensure that opportunities for training and employment arising in
connection with a housing rehabilitation (including reduction and abatement of lead-based paint
hazards), housing construction, or other public construction project are given to low- and very low-
income persons residing within the metropolitan area in which the ESG-funded project is located; where
feasible, priority should be given to low- and very low-income persons within the service area of the
project or the neighborhood in which the project is located, and to low- and very low-income
participants in other HUD programs; and award contracts for work undertaken in connection with a
housing rehabilitation (including reduction and abatement of lead-based paint hazards), housing
construction, or other public construction project to business concerns that provide economic
opportunities for low- and very low-income persons residing within the metropolitan area in which the
ESG-funded project is located; where feasible, priority should be given to business concerns that
provide economic opportunities to low- and very low-income residents within the service area or the
neighborhood in which the project is located, and to low- and very low-income participants in other
HUD programs.
The SUBRECIPIENT certifies and agrees that no contractual or other legal incapacity exists that would
prevent compliance with these requirements.
10. Age Discrimination Act of 1975, Executive Order 11063, and Executive Order 11246 as amended by
Executive Orders 11375, 11478, 12107 and 12086.
11. Contract Work Hours and Safety Standards Act, 40 USC 327-332.
12. Section 504 of the Rehabilitation Act (29 U.S.C. 794) and implementing regulations at 24 CFR Part 8.
13. Title II of the Americans with Disabilities Act (42 U.S.C. 12131 et seq.) and 28 CFR Part 35 as applicable
14. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended.
15. Executive Order 11914 - Prohibits discrimination with respect to the handicapped in federally assisted
projects.
16. Executive Order 11625 and U.S. Department of Housing and Urban Development Circular Letter 79-45 -
which prescribes goal percentages for participation of minority businesses in Community Development
Block Grant Contracts.
17. The SUBRECIPIENT agrees to comply with the non-discrimination in employment and contracting
opportunities laws, regulations, and executive orders referenced in 24 CFR 570.607, as revised by Executive
Order 13279. The applicable non-discrimination provisions in Section 109 of the HCDA are still applicable.
18. Public Law 100-430 - the Fair Housing Act (42 U.S.C. 3601, et seq.) and implementing regulations at 24
CFR Part 100.
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19. 24 CFR 84 - Uniform Administrative Requirements for Grants and Agreements with Institution 0 1 her
9 q g g
Education, Hospitals and Other Non-Profit Organizations and specified by the following subsections:
• Subpart A—General;
• Subpart B—Pre-Award Requirements, except for 84.12, Forms for Applying for Federal Assistance;
• Subpart C—Post-Award Requirements, except for:
o Section 84.22, Payment Requirements- Grantees shall follow the standards of 85.20(b)(7)
and 85.21 in making payments to SUBRECIPIENTs;
o Section 84.23, Cost Sharing and Matching;
o Section 84.24, Program Income—in lieu of 84.24 SUBRECIPIENTs shall follow 570.504;
o Section 84.25, Revision of Budget and Program Plans;
o Section 84.32, Real Property—In lieu of 84.32, SUBRECIPIENTs shall follow 570.505;
o Section 84.34(g), Equipment— In lieu of the disposition provisions of 84.34(g) the following
applies:
• In all cases in which equipment is sold, the proceeds shall be program income (pro-
rated to reflect the extent to which ESG funds were used to acquire the equipment);
and
• Equipment not needed by the SUBRECIPIENT for ESG activities shall be transferred
to the recipient for the ESG program or shall be retained after compensating the
recipient;
o Section 84.35, Supplies and other Expendable Property;
o Section 84.51(b), (c), (d), (e), (f) and (h), Monitoring and Reporting Program Performance;
o Section 84.52, Financial Reporting;
o Section 84.53(b), Retention and Access Requirements for Records. Section 84.53(b) applies
with the following exceptions:
• The retention period referenced in 84.53(b) pertaining to individual ESG activities
shall be five years; and
• The retention period starts from the date of submission of the annual performance and
evaluation report, as prescribed in 24 CFR 91.520, in which the specific activity is
reported on for the final time rather than from the date of submission of the final
expenditure report for the award;
o Section 84.61, Termination - In lieu of the provisions of 84.61, SUBRECIPIENTs shall
comply with 570.503(b)(7); and
• Subpart D—After-the-Award Requirements—except for 84.71, Closeout Procedures
20. 24 CFR 85 - Administrative Requirements for Grants and Agreements to State and Local Governments shall
be followed for sub recipients that are governmental entities.
• 24 CFR 85.25(g)—Program Income
• 24 CFR 85.36—Governments conflict of interests
21. Immigration Reform and Control Act of 1986 as located at 8 U.S.C. 1324, et seq. and regulations relating
thereto. Failure by the SUBRECIPIENT to comply with the laws referenced herein shall constitute a breach
of this agreement, and the County shall have the discretion to unilaterally terminate this agreement
immediately.
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22. Prohibition Of Gifts To County Employees -No organization or individual shall offer or give, either directly
or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in
Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, as amended, and
County Administrative Procedure 5311.
23. Order of Precedence - In the event of any conflict between or among the terms of any of the Contract
Documents, the terms of the Agreement shall take precedence over the terms of all other Contract
Documents, except the terms of any Supplemental Conditions shall take precedence over the Agreement. To
the extent any conflict in the terms of the Contract Documents cannot be resolved by application of the
Supplemental Conditions, if any, or the Agreement, the conflict shall be resolved by imposing the more
strict or costly obligation under the Contract Documents upon the Contractor at Owner's discretion.
24. Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this Agreement to
resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes
by negotiation. Any situations when negotiations, litigation and/or mediation shall be attended by
representatives of SUBRECIPIENT with full decision-making authority and by COUNTY'S staff person
who would make the presentation of any settlement reached during negotiations to COUNTY for approval.
Failing resolution, and prior to the commencement of depositions in any litigation between the parties
arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an
agreed-upon Circuit Court Mediator certified by the State of Florida. Should either party fail to submit to
mediation as required hereunder, the other party may obtain a court order requiring mediation under §
44.102, Florida Statutes. The litigation arising out of this Agreement shall be Collier County, Florida, if in
state court and the US District Court, 20th Judicial Court of Florida, if in federal court. BY ENTERING
INTO THIS AGREEMENT, COLLIER COUNTY AND THE SUBRECIPIENT EXPRESSLY WAIVE
ANY RIGHTS EITHER PARTY MAY HAVE TO A TRIAL BY JURY OF ANY CIVIL LITIGATION
RELATED TO, OR ARISING OUT OF, THIS AGREEMENT.
25. The SUBRECIPIENT agrees to comply with the following requirements:
a. Clean Air Act, 41 U.S.C. 7401, et seq.
b. Federal Water Pollution Control Act, 33 U.S.C. 1251, et seq., as amended 1318 relating to
inspection, monitoring, entry, reports and information as well as other requirements specified in said
Section 114 and Section 308 and all regulations and guidelines issued there under.
26. In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001 and 24
CFR 570.605 Subpart K), the SUBRECIPIENT shall assure that for activities located in an area identified
by Federal Emergency Management Agency (FEMA) as having special flood hazards, flood insurance
under the National Flood Insurance Program is obtained and maintained. If appropriate, a letter of map
amendment (LOMA) may be obtained from FEMA, which would satisfy this requirement and/or reduce the
cost of said flood insurance.
27. All shelters assisted under the ESG program and all housing occupied by program participants must adhere
to the requirement of the Lead-Based Paint Poisoning Prevention Act (42 U.S.C. 4821-4846), the
Residential Lead-Based Paint Hazard Reduction Act of 1992 (42 U.S.C. 4851-4856) and implementing
regulations in 24 CFR part 35, subparts A, B, H, J, K, M and R. Such regulations pertain to all HUD-
assisted housing and require that all owners, prospective owners and tenants of properties construction prior
to 1978 be properly notified that such properties may include lead-based paint. Such notifications shall point
out the hazards of lead-based paints and explain the symptoms, treatment and precautions that should be
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taken when dealing with lead-based paint poisoning and the advisability and availability of blood lead level
screening for children under seven. The notice should also point out that if lead based paint is found on the
property, abatement measures may be undertaken. The regulations further require that, depending on the
amount of Federal funds applied to a property, paint testing, risk assessment, treatment and/or abatement
may be conducted.
28. The SUBRECIPIENT agrees to comply with the Historic Preservation requirements set forth in the National
Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set forth in 36 CFR Part
800, Advisory Council on Historic Preservation Procedures for Protection of Historic Properties, insofar as
they apply to the performance of this agreement.
In general, this requires concurrence from the State Historic Preservation Officer for all rehabilitation and
demolition of historic properties that are fifty years old or older or that are included on a federal, state or
local historic property list.
29. The SUBRECIPIENT must certify that it will provide drug-free workplaces in accordance with the Drug-
Free Workplace Act of 1988 (41 U.S.C. 701).
30. The SUBRECIPIENT agrees that no funds provided, nor personnel employed under the Agreement shall be
in any way or to any extent engaged in the conduct of political activities in violation of Chapter 15 of Title
V of the U.S.C. (Hatch Act).
31. The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred, suspended, proposed
for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any
Federal Department or agency; and, that the SUBRECIPIENT shall not knowingly enter into any lower tier
contract, or other covered transaction, with a person who is similarly debarred or suspended from
participating in this covered transaction as outlined in 24 CFR 570.609, Subpart K.
32. The SUBRECIPIENT agrees to comply with the following OMB Circulars whichever is applicable, and
agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal
controls, and maintain necessary source documentation for all costs incurred.
States, Local Governments, and Indian Tribes follow:
• A-87 for Cost Principles (2 CFR 225)
• A-102 for Administrative Requirements
Educational Institutions (even if part of a State or local government) follow:
• A-21 for Cost Principles
• A-110 for Administrative Requirements
Non-Profit Organizations follow:
• A-122 for Cost Principles (2 CFR 230)
• A-110 for Administrative Requirements
• 2 CFR 22.5 —Appendix E, Cost Principles for Non-Profit Organizations
33. Audits shall be conducted annually and shall be submitted to the COUNTY one hundred eighty (180) days
after the end of the SUBRECIPIENT's fiscal year. The SUBRECIPIENT shall comply with the
requirements and standards of OMB A-133, Audits of States, Local Governments, and Non-Profit
Organizations. If this Agreement is closed out prior to the receipt of an audit report, the COUNTY reserves
the right to recover any disallowed costs identified in an audit after such closeout.
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34. Federal Funding Accountability and Transparency Act of 2006 (31 U.S.C. 6101), set forth in Appendix A to
2 CFR Part 170
35. Any real property acquired by the SUBRECIPIENT for the purpose of carrying on the projects stated
herein, and approved by the COUNTY in accordance with the Uniform Relocation Assistance and Real
Property Acquisition Policies Act of 1970 and 49 CFR 24, shall be subject to the provisions of 24 CFR
576.408 including, but not limited to, the provisions on use and disposition of property. A displaced person
must be advised of his or her rights under the Fair Housing Act (42 U.S.C. 3601 et seq.). This policy does
not require providing a person a larger payment than is necessary to enable a person to relocate to a
comparable replacement dwelling (See 49 CFR 24.505(c)(2)(ii)(D).
36. As provided in § 287.133, Florida Statutes by entering into this Agreement or performing any work in
furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers, subcontractors and
consultants who will perform hereunder, have not been placed on the convicted vendor list maintained by
the State of Florida Department of Management Services within the 36 months immediately preceding the
date hereof This notice is required by § 287.133 (3) (a), Florida Statutes.
37. Lobbying - No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of any agency,
a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in
connection with the awarding of any Federal contract, the making of any Federal grant, the making of any
Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment, or modification of any Federal contract, grant, loan, or cooperative agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to any person for
influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an
officer or employee of Congress, or an employee of a Member of Congress in connection with this
Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit
Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions and
shall comply with 24 CFR part 87.
The undersigned shall require that the language of this certification be included in the award documents
for all sub-awards at all tiers (including subcontracts, sub-grants, contracts under grants, loans, and
cooperative agreements) and that all SUBRECIPIENTS shall certify and disclose accordingly;
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or
entering into this transaction imposed by Section 1352, Title 31, U.S.C. Any person who fails to file the
required certification shall be subject to a civil penalty of not less than $10,000 and not more than
$100,000 for each such failure.
38. Travel reimbursement will be based on the U.S. General Services Administration(GSA)per diem rates in
effect at the time of travel.
