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Backup Documents 09/23/2014 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 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. Rachel Brandhorst HHVS RB 8/25/14 2. Jennifer B. Belpedio, ACA Office located in HHVS County Attorney Office Department 4- /&/t 4 3. BCC Office Board of County 11.k b Commissioners \r [/ / c17.-S\l‘k 4. Minutes and Records Clerk of Court's Office C1 12J42 (LC( 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 Rachel Brandhorst Phone Number 252-4230 Contact/ Department 1(o l Agenda Date Item was 95dictIt4^• c \_1 ,\`� Agenda Item Number 4 a9.6 , Ft Approved by the BCC Type of Document CJMHSA Amendment — LC— 3 )(Number of Original 9 originals Attached CGSO 3)( Documents Attached PO number or account Nsa Mt 3 JL 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) • .plicable) 1. Does the document require the chairman's original signature? RMB 2. Does the document need to be sent to another agency for additional signatures? If yes, RMB provide the Contact Information(Name; Agency;Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman, with the exception of most letters,must be reviewed and signed RMB by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's RMB 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 RMB V 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 RMB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip RMB 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 9/9/2014 (and all changes made t t B during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by th• RMB BCC,all changes directed by the BCC have been made,and the document is ready fo the 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 161314 INSTRUCTIONS & CHECKLIST #2 Please send one original Chairman signed document to: Collier County Sheriff's Office Attn: Marien Ruiz 3319 E. Tamiami Trail Naples, FL 34112 David Lawrence Mental Health Center Attention: Scott Burgess 6075 Bathey Lane Naples, FL 34116 NAMI Attn: Kathryn Hunter 5020 Tamiami Trail N. Naples, FL 34103 Please send another original to:. Rachel Brandhorst HHVS, Building H, Suite 211 239-252-4230 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: Rachel Brandhorst, Grants Coordinator Housing, Human &Veteran Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: First Amendment to Agreement CJMHSA-001 with the David Lawrence Center, CJMHSA-002 with the Collier County Sheriffs Office and CJMHSA-003 with the National Alliance of Mental Illness (NAMI) Attached for your records is a copy of each agreement referenced above, (Item #16D11) approved by Board of County Commissioners on Tuesday, September 23, 2014. Per your request an original has been sent to the Sheriffs Department, David Lawrence center and NAMI. The third original will be held in the Minutes & Records Department as part of the Board's Official Records. If you have any questions, please contact me at 252-8411. Thank you. Attachments (4) 16131 MEMORANDUM Date: September 29, 2014 To: Marien Ruiz, Grant Coordinator Collier County Sheriff's Office From: Ann Jennejohn, Deputy Clerk Board Minutes & Records Department Re: First Amendment to Agreement CJMHSA-002 Attached for your records is an original of the document referenced above Item #16D11) approved by the Board of County Commissioner's during their meeting held on Tuesday, September 23, 2014. An original will be held in the Board Minutes and Record's Department for the Official Record. If you have any questions please call me at 252-8411. Thank you. Attachment (2) Coin Coanty of Collier 161311 1 CLERK OF THE CIRCUIT COURT COLLIER COUNTYCOURTTHOUSE 3315 TAMIAMI TRL E STE 102 Dwight E. Brock -G4erk of Circuit Court P.O. BOX 413044 NAPLES, FL 34112-5324 NAPLES, FL 34101-3044 Clerk of Courts • Comptroller • Auditor ustdian of County Funds September 29, 2014 Scott Burgess David Lawrence Mental Health Center 6075 Bathey Lane Naples, FL 34116 Mr. Burgess, Enclosed is your copy of the First Amendment to Agreement CJMHSA-001 which was approved by the Board of County Commissioners at their September 23, 2014 Regular Meeting. Thank you, Teresa Cannon, Deputy Clerk Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk @collierclerk.com County of Collier 16011 CLERK OF THE CIRCCIT COURT COLLIER COUNTY=COUR1HOUSE 3315 TAMIAMI TRL E STE 102 Dwight E. Brock -Clerk of Circuit Court P.O. BOX 413044 NAPLES, FL 34112-5324 NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditor 'ustudian of County Funds September 29, 2014 Kathryn Hunter NAMI 5020 Tamiami Trail N. Naples, FL 34103 Ms. Hunter, Enclosed is your copy of the First Amendment to Agreement CJMHSA-003 which was approved by the Board of County Commissioners at their September 23, 2014 Regular Meeting. Thank you, Q.00(N.A.J4+5;;e___ e esa Cannon, Deputy Clerk Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com 1601I FIRST AMENDMENT TO AGREEMENT CJMHSA-003 BETWEEN COLLIER COUNTY AND NAMI OF COLLIER COUNTY, INC. This Amendment, is entered into this "r--cr\ day of Eve fit ► , 2014, by and between NAMI of Collier County, Inc. a private not-for-profit corporation existing under the laws of the State of Florida, hereinafter referred to as "SUBRECIPIENT" and Collier County, Florida, hereinafter to be referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to modify the Agreement to add provisions for proper accountability over state resources and a property clause for the purchase of tangible personal property. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words Underlined are added 1. Add to Exhibit A, Al-10, Financial Assistance Al- 10 Financial Assistance. If receiving state financial assistance, the Subrecipient shall be in compliance with Section 215.97, Florida Statutes (F.S.). Expenditures of state financial assistance shall be in compliance with laws, rules and regulations applicable to expenditures of State funds, including, but not limited to, the Reference Guide for State Expenditures. The Agreement may be charged only with allowable costs resulting from obligations incurred during the term of the Agreement. 2. Add to Exhibit A, Al-11- Property Al- 11 Property. The word "property" as used in this section means equipment, fixtures, and other tangible personal property of a nonconsumable and nonexpendable nature, the value or cost of which is $1,000 or more and the normal expected life of which is 1 year or more, and hardback-covered bound books that are circulated to students or the general public, the value or cost of which is $25 or more, and hardback-covered bound books, the value or cost of which is $250 or more. Each item of property which it is practicable to identify by marking shall be marked in the manner required by the State of Florida Auditor General. The subrecipient shall maintain an adequate record of property in his or her custody, which record shall contain such information as shall be required by the State of Florida Auditor General. Once each year, on July 1 or as soon thereafter as is practicable, and whenever there is a change of custodian, each custodian shall take an inventory of property in his or her custody. The inventory shall be compared with the property record, and all discrepancies shall be traced and reconciled. All publicly supported libraries shall be exempt from marking hardback-covered bound books, as required by this section. The catalog and inventory control records maintained by each publicly supported library shall constitute the property record of hardback-covered bound books with a value or 1 16011 cost of $25 or more included in each publicly supported library collection and shall serve as a perpetual inventory in lieu of an annual physical inventory. All books identified by these records as missing shall be traced and reconciled, and the library inventory shall be adjusted accordingly. If any property is purchased by the Subrecipient with funds provided by this agreement, the Subrecipient shall inventory all nonexpendable property including all computers. A copy of which shall be submitted to the County along with the expenditure report for the period in which it was purchased. At least annually the Subrecipient shall submit a complete inventory of all such property to the County whether new purchases have been made or not. The inventory shall include, at a minimum, the identification number; year and/or model,: a description of the property, its use and condition; current location; the name of the property custodian; class code (use state standard codes for capital assets); if a group, record the number and description of the components making up the group; name, make, or manufacturer; serial number(s), if any, and if an automobile, the Vehicle Identification Number (VIN) and certificate number; acquisition date; original acquisition cost; funding source; and, information needed to calculate the federal and/or state share of its cost. The County Grant Manager must provide disposition instructions to the Subrecipient prior to the end of the agreement period. The Subrecipient cannot dispose of any property that reverts to the County without the Grant Coordinator's approval. The Subrecipient shall furnish a closeout inventory no later than 30 days before the completion or termination of this agreement. The closeout inventory shall include all nonexpendable property including all computers purchased by the Subrecipient. The closeout inventory shall contain, at a minimum, the same information required by the annual inventory. The Subrecipient hereby agrees that all inventories required by this agreement shall be current and accurate and reflect the date of the inventory, If the original acquisition cost of a property item is not available at the time of inventory, an estimated value shall be agreed upon by both the Subrecipient and the County and shall be used in place of the original acquisition cost, Title (ownership) to and possession of all property purchased by the Subrecipient pursuant to this agreement shall be vested in the County upon completion or termination of this agreement. During the term of this agreement, the Subrecipient is responsible for insuring all property purchased by or transferred to the Subrecipient is in good working order. The Subrecipient