Backup Documents 09/26/2017 Item #11J (CDBG) ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 1 j
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
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. Cormac Giblin Community and Human 'g 11-13-17
Services
2. Jennifer Belpedio County Attorney Office SC 11122 r
122'11
3. BCC Office Board of County F- 'sc A
Commissioners \ /5/ kkVA--`
4. Minutes and Records Clerk of Court's Office ‘14,1 t-1 )n i': "
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 Cormac Giblin/ HS Phone Number 252-2339
Contact/ Department
Agenda Date Item was 33/.12720.17 Agenda Item Number 16IJ1$ 4
S
Approved by the BCC �(�,
Type of Document HUD Application Forms Number of Original 3 sets(9 forms)
Attached Documents Attached
PO number or account n/a
number if document is
to be recorded L-D ' '
INSTRUCT NS & 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 origin gnature? CJG
2. Does the document need to be sent to ar otter-a ency 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 u �1.,
signed by the Chairman, with the exception of most letters,must be reviewed and signed (a pp
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 No Use date
document or the final negotiated contract date whichever is applicable. signed
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CJG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 09/12/17 and all changes made during CJG 'iw R
k.
the meeting have been incorporated in the attached document. The County W a 15
Attorney's Office has reviewed the changes,if applicable. n; ;
ne
9. Initials of attorney verifying that the attached document is the version approved by the t w�
BCC,all changes directed by the BCC have been made,and the document is ready fo 'he 8 i, `3. t«
Chairman's signature. . " '�
L 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
Funding Approval/Agreement U.S.Department of Housing and Urban Development 1 1 J
Title I of the Housing and Community Office of Community Planning and Development
Development Act(Public Law 930383) Community Development Block Grant Program OMB Approval No.2506-0193
HI-00515R of 20515R
1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number
County Of Collier 596000558 076997790
2.Grantee's Complete Address(as shown in item 5 of Standard Form 424) 4.Date use of funds may begin
10/01/2017
3339 Tamiami Trl E Ste 211 5a.Project/Grant No.1 6a.Amount Approved
Naples,FL34112 4901 B-17-UC-12-0016 $2,284,112.00
5b.Project/Grant No.2 6b.Amount Approved
Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the
authority of Title I of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the
HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute
part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution
of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above
provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding
assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee
agrees to assume all of the responsibilities for environmental review, decision making, and actions,as specified and required in regulations issued by the Secretary
pursuant to Section 104(g)of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub-
recipient entities to which it makes funding assistance hereunder available.
U.S.Department of Housing and Urban Development(By Name) Grantee Name
Ann D.Chavis County Of Collier
Title Title •
CPD Director %e,Jt 4`T w-y I o R a i tZ/►^aJ
Signature Date 10/19/2017 Sign lure Date /
st-
7.Category of Title I Assistance for this Funding Action: 8.Special Conditions 9a Date D Received Submission 10.check one
(check one) 08/11/2017 ®a.Orig.Funding ow
Entitlement,Sec 106(b) 0 None 9b.Date Grantee Notified Approval
®Attached 8/18/2017 0 b.Amendment lJ"
9c.Date of Start of Program Year Amendment Number
10/01/2017
11.Amount of Community Development
Block Grant FY(2017) FY(2016) FY( )
a.Funds Reserved for this Grantee $2,212,368.00 $71,744.00
b.Funds now being Approved
c.Reservation to be Cancelled
(11a minus 11b)
12a.Amount of Loan Guarantee Commitment now being Approved 12b.Name and complete Address of Public Agency
N/A N/A
Loan Guarantee Acceptance Provisions for Designated Agencies:
The public agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date with
respect to the above grant number(s)as Grantee designated to receive loan 12c.Name of Authorized Official for Designated Public Agency
guarantee assistance,and agrees to comply with the terms and conditions
of the Agreement,applicable regulations,and other requirements of HUD Title
now or hereafter in effect,pertaining to the assistance provided it.