39. Any rule or regulation determined to be applicable by HUD.
The Shelter for Abused Women&Children
2014-15 ESG(ES 14-01)
Emergency Solutions Grant
Utilities&Personnel Page 37 of 38
40. Florida Statutes 119.021 Records Retention
41. Florida Statutes, 119.071, Contracts and Public Records
42. Unaccompanied youth under 25 years of age, or families with children and youth who do not otherwise
qualify as homeless under the definition of homeless in 24 CFR 576.2, but who are defined under Section
387(3) of the Runaway and Homeless Youth Act (42 U.S.C. 5732a(3)), Section 637(11) of the Head Start
Act 42 U.S,C. 9832(11)), Section 41403(6) of the Violence Against Women Act of 1994 (42 U.S.C.
14043e-2(6)), Section 330(h)(5)(A) of the Public Health Service Act(42 U.S.C. 254b(h)(5)(A)), Section
3(m) of the Food and Nutrition Act of 2008 7 U.S.C.2012(m)), Section 17(b)(15) of the Child Nutrition Act
of 1966 (U.S.C. 1786 (b)(15)), Section 725 of the McKinney-Vento Homeless Assistance Act (42 U.S.C.
11434a(2))
43. Section 6002 of the Solid Waste Disposal Act as amended by the Resource Conservation and Recovery Act
and regarding those items identified in 40 CFR Part 247 of the EPA guidelines
The Shelter for Abused Women&Children
2014-15 ESG(ES 14-01)
Emergency Solutions Grant
Utilities&Personnel Page 38 of 38
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6
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. Jennifer A. Belpedio, ACA County Attorney Office 0�.�� q as I
2. BCC Office Board of County `�
Commissioners V \ `AZ-SVA
3. Minutes and Records Clerk of Court's Office (2-C9(ft
PRIMARY CONTACT INFORMATION 1 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,Grant Coordinator Phone Number
Contact/ Department Housing,H an,Veterans Services 239-252-2399
Department
Agenda Date Item was 9/23/14 Agenda Item Number 16.D.1
Approved by the BCC
Type of Document Subrecipient Amendment—Shelter for Number of Original - `;
Attached Abused Women and Children 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's original signature? GS V
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 1/
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 ilatand all changes made during the GS j/
meeting have been incorporated in the attached document. The County Attorney's 1TVtri
Office has reviewed the changes,if applicable. \ 3.3114-
9. Initials of attorney verifying that the attached document lis the version approved by the GS
BCC,all changes directed by the BCC have been made,and the document is ready f. e
Chairman's signature. °a'
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
16131
MEMORANDUM
Date: September 29, 2014
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Subrecipient Agreement Amendment #1 with
the Shelter for Abused Women and Children for the
Emergency Solutions Grant
Attached are two originals of the item referenced above, (Item #16D1) approved by
the Board of County Commissioners on Tuesday, September 23, 2014.
The Minutes and Record's Department has held the third original copy of the
agreement amendment for the Board's Official Record.
If you have any questions, please feel free to call me at 252-8411.
Thank you.
Attachment
1601
Grant#- E-13-UC-12-0024E
CFDA/CSFA# - 14.231
Subrecipient—The Shelter for Abused
Women and Children, Inc.
DUNS # - 836680769
IDIS# 447
FETI # - 59-2752895
FY End 06/30
Monitoring Deadline 01/2015
Agreement#ES 13-01
AMENDMENT NO. 1 TO AGREEMENT BETWEEN COLLIER COUNTY
AND
THE SHELTER FOR ABUSED WOMEN AND CHILDREN, INC.
rok
THIS AMENDMENT, made and entered into on this day of s _*' the subject
agreement shall be by and between the parties to the original Agreement, The Shelter for Abused Women and
Children, Inc., (hereinafter called the "Subrecipient") authorized to do business in the State of Florida, whose
business address is P.O. Box 10102,Naples, FL 34101, and Collier County, a political subdivision of the State
of Florida, Collier County, Naples (hereinafter called the "County") having its principal address as 3339 E.
Tamiami Trail, Naples FL 34112.
Statement of Understanding
RE: EMERGENCY SOLUTIONS GRANT
In order to continue the services provided for in the original Agreement document referenced above, the parties
agree to amend the Agreement as follows:
Words Struck Through are deleted; Words Underlined are added:
(Dollar amounts have original underlines)
WITNESSETH:
* *
WHEREAS, the Board of County Commissioners of Collier County approved the Collier County
Consolidated Plan - One-Year Action Plan for Federal Fiscal Year FY2013-2014 HUD Annual Action Plan at
the August 13, 2013 absentia meeting, ratified at the September 10, 2013 Board of County Commissioners
meeting; and
WHEREAS, HUD has approved the Collier County Consolidated Plan concerning the preparation of
various Annual Action Plans, the County advertised a substantial amendment on March 11, 2014 with a 30-day
citizen comment period from March 11, 2014 through April 10, 2014; and approved the Collier County
The Shelter for Abused Women&Children
2013-14 ESG(ES 13-01)
Emergency Solutions Grant
Utilities&Personnel Page 1 of 6
Consolidated Plan concerning the preparation of various Annual Action Plans.
16Q1
WHEREAS, the Agreement requires modification to rename the funding source to EMERGENCY
SOLUTIONS GRANT PROJECT in order to correct a scrivener's error, reference match, and add new standard
template, purchasing and invoice language; and
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is agreed by the
Parties as follows:
I. SCOPE OF SERVICES
The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards
required as a condition of providing ESG funds, as determined by Collier County Housing, Human and Veteran
Services (HHVS), perform the tasks necessary to conduct the program as follows:
A. PROJECT DETAILS
Emergency Solutions Grant ESG Program
Project Component One: Personnel costs to support a Security Officer for 52 27 weeks for thirty
(30) hours per week at $16.00 per hour. The Security Officer monitors the emergency shelter
facility which is vital to daily operations. 75% of their 40 hour week will be charged to the
project.
Project Component Two: Utilities - which includes electric,_phone & internet, trash removal,
and water and sewer costs to operate the shelter facility.
Project Component Three: Environmental Review Required environmental review of project
- . . . .- - - .. -. Insurance cost necessary for the operation of the
emergency shelter.
Project Component Four: Shelter Operation: Security system expenses and Food to be purchased
and provided for persons to be served.
1. Project Tasks
a. Maintain documentation on all households served in compliance with
24 CFR 576.500
b. Provide quarterly reports on meeting an ESG National Objective
c. Provide Environmental Review Assessment
d. Submit invoices to HHVS for environmental
e. Required attendance by a representative from Executive Management at quarterly
partnership meetings, as requested
The Shelter for Abused Women&Children
2013-14 ESG(ES 13-01)
Emergency Solutions Grant
Utilities&Personnel Page 2 of 6
1601
II. TIME OF PERFORMANCE
Services/Activities of the SUBRECIPIENT shall start on the 1st day of April, 2014 and end on the 31st
day of Marc,, 20 December 31, 2014. The services/activities of the SUBRECIPIENT shall be undertaken
and completed in light of the purposes of this Agreement. Any funds not obligated by the expiration date of this
Agreement shall automatically revert to the COUNTY.
III. AGREEMENT AMOUNT
The COUNTY agrees to make available SEVENTY-NINE THOUSAND FIVE HUNDRED EIGHTY
FOUR DOLLARS ($79,584) for the use by the SUBRECIPIENT during the Term of the Agreement
(hereinafter, the aforestated amount including, without limitation, any additional amounts included thereto as a
result of a subsequent amendment(s) to the Agreement, shall be referred to as the "Funds").
The budget identified for the Shelter Operations Project shall be as follows:
ESG
Line Item Description ESG Funds Match
Funds
(1:1)
Project Component One: Personnel: 75% of $ 24,960 $12,960
1FTE Security Officer, 30 hours per week
annually @ $16 per hour x 52 27 weeks:
Project Component Two: Utilities which $53,871 $46,660
includes electric, phone & internet, trash
removal, and water and sewer costs to
operate the shelter facility.
Project Component Three: Funding costs $ 750$13,964
will include but not limited to the following
. -- - : - - .• . . -- . ' .•- .. Insurance
cost necessary for the operation of the
emergency shelter.
Project Component Four: Shelter Operation: $6,000
Security system expenses and Food to be
purchased and provided for persons to be
served.
ESG Match Requirement Documentation of ESG $79,584
Eligible matching funds
TOTAL $ 79,584 $ 79,584
The Shelter for Abused Women&Children
2013-14 ESG(ES 13-01)
Emergency Solutions Grant
Utilities&Personnel Page 3 of 6
03)
1601
The following table details the project deliverables and payment schedule:
PAYMENT DELIVERABLES
Deliverable Payment- Supporting Documents Submission Schedule
Project Component One: funding will assist Upon invoicing using Exhibit B will Monthly
with emergency shelter personnel support of a reimburse allowable expenses with
Security Coordinator(including taxes). documentation including but not
limited to properly completed invoice,
Project Component Two: Utilities which timesheets, payroll, banking, canceled
includes electric, phone & interne, trash checks, utility document(s), and any
removal, and water and sewer costs to operate additional supporting documentation
the shelter facility. as needed.
Project Component Three: Insurance cost
necessary for the operation of the
emergency shelter.
Project Component Four: Shelter
Operation: Security system expenses and
Food to be purchased and provided for
persons to be served.
Final 10% ($7,958.40) released upon
documentation of a minimum of 500
persons served and will be deducted
from each invoice
Project Component Two: Funding costs will NIA Prior to expenditure of
include but not limited to the following funds
expenses: Environmental Review
ESG Match Supporting Match documentation Monthly
from Thrift Shoppe Revenue
PROGRAM DELIVERABLES
Deliverable Program—Deliverable Supporting Submission Schedule
Documents
Creation and maintenance of income N/A Ongoing
eligibility files on clients served
Progress Reports Exhibit C Quarterly
Proof of Insurance Insurance Certificate Annually within 30
days of renewal
Affirmative Action Plan Plan Documents Within 60 days of
executed agreement
and updates submitted
annually
Annual Audit Audit Report with Management 6/30 annually
Letter and Exhibit E
The Shelter for Abused Women&Children
2013-14 ESG(ES 13-01)
Emergency Solutions Grant
Utilities&Personnel Page 4 of 6
_SY
IX. ADMINISTRATIVE REQUIREMENTS 16 D 1
* *
I. CORRECTIVE ACTION
Corrective action plans may be required for noncompliance, nonperformance, or unacceptable
performance under this contract. Penalties may be imposed for failures to implement or to make acceptable
progress on such corrective action plans.
In order to effectively enforce Resolution No. 2013-228, Housing Human and Veteran Services (HHVS)
has adopted an escalation policy to ensure continued compliance by Subrecipients, Developers, or any entity
receiving grant funds from HHVS. HHVS's policy for escalation for non-compliance is as follows:
1. Initial non-compliance may result in Findings or Concerns being issued to the entity and will require
a corrective action plan be submitted to the Department within 15 days following the monitoring
visit.
o Any pay requests that have been submitted to the Department for payment will be held until the
corrective action plan has been submitted.
o HHVS will be available to provide Technical Assistance (TA) to the entity as needed in order to
correct the non-compliance issue.
2. If in the case an Entity fails to submit the corrective action plan in a timely manner to the
Department, the Department may require a portion of the awarded grant amount be returned to the
Department.
o The County may require upwards of five percent (5%) of the acquisition amount be returned to
the Department, at the discretion of the Board of County Commissioners.
o The entity may be considered in violation of Resolution No. 2013-228
3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an issue that was
previously corrected, and has been informed by the Department of their substantial non-compliance
by certified mail; the Department may require a portion of the awarded grant amount or the amount
of the CDBG investment for acquisition of the properties conveyed, be returned to the Department.
o The Department may require upwards of ten percent (10%) of the acquisition amount be returned
to the Department, at the discretion of the Board of County Commissioners.
o The entity will be considered in violation of Resolution No. 2013-228
The Shelter for Abused Women&Children
2013-14 ESG(ES 13-01)
Emergency Solutions Grant
Utilities&Personnel Page 5 of 6
1601
4. if in the case after repeated notification the Entity continues to be substantially non-compliant, the
Department may recommend the contract or award be terminated.
o The Department will make a recommendation to the Board of County Commissioners to
immediately terminate the agreement or contract. The Entity will be required to repay all funds
disbursed by the County for project that was terminated. This includes the amount invested by
the County for the initial acquisition of the properties.
o The entity will be considered in violation of Resolution No. 2013-228
If in the case the Entity has multiple agreements with the Department and is found to be non-compliant, the
above sanctions may be imposed across all awards at the discretion of the Board of County Commissioners.