hereby agrees to pay the cost of transferring title to and possession of any property for which ownership is evidenced by a certificate of title. The Subrecipient shall be responsible for repaving to the County the replacement cost of any property inventoried and not transferred to the County upon completion or termination of this contract. When property transfers from the Subrecipient to the County, the Subrecpient shall be responsible for paying for the title transfer. If the Subrecipient replaces or disposes of property purchased by the Subrecipient pursuant to this agreement, the Subrecipient is required to provide accurate and complete information pertaining to replacement or disposition of the property as required on the Subrecipient's annual inventory. The Subrecipient hereby agrees to indemnify the County against any claim or loss arising out of the operation of any motor vehicle purchased by to the Subrecipient pursuant to this contract. A formal contract amendment is required prior to the purchase of any property item not specifically listed in the approved budget. 2 16131i IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first above written. NAMI OF COLLIER COUNTY, INC. By: Title: (CO ATTEST. COLLIER COU • DWIGHT E. BRO CLERK (0/ 9.Lkuk. By: DEPUTY CLERK TOM HENNING, CHAIRMAN Attest as to i 'natrman s signature onl:y,. Approval for form and legality: Jennifer A. Belpe 6,, Assistant County Attorney 2 f2\\ Item# DgAe (� ate nda *1, Date �'�,, ' ' Recd G1.L1�`D► I� 3 e I Deputy Clerk C�0 16011 FIRST AMENDMENT TO AGREEMENT CJMHSA-002 BETWEEN COLLIER COUNTY AND COLLIER COUNTY SHERIFF'S OFFICE This Amendment, is entered into this 23 r4, day ofSc ,�e1/,'2014, by and between Collier County Sheriff's Office a private not-for-profit corpofation existing under the laws of the State of Florida, herein after referred to as Subrecipient and Collier County, Florida, herein after to be referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to modify the Agreement to add provisions for proper accountability over state resources and a property clause for the purchase of tangible personal property. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words Underlined are added 1. Add to Exhibit A, Al-10, Financial Assistance Al- 10 Financial Assistance. If receiving state financial assistance, the Subrecipient shall be in compliance with Section 215.97, Florida Statutes (F.S.). Expenditures of state financial assistance shall be in compliance with laws, rules and regulations applicable to expenditures of State funds, including, but not limited to, the Reference Guide for State Expenditures. The Agreement may be charged only with allowable costs resulting from obligations incurred during the term of the Agreement. 2. Add to Exhibit A, Al-11- Property Al- 11 Property. The word "property" as used in this section means equipment, fixtures. and other tangible personal property of a nonconsumable and nonexpendable nature, the value or cost of which is $1,000 or more and the normal expected life of which is 1 year or more, and hardback-covered bound books that are circulated to students or the general public, the value or cost of which is $25 or more, and hardback-covered bound books, the value or cost of which is $250 or more. Each item of property which it is practicable to identify by marking shall be marked in the manner required by the State of Florida Auditor General. The subrecipient shall maintain an adequate record of property in his or her custody, which record shall contain such information as shall be required by the State of Florida Auditor General. Once each year, on July 1 or as soon thereafter as is practicable, and whenever there is a change of custodian, each custodian shall take an inventory of property in his or her custody. The inventory shall be compared with the property record, and all discrepancies shall be traced and reconciled. All publicly supported libraries shall be exempt from marking hardback-covered bound books, as required by this section. The catalog and inventory control records maintained by each publicly supported library shall constitute the property record of hardback-covered bound books with a value or 16011 cost of $25 or more included in each publicly supported library collection and shall serve as a perpetual inventory in lieu of an annual physical inventory. All books identified by these records as missing shall be traced and reconciled, and the library inventory shall be adjusted accordingly. If any property is purchased by the Subrecipient with funds provided by this agreement, the Subrecipient shall inventory all nonexpendable property including all computers. A copy of which shall be submitted to the County along with the expenditure report for the period in which it was purchased. At least annually the Subrecipient shall submit a complete inventory of all such property to the County whether new purchases have been made or not. The inventory shall include, at a minimum, the identification number; year and/or model,: a description of the property, its use and condition; current location; the name of the property