Signature
HUD Accounting use Only
Effective Date
Batch TAC Program Y A Reg Area Document No. Project Number Category Amount (mm/dd/yyyy) F
153
1 7 6 — —
Project Number Amount
Y Project Number Amount
1,t • 119,
.... rco,
Date Entered PAS(mm/dd/yyyy) Date Entered LOCCS(mrn4d/yyyy) Batch Number Transaction Code l� Entered By VerifiedifBy
n a to form OICdrmeflDb 082(5/15)
1
G %. C k
,V4141)4611C10a(1'SAssistant County A ey 5e),,,\9":
11J
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 Oltice 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
1. Cormac Giblin CInitials Date
Community and Human t:fg 11-13-17
Services
2. Jennifer Belpedio County Attorney Office
S a42in
3. BCC Office Board of County -�
Commissioners i&j `k\Z k—A
4. Minutes and Records Clerk of Court's Office
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 addressee
above,may need to contact staff for additional or missing information.
Name of Primary Staff Cormac Giblin/ HS
Contact/ Department Phone Number 252-2339
Agenda Date Item was
Approved b the BCC Agenda Item Number
y a\'2-.ts�l
Type of Document HUD Application Forms
Attached Number of Original 3 sets(9 forms)
PO number or account n/a Documents Attached
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is
appropriate. Yes N/A(Not
I. Does the document require the chairma• s orig • gnature? (Initial) Applicable)
CJG
2. Does the document need to be sent to a .
::-ncy 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 .4•055
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 No Use date
document or the final negotiated contract date whichever is applicable.
signed
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CJG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 09/12/17 and all changes made during CJG
•
the meeting have been incorporated in the attached document. The County
Attorne 's Office has reviewed the chan es if a• r licable.
9. Initials of attorney verifying that the attached document is the version approved
/�'
BCC,all changes directed by the BCC have been made,and the documentis ready foe e
Chairman's si!nature.
1 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
11J
Funding Approval/Agreement U.S.Department of Housing and Urban Development
Office of Community Planning and Development
Title I of the Housing and Community
Development Act(Public Law 930383) Community Development Block Grant Program OMB Approval No.2506-0193
HI-00515R of 20515R
1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number
County Of Collier 596000558 076997790
2.Grantee's Complete Address(as shown in Rem 5 of Standard Form 424) 4.Date use of funds may begin
10/01/2017
3339 Tamiami Trl E Ste 211 5a.Project/Grant No.1 6a.Amount Approved
Naples,FL 34112-4901 R-17-UC-12-0016 $2,284,112.00
5b.Project/Grant No.2 6b.Amount Approved
Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the
authority of Title 1 of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the
HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute
pan of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution
of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above
provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding
assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee
agrees to assume all of the responsibilities fur environmental review,decision making,and actions,as specified and required in regulations issued by the Secretary
pursuant to Section I04(g)of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub-
recipient entities to which it makes funding assistance hereunder available.
U.S.Department of Housing and Urban Development(By Name) Grantee Name
Ann D.Chavis
Title County Of Collier
itle
CPD Director /' T.
Signature / �e,�N y��� 10 C'.
f 4'
+ 1st, a„j
Date 10/19/2017 Sgn tura Date
X /I
7.Category of Title I Assistance for this Funding Action: 8.Special Conditions
9a.Date D Received ubmission 10.check one
(check one) 08/11/2017
Entitlement,Sec 106(b) 0 None ®a.Orig.Funding
®Attached9b.Date Grantee Notified Approval
8/18/2017 0 b.Amendment
9c.Date of Start of Program Year Amendment Number
10/01/2017
11.Amount of Community Devefopment
Block Grant FY(2017) FY(2016) FY( )
a.Funds Reserved for this Grantee $2.212,368.00 $71,744.00
b.Funds now being Approved
c.Reservation to be Cancelled
(11a minus 11b)
12a.Amount of Loan Guarantee Commitment now beingApproved PP 12b.Name and complete Address of Public Agency
N/A
N/A
Loan Guarantee Acceptance Provisions for Designated Agencies:
The public agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date with
respect to the above grant number(s)as Grantee designated to receive loan 12c.Name of Authorized Official for Designated Public Agency
guarantee assistance,and agrees to comply with the terms and conditions
of the Agreement,applicable regulations,and other requirements of HUD
now or hereafter in effect,pertaining to the assistance provided it. Title --
Signature -
HUD Accounting use Only
Batch TAC Program Y A Reg Area Document No. Project Number Category Amount Effective Date
(mm/dd/yyyy) F
III 1 ; 6 II - 0IIIIIIIII1 11 I 1 111111 II
Y Project Number
Amount
Y I I 1 I I 1 1 1
J roTt Number Amount
I
_ lI I II I I
Date Entered PAS(mm/dd/yyyy) T Date Entered LOCCS(mm/dd/yyyy) Batch Number (7ransactan Code Entered By [Verified By
�,--. I
L' I Ajj 4)1 to corn,�—�ittto TolU 08?(5/I 5)
YK.2—iT E. :aOC1{,C??i�C lo
Ey. Assistant County A \?'