IN WITNESS WHEREOF, the GRANTEE and SUBRECIPIENT, have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date and year first above written.
ATTEST: ;`` BOARD OF COUNTY COMMISSIONERS
Dwight E.-Brock, Clerk of Courts COLLIER CO TY, F IDA
Byt By
Dated: '1I 1. ' ' TOM HENNING, CHAIRMAN
(SEA ttest as +-Chairman's
mature r�nly.
THE SHELTER FOR ABUSED WOMEN AND
CHILDREN, INC.
First Witness
rYY,trYl<i►n By:
TType/print witness nameT Print: Z....„,,42,-17 .!n9,6".,-,e r'.4 - f
Title: ck,,-,,4 y.4/6 121X Ecr'
Tr1S�tsi�lf,— arnnnt�tvir�-
Second Witness
'11'0 ten Alef2rmcri Approved as to form and legality:
TType/print witness nameT -
S f,i -cam✓`
Jennilef A. Belp:dio 1)( .. ..�..
Assistant County ttor l cy
dh\ Item# I) I
Agenda a
Date 101311
The Shelter for Abused Women&Children Date
2013-14 ESG(ES 13-01) Recd
Emergency Solutions Grant
Utilities&Personnel Page 6 of 6
eputy Clerk
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ■
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 60
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. Jennifer A. Belpedio, ACA County Attorney Office 12.41 t¢-
2. BCC Office Board of County \
Commissioners \r r /`l ci`Zs 4
3. Minutes and Records Clerk of Court's Office \ j ) 4
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 issing information.
Name of Primary Staff Rosa Munoz,HHVS Phone Number 252-5713
Contact/ Department
Agenda Date Item was September 23,2014 Agenda Item Number 16D1
Approved by the BCC
Type of Document SAWCC 2014Re-Roof Subrecipient Number of Original 3
Attached Agreement 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's original signature? RM
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A--■•••
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 RM 'r
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 RM
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 RM /
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip RM
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 9/23/14 and all changes made during RM .i
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
BCC,all changes directed by the BCC have been made,and the document is ready for the O.s
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
1601
MEMORANDUM
Date: September 29, 2014
To: Rosa Munoz, Grants Mgmt. Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Subrecipient Agreement with the Shelter for Abused Women and
Children for Shelter Improvements
Grant #B-11-UC-12-0016
Attached please find two original agreements for the item referenced above
(Agenda Item #16D1), approved by the Board of County Commissioners on
Tuesday, September 23, 2014.
The Minutes & Records Department will hold the third original as part of the
Board's Official Records.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
16131
Grant#-B-11-UC-12-0016
B-14-UC-12-0016
CFDA/CSFA#- 14.218
Subrecipient—The Shelter for Abused
Women & Children,Inc. — Agreement#
CD 14-09
DUNS#-836680769
IDIS#488
FEID #-59-2752895
Fiscal Year End: 06/30
Monitor End: 09/2020
AGREEMENT BETWEEN COLLIER COUNTY
AND
THE SHELTER FOR ABUSED WOMEN & CHI;L,DREN,INC.
ro► ,,.}�
THIS AGREEMENT is made and entered into this� day of��; 2014, by and
between Collier County, a political subdivision of the State of Florida, ("COUNTY" or
"Grantee") having its principal address as 3339 E. Tamiami Trail,Naples FL 34112, and the The
Shelter for Abused Women & Children, Inc., a private not-for-profit corporation existing
under the laws of the State of Florid ("Subrecipient"), having its principal office at P.O. Box
10102, Naples, FL 34101.
WHEREAS, the County has entered into an agreement with the United States
Department of Housing and Urban Development (HUD) for a grant for the execution and
implementation of a Community Development Block Grant Program in certain areas of Collier
County, pursuant to Title I of the Housing and Community Development Act of 1974 (as
amended); and
WHEREAS, the Board of County Commissioners of Collier County approved the
Collier County Consolidated Plan—One Year Action Plan for Federal Fiscal Year 2014-2015 for
the CDBG Program with Resolution 2014-129 on June 24, 2014—Agenda Item 16D8; and
WHEREAS, the Subrecipient has submitted a proposal for participation in the Collier
County CDBG program; and
WHEREAS, the County and Subrecipient wish to set forth the responsibilities and
obligations of each in undertaking the CDBG SHELTER IMPROVEMENTS; and
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is
agreed by the Parties as follows:
SAWCC
CDBG CD14-09
Shelter Improvements Page 1 of 41
CO r
1601
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
County Housing, Human and Veteran Services (HHVS), to perform the tasks necessary to
conduct the program as follows:
SCOPE OF SERVICES
FY2014-2015 Action Plan identified and approved the The Shelter for Abused Women &
Children Shelter Improvements project as follows:
Project Component One: Shelter Improvements: Facility
Funding costs will include but not limited to the following expenses: roof membrane,
painting, stucco/wood repair of exterior and surrounding walls and fencing (includes
pressure cleaning and sealing of all cracks in walls).
Project Component Two: Shelter Improvements: IT room
Funding costs will include but not limited to the following expenses: climate controlled
improvements to the IT server room.
Specifically, improvements identified for funding are outlined in the Project Details
Section 1.2.
The detailed project scope will be contained in the schedule of values or contractor
pricing awarded in the project's construction contract. The project's construction contract
will include details sufficient to document the number, amount and costs associated with
all activities for payment.
1.1 SPECIAL GRANT CONDITIONS
A. Within thirty (30) calendar days of the execution of this agreement, the Subrecipient
must deliver to HHVS 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. Conflict of Interest Policy
4. Fraud Policy
SAWCC
CDBG CD14-09
Shelter improvements Page 2 of 41
1601
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)
1.2 PROJECT DETAILS
A. Project Description/Budget
Shelter Improvements Federal Funds
Project Component One:Facility Funding costs will include but not $140,500
limited to the following expenses: roof membrane,painting, and
stucco/wood repair of exterior and surrounding walls and fencing
(includes pressure cleaning and sealing of all cracks in walls).
Project Component Two: IT room Funding costs will include but not $9,500
limited to the following expenses: Equipment and installation of the
cooling and heating for the Shelter's server room using high efficiency
equipment.
Total: $150,000
The Subrecipient will accomplish the following project tasks:
Project Tasks
1. Maintain and provide to the County resident income certification or
presumed eligibility documentation (Exhibit E) or documentation of Census
Track
2. Provide quarterly reports on progress(Exhibit C &D) and national objectives
3. Provide monthly construction and rehabilitation progress reports until
completion of construction and rehabilitation
4. Required attendance by Executive Management at quarterly partnership
meetings, as requested
5. Identify Lead Project Manager
6. Provide Site Design and Specifications
7. Provide exterior and interior rehabilitation, as approved by the County and
identified in this agreement
8. Comply with Uniform Relocation Act(URA), if necessary
9. Comply with Davis Bacon Labor Standards
SA W CC
CDBG CD14-09
Shelter Improvements Page 3 of 41
()VD
16131
10. Provide Certified Payroll weekly throughout construction and rehabilitation
11. Ensure the five (5) year affordability/continued use period is met
12. Comply with Section 3 requirements
B. National Objective
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 Low Mod Clientele (LMC) or presumed
Low Mod Clientele.
C. Project Outcome
The Subrecipient will perform rehabilitation activities (to include but not limited to): roof
membrane, painting, and stucco/wood repair of exterior and surrounding walls and
fencing (includes pressure cleaning and sealing of all cracks in walls). Climate controlled
improvements to the IT server room (to include but not limited to): equipment and
installation of the cooling and heating for the Shelter's server room using high efficiency
equipment. The Subrecipient will provide shelter improvements to a minimum of 600
presumed low to moderate income victims of domestic violence.
The property will be deed restricted for five (5) years commencing on the date of initially
meeting one of the National Objectives in accordance with 24 CFR 570.505.
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
Creation and maintenance of income Exhibit E Deliverable: Ongoing and to
eligibility or presumed elgibility files be reviewed during
on clients served monitoring
This funding will benefit 600 presumed Exhibit C and D Deliverable: Ongoing and
adult victims of domestic violence evidenced by quarterly report
and monitoring
Quarterly Progress Reports Exhibit C &D Quarterly through 9/2015 and
annually thereafter until 2020
Financial and Compliance Audit Exhibit F Annually one hundred eighty
(180) days after FY end until
SAWCC
CDBG CD14-09
Shelter Improvements Page 4 of 41
C.)
1601
2020
Proof of Insurance Insurance Certificate Annually within 30 days of
renewal until 2020
Program Income Re-Use Plan Program Income Plan Document Annually through 09/2020
Continued Use Certification Continued Use Affidavit Annually until 2020
E. Payment Deliverables
The Following Table Details the Payment Deliverables
PAYMENT DELIVERABLES
Payment Deliverable Payment—Supporting Documents Submission Schedule
Component One: Facility Funding Submission of supporting documents Submission of monthly
costs will include but not limited to must be provided as back up as invoices
the following expenses: roof evidenced by AIA G702-1192 form
membrane, painting, and
or equivalent document per
stucco/wood repair of exterior and contractor's Schedule of Values/bid,
surrounding walls and fencing and any additional documents as
(includes pressure cleaning and needed Exhibit B
sealing of all cracks in walls).
Final 10%($14,050)released upon
documentation of facility
improvements completed and
achievement of national objective
Project Component Two: IT room Submission of supporting documents Submission of monthly
Funding costs will include but not must be provided as back up as invoices
limited to the following expenses: evidenced by AIA G702-1192 form,
Equipment and installation of the contractor invoice or equivalent
cooling and heating for the Shelter's document per contractor's Schedule
server room using high efficiency of Values/bid, and any additional
equipment. documents as needed-Exhibit B
Final 10%($950)released upon
documentation of equipment and
installation completed and
achievement of national objective
1.3 TIME OF PERFORMANCE
Services of the Subrecipient shall start effective the date of the execution of this
agreement and shall end on September 30, 2015.
1.4 AGREEMENT AMOUNT
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The COUNTY agrees to make available ONE HUNDRED AND FIFTY THOUSAND
DOLLARS AND NO CENTS ($150,000) for the use by the SUBRECIPIENT during the Term
of the Agreement (hereinafter, the aforestated amount including, without limitation, any
additional amounts included thereto as a result of a subsequent amendment(s) to the Agreement,
shall be referred to as the "Funds").
Modifications to the "Budget and Scope" may only be made if approved in
advance. Budgeted fund shifts between line items and project components shall not be more than
10% and does not signify a change in scope. Fund shifts that exceed 10% of a line item and a
project component shall only be made with board approval.
All improvements specified in Section I. Scope of Work shall be performed by
SUBRECIPIENT employees, or shall be put out to competitive bidding under a procedure
acceptable to the COUNTY and Federal requirements. The SUBRECIPIENT shall enter into
contract for improvements with the lowest, responsive and qualified bidder. Contract
administration shall be handled by the SUBRECIPIENT and monitored by HHVS, which shall
have access to all records and documents related to the project.
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.
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. Explanations will be
required if two consecutive months of$0 invoices are submitted. 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. Final invoices are due no later than 90 days after the end of
the agreement. Work performed during the term of the program but not invoiced within 90 days
without written authorization from the Grant Coordinator will not be reimbursed. The County
Manager or designee may extend the term of this Agreement for a period of up to 180 days. The
extension must be authorized prior to the expiration of the agreement. The extension must be
authorized in writing by formal letter to the Subrecipient. No payment will be made until
approved by HHVS 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."
1.5 COST PRINCIPLES
Payments to the Grantee are governed by the Federal grants management rule for cost
allowability found at 24 CFR 85.22 (24 CFR 84.27 for nonprofit recipients). Accordingly,
payments will be made on a cost reimbursement basis. Each request for reimbursement shall
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identify the associated project and approved project task(s) listed under this Scope of
Work. The Grantee can only incur direct costs that may be attributed specifically to the projects
referenced above. The Grantee must provide adequate documentation for validating costs
incurred. Payments to Grantee's contractors and vendors are conditioned upon compliance with
the procurement requirements provided for in 24 CFR 85.36 or 84.40-48, as applicable.