custodian; class code (use state standard codes for capital assets); if a group, record the number and description of the components making up the group; name, make, or manufacturer; serial number(s), if any, and if an automobile, the Vehicle Identification Number (VIN) and certificate number; acquisition date; original acquisition cost; funding source; and, information needed to calculate the federal and/or state share of its cost. The County Grant Manager must provide disposition instructions to the Subrecipient prior to the end of the agreement period. The Subrecipient cannot dispose of any property that reverts to the County without the Grant Coordinator's approval. The Subrecipient shall furnish a closeout inventory no later than 30 days before the completion or termination of this agreement. The closeout inventory shall include all nonexpendable property including all computers purchased by the Subrecipient. The closeout inventory shall contain, at a minimum, the same information required by the annual inventory. The Subrecipient hereby agrees that all inventories required by this agreement shall be current and accurate and reflect the date of the inventory. If the original acquisition cost of a property item is not available at the time of inventory, an estimated value shall be agreed upon by both the Subrecipient and the County and shall be used in place of the original acquisition cost. Title (ownership) to and possession of all property purchased by the Subrecipient pursuant to this agreement shall be vested in the County upon completion or termination of this agreement. During the term of this agreement, the Subrecipient is responsible for insuring all property purchased by or transferred to the Subrecipient is in good working order. The Subrecipient hereby agrees to pay the cost of transferring title to and possession of any property for which ownership is evidenced by a certificate of title. The Subrecipient shall be responsible for repaying to the County the replacement cost of any property inventoried and not transferred to the County upon completion or termination of this contract. When property transfers from the Subrecipient to the County, the Subrecpient shall be responsible for paying for the title transfer. If the Subrecipient replaces or disposes of property purchased by the Subrecipient pursuant to this agreement, the Subrecipient is required to provide accurate and complete information pertaining to replacement or disposition of the property as required on the Subrecipient's annual inventory. The Subrecipient hereby agrees to indemnify the County against any claim or loss arising out of the operation of any motor vehicle purchased by to the Subrecipient pursuant to this contract. A formal contract amendment is required prior to the purchase of any property item not specifically listed in the approved budget. 2 �.� l6IJli IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first above written. Collier County Sheriff's Office By: vv.A 714/iY Title: ):■:G` S ATTEST COLLIER :fi NTY , DAIV HT E.48R K, CLERK 'or • r�ol�l By: Attest as to ChalrfrtD s UTY CLERK 7 TOM HENNING, CHAIRMAN signature only. Approval for form and legality: Jennifer A. Belpedi Assistant County Attorney ( a; l Item# __L____ Agenda Cr)9.51 i Date t q Date �( l(o)(y 3 •- • `F Deputy Clerk 161311 1 1 FIRST AMENDMENT TO AGREEMENT CJMHSA-001 BETWEEN COLLIER COUNTY AND DAVID LAWRENCE MENTAL HEALTH CENTER, INC. This Amendment, is entered into this 2,3 v— . day of , 2014, by and between David Lawrence Mental Health Center, Inc. a private not-f r-profit corporation existing under the laws of the State of Florida, hereinafter referred to as "SUBRECIPIENT" and Collier County, Florida, hereinafter to be referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to modify the Agreement to add provisions for proper accountability over state resources and a property clause for the purchase of tangible personal property. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words Underlined are added 1, Add to Exhibit A, Al-10, Financial Assistance Al- 10 Financial Assistance. If receiving state financial assistance, the Subrecipient shall be in compliance with Section 215.97, Florida Statutes (F.S.). Expenditures of state financial assistance shall be in compliance with laws, rules and regulations applicable to expenditures of State funds, including, but not limited to, the Reference Guide for State Expenditures. The Agreement may be charged only with allowable costs resulting from obligations incurred during the term of the Agreement. 