`.
11J
Funding Approval/Agreement U.S.Department of Housing and Urban Development
Office of Community Planning and Development
Title I of the Housing and Community
Community Development Block Grant Program OMB Approval No.2506-0193
Development Act(Public Law 930383)
HI-00515R of 20515R
1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number
County Of Collier
2.Grantee's Complete Address(as shown in item 5 of Standard Form 424) 596000558076997790
4.Daateteuse
of funds may begin
10/012017
3339 Tamiami Trl E Ste 211 5a.Project/Grant No.1
6a.Amount Approved
Naples,a 341 12-4901
B-17-UC-12-0016 $2,284,11200
5b.Project/Grant No.2 6b.Amount Approved
Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the
authority of Title I of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et s
HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,inncclusubmissions
in any yispe for al and I assistance,the
part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the tGran Grantee utpon execution
of the Agreement by the panics. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above
provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding
assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee
agrees to assume all of the responsibilities for environmental review,decision making,and actions,as specified and required in regulations issued by the Secretary
pursuant to Section 104(g)of Title I and published in 24 CFR Pan 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub-
recipient entities to which it makes funding assistance hereunder available.
U.S.Department of Housing and Urban Development(By Name)
Ann D.Chavis Grantee Name
Title County Of Collier
CPD Director i Title
Signature 1a,lNti TtayIcrz et11"1oOu
Date 10/192017 Sig lure
Date
x
.42-O(1.1 aISI11
7.Category of Title I Assistance for this Funding Action: 8.Special Conditions
9a.Date UD Received Submission 10.check one
r
Entitlement,Sec 106(b) (check one) 08/112017
®
0 None a.Orig.Funding
®Attached 9b.Date Grantee Notified Approval
8/18/2017 0 b.Amendment
9c.Date of Start of Program Year Amendment Number
10/012017
11.Amount of Community Development
Block Grant FY(2017) FY(2016) FY( )
a.Funds Reserved for this Grantee $2.212,368.00
b.Funds now being Approved $71,744.00
c.Reservation to be Cancelled
(11a minus 11b)
12a.Amount of Loan Guarantee Commitment now be'
N/A Approved I2b.Name and complete Address of Public Agency
Loan Guarantee Acceptance Provisions for Designated Agencies: N/A
The public agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date with
respect to the above grant number(s)as Grantee designated to receive loan
guarantee assistance,and agrees to comply with the terms and conditions 12c.Name of Authorized Official for Designated Public Agency
of rhe Agreement,applicable regulations,and other requirements of HUD
now or hereafter in effect,pertaining to the assistance provided it. TSB
Signature _
HUD Accounting use Only
Balch TAC Program Y A Reg Area Document No. Project Number Category Amount Effective Date
1111 1 7 6 III 1 _ _— pi I I 1 I I 1 I 1 I I I I 1 I I I I I (mm,dd/yyyy) F
Y 11 11 1 -
YProject Number Amount
Y LIIIII 1 I
— I 1Projecl Number Amount j
Date Entered PAS mm;d 11 I I I J
( �yyyyl Date Entered LOCCS(mm/dd/yyyy) r Batch Number ( Transact on Code -
------..— , I I Entered Ve J' B
Approved as to Corm and Ityga(ti y
12—i;o+'iT E. r;,'-r C^,r�r C:T :K 24�CFR 570 form HUD-7082(5/I S)
Ey: Assistant County mey 7ti
11J
i
Funding Approval/Agreement U.S.Department of Housing and Urban Development
Office of Community Planning and Development
Title I of the Housing and Community
Community Development Block Grant Program OMB Approval No.2506-0193
Development Act(Public Law 910383)
Ht-00515R of 20515R
1.Name of Grantee(as shown in item 5 of Standard Form 424)
County Of Collier 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number
2.Grantee's Complete Address(as shown in item 5 of Standard Form 424 596000558 076997790
4.Date use of funds may begin
10/01(2017
3339 Tamiami Trl E Ste 211 5a.Project/Grant No.t
6a.Amount Approved
Naples,FL 34112-4901 8-17-UC-12-0016 $2,284,11200
5b.Project/Grant No.2 6b.Amount Approved
Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the
authority of Title l of the Housing and Community Development Act of 1974.as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the
HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute
part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution
of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above
provided the activities to which such costs arc related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding
assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee
agrees to assume all of the responsibilities for environmental review,decision making, and actions,as specified and required in regulations issued by the Secretary
pursuant to Section 104(g)of Title 1 and published in 24 CFR Pan 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub-
recipient entities to which it makes funding assistance hereunder available.