Allowable costs incurred by the Grantee shall be in compliance with OMB Circular A-87 Cost
Principles for State, Local, and Indian Tribal Governments. Allowable costs incurred by
nonprofit recipients shall be in compliance with OMB Circular A-122 Cost Principles for
Non-Profit Organizations. Allowable costs incurred by procured private contractors shall be
in compliance with 48 CFR Part 31 Contract Cost Principles and Procedures. A
SUBRECIPIENT is not subject to 24 CFR Part 84 and 24 CFR Part 85, however the County is
Subject to 24 CFR Part 85 and may impose requirements upon the SUBRECIPIENT in order for
the County to remain compliant with its obligation to follow 24 CFR Part 85. The
SUBRECIPIENT will use adequate internal controls, and maintain necessary source
documentation for all costs incurred and adhere to any other accounting requirements included in
this Agreement or the Admin Plan.
1.6 NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, personal delivery, or sent by facsimile or other electronic means.
Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All
notices and other written communications under this Agreement shall be addressed to the
individuals in the capacities indicated below, unless otherwise modified by subsequent written
notice.
COLLIER COUNTY ATTENTION: Rosa Munoz, Grant Coordinator
3339 E Tamiami Trail, Suite 211
Naples, Florida 34112
mailto:RosaMunoz@Coll iergov.net
239-252-5713
SUBRECIPIENT ATTENTION: Rosa Leon
Contracts& Grants Manager
Julie Franklin, Director of Operations
The Shelter for Abused Women & Children
P.O. Box 10102
Naples, FL 34101
239-775-3862
rleon,cr�naplesshelter.org
jfranklin,cnaplesshelter.org
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PART II
GRANT CONTROL REQUIREMENTS
2.1 AUDITS
At any time during normal business hours and as often as the COUNTY (and/or its
representatives) may deem necessary, the SUBRECIPIENT shall make available all records,
documentation and any other data relating to all matters covered by the Agreement for review,
inspection or audit.
Any deficiencies noted in audit reports must be fully cleared by the Grantee, Developer,
or Subrecipient within 30 days after receipt by the organization. Failure of the organization to
comply with the above audit requirements will constitute a violation of this contract and may
result in the withholding of future payments. The Subrecipient hereby agrees to have an annual
agency audit conducted in accordance with current Grantee policy concerning Subrecipient
audits and OMB Circular A-133.
2.2 RECORDS AND DOCUMENTATION
The Subrecipient shall maintain sufficient records in accordance with 24 CFR 570.502
and 570.506 to determine compliance with the requirements of this Agreement, the CDBG
Program and all other applicable laws and regulations. This documentation shall include, but not
be limited to,the following:
A. All records required by CDBG regulations.
B. SUBRECIPIENT shall keep and maintain public records that ordinarily and
necessarily would be required by COUNTY in order to perform the service.
C. All reports, plans, surveys, information, documents, maps, books, records and
other data procedures developed, prepared, assembled, or completed by the
Subrecipient for the purpose of this Agreement shall be made available to the
COUNTY by the SUBRECIPIENT at any time upon request by the COUNTY or
HHVS. Materials identified in the previous sentence shall be in accordance with
generally accepted accounting principles (GAAP), procedures and practices,
which sufficiently and properly reflect all revenues and expenditures of funds
provided directly or indirectly by this Agreement, including matching funds and
Program Income. These records shall be maintained to the extent of such detail as
will properly reflect all net costs, direct and indirect labor, materials, equipment,
supplies and services, and other costs and expenses of whatever nature for which
reimbursement is claimed under the provisions of this Agreement.
D. Upon completion of all work contemplated under this Agreement copies of all
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documents and records relating to this Agreement shall be surrendered to HHVS
if requested. In any event the SUBRECIPIENT shall keep all documents and
records in an orderly fashion in a readily accessible, permanent and secured
location for three (3) 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) 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.
E. The SUBRECIPIENT shall maintain records showing compliance with the Davis-
Bacon Law, including files containing contractor payrolls, employee interviews,
Davis-Bacon wage rates, and administrative cross-referencing. SUBRECIPIENT
shall maintain records showing contractor compliance with the Contract Work
Hours and Work Safety Law. Similarly, the SUBRECIPIENT shall maintain
records showing compliance with federal purchasing requirements and with other
federal requirements for grant implementation.
F. The SUBRECIPIENT will be responsible for the creation and maintenance of
income eligible files on clients served and documentation that all households are
eligible under HUD Income Guidelines. The SUBRECIPIENT agrees that HHVS
shall be the final arbiter on the SUBRECIPIENT's compliance.
G. The SUBRECIPIENT shall document how the National Objective(s) as defined in
24CFR 570.208 and the eligibility requirement(s) under which funding has been
received, have been met. These also include special requirements such as
necessary and appropriate determinations as defined in 24 CFR 570.208, income
certification, and written Agreements with beneficiaries,where applicable.
H. SUBRECIPIENT shall provide the public with access to public records on the
same terms and conditions that the public agency would provide the records and
at a cost that does not exceed the cost provided in this chapter or as otherwise
provided by law. SUBRECIPIENT shall ensure that public records that are
exempt or confidential and exempt from public records disclosure requirements
are not disclosed except as authorized by law.
2.3 MONITORING
During the term, SUBRECIPIENT shall submit an annual audit report and monitoring
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report (Exhibit F) to the COUNTY no later than one hundred eighty (180) days after the
SUBRECIPIENT's fiscal year end. The COUNTY will conduct an annual financial and
programmatic review.
The SUBRECIPIENT agrees that HHVS will carry out no less than one (1) annual on-site
monitoring visit and evaluation activities as determined necessary. At the COUNTY's discretion,
a desk top review of the activities may be conducted in lieu of an on-site visit. The continuation
of this Agreement is dependent upon satisfactory evaluations. The SUBRECIPIENT shall, upon
the request of HHVS, submit information and status reports required by HHVS or HUD to
enable HHVS to evaluate said progress and to allow for completion of reports required. The
SUBRECIPIENT shall allow HHVS or HUD to monitor the SUBRECIPIENT on site. Such site
visits may be scheduled or unscheduled as determined by HHVS or HUD.
The COUNTY will monitor the performance of the SUBRECIPIENT based on goals and
performance standards as stated with all other applicable federal, state and local laws,
regulations, and policies governing the funds provided under this contract. Substandard
performance as determined by the COUNTY will constitute noncompliance with this Agreement.
If corrective action is not taken by the SUBRECIPIENT within a reasonable period of time after
being notified by the COUNTY, contract suspension or termination procedures will be initiated.
SUBRECIPIENT agrees to provide HUD, the HUD Office of Inspector General, the General
Accounting Office, the COUNTY, or the COUNTY's internal auditor(s) access to all records
related to performance of activities in this agreement.
2.4 CORRECTIVE ACTION
Corrective action plans may be required for noncompliance, nonperformance, or
unacceptable performance under this contract. Penalties may be imposed for failures to
implement or to make acceptable progress on such corrective action plans.
In order to effectively enforce Resolution No. 2013-228, Housing Human and Veteran
Services (HHVS) has adopted an escalation policy to ensure continued compliance by
Subrecipients, Developers, or any entity receiving grant funds from HHVS. HHVS's policy for
escalation for non-compliance is as follows:
1. Initial non-compliance may result in Findings or Concerns being issued to the entity
and will require a corrective action plan be submitted to the Department within 15
days following the monitoring visit.
o Any pay requests that have been submitted to the Department for payment will be
held until the corrective action plan has been submitted.
o HHVS will be available to provide Technical Assistance (TA)to the entity as
needed in order to correct the non-compliance issue.
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2. If in the case an Entity fails to submit the corrective action plan in a timely manner to
the Department,the Department may require a portion of the awarded grant amount
be returned to the Department.
o The County may require upwards of five percent(5%)of the acquisition amount
be returned to the Department, at the discretion of the Board of County
Commissioners.
o The entity may be considered in violation of Resolution No. 2013-228
3. If in the case an Entity continues to fail to correct the outstanding issue or repeats an
issue that was previously corrected, and has been informed by the Department of their
substantial non-compliance by certified mail; the Department may require a portion
of the awarded grant amount or the amount of the CDBG investment for acquisition
of the properties conveyed, be returned to the Department.
o The Department may require upwards of ten percent(10%) of the acquisition
amount be returned to the Department, at the discretion of the Board of County
Commissioners.
o The entity will be considered in violation of Resolution No. 2013-228
4. If in the case after repeated notification the Entity continues to be substantially non-
compliant, the Department may recommend the contract or award be terminated.
o The Department will make a recommendation to the Board of County
Commissioners to immediately terminate the agreement or contract. The Entity
will be required to repay all funds disbursed by the County for project that was
terminated. This includes the amount invested by the County for the initial
acquisition of the properties.
o The entity will be considered in violation of Resolution No. 2013-228
If in the case the Entity has multiple agreements with the Department and is found to be non-
compliant, the above sanctions may be imposed across all awards at the discretion of the Board
of County Commissioners.
2.5 REPORTS
Reimbursement may be contingent on the timely receipt of complete and accurate reports
required by this Agreement, and on the resolution of monitoring findings identified pursuant to
this Agreement as deemed necessary by the County Manager or designee.
During the term, SUBRECIPIENT shall submit quarterly progress reports to the
COUNTY on the 10th day of January, April, July and October respectively for the prior quarter
period end. As part of the report submitted in October, the SUBRECIPIENT also agrees to
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include, a comprehensive final report covering the agreed-upon Program objectives, activities
and expenditures and including, but not limited to, performance data on client feedback with
respect to the goals and objectives set forth in Exhibits "C" and "D". Exhibits "C" and "D"
contain an example reporting form to be used in fulfillment of this requirement. Other reporting
requirements may be required by the County Manager or their designee in the event of Program
changes; the need for additional information or documentation arises; and/or legislative
amendments are enacted. Reports and/or requested documentation not received by the due date
shall be considered delinquent and may be cause for default and termination of this Agreement.
PART III
TERMS AND CONDITIONS
3.1 SUBCONTRACTS
No part of this Agreement may be assigned or subcontracted without the written consent
of the COUNTY, which consent, if given at all, shall be at the COUNTY's sole discretion and
judgment.
3.2 GENERAL COMPLIANCE
The SUBRECIPIENT agrees to comply with the requirements of Title 24 of the Code of
Federal Regulations, Part 570 (the U.S. Housing and Urban Development regulations concerning
Community Development Block Grants (CDBG)) including subpart K of these regulations,
except that (1) the SUBRECIPIENT does not assume the recipient's environmental
responsibilities described in 24 CFR 570.604 and (2) the SUBRECIPIENT does not assume the
recipient's responsibility for initiating the review process under the provisions of 24 CFR Part 52
and (3) SUBRECIPIENT is not required to follow federal procurement and (4) for
SUBRECIPIENT's revenue generated is not considered program income. The CDBG program
was funded through the Housing and Community Development Act of 1974. The
SUBRECIPIENT also agrees to comply with all other applicable Federal, state and local laws,
regulations, and policies governing the funds provided under this contract. The SUBRECIPIENT
further agrees to utilize funds available under this Agreement to supplement rather than supplant
funds otherwise available.
3.3 INDEPENDENT CONTRACTOR
Nothing contained in this Agreement is intended to, or shall be construed in any manner,
as creating or establishing the relationship of employer/employee between the parties. The
SUBRECIPIENT shall at all times remain an "independent contractor" with respect to the
services to be performed under this Agreement. The Grantee shall be exempt from payment of all
Unemployment Compensation, FICA, retirement, life and/or medical insurance and Workers'
Compensation Insurance, as the SUBRECIPIENT is an independent contractor.
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3.4 AMENDMENTS
The COUNTY or SUBRECIPIENT may amend this Agreement at any time provided that
such amendments make specific reference to this Agreement, and are executed in writing, signed
by a duly authorized representative of each organization, and approved by the Grantee's
governing body. Such amendments shall not invalidate this Agreement, nor relieve or release the
Grantee or SUBRECIPIENT from its obligations under this Agreement.
The COUNTY may, in its discretion, amend this Agreement to conform with Federal,
state or local governmental guidelines, policies and available funding amounts, or for other
reasons. If such amendments result in a change in the funding, the scope of services, or schedule
of the activities to be undertaken as part of this Agreement, such modifications will be
incorporated only by written amendment signed by both Grantee and SUBRECIPIENT.
3.5 AVAILABILITY OF FUNDS
The parties acknowledge that the Funds originate from CDBG grant funds from HUD
and must be implemented in full compliance with all of HUD's rules and regulations and any
agreement between COUNTY and HUD governing CDBG funds pertaining to this Agreement.
