Backup Documents 10/25/2016 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160
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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. Priscilla Doria Community & Human Services PD 101ixto
2. County Attorney Office
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3. BCC Office Board of County Commissioners b
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4. Minutes and Record Clerk of Court's Office -1 ,' ' (0(,Gb�r!e 3:214
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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 Priscilla Doria,Grant Coordi ator Phone Number 239-252-5312
Contact/ Department Community and Human S ices
Agenda Date Item was October 25, 2016 Agenda Item Number 16.D.3
Approved by the BCC
Type of Document Amendment#1-CASL Subrecipient Number of Original 3 ✓/
Attached Agreement(SHIP Rehab 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? 4&"-p o 14_, N(A
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. ,
3. Original document has been signed/initialed for legal sufficiency. (All documents to be •
signed by the Chairman,with the exception of most letters,must be reviewed and signed Al
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the
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
signature and initials are required. D
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain ��
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC o_n above date and all changes made during `fir rt R '
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 ,�0,4 v
Chairman's signature. 1 _
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I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
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MEMORANDUM
Date: October 28, 2016
To: Priscilla Doria, Grants Coordinator
Community & Human Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to CASL Subrecipient Agreement
(Owner-Occupied Rehabilitation Program)
Community Assisted & Supported Living, Inc.
dba Renaissance Manor
Attached are two (2) originals of the document referenced above, (Item #16D3)
approved by the Board of County Commissioners on Tuesday, October 25, 2016.
The third original document has been held in our department for the
Board's Official Record.
If you have questions, please feel free to call me at 252-7240.
Thank you
Attachment
16D 3
Grant - SHIP FY 2014-2015
Activity: - Owner-Occupied
Rehabilitation Program
Subrecipient: - Community Assisted
and Supported Living D.B.A.
Renaissance Manor, Inc.
DUNS #- 940621519
CSFA# - 52.901
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COMMUNITY ASSISTED AND SUPPORTED LIVING
D.B.A. RENAISSANCE MANOR,INC.
THIS AGREEMENT is made and entered into this day of DCfober , 2016,
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, Suite 211, Naples FL 34112, and
Community Assisted and Supported Living D.B.A. Renaissance Manor, Inc., a private not-for-
profit corporation existing under the laws of the State of Florida, having its principal office 1693
Main Street, Suite A, Sarasota, FL 34236 ("SUBRECIPIENT").
WHEREAS, on February 23, 2016, Item 16D10, the County entered into an Agreement with
Subrecipient to administer the State Housing Initiatives Partnership Program (SHIP) Owner Occupied
Rehabilitation Program.
WHEREAS, the Parties desire to amend the Agreement to decrease total award amount by
$299,000. The new Fiscal Year 2014-2015 funding for this project is to not exceed $221,000.00.
WHEREAS, this First Amendment to Agreement reduces funding, revises requirement to
expend funds on special needs population and updates county staff contact information.
WHEREAS, agreement has been revised to update county staff contact information.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
Words Struck Through are deleted; Words Underlined are added
Page l of 4
(1)
16D 3
V. AGREEMENT AMOUNT
It is expressly agreed and understood that the total amount to be disbursed by the COUNTY
for the use by the SUBRECIPIENT during the term of the Agreement shall not exceed FIVE
• - ! ! ! ! H ! ! ! ! TWO HUNDRED
TWENTY ONE THOUSAND DOLLARS ($221,000.00).
The budget identified for the Project shall be as follows:
Line Item Description SHIP Funds
Project Component One: Rehabilitation to owner- $450,000.00
occupied units. (Maximum $30,000.00 per unit) $ 190,000.00
$15,000.00*
Project Component Two: Project Delivery Fee $19,000.00* not to
(maximum of 10%per total project cost) exceed for entire
grant.
Project Component Three: Client Eligibility and
Outreach (maximum of 5%per total project eligible
$22,500.00 $9,500.00
home owner file based on total rehabilitation)
Project Component Four: Inspection for non- $2,500.00
eligible properties (maximum $250.00)
$ 5.20-;-00004
TOTAL $ 221,000.00
VI. NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, or 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: Raynesha Hudnell,
Priscilla Doria, Grant Coordinator
Collier County Government
Community and Human Services
3339 E Tamiami Trial, Suite 211
Naples, Florida 34112
Page 2 of 4 0:))
160 3
Email to: RayncshaHudnellnColliergov.net
Email: PriscillaDoria@colliergov.net
Phone: 239-252-5312
SUBRECIPIENT ATTENTION: Scott Eller, CEO
Community Assisted and Supported Living D.B.A Renaissance
Manor, Inc.
1401 16th Street
Sarasota, FL 34236
Email to: Scott.Eller@Renaissancemanor.org
EXHIBIT C
BUDGET NARRATIVE
OWNER OCCUPIED REHABILITATION PROGRAM
The total SHIP allocation to SUBRECIPIENT for the Owner-Occupied Rehabilitation Program shall
not exceed $520,000.00 $221,000.00.
Sources for these funds are as follows:
Fiscal Year Project Client Inspection for Rehab Fund Total
Delivery Eligibility Non-Eligible
and
Outreach
2014-2015 $45,000.00* $22,500.00 $2,500.00 $450,000.00 $520,000.00
$19,000.00* $9,500.00 $190,000.00 $221,000.00
Total-Funds $45000.00 $22T500,00 $2,500.00 $930,000.00 $ 8,000.90
*maximum project delivery
Uses of these funds are as follows:
Funds shall be disbursed in the following manner for the following uses:
1. Maximum rehabilitation funding per unit is $30,000.
2. At least 20% of SHIP 2014 2015 funds in the amount of$103,500.00 will be used Funds
shall be given priority to assist households with special needs as defined in Section 420.004,
Florida Statutes, or persons with developmental disabilities as defined in Section 393.063,
Florida Statutes, with an emphasis on home modifications, including technological
enhancements and devices, which allow homeowners to remain independent in their own
homes and maintain their homeownership.
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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:
DWIGHT E. BROCK, CLERK BOARD OF COUNTY COMMISSIONERS OF
z�s 1 COLLIER COUNTY,FLORIDA
`j
Rs . ,' ' 4 s
-, NI By: 4114-140 ;
lit&
,Depute Clerk '' Donna Eiala, Chairman 0 J 25)U .
A t as to Chairman s ... ,
signature o .PIf!
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WRip Date: / D I .(1. DI LpDated: j
(SEAL)
Community Assisted and Supported Living D.B.A.
Renaissance Manor, Inc.
By: '4.4— -
J. Scott Eller, C.E.O.
Date: _ S',ff ea..
Approved as to form and legality:
Jennifer A. Bel edio
Assistant County Attorney C ,;tel
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