U.S.Department of Housing and Urban Development(By Name)
Ann D.Chavis Grantee Name
Title County Of Collier
CPD Director-'� Title
Signature ��' /..1
nc,T/1‘11Ok jG(�a iRrKQN
Date 10/19/2017 Sign re
X 2__ / Date
ll /�/ Q ,2(ot 1',
7.Category of Title I Assistance for this Funding Action: 8.Special Conditions
9a.Date UD Received Submission 10.check one
Entitlement,Sec 106(b) (check one) 08/11/2017
®
j]None Approval
a. Funding
®Attached 9b.Date Grantee Notified Appr
8/18/2017 0 b.Amendment
9c.Date of Start of Program Year Amendment Number
10/01/2017
11.Amount of Community Development
Block Grant FY(2017) FY(2016) , FY( )
a.Funds Reserved for this Grantee $2,212,368.00 $71,74.4.00
b.Funds now being Approved
c.Reservation to be Cancelled
(11a minus
12a.Amount of Loan Guarantee Commitment now being Approved 12bb.N.N
N/A ame and complete Address of Public Agency
Loan Guarantee Acceptance Provisions for Designated Agencies: N/A
The public agency hereby accepts the Grant Agreement executed by the
Department of Housing and Urban Development on the above date with
respect to the above grant number(s)as Grantee designated to receive loan 12c.Name of Authorized Official for Designated Public Agency
guarantee assistance.and agrees to comply with the terms and conditions
of the Agreement,applicable regulations,and other requirements of HUD
now or hereafter in effect,pertaining to the assistance provided it. Title
Signature
HUD Accounting use Only
Batch TAC Program Y A Reg Area Document No. Project Number Category Amount Effective Date
(mm/tidlyYYY) F
I l l i 1 ;6 I I I I - - ` I I 1 ,_______ I I I I I I I I I I I I —
Y � I I
Project Number Amount
Y IHIII I I
_ Project NumbermAmount
I
_ Iii I I I l
Date Entered PAS(mm/dd/yyyy) Date Entered LOCCS(mmldd/yyyy5] Transaction Batch Number ______ _.
Code Entered ByVerified By
! _ Append as to form andlle>iality
';-":',7.'..7e:, 24 CFR 570 form HUD-7082(5/15)
C ori T E. t; C;Tek
_.__T_ ___ istant Count orncy Q0...(1)
11_
Funding Approval and HOME U.S.Department of Housing and Urban Development
Office of Community Planning and Development
Investment Partnerships Agreement
Title II of the National Affordable Housing Act
1. Participant Name and Address 2. Grant Number:M17-UC120217
County Of Collier
3a Tax Identification Number: 3b. Unique Entity Identifier(formerly
3339 Tamiami Trl E Ste 211 596000558 DUNS):076997790
Naples,FL 34112-4901 4.Appropriation Number 5. FY
86 7/0 0205 2017
6. Previous Obligation(Enter"0"for initial FY allocation)
a. Formula Funds $0.00
$491,703.00
b. Community Housing Development Org.(CHDO)Competitive r t
7. Current Transaction(+or-)
$491,703.00
a. Formula Funds
I $491,703.00
1. CHDO(For deobligations only)
2. Non-CHDO(For deobligations only)
$ n.: :" 1F..Yr ;k SkF{ iF1s.".f ,
$
8. Revised Obligation +� a I'k
b. CHDO Competitive Reallocation or Deobligation I
a. Formula Funds $
$
b. CHDO Competitive Reallocation
9. Special Conditions(check applicable box) $
10.Date of Obligation(Congressional Release Date) lux
`
® Not applicable 0 Attached
1W19/2017
11. Indirect Cost Rate'
12.Period of Performance:
Administering Agency/Dept. Indirect Cost Rate Direct Cost Base 10/19/2017-09/01/2025
NA %
_ 'If funding assistance will be used for payment of indirect costs pursuant to 2 CFR
—% 200, Subpart E-Cost Principles,
— its
`% indirect cost rate(including if he de min mestrateis ha gedprovide ame ofhe perd2§CFR 200.414),and
the direct cost base to which the rate will be applied. Do not include cost rates for
subrecipients.