In the event of curtailment or non-production of said federal funds, the financial sources
necessary to continue to pay the SUBRECIPIENT all or any portions of the funds will not be
available. In that event, the COUNTY may terminate this Agreement, which termination shall be
effective as of the date that it is determined by the County Manager or designee, in his-her sole
discretion and judgment, that the funds are no longer available. In the event of such termination,
the SUBRECIPIENT agrees that it will not look to, nor seek to hold the COUNTY, nor any
individual member of the County Commissioners and /or County Administration, personally
liable for the performance of this Agreement, and the COUNTY shall be released from any
further liability to SUBRECIPIENT under the terms of this Agreement. There are no funds being
granted in association with this Agreement.
3.6 INDEMNIFICATION
To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify
and hold harmless Collier County, its officers, agents and employees from any and all claims,
liabilities, damages, losses, costs, and causes of action which may arise out of an act, omission,
including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused
by the negligence, recklessness, or intentionally wrongful conduct of the SUBRECIPIENT or
any of its agents, officers, servants, employees, contractors, patrons, guests, clients, licensees,
invitees, or any persons acting under the direction, control, or supervision of the
SUBRECIPIENT in the performance of this Agreement. This indemnification obligation shall
not be construed to negate, abridge or reduce any other rights or remedies which otherwise may
be available to an indemnified party or person described in this paragraph. The SUBRECIPIENT
shall pay all claims and losses of any nature whatsoever in connection therewith and shall defend
all suits in the name of the COUNTY and shall pay all costs (including attorney's fees) and
judgments which may issue thereon. This Indemnification shall survive the termination and/or
expiration of this Agreement. This section does not pertain to any incident arising from the sole
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negligence of Collier County. The foregoing indemnification shall not constitute a waiver of
sovereign immunity beyond the limits set forth in Section 768.28, Florida Statutes. This Section
shall survive the expiration of termination of this agreement.
3.7 GRANTEE RECOGNITION/SPONSORSHIPS
The SUBRECIPIENT agrees that all notices, informational pamphlets, press releases,
advertisements, descriptions of the sponsorships of the Program, research reports and similar
public notices prepared and released by the SUBRECIPIENT for, on behalf of, and/or about the
Program shall include the statement:
"FINANCED BY U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT
(HUD) AND COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
DEPARTMENT"
and shall appear in the same size letters or type as the name of the SUBRECIPIENT. This design
concept is intended to disseminate key information regarding the development team as well as
Equal Housing Opportunity to the general public. Construction signs shall comply with
applicable COUNTY codes.
3.8 DEFAULTS, REMEDIES AND TERMINATION
In accordance with 24 CFR 85.43, this Agreement may also be terminated for
convenience by either the Grantee or the SUBRECIPIENT, in whole or in part, by setting forth
the reasons for such termination, the effective date, and, in the case of partial terminations, the
portion to be terminated. However, if in the case of a partial termination,the Grantee determined
that the remaining portion of the award will not accomplish the purpose for which the award was
made, the Grantee may terminate the award in its entirety.
The following actions or inactions by SUBRECIPIENT shall constitute a Default under
this Agreement:
A. Failure to comply with any of the rules, regulations or provisions referred to
herein, or such statutes, regulations, executive orders, and HUD guidelines,
policies or directives as may become applicable at any time;
B. Failure, for any reason, of the SUBRECIPIENT to fulfill in a timely and proper
manner its obligations under this Agreement;
C. Ineffective or improper use of funds provided under this Agreement; or
D. Submission by the SUBRECIPIENT to the Grantee reports that are incorrect or
incomplete in any material respect.
E. Submission by the SUBRECIPIENT of any false certification;
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F. Failure to materially comply with any terms of this Agreement; and
G. Failure to materially comply with the terms of any other agreement between the
County and the SUBRECIPIENT relating to the project.
In the event of any default by SUBRECIPIENT under this Agreement, the County may
seek any combination of one or more of the following remedies:
A. Require specific performance of the Agreement, in whole or in part;
B. Require the use of or change in professional property management;
C. Require immediate repayment by SUBRECIPIENT to the County of all CDBG
funds SUBRECIPIENT has received under this Agreement;
D. Apply sanctions set forth in 24 CFR 92, if determined by the County to be
applicable;
E. Stop all payments until identified deficiencies are corrected;
F. Terminate this Agreement by giving written notice to SUBRECIPIENT of such
termination and specifying the effective date of such termination. If the
Agreement is terminated by the County as provided herein, SUBRECIPIENT
shall have no claim of payment or claim of benefit for any incomplete project
activities undertaken under this Agreement.
3.9 REVERSION OF ASSETS
In the event of a termination of this Agreement and in addition to any and all other
remedies available to the COUNTY (whether under this Agreement or at law or in equity) the
SUBRECIPIENT shall immediately transfer to the COUNTY any property on hand at the time of
termination (or expiration) and any accounts receivable attributable to the use of CDBG funds
per 24 CFR 570.503(b)(7).
The COUNTY's receipt of any funds on hand at the time of termination shall not waive
the COUNTY's right (nor excuse SUBRECIPIENT's obligation) to recoup all or any portion of
the funds or property, as the COUNTY may deem necessary.
3.10 INSURANCE
SUBRECIPIENT shall not commence any work and/or services pursuant to this
Agreement until all insurance required as outlined in Exhibit "A" has been obtained, and
carried, at all times during its performance.
3.11 ADMINISTRATIVE REQUIREMENTS
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The SUBRECIPIENT agrees to perform the Scope of Work in compliance with the Grant
Budget and the Scope of Work(Part I), the Uniform Administrative Requirements for Grants and
Cooperative Agreements to State, Local and Federally Recognized Indian Tribal Governments
(24 CFR Part 85), and the federal regulations for the Community Development Block Grants (24
CFR 570 et seq.).
3.12 PURCHASING
SUBRECIPIENT are required to follow Federal Procurement regulations and Collier
County's purchasing thresholds.
All purchasing for services and goods, including capital equipment, shall be made by
purchase order or by a written contract and in conformity with the thresholds of Collier County
Purchasing Policy.
Purchasing Threshold Policy
Dollar Range(5) Quotes
Under$3K 1 Written Quote
$3K to $50K 3 Written Quotes
Request for Proposal (RFP)
Above $50K Invitation for Bid(IFB)
3.13 PROGRAM-GENERATED INCOME
Any "Program Income" (as such term is defined under applicable Federal regulations)
gained from any activity of the SUBRECIPIENT funded by CDBG funds shall be reported to the
COUNTY through an annual program income re-use plan, utilized by the SUBRECIPIENT and
shall be in compliance with 24 CFR 570.503(c) in the operation of the Program.
3.14 GRANT CLOSEOUT PROCEDURES
SUBRECIPIENT's obligation to the COUNTY shall not end until all closeout
requirements are completed. The County may close out the project with the SUBRECIPIENT
after the five (5) year period has been met. Activities during this closeout period shall include,
but not be limited to: making final payments, disposing of program assets (including the return
of all unused materials, equipment, program income balances, and receivable accounts to the
COUNTY), and determining the custodianship of records. In addition to the records retention
outlined in Section IX.B.4, the SUBRECIPIENT shall comply with Section 119.021 Florida
Statutes regarding records maintenance, preservation and retention. A conflict between state and
federal law records retention requirements will result in the more stringent law being applied
such that the record must be held for the longer duration. Any balance of unobligated funds
which have been advanced or paid must be returned to the COUNTY. Any funds paid in excess
of the amount to which the SUBRECIPIENT is entitled under the terms and conditions of this
Agreement must be refunded to the COUNTY. SUBRECIPIENT shall also produce records and
information that complies with Section 215.97, Florida Single Audit Act.
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3.15 OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE
The SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be
subjected to, discrimination under any activity carried out by the performance of this Agreement
on the basis of race, color, disability, national origin, religion, age, familial status, or sex. Upon
receipt of evidence of such discrimination, the COUNTY shall have the right to terminate this
Agreement.
To the greatest extent feasible, lower-income residents of the project areas shall be given
opportunities for training and employment; and to the greatest feasible extent eligible business
concerns located in or owned in substantial part by persons residing in the project areas shall be
awarded contracts in connection with the project. The SUBRECIPIENT shall comply with
Section 3 of the Housing and Community Development Act of 1968.
3.16 OPPORTUNITIES FOR SMALL AND MINORITY/WOMEN-OWNED
BUSINESS ENTERPRISES
The SUBRECIPIENT will use its best efforts to afford small businesses, minority
business enterprises, and women's business enterprises the maximum practicable opportunity to
participate in the performance of this contract. As used in this contract, the terms "small
business" means a business that meets the criteria set forth in section 3(a) of the Small Business
Act, as amended (15 U.S.C. 632), and "minority and women's business enterprise" means a
business at least fifty-one (51) percent owned and controlled by minority group members or
women. For the purpose of this definition, "minority group members" are Afro-Americans,
Spanish-speaking, Spanish surnamed or Spanish-heritage Americans, Asian-Americans, and
American Indians. The SUBRECIPIENT may rely on written representations by businesses
regarding their status as minority and female business enterprises in lieu of an independent
investigation.
3.17 PROGRAM BENEFICIARIES
At least fifty-one percent (51%) of the beneficiaries of a project funded through this Agreement
must be low- and moderate- income persons. If the project is located in an entitlement city, as
defined by HUD, or serves beneficiaries countywide, more than thirty percent (30%) of the
beneficiaries directly assisted under this Agreement must reside in unincorporated Collier
County or in municipalities participating in the County's Urban County Qualification Program.
The project shall assist beneficiaries as defined above for the time period designated in Exhibits
"C and D" of this Agreement.
3.18 AFFIRMATIVE ACTION
The SUBRECIPIENT agrees that it shall be committed to carry out pursuant to the
COUNTY's specifications an Affirmative Action Program in keeping with the principles as
provided in President's Executive Order 11246 of September 24, 1966. The COUNTY shall
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provide Affirmative Action guidelines to the SUBRECIPIENT to assist in the formulation of
such program. The SUBRECIPIENT shall submit a plan for an Affirmative Action Program for
approval prior to the award of funds. The Affirmative Action will need to be updated throughout
the five year period and submitted to County within 30 days of update/modification.
3.19 CONFLICT OF INTEREST
The SUBRECIPIENT covenants that no person under its employ who presently exercises
any functions or responsibilities in connection with the Project, has any personal financial
interest, direct or indirect, in the Project areas or any parcels therein, which would conflict in any
manner or degree with the performance of this Agreement and that no person having any conflict
of interest shall be employed by or subcontracted by the SUBRECIPIENT. The
SUBRECIPIENT covenants that it will comply with all provisions of 24 CFR 570.611 "Conflict
of Interest", and the State and County statutes, regulations, ordinance or resolutions governing
conflicts of interest. Any possible conflict of interest on the part of the SUBRECIPIENT or its
employees shall be disclosed in writing to HHVS provided, however, that this paragraph shall be
interpreted in such a manner so as not to unreasonably impede the statutory requirement that
maximum opportunity be provided for employment of and participation of low and moderate-
income residents of the project target area.
The SUBRECIPIENT will notify the COUNTY in writing and seek COUNTY approval
prior to entering into any contract with an entity owned in whole or in part by a covered person
or an entity owned or controlled in whole or in part by the SUBRECIPIENT. The COUNTY
may review the proposed contract to ensure that the contractor is qualified and that the costs are
reasonable. Approval of an identity of interest contract will be in the COUNTY's sole
discretion. This provision is not intended to limit SUBRECIPIENT's ability to self-manage the
projects using its own employees. Any possible conflict of interest on the part of the
SUBRECIPIENT or its employees shall be disclosed in writing to HHVS provided, however,
that this paragraph shall be interpreted in such a manner so an not to unreasonably impede the
statutory requirement that maximum opportunity be provided for employment of and
participation of low and moderate income residents of the project target area.
3.20 RELIGIOUS ORGANIZATIONS
CDBG funds may be used by religious organizations or on property owned by religious
organizations only in accordance with requirements set in Section 24 CFR 570.200(j). The
SUBRECIPIENT shall comply with First Amendment Church/State principles as follows:
a. It will not discriminate against any employee or applicant for employment on the
basis of religion. and will not limit employment or give preference in employment to
persons on the basis of religion
b. It will not discriminate against any person applying for public services on the basis of
religion and will not limit such services or give preference to persons on the basis of
religion.
c. It will retain its independence from Federal, State and local governments and may
continue to carry out its mission, including the definition, practice and expression of
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its religious beliefs, provided that it does not use direct CDBG funds to support any
inherently religious activities, such as worship, religious instruction or proselytizing.
d. The funds shall not be used for the acquisition, construction or rehabilitation of
structures to the extent that those structures are used for inherently religious activities.