2. Add to Exhibit A, Al-11- Property A1- 11 Property. The word "property" as used in this section means equipment, fixtures, and other tangible personal property of a nonconsumable and nonexpendable nature, the value or cost of which is $1,000 or more and the normal expected life of which is 1 year or more, and hardback-covered bound books that are circulated to students or the general public, the value or cost of which is $25 or more, and hardback-covered bound books, the value or cost of which is $250 or more. Each item of property which it is practicable to identify by marking shall be marked in the manner required by the State of Florida Auditor General. The subrecipient shall maintain an adequate record of property in his or her custody, which record shall contain such information as shall be required by the State of Florida Auditor General. Once each year, on July 1 or as soon thereafter as is practicable, and whenever there is a change of custodian, each custodian shall take an inventory of property in his or her custody. The inventory shall be compared with the property record, and all discrepancies shall be traced and reconciled. All publicly supported libraries shall be exempt from marking hardback-covered bound books, as required by this section. The catalog and inventory control records maintained by each publicly supported 1 CP 16011 library shall constitute the property record of hardback-covered bound books with a value or cost of $25 or more included in each publicly supported library collection and shall serve as a perpetual inventory in lieu of an annual physical inventory. All books identified by these records as missing shall be traced and reconciled, and the library inventory shall be adjusted accordingly. If any property is purchased by the Subrecipient with funds provided by this agreement, the Subrecipient shall inventory all nonexpendable property including all computers. A copy of which shall be submitted to the County along with the expenditure report for the period in which it was purchased. At least annually the Subrecipient shall submit a complete inventory of all such property to the County whether new purchases have been made or not. The inventory shall include, at a minimum, the identification number; year and/or model,: a description of the property, its use and condition; current location; the name of the property custodian; class code (use state standard codes for capital assets); if a group, record the number and description of the components making up the group; name, make, or manufacturer; serial number(s), if any, and if an automobile, the Vehicle Identification Number (VIN) and certificate number; acquisition date; original acquisition cost; funding source; and, information needed to calculate the federal and/or state share of its cost. The County Grant Manager must provide disposition instructions to the Subrecipient prior to the end of the agreement period. The Subrecipient cannot dispose of any property that reverts to the County without the Grant Coordinator's approval. The Subrecipient shall furnish a closeout inventory no later than 30 days before the completion or termination of this agreement. The closeout inventory shall include all nonexpendable property including all computers purchased by the Subrecipient. The closeout inventory shall contain, at a minimum, the same information required by the annual inventory. The Subrecipient hereby agrees that all inventories required by this agreement shall be current and accurate and reflect the date of the inventory. If the original acquisition cost of a, property item is not available at the time of inventory, an estimated value shall be agreed upon by both the Subrecipient and the County and shall be used in place of the original acquisition cost. Title (ownership) to and possession of all property purchased by the Subrecipient pursuant to this agreement shall be vested in the County upon completion or termination of this agreement. During the term of this agreement, the Subrecipient is responsible for insuring all property purchased by or transferred to the Subrecipient is in good working order. The Subrecipient hereby agrees to pay the cost of transferring title to and possession of any property for which ownership is evidenced by a certificate of title. The Subrecipient shall be responsible for repaving to the County the replacement cost of any property inventoried and not transferred to the County upon completion or termination of this contract. When property transfers from the Subrecipient to the County, the Subrecpient shall be responsible for paying for the title transfer. If the Subrecipient replaces or disposes of property purchased by the Subrecipient pursuant to this agreement, the Subrecipient is required to provide accurate and complete information pertaining to replacement or disposition of the property as required on the Subrecipient's annual inventory. The Subrecipient hereby agrees to indemnify the County against any claim or loss arising out of the operation of any motor vehicle purchased by to the Subrecipient pursuant to this contract. A formal contract amendment is required prior to the purchase of any property item not specifically listed in the approved budget. 2 16D11 IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first above written. DAVID LAWRENCE MENTAL HEALTH CENTER, INC. By: iii # 1- Chief Executive Officer Title: ATTE§T: COLLIER COUN DWIGHT E. BR* K, CLERK By, .i t , DEPUTY CLERK TOM HENNING, CHAIRMAN 1491,0#Q'Lhairman s signature only. Approval for form and legality: Jennifer A. Belpedio Assistant County Attorney nor* 2 9 item#.....n,.0 Agenda Uate 3 Date "l 'I Ce9 'eputy Clerk