This Agreement between the Department of Housing and Urban Development(HUD)and the Participating Jurisdiction/Entity Is made pursuant to the authority of the HOME
Investment Partnerships Act(42 U.S.C.12701 et seq.).The Participating Jurisdiction's/Entity's approved Consolidated Plan submission/Application and the HUD regulations at 24
CFR Part 92(as is now in effect and as may be amended from time to time)and this HOME Investment Partnership Agreement,form HUD-40093,including any special conditions,
constitute part of this Agreement.Subject to the provisions of this Agreement,HUD will make the funds for the Fiscal Year specified,available to the Participating Jurisdiction/Entity
upon execution of this Agreement by the parties.All funds for the specified Fiscal Year provided by HUD by formula reallocation are covered by this Agreement upon execution of
an amendment by HUD,without the Participating Jurisdiction's execution of the amendment or other consent.HUD's payment of funds under this Agreement is subject to the
Participating Jurisdiction's/Entity's compliance with HUD's electronic funds transfer and information reporting procedures issued pursuant to 24 CFR 92.502.To the extent authorized
by HUD regulations at 24 CFR Part 92,HUD may,by its execution of an amendment,deobligate funds previously awarded to the Participating Jurisdiction/Entity without the
Participating Jurisdiction's/Entity's execution of the amendment or other consent.The Participating Jurisdiction/Entity agrees that funds invested in affordable housing under 24
CFR Part 92 are repayable when the housing no longer qualifies as affordable housing.Repayment shall be made as specified in 24 CFR Part 92.The Participating Jurisdiction
agrees to assume all of the responsibility for environmental review,decision making,and actions,as specified and required in regulation at 24 CFR 92.352 and 24 CFR Part 58.
The Grantee shall comply with requirements established by the Office of Management and Budget(OMB)concerning the Universal Numbering System and System for Award
Management(SAM)requirements in Appendix A to 2 CFR part 25,and the Federal Funding Accountability and Transparency Act(FFATA)in Appendix A to 2 CFR part 170.
The Period of Performance for the funding assistance shall begin on the date specified in item 12 and shall end on September 1"of the 5'h fiscal year after the expiration of the
period of availability for obligation.Funds remaining In the account will be cancelled and thereafter not available for o ligation or expenditure for any purpose.Per 31 U,S.C. 1552.
The grantee shall not incur any obligations to be paid with such assistance after the end of the Period of Perform
13.For the U.S.Department of HUD(Name and Title of Authorized Official) 14.Si
Ann D.Chavis-HUD Community Planning and Development Director g 15.Date
r
10/19/2017
16.For the Participating Jurisdiction/Entity(Name and Title of Authorized Official) 17.
�N ure t 8.Date
Li -�to le C°h pi a.ho.+ + /
9
19.Che one: Z(o1 "t
®Initial Agreement p Amendment#
20.Funding Information: HOME
Source a of Funds Appropriation Code PAS Code
Amount
2017 867/00205 HMF
2015 $486,219.00
865/80205 HMF $1,901.00
A
2016 _866/9025 HMF roved as to form and legality
$2,896.00
2016x
Approved
A6X0205- 16 $H�l
2017x 86X021-;i7; !-�rri vC.'vr44SIF:TIC $1503.00
103.00
Assistant Coun Attorney �� j3
Papaatarm HUD-40093 �`'�
11J
Funding Approval and HOME U.S. Department of Housing and Urban Development
Office of Community Planning and Development
Investment Partnerships Agreement
Title 11 of the National Affordable Housing Act
1. Participant Name and Address 2. Grant Number:M17-UC120217
County Of Collier
3a Tax Identification Number: 3b. Unique Entity Identifier(formerly
3339 Tamiami Trl E Ste 211 596000558 DUNS):076997790
Naples,FL 34112-4901 4.Appropriation Number 5. FY
86 7/0 0205 2017
6. Previous Obligation(Enter"0"for initial FY allocation)
$0.00
a. Formula Funds
$491,703.00
b. Community Housing Development Org.(CHDO)Competitive
7. Current Transaction(+or-)
$491,703.00
a. Formula Funds
I $491,703.00
1. CHDO(For deobligations only)
$
2. Non-CHDO(For deobligations only)
b. CHDO Competitive Reallocation or Deobligation 1
8. Revised Obligation
$
a. Formula Funds $
b. CHDO Competitive Reallocation
9. Special Conditions(check applicable box) $
10. Date of Obligation(Congressional Release Date)
0 Not applicable 0 Attached
10/19/2017
11. Indirect Cost Rate'
12 Period of Performance:
Administering Agencv/Dent Indirect Cost Rate Direct Cost Base
NA 1 0/1 9/201 7-09/01/2025
—
'If funding assistance will be used for payment of indirect costs pursuant to 2 CFR
— 200, Subpart E-Cost Princi les,
r7r P provide the name of the department/agency, its
indirect cost rate(including if the de minimis rate is charged per 2§CFR 200.414),and
_x, the direct cost base to which the rate will be applied. Do not include cost rates for
subrecipients.