Where a structure is used for both eligible and inherently religious activities, CDBG
funds may not exceed the cost of those portions of the acquisition, construction or
rehabilitation that are attributable to eligible activities in accordance with the cost
accounting requirements applicable to CDBG funds in this part. Sanctuaries, chapels,
or other rooms that a CDBG funded religious congregation uses as its principal place
of worship, however, are ineligible for CDBG funded improvements.
3.21 SEVERABILITY
Should any provision of the Agreement be determined to be unenforceable or invalid,
such a determination shall not affect the validity or enforceability of any other section or part
thereof.
Remainder of Page Intentionally Left Blank
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GENERAL PROVISIONS
4.1 24 CFR 570 as amended- All the regulations regarding the CDBG program
http://www.law.cornell.edu/cfr/text/24/part-570
4.2 24 CFR 58 - The regulations prescribing the Environmental Review procedure. Link:
http://www.ecfr.gov/cgi-bin/text-
idx?c=ecfr&tp1=/ecfrbrowse/Title24/24cfr58 main_02.tpl
4.3 Section 104(b) and Section 109 of Title I of the Housing and Community Development
Act of 1974 as amended
http://portal.hud.gov/hudportal/HUD?src=/program offices/fair housing equal opp/FH
Laws/109
4.4 The Fair Housing Act (42 U.S.C. 3601-20) Reasonable Accommodations Under the Fair
Housing Act. http://www.hud.gov/offices/fheo/library/huddojstatement.pdf
E.O. 11063 —Equal Opportunity in Housing
http://portal.hud.gov/hudportal/1-IUD?src=/program offices/fair housing equal opp/FH
Laws/EXO 11063
E.O. 11259 - Leadership & Coordination of Fair Housing in Federal Programs
http://www.archives.gov/federal-reuister/codification/executive-order/12259.html
24 CFR Part 107 -Non Discrimination and Equal Opportunity in Housing under E.O.
http://www.law.cornell.edu/cfr/text/24/part-107
4.5 Title VI of the Civil Rights Act of 1964 as amended, Title VIII of the Civil Rights Act of
1968 as amended
http://portal.hud.gov/hudportal/HUD?src=/program offices/fair housing equal_opp/grog
desc/title8
4.6 24 CFR 570.601 Subpart K - The regulations issued pursuant to Executive Order 11063
which prohibits discrimination and promotes equal opportunity in housing.
http://www.gpo.gov/fdsys/pkg/CFR-2007-title24-vol3/pdf/CFR-2007-title24-vol3-
sec570-602.pdf
4.7 Executive Order 11246 ("Equal Employment Opportunity"), as amended by Executive
Orders 11375 and 12086 - which establishes hiring goals for minorities and women on
projects assisted with federal funds and as supplemented in Department of Labor
regulations. EO 11246: http://www.eeoc.<g ov/eeoc/history/35th/thelaw/eo-11246.html
EO 11375 and 12086: see item #8 below
4.8 Title VII of the 1968 Civil Rights Act as amended by the Equal Employment Opportunity
Act of 1972, 42 USC § 2000e, et. seq. The SUBRECIPIENT will, in all solicitations or
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advertisements for employees placed by or on behalf of the SUBRECIPIENT, state that it
is an Equal Opportunity or Affirmative Action employer.
http://www.ceoc.govilaws/statutes/titlevii.cfm
4.9 24 CFR 135 —Regulations outlining requirements of Section 3 of the Housing and Urban
Development Act of 1968, as amended. Compliance with the provisions of Section 3 of
the HUD Act of 1968, as amended, and as implemented by the regulations set forth in 24
CFR 135, and all applicable rules and orders issued hereunder prior to the execution of
this contract, shall be a condition of the Federal financial assistance provided under this
contract and binding upon the COUNTY, the SUBRECIPIENT and any of the
SUBRECIPIENT's Sub-recipients and subcontractors. Failure to fulfill these
requirements shall subject the COUNTY, the SUBRECIPIENT and any of the
SUBRECIPIENT's Sub-recipients and subcontractors, their successors and assigns, to
those sanctions specified by the Agreement through which Federal assistance is provided.
The SUBRECIPIENT certifies and agrees that no contractual or other disability exists
that would prevent compliance with these requirements.
The SUBRECIPIENT further agrees to comply with these "Section 3" requirements and
to include the following language in all subcontracts executed under this Agreement:
"The work to be performed under this Agreement is a project assisted under a
program providing direct Federal financial assistance from HUD and is subject to
the requirements of Section 3 of the Housing and Urban Development Act of
1968, as amended (12 U.S.C. 1701). Section 3 requires that to the greatest extent
feasible opportunities for training and employment be given to low- and very
low-income residents of the project area, and that contracts for work in
connection with the project be awarded to business concerns that provide
economic opportunities for low- and very low-income persons residing in the
metropolitan area in which the project is located."
The SUBRECIPIENT further agrees to ensure that opportunities for training and
employment arising in connection with a housing rehabilitation (including reduction and
abatement of lead-based paint hazards), housing construction, or other public
construction project are given to low- and very low-income persons residing within the
metropolitan area in which the CDBG-funded project is located; where feasible, priority
should be given to low- and very low-income persons within the service area of the
project or the neighborhood in which the project is located, and to low- and very low-
income participants in other HUD programs; and award contracts for work undertaken in
connection with a housing rehabilitation (including reduction and abatement of lead-
based paint hazards), housing construction, or other public construction project to
business concerns that provide economic opportunities for low- and very low-income
persons residing within the metropolitan area in which the CDBG-funded project is
located; where feasible, priority should be given to business concerns that provide
economic opportunities to low- and very low-income residents within the service area or
the neighborhood in which the project is located, and to low- and very low-income
participants in other HUD programs.
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The SUBRECIPIENT certifies and agrees that no contractual or other legal incapacity
exists that would prevent compliance with these requirements. http://www.ecfr.gov/cgi-
bin/text-idx?c=ecfr&tpl=/ecfrbrowse/Title24/24cfr135 main 02.tpl
4.10 Age Discrimination Act of 1975, Executive Order 11063, and Executive Order 11246 as
amended by Executive Orders 11375, 11478, 12107 and 12086.
Age Discrimination Act of 1975 - http://www.dol.gov/oasam/refs/statutes/age_act.htm
11063:http://portal.hud.aov/hudportal/LEUD?src=/program offices/fair housing equal o
pp/FHLaws/EXO 11063
11246: http://www.eeoc.gov/eeoc/history/35th/thelaw/eo-11246.html
11375: Amended by EO 11478
11478: http://www.archives.gov/federal-register/codification/executive-order/11478.html
12107: http://www.archives.gov/federal-register/codification/executive-order/12107.html
12086: http://www.archives.gov/federal-register/codification/executive-order/12086.html
4.11 Contract Work Hours and Safety Standards Act, 40 USC 327-332.
http://usaceengineeringpamplets2.tpub.com/EP-1180-1-I/EP-1180-1-10012.htm
4.12 Section 504 of the Rehabilitation Act of 1973, 29 USC 776(b) (5), 24 CFR 570.614
Subpart K.
Section 504: http://www.epa.gov/civilrights/sec504.htm
29 USC 776: http://law.onecle.com/uscode/29/776.html
24 CFR 570.614: http://www.law.cornell.edu/cfr/text/24/570.614
4.13 The Americans with Disabilities Act of 1990
http://www.thwa.dot.gov/realestate/ua/index.htm
4.14 Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as
amended. http://www.fhwa.dot.uov/realestate/ua/index.htm
4.15 29 CFR Parts 3 and 5 - Regulations which prescribe the payment of prevailing wages and
the use of apprentices and trainees on federally assisted projects as mandated by the
Davis-Bacon Act. HUD Form 4010 must be included in all construction contracts funded
by CDBG. (See 42 USC 276a and 24 CFR 135.11(c).
29 CFR Part 3 - Contractors and Subcontractors on public building or Public Work
Financed in whole or in part by Loans or Grants from the United. States-
http://www.law.cornell.edu/cfr/text/29/part-3
29 CFR Part 5 - Labor Standards Provisions Applicable to Contracts Covering Federally
Financed and Assisted Construction (Also Labor Standards Provision Applicable
...Subject to the Contract Work Hours and Safety Standards Act)
http://ww w.law.cornell.edu/cfr/text/29/part-5
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Executive Order 11914 - Prohibits discrimination with respect to the handicapped in
federally assisted projects. http://www.presidencv.ucsb.edu/ws/index.php?pid=23675
4.16 Executive Order 11625 and U.S. Department of Housing and Urban Development
Circular Letter 79-45 -which prescribes goal percentages for participation of minority
businesses in Community Development Block Grant Contracts.
E.O. 11625 Prescribing additional arrangements for developing and coordinating a
national program for minority business enterprise http://www.mbda.gov/node/333
HUD Circular Letter 79-45:No reference found
4.17 The SUBRECIPIENT agrees to comply with the non-discrimination in employment and
contracting opportunities laws, regulations, and executive orders referenced in 24 CFR
570.607, as revised by Executive Order 13279. The applicable non-discrimination
provisions in Section 109 of the HCDA are still applicable.
24 CFR 570.607: http://www.gpo.gov/fdsys/pkg/CFR-2010-title24-vo13/pdf/CFR-2010-
title24-vol3-sec570-608.pdf
E.O. 13279: http://fedgovcontracts.com/pe02-192.htm
4.18 Public Law 100-430 -the Fair Housing Amendments Act of 1988.
http://www.ncbi.nlm.nih.gov/pubmed/12289709
4.19 24 CFR 84 - Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Non-Profit Organizations and
specified by the following subsections: http://www.law.comell.edu/cfr/text/24/part-84
• Subpart A—General;
• Subpart B — Pre-Award Requirements, except for 84.12, Forms for Applying for
Federal Assistance;
• Subpart C—Post-Award Requirements, except for:
o Section 84.22, Payment Requirements- Grantees shall follow the standards of
85.20(b)(7) and 85.21 in making payments to SUBRECIPIENT's;
o Section 84.23, Cost Sharing and Matching;
o Section 84.24, Program Income — in lieu of 84.24 CDBG SUBRECIPIENT's
shall follow 570.504;
o Section 84.25, Revision of Budget and Program Plans;
o Section 84.32, Real Property — In lieu of 84.32, CDBG SUBRECIPIENT's
shall follow 570.505;
o Section 84.34(g), Equipment—In lieu of the disposition provisions of 84.34(g)
the following applies:
• In all cases in which equipment is sold, the proceeds shall be program
income (pro-rated to reflect the extent to which CDBG funds were
used to acquire the equipment); and
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• Equipment not needed by the SUBRECIPIENT for CDBG activities
shall be transferred to the recipient for the CDBG program or shall be
retained after compensating the recipient;
o Section 84.51(b), (c), (d), (e), (f) and (h), Monitoring and Reporting Program
Performance;
o Section 84.52, Financial Reporting;
o Section 84.53(b), Retention and Access Requirements for Records. Section
84.53(b) applies with the following exceptions:
• The retention period referenced in 84.53(b) pertaining to individual
CDBG activities shall be three years; and
• The retention period starts from the date of submission of the annual
performance and evaluation report, as prescribed in 24 CFR 91.520, in
which the specific activity is reported on for the final time rather than
from the date of submission of the final expenditure report for the
award;
o Section 84.61, Termination - In lieu of the provisions of 84.61, CDBG
SUBRECIPIENT's shall comply with 570.503(b)(7); and
• Subpart D—After-the-Award Requirements—except for 84.71, Closeout Procedures
4.20 24 CFR 85 - Administrative Requirements for Grants and Agreements to State and Local
Governments shall be followed for sub recipients that are governmental entities.
http://www.ecfr.gov/cgi-b in/text-
idx?c=ecfr&tp1=/ecfrbrowse/Title24/24cfr85 main 02.tpl
4.21 Immigration Reform and Control Act of 1986
http://www.eeoc.gov/eeoc/history/35th/thelaw/irca.htm1
4.22 Prohibition Of Gifts To County Employees -No organization or individual shall offer or
give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value
to any County employee, as set forth in Chapter 112, Part III, Florida Statutes, Collier
County Ethics Ordinance No. 2004-05, as amended, and County Administrative
Procedure 5311. Florida Statutes -
http://www.lawserver.com/law/state/florida/statutes/florida statutes chapter 112 part iii
Collier County-
http://bccsp0 1/SiteDirectory/ASD/HR/labor/CMAs/Shared%20Documents/CMA%2053 1
1.1%20Standards%20of%20Conduct.pdf
4.23 Order of Precedence - In the event of any conflict between or among the terms of any of
the Contract Documents, the terms of the Agreement shall take precedence over the terms
of all other Contract Documents, except the terms of any Supplemental Conditions shall
take precedence over the Agreement. To the extent any conflict in the terms of the
Contract Documents cannot be resolved by application of the Supplemental Conditions, if
any, or the Agreement, the conflict shall be resolved by imposing the more strict or costly
obligation under the Contract Documents upon the Contractor at Owner's discretion.
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4.24 Venue-Any suit of action brought by either party to this Agreement against the other
party relating to or arising out of this Agreement must be brought in the appropriate
federal or state courts in Collier County, FL which courts have sole jurisdiction on all
such matters. (No reference required for this item).
4.25 Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this
Agreement to resolve disputes between the parties, the parties shall make a good faith
effort to resolve any such disputes by negotiation. Any situations when negotiations,
litigation and/or mediation shall be attended by representatives of SUBRECIPIENT with
full decision-making authority and by COUNTY'S staff person who would make the
presentation of any settlement reached during negotiations to COUNTY for approval.
Failing resolution, and prior to the commencement of depositions in any litigation
between the parties arising out of this Agreement, the parties shall attempt to resolve the
dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the
State of Florida. Should either party fail to submit to mediation as required hereunder,
the other party may obtain a court order requiring mediation under § 44.102, Florida
Statutes. The litigation arising out of this Agreement shall be Collier County, Florida, if
in state court and the US District Court, 20th Judicial Court of Florida, if in federal court.
BY ENTERING INTO THIS AGREEMENT, COLLIER COUNTY AND THE
SUBRECIPIENT EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE
TO A TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING
OUT OF, THIS AGREEMENT.
htto://www.fl senate.gov/Laws/Statutes/2010/44.102
4.26 The SUBRECIPIENT agrees to comply with the following requirements:
a. Clean Air Act, 41 USC 7401, et seq. http://www.law.cornell.edu/uscode./text/42/7401
b. Federal Water Pollution Control Act, 33 USC 1251, et seq., as amended.
http://www.law.comell.edu/uscode/text/33/chapter-26
4.27 In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42
USC 4002 and 24 CFR 570.605 Subpart K), the SUBRECIPIENT shall assure that for
activities located in an area identified by FEMA as having special flood hazards, flood
insurance under the National Flood Insurance Program is obtained and maintained. If
appropriate, a letter of map amendment(LOMA) may be obtained from FEMA,which
would satisfy this requirement and/or reduce the cost of said flood insurance.
http://w ww.ecfr.gov/cgi-bin/text-
idx?c=ecfr&SID=eba40bdb52822d80827a48bced5b0b56&rgn=div8&view=text&node=2
4:3.1.1.3.4.1 l.l.6&idno=24
4.28 The SUBRECIPIENT agrees that any construction or rehabilitation of residential
structures with assistance provided under this contract shall be subject to HUD Lead-
Based Paint Poisoning Prevention Act found at 24 CFR 570.608, Subpart K.
http://www.ecli.gov/chi-bin/text-
idx?c=ecfr&S ID=eba40bdb52822d80827a48bced 5 b0b56&rgn=div8&view=text&node=2
4:3.1.1.3.4.11.1.9&id no=24
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4.29 The SUBRECIPIENT agrees to comply with the Historic Preservation requirements set
forth in the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and
the procedures set forth in 36 CFR Part 800, Advisory Council on Historic Preservation
Procedures for Protection of Historic Properties, insofar as they apply to the performance
of this agreement.
http://www.nps.gov/h istory/local-law/nlipa l 966.htm
http://www.ecfr.gov/cgi-bin/text-
idx?c=ecfr&tp1=/ecfrbrowse/T'itle36/36cfr800_main_02.tpl
In general, this requires concurrence from the State Historic Preservation Officer for all
rehabilitation and demolition of historic properties that are fifty years old or older or that
are included on a federal, state or local historic property list.
http://www.nps.gov/history/local-law/nhpa1966.htm
4.30 The SUBRECIPIENT must certify that it will provide drug-free workplaces in
accordance with the Drug-Free Workplace Act of 1988 (41 USC 701).
http://us-code.vlex.com/vid/drug-free-workpl ace-requirements-contractors-19242870
4.31 The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal Department or agency; and, that the
SUBRECIPIENT shall not knowingly enter into any lower tier contract, or other covered
transaction, with a person who is similarly debarred or suspended from participating in
this covered transaction as outlined in 24 CFR 570.609, Subpart K.
http://www.ecfr.gov/cgi-bin/text-
idx?c=ecfr&SID=eba40bdb52822d80827a48bced5b0b56&rgn=div8&view=text&node=2
4:3.1.1.3.4.1 1.1.10&idno=24
4.32 The SUBRECIPIENT agrees to comply with the following OMB Circulars whichever is
applicable, and agrees to adhere to the accounting principles and procedures required
therein, utilize adequate internal controls, and maintain necessary source documentation
for all costs incurred.
States, local governments, and Indian Tribes follow:
• A-87 for Cost Principles
• A-102 for Administrative Requirements
Educational Institutions (even if part of a State or local government) follow:
• A-21 for Cost Principles
• A-110 for Administrative Requirements
Non-Profit Organizations follow:
• A-122 for Cost Principles
• A-110 for Administrative Requirements
OMB Circular A87: http://www.whitehouse.gov/omb/circulars a087 2004/
OMB Circular A102:http://www.whitehouse.gov/omb/circulars a102/
OMB Circular A21:http://www.whitehouse.gov/omb/circulars a021 2004/
OMB Circular A110:http://www.whitehouse.gov/omb/circulars_a1 10/
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OMB Circular A122: http://www.whitehouse.gov/omb/circulars a122 2004/
4.33 Audits shall be conducted annually and shall be submitted to the COUNTY one hundred
eighty (180) days after the end of the SUBRECIPIENT's fiscal year. The
SUBRECIPIENT shall comply with the requirements and standards of OMB A-133,
Audits of States, Local Governments, and Non-Profit Organizations. If this Agreement is
closed out prior to the receipt of an audit report, the COUNTY reserves the right to
recover any disallowed costs identified in an audit after such closeout.
http://www.whitehouse.gov/omb/circulars/a133_compliance supplement 2011
Clarification of Eligible Audit Costs
The Amendment to 92.206(d)(3) clarifies that eligible costs of a project audit include the
cost certification of costs performed by a certified public accountant. This has always
been an eligible cost; the amendment clarifies and codifies this.
http://www.law.cornell.edu/cfr/text/24/92.206
4.34 Any real property acquired by the SUBRECIPIENT for the purpose of carrying on the
projects stated herein, and approved by the COUNTY in accordance with the Uniform
Relocation Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR
24.101, shall be subject to the provisions of CDBG including, but not limited to, the
provisions on use and disposition of property. Any real property within the
SUBRECIPIENT control, which is acquired or improved in whole or part with CDBG
funds in excess of$25,000, must adhere to the CDBG Regulations at 24 CFR 570.505.
http://www.fhwa.dot.gov/realestate/ua/index.htm
http://www.law.cornell.edu/cfr/text/49/24.101.
http://cfr.vlex.com/vid/570-505-use-real-property-19928754
4.35 As provided in § 287.133, Florida Statutes by entering into this Agreement or performing
any work in furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates,
suppliers, subcontractors and consultants who will perform hereunder, have not been
placed on the convicted vendor list maintained by the State of Florida Department of
Management Services within the 36 months immediately preceding the date hereof. This
notice is required by § 287.133 (3) (a), Florida Statutes.
http://www.lawserver.com/law/state/florida/statutes/florida statutes 287-133
4.36 No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or
an employee of a Member of Congress in connection with the awarding of any Federal
contract, the making of any Federal grant, the making of any Federal loan, the entering
into of any cooperative agreement, and the extension, continuation, renewal, amendment,
or modification of any Federal contract, grant, loan, or cooperative agreement.
If any funds other than Federal appropriated funds have been paid or will be paid to any
person for influencing or attempting to influence an officer or employee of any agency, a
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Member of Congress, an officer or employee of Congress, or an employee of a Member
of Congress in connection with this Federal contract, grant, loan, or cooperative
agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure
Form to Report Lobbying," in accordance with its instructions.
The undersigned shall require that the language of this certification be included in the
award documents for all sub-awards at all tiers (including subcontracts, sub-grants,
contracts under grants, loans, and cooperative agreements) and that all
SUBRECIPIENT's shall certify and disclose accordingly.
4.37 Travel reimbursement will be based on the U.S. General Services Administration (GSA)
per diem rates in effect at the time of travel.
4.38 Any rule or regulation determined to be applicable by HUD.
4.39 Florida Statutes 713.20, Part 1, Construction Liens
http://www.lea.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0700-
0799/0713/0713.html
4.40 Florida Statutes 119.021 Records Retention
http://www.lawserver.com/law/state/florida/statutes/florida_statutes 1.19-021
4.41 Florida Statutes, 119.071, Contracts and Public Records
http://www.leg.state.fl.us/Statutes/index.cfm?App mode=Display Statute&URL,=01.00-
0199/0119/Sections/0119.07.html
(Signature Page to Follow)
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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 OUNTY OMMISSIONERS OF
DW.16*. 1 R9C 'LERK COLLI •OUNTY IRIDA
• >, By 110
Attest,as to Chairma SPuty Clerk TOM HENNING,CHAIRMAN
signature THE SHELTER FOR ABUSED WOMEN &
Dated: CHILDREN
(SEAL)
By: 7"
r p ^ . J� Linda Oberhaus, Executive Director
.Icitl.e 6-an/eta 4,
Name and Title
L Hal,/n /74117
Witness
Name and Title
Approved as to form and legality:
Jennifer A. e1 edio
Assistant County Attorney �p--
Item# ICli 1
Agenda joiii
Date
Date TI9,,G I ll
Rees
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PART V
EXHIBITS
EXHIBIT "A"
INSURANCE REQUIREMENTS
The SUBRECIPIENT shall furnish to Collier County, c/o Housing, Human and Veteran
Services Department, 3339 E. Tamiami Trail, Suite 211, Naples, Florida 34112, Certificate(s) of
Insurance evidencing insurance coverage that meets the requirements as outlined below:
1. Workers' Compensation as required by Chapter 440, Florida Statutes.
2. Commercial General Liability including products and completed operations
insurance in the amount of$1,000,000 per occurrence and $2,000,000 aggregate.
Collier County must be shown as an additional insured with respect to this
coverage.
3. Automobile Liability Insurance covering all owned, non-owned and hired
vehicles used in connection with this contract in an amount not less than
$1,000,000 combined single limit for combined Bodily Injury and Property
Damage. Collier County shall be named as an additional insured.
DESIGN STAGE(IF APPLICABLE)
In addition to the insurance required in 1 — 3 above, a Certificate of Insurance must be
provided as follows:
4. Professional Liability Insurance in the name of the SUBRECIPIENT or the
licensed design professional employed by the SUBRECIPIENT in an amount not
less than $1,000,000 per occurrence/$1,000,000 aggregate providing for all sums
which the SUBRECIPIENT and/or the design professional shall become legally
obligated to pay as damages for claims arising out of the services performed by
the SUBRECIPIENT or any person employed by the SUBRECIPIENT in
connection with this contract. This insurance shall be maintained for a period of
two (2) years after the certificate of Occupancy is issued. Collier County shall be
named as an additional insured.
CONSTRUCTION PHASE(IF APPLICABLE)
In addition to the insurance required in 1 —4 above, the SUBRECIPIENT shall provide or
cause its Subcontractors to provide original certificates indicating the following types of
insurance coverage prior to any construction:
5. Completed Value Builder's Risk Insurance on an "All Risk" basis in an amount
not less than one hundred (100%) percent of the insurable value of the building(s)
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or structure(s). The policy shall be in the name of Collier County and the
SUBRECIPIENT.
6. In accordance with the requirements of the Flood Disaster Protection Act of 1973
(42 U.S.C. 4001), the SUBRECIPIENT shall assure that for activities located in
an area identified by the Federal Emergency Management Agency (FEMA) as
having special flood hazards, flood insurance under the National Flood Insurance
Program is obtained and maintained as a condition of financial assistance for
acquisition or construction purposes (including rehabilitation).