This Agreement between the Department of Housing and Urban Development(HUD)and the Participating Jurisdiction/Entity Is made pursuant to the authority of the HOME
Investment Partnerships Act(42 U.S.C.12/01 et seq.).The Participating Jurisdiction's/Entity's approved Consolidated Plan submission/Application arid the HUD regulations at 24
CFR Part 92(as is now in effect and as may be amended from time to time)and this HOME Investment Partnership Agreement,form HUD-40093,including any special conditions,
constitute part of this Agreement.Subject to the provisions of this Agreement,HUD will make the funds for the Fiscal Year specified,available to the Participating Jurisdiction/Entity
upon execution of this Agreement by the parties.All funds for the specified Fiscal Year provided by HUD by formula reallocation are covered by this Agreement upon execution of
an amendment by HUD,without the Participating Jurisdiction's execution of the amendment or other consent. HUD's payment of funds under this Agreement is subject to the
Participating Jurisdiction's/Entity's compliance with HUD's electronic funds transfer and information reporting procedures issued pursuant to 24 CFR 92.502.To the extent authorized
by HUD regulations at 24 CFR Part 92, HUD may,by its execution of an amendment,deobligate funds previously awarded to the Participating Jurisdiction/Entity without the
Participating Jurisdiction'srEntity's execution of the amendment or other consent.The Participating Jurisdiction/Entity agrees that funds invested in affordable housing under 24
CFR Part 92 are repayable when the housing no longer qualifies as affordable housing.Repayment shall be made as specified in 24 CFR Part 92. The Participating Jurisdiction
agrees to assume all of the responsibility for environmental review,decision making,and actions,as specified and required in regulation at 24 CFR 92.352 arid 24 CFR Part 58.
The Grantee shall comply with requirements established by the Office of Management and Budget(OMB)concerning the Universal Numbering System and System for Award
Management(SAM)requirements in Appendix A to 2 CFR part 25,and the Federal Funding Accountability and Transparency Act(FFATA)in Appendix A to 2 CFR part 170.
The Penod of Performance for the funding assistance shall begin on the date specified in item 12 and shall end on September 1"of the 5'^fiscal year atter the expiration of the
period of availability for obligation.Funds remaining in the account will be cancelled and thereafter not available for obligation or expenditure for any purpose.Per 31 U.S.C. 1552
The grantee shall not incur any obligations to be paid with such assistance after the end of the Period of Perform )2e.