OPERATION/MANAGEMENT PHASE(IF APPLICABLE)
After the Construction Phase is completed and occupancy begins, the following insurance
must be kept in force throughout the duration of the loan and/or contract:
7. Workers' Compensation as required by Chapter 440,Florida Statutes.
8. Commercial General Liability including products and completed operations
insurance in the amount of$1,000,000 per occurrence and $2,000,000 aggregate.
Collier County must be shown as an additional insured with respect to this
coverage.
9. Automobile Liability Insurance covering all owned, non-owned and hired
vehicles used in connection with this contract in an amount not less than
$1,000,000 combined single limit for combined Bodily Injury and Property
Damage. Collier County as an additional insured.
10. Property Insurance coverage on an "All Risk" basis in an amount not less than
one hundred (100%) of the replacement cost of the property. Collier County must
be shown as a Loss payee with respect to this coverage A.T.I.M.A.
11. Flood Insurance coverage for those properties found to be within a flood hazard
zone for the full replacement values of the structure(s) or the maximum amount of
coverage available through the National Flood Insurance Program (NFIP). The
policy must show Collier County as a Loss Payee A.T.I.M.A.
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« „ 1613
1
EXHIBIT B
COLLIER COUNTY HOUSING,HUMAN AND VETERAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
Sub recipient Name: The Shelter for Abused Women& Children, Inc.
Sub recipient Mailing Address: P.O. Box 10102,Naples, FL 34101
Project Name: Shelter Improvements
Agreement No: CD14-09 Payment Request#
Total Payment Minus Retainage: $
Period of Availability: through
Period for which Agency has incurred indebtedness: through
SECTION II: STATUS OF FUNDS
1. Grant Amount Awarded
2. Sum of Past Claims Paid on this Account
3. Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account $
4. Amount of Previous Unpaid Requests
5. Amount of Today's Request
6. 10% Retainage Amount Withheld
7. Current Grant Balance (Initial Grant Amount
Awarded Less Sum of all requests) $
I certify that this request for payment has been drawn 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
Grant Coordinator Grant Accountant
Supervisor (approval required $15,000 and above)
Dept Director (approval required $15,000 and above)
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EXHIBIT "C"
REPORTING SCHEDULE
The SUBRECIPIENT shall submit quarterly reports to Grantee based on the following schedule.
Reports shall be submitted according to this schedule as long as this Agreement is in force:
Activity Reporting Period Report Due Date
October 1st—December 31st January 10th
January 31st—March 31st April 10th
April 1st—June 30th July 10th
July 1st—September 30th October 10th
SUBRECIPIENT AGREEMENT
SHELTER IMPROVEMENTS PROEJCT
Date Submitted:
Activity Reporting Period:
Contact Person:
Telephone: Email:
GENERAL
1. Activity Status or Milestones — describe any significant actions taken or outcomes
achieved during this reporting period.
2. Future Actions — what significant actions or outcomes are expected during the next
reporting period?
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3. Obstacles—describe any potential obstacles, challenges, or issues that may cause delay.
ACTIVITY STATUS
Complete the following information by entering the appropriate numbers for this reporting
period in the tables below. Do not duplicate information from previous reporting periods.
Activity This Reporting Period
No. Active Projects
No. Projects Complete
No. Properties Demolished
No. Properties Sold
TOTAL
HOUSEHOLD INFORMATION
Complete these tables for those properties sold during this reporting period.
Household Data This Reporting Period
No. Extremely-Low Income Households(0-30%AMI)
No. Very-Low Income Households(31-50%AMI)
No. Low-Income Households(51-80%AMI)
No. Moderate-Income Households(81-120%AMI)
No. Female Head of Households
TOTAL
RACE AND ETHNICITY BENEFICIARIES
Race Total No. Hispanic
White
Black or African American
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
American Indian/Alaska Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and Black/African American
Other Multi-Racial
TOTAL
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EXHIBIT "D"
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: The Shelter for Abused Women&Children, Inc. Date:
Project Title: CDBG Shelter Improvements
Alternate
Program Contact: Rosa Leon Contact:
Telephone Number: 239-775-3862
*REPORT FOR QUARTER ENDING:(check one that applies to the
corresponding grant period): ❑12/31/14 03/30/15 006/30/15 ❑9/30/15 ❑
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: Completion of rehabilitation to Shelter facility.
Outcome 2: Completion of climate controlled improvements to the IT server room.
Outcome 3: Rehabilitation to benefit 600 presumed eligible clients
B.Goal Progress: Indicate the progress to date in meeting each outcome goal.
Outcome 1 ) ..-fir ' _
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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.
❑ El
Yes No
If no,explain:
3. Since effective date of agreement,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 -
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)
1 6
�.,
5. (What is the total number of UNDUPLICATED clients served this quarter,if applicable?
a. Total No.of adult females served: 0 Total No.of females served under 18: 0
b. Total No.of adult males served: 0 Total No.of males served under 18: 0
TOTAL: 0 TOTAL: 0
c. Total No.of families served: 0 Total No.of female head of household: 0
6. I What is the total number of UNDUPLICATED clients served since October,if applicable?
a. Total number of adult females served: 0 Total number of females served under 18: 0
b. Total number of adult males served: 0 Total number of males served under 18: 0
TOTAL: 0 TOTAL: 0
c. Total No.of families served: 0 Total No.of female head of household: 0
Complete EITHER question#7 OR#8.Complete question#7 if your program only serves clients in one or more of the listed HUD Presumed
Benefit categories. Complete question#8 if any client in your program does not fall into a Presumed Benefit category.
DO NOT COMPLETE BOTH QUESTION 7 AND 8.
7. 'PRESUMED BENEFICIARY DATA r 8. 'OTHER BENEFICIARY DATA:INCOME RANGE I
Indicate the total number of UNDUPLICATFD
persons served since October 1 who fall into Indicate the total number of UNDUP//CATFIZ persons
each presumed benefit category (the total served since October 1 who fall into each income
should equal the total in question#6): category(the total should equal the total in question#6):
Report as: Report as:
O Abused Children 0 Extremely low Income(0-30%)
O Homeless Person 0 Low Income(31-50%)
O Battered Spouses 0 Moderate Income(51-80%)
O Persons w/HIV/AIDS 0 Above Moderate Income(>80%)
O Elderly Persons
O Veterans
O Chronically/Mentally ill
O Physically Disabled Adults
O Other-Youth
TOTAL: 0 TOTAL: 0
9. 'Racial&Ethnic Data: 'Of applicable)
Please indicate how many UNDUPLICATED clients served since October fall into each race category. In addition
to each race category, please indicate how many persons in each race category consider themselves Hispanic
(Total Race column should equal the total cell).
RACE ETHNICITY
White ;of whom,how many are Hispanic?
Black/African American 0 0 ;of whom,how many are Hispanic?
Asian 0 0 ;of whom,how many are Hispanic?
American Indian/Alaska Native 0 0 ;of whom,how many are Hispanic?
Native Hawaiian/Other Pacific Islander 0 0 ;of whom,how many are Hispanic?
American Indian/Alaskan Native&White 0 0 ;of whom,how many are Hispanic?
Black/African American&White 0 0 ;of whom,how many are Hispanic?
Am.Indian/Alaska Native&Black/African Am. 0 0 ;of whom,how many are Hispanic?
Other Multi-racial 0 0 ;of whom,how many are Hispanic?
Other 0 0 ;of whom,how many are Hispanic?
TOTAL: 0 0 TOTAL HISPANIC
Name: Signature:
Your typed name here represents your electronic
Title: signature
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16131
EXHIBIT "E"
INCOME CERTIFICATION
INSTRUCTIONS
Complete form, and retain appropriate supporting documentation, to document providing CDBG
assistance to an eligible beneficiary. Please file in your organization's records and have on hand
for future monitoring visits.
Effective Date:
A. Household Information
Member Names—All Household Members Relationship Age
1
2
3
4
5
6
7
8
B. Assets: All Household Members,Including Minors
Member Asset Description Cash Value Income
from Assets
l
2
3
4
5
6
7
8
Total Cash Value of Assets B(a)
Total Income from Assets B(b)
If line B(a) is greater than$5,000,multiply that amount by the rate specified
by HUD(applicable rate 2.0%)and enter results in B(c),otherwise leave
blank. B(c)
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C. Anticipated Annual Income: Includes Unearned Income and Support Paid on
Behalf of Minors
Member Wages/ Benefits/ Public Other
Salaries Pensions Assistance Income
(include tips,
commissions, Asset
bonuses,and Income
overtime)
1 (Enter the
2 greater of
box B(b)or
3 box B(c),
4 above, in
5 box C(e)
6 below)
7
8
Totals (a) (b) (c) (d) (e)
Enter total of items C(a)through C(e).
This amount is the Annual Anticipated Household Income.
D. Recipient Statement: The information on this form is to be used to determine maximum
income for eligibility. I/we have provided, for each person set forth in Item A, acceptable
verification of current and anticipated annual income. Uwe certify that the statements are
true and complete to the best of my/our knowledge and belief and are given under penalty
of perjury.
WARNING: Florida Statutes 817 provides that willful false statements or misrepresentations concerning income and assets or
liabilities relating to financial condition is a misdemeanor of the first degree and is punishable by fines and imprisonment
provided under S.775.082 and 775.083.
Signature of Head of Household Date
Signature of Spouse or Co-Head of Household Date
Adult Household Member(if applicable) Date
Adult Household Member(if applicable) Date
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E. CDBG Grantee Statement: Based on the representations herein, the family or
individual(s) named in Item A of this Income Certification is/are eligible under the
provisions of the CDBG Program. The family or individual(s) constitute(s) a:
Very-Low Income (VLI) Household means and individual or family whose
annual income does not exceed 30 percent of the area median income as
determined by the U.S. Department of Housing and Urban Development with
adjustments for household size.
(Maximum Income Limit $ ).
Low-Income (LI) Household means and individual or family whose annual
income does not exceed 50 percent of the area median income as determined by
the U.S. Department of Housing and Urban Development with adjustments for
household size.
(Maximum Income Limit $ ).
Moderate-Income (MOD) Household means and individual or family whose
annual income does not exceed 80 percent of the area median income as
determined by the U.S. Department of Housing and Urban Development with
adjustments for household size.
(Maximum Income Limit$ ).
Based upon the (year) income limits for the Naples-Marco Island Metropolitan
Statistical Area(MSA) of Collier County, Florida.
Signature of the CDBG Administrator or His/Her Designated Representative:
Signature Date
Printed Name
Title
F. Household Data
Number of Persons
By Race/Ethnicity By Age
Native
American Asian Black Hawaiian or White Oth 0— 26— 41 — 62+
Indian Other Pac. er 25 40 61
Islander
Hispanic
Non-
Hispanic
NOTE:Information concerning the rate or ethnicity of the occupants is being gathered for statistical use only. No beneficiary is
required to give such information he or she desires to do so, and refusal to give such information will not affect any right he or
she has to the CDBG program.
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EXHIBIT "F"
ANNUAL AUDIT MONITORING REPORT,
OMB Circular A-133 Audits of States, Local Governments, and Non-Profit Organizations requires the Collier
County Housing, Human and Veterans Services Department to monitor our sub recipients of federal awards
and determine whether they have met the audit requirements of the circular and whether they are in
compliance with federal laws and regulations. Accordingly, we are requiring that you check one of the
following, provide all appropriate documentation regarding your organization's compliance with the audit
requirements, sign and date this form.
Fiscal Year
Subrecipient Name Period
Total State Financial Assistance Expended during
most recently completed Fiscal Year
Total Federal Financial Assistance Expended during most
recently completed Fiscal Year
Check Appropriate Boxes
We have exceeded the $500,000 federal/state expenditure threshold for our fiscal year ending
❑ as indicated above and have completed our Circular A-133 audit. A copy of the audit report
and management letter is attached.
We exceeded the $500,000 federal/state expenditure threshold for our fiscal year ending as
❑ indicated above and expect to complete our Circular A-133 audit by . Within
30 days of completion of the A-133 audit, we will provide a copy of the audit report and
management letter.
❑ We are not subject to the requirements of OMB Circular A-133 because we:
❑ Did not exceed the $500,000 federal/state expenditure threshold for the fiscal year
indicated above
❑ Are exempt for other reasons—explain
An audited financial statement is attached and if applicable, the independent auditor's
management letter.
(If findings were noted, please enclose a copy of the responses and corrective action plan.)
Certification Statement
I hereby certify that the above information is true and accurate.
Signature Date
Print Name and Title
This form may be used to monitor Florida Single Audit Act(Statute 215.97) requirements.
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