13. For the U.S.Department of HUD(Name and Title of Authorized Official) 14.Si re
Ann D.Chavis-HUD Community Planning and Development Director g 15.Date
x 10/19/2017
16. For the Participating Jurisdiction/Entity(Name and Title of Authorized Official) 17. i•
I ture j 18. Date
19.Check one: tff l
® Initial Agreement ❑ Amendment ff
20.Funding Information: HOME
Source of Funds APpropri_a ion Code PAS Code
Amount
2017 867/00205 HMF
$486,21 9.00
2015 865/80205 HMF $1,901.00
PP
2016 _ 866/90205 HMF $2,896.00A roved as to form and legality
2016x
6.6X0?g5,, 16, HMF
2017x 1 A6Xtf26�=Y7`- - ' HMF $584.00
—---_ __ $103.00
__ Page 1form HUD-40093 Assistant Countyrne_y 04
I 11111n
i1J
Funding Approval and HOME U.S. Department of Housing and Urban Development
Office of Community Planning and Development
Investment Partnerships Agreement
Title II of the National Affordable Housing Act
1. Participant Name and Address 2. Grant Number:M17-UC120217
County Of Collier
3a Tax Identification Number: 3b. Unique Entity Identifier(formerly
3339 Tamiami In E Ste 211 596000558 DUNS):076997790
Naples,FL 34112-4901 4.Appropriation Number 5. FY
86 7/0 0205 2017
6. Previous Obligation(Enter"0"for initial FY allocation)
$0.00
a. Formula Funds
$491,703.00
b. Community Housing Development Org.(CHDO)Competitive $
7. Current Transaction(+or-)
$491,703.00
a. Formula Funds
I $491,703.00
1. CHDO(For deobligations only) $
2. Non-CHDO(For deobligations only)
$
b. CHDO Competitive Reallocation or Deobligation I
8. Revised Obligation
a. Formula Funds $
$
b. CHDO Competitive Reallocation $
9. Special Conditions(check applicable box) 10.Date of Obligation(Congressional Release Date)
®Not applicable 0 Attached 10/19/2017
11.Indirect Cost Rate'
12.Period of Performance:
Administering Agency/Dept. Indirect Cost Rate Direct Cost Base 10/19/2017-09/01/2025
NA c
'If funding assistance will be used for payment of indirect costs pursuant to 2 CFR
�0
'— 200, Subpart E-Cost Principles, provide the name of the department/agency, its
% indirect cost rate(including if the de minimis rate is charged per 2§CFR 200.414),and
—
—% the direct cost base to which the rate will be applied. Do not include cost rates for
subrecipients.
This Agreement between the Department of Housing and Urban Development(HUD)and the Participating Jurisdiction/Entity is made pursuant to the authority of the HOME
Investment Partnerships Act(42 U.S.C.12701 et seq.).The Participating Jurisdiction's/Entity's approved Consolidated Plan submission/Applicafion and the HUD regulations at 24
CFR Part 92(as is now in effect and as may be amended from time to time)and this HOME Investment Partnership Agreement,form HUD-40093,Including any special conditions,
constitute part of this Agreement.Subject to the provisions of this Agreement,HUD will make the funds for the Fiscal Year specified,available to the Participating Jurisdiction/Entity
upon execution of this Agreement by the parties.All funds for the specified Fiscal Year provided by HUD by formula reallocation are covered by this Agreement upon execution of
an amendment by HUD,without the Participating Jurisdiction's execution of the amendment or other consent.IIUD's payment of funds under this Agreement is subject to the
Participating Jurisdiction's/Entity's compliance with HUD's electronic funds transfer and information reporting procedures issued pursuant to 24 CFR 92.502.To the extent authorized
by HUD regulations at 24 CFR Part 92, HUD may,by its execution of an amendment,deobligate funds previously awarded to the Participating Jurisdiction/Entity without the
Participating Jurisdiction's/Entity's execution of the amendment or other consent.The Participating Jurisdiction/Entity agrees that funds invested in affordable housing under 24
CFR Part 92 are repayable when the housing no longer qualifies as affordable housing.Repayment shall be made as specified in 24 CFR Part 92.The Participating Jurisdiction
agrees to assume all of the responsibility for environmental review,decision making,and actions,as specified and required in regulation at 24 CFR 92.352 and 24 CFR Part 58.
The Grantee shall comply with requirements established by the Office of Management and Budget(OMB)concerning the Universal Numbering System and System for Award
Management(SAM)requirements in Appendix A to 2 CFR part 25,and the Federal Funding Accountability and Transparency Act(FFATA)in Appendix A to 2 CFR part 170.
The Period of Performance for the funding assistance shall begin on the date specified in item 12 and shall end on September 1'of the 5"fiscal year atter the expiration of the
period of availability for obligation.Funds remaining in the account will be cancelled and thereafter not available for obligation or expenditure for any purpose.Per 31 U.S.C. 1552.
The grantee shall not incur any obligations to be paid with such assistance after the end of the Period of Performance/7
13.For the U.S.Department of HUD(Name and Title of Authorized Official)
Ann D.Chavis-HUD Community Planning and Development Director 14.5ignatur 15. Date
x J� 10/19/2017
16.For the Participating Jurisdiction/Entity(Name and Title of Authorized Official) 1 , • ature
� 18. Date
���ti Tnt1�;2 , C�,4 i�MorN _� t�
19.Cheick one:
® Initial Agreement ❑Amendment#
20.Funding Information: HOME
Source of Funds Appropriation Code PAS Code Amount
2017 867/00205 HMF 5486,219.00
2016 865/80205 HMF $1,901.00 Approved as to form and legality
2015
866/90205 HMF $2,896.00
2016x 7 86X0205- 16 HMF $584.00
-----_%;ItriA ,
2017x: 86X020 :,TZ;"A HMF $103.00
Assistant Cuun ttorney 9O4
Page 1form HUD-40093 — - ---
11J Y
Funding Approval/Agreement U.S. Department of Housing and Urban
Emergency Solutions Grants Program Development
Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, Office of Community Planning and Development
42 U.S.C. 11371 et seq.
CFDA Number 14.231
1.Recipient Name and Address
County Of Collier 2.Unique Federal Award Identification Number:
3339 Tamiami Trl E Ste 211 E17UC120016
Naples, FL 34112 3.Tax Identification Number: 596000558
4. Unique Entity Identifier(DUNS):076997790
5.Fiscal Year: 2017
6.Previous Obligation(Enter"0"for initial Fiscal Year allocation) $0
7.Amount of Funds Obligated or Deobligated by This Action(+or-) $183,318.00
8.Total Amount of Federal Funds Obligated $183,318.00
9.Total Required Match:$ 183,318.00
10.Start Date of Recipients 11. Date HUD Received Recipient's 12.Period of Performance Start
Program Year Consolidated Plan Submission 08/11/2017 Date(the later of the dates listed in
10/01/17 Boxes 10 and 11) 10/01/2017
13.Type of Agreement(check applicable box)
14.Special Conditions
® Initial Agreement(Purpose#1—Initial Fiscal Year allocation) 0 Not applicable ®Attached
❑Amendment(Purpose#2—Deobligation of funds)
0 Amendment(Purpose#3—Obligation of additional funds) 15.Period of Performance End Date
10/18/2019
General Terms and Conditions: This Agreement between the U.S. Department of Housing and Urban
Development (HUD) and the Recipient is made pursuant to the authority of Subtitle B of Title IV of the
McKinney-Vento Homeless Assistance Act (42 U.S.C. 11371 et seq.). The Recipient's Consolidated Plan
submissions (including the Recipient's approved annual Action Plan and any amendments completed in
accordance with 24 CFR Part 91), the Emergency Solutions Grants Program regulations at 24 CFR Part
576 (as now in effect and as may be amended from time to time), and this Agreement, including any
special conditions attached to this Agreement, constitute part of this Agreement. Subject to the terms and
conditions of this Agreement, HUD will make the funds for the specified Fiscal Year available to the
Recipient upon execution of this Agreement by the Recipient and HUD. All funds for the specified Fiscal
Year that HUD provides by reallocation are covered by this Agreement upon execution of an amendment
by HUD, without the Recipient's execution of the amendment or other consent. The Recipient agrees to
assume all of the responsibilities with respect to environmental review, decision making, and action
required under the HUD regulations at 24 CFR Part 58. Nothing in this Agreement shall be construed as
creating or justifying any claim against the federal government or the Recipient by any third party. To the
extent authorized by HUD regulations at 24 CFR Part 576, HUD may, by its execution of an amendment,
deobligate funds previously awarded to the Recipient without the Recipient's execution of the amendment
or other consent.
16. For the U.S.Department of HUD(Name,Title,and Contact Information of17.Sia} — —
Authorized Official) Ann D.Chavis Sign' ,
8.Date
10/19/2017
19. For the Recipient(Name and Title of Authorized Official)
ignature 21.pa}g
Funding Information(HUD Accounting Use Only): -- In__PAS Code: HAES Region:04
Appropriation: 90192 Office: 14(Miami) Program Code: SOG
— Appro Symbol: °O' Allotment:867
. . , — Approved as to form and legality
ssistant Cou Attorneyt
11J
Collier County
FY 2017 Grant Agreement#E17-UC-12-0016
ATTACHMENT: Indirect Cost Rate Provision for ESG
Indirect Cost Rate Provision
If the funds provided under this Agreement will he used for payment of the Recipient's
indirect costs pursuant to 2 CFR 200, Subpart E—Cost Principles, attach a schedule in the
format set forth below to the executed Agreement that is returned to HUD. The schedule
shall identify each department/agency of the Recipient that will carry out activities with
funds provided under this Agreement, the indirect cost rate applicable to that
department/agency(including if the de minimis rate is charged under 2 CFR 200.414),and
the direct cost base to which that rate will be applied. Do not include indirect cost rates for
subrecipients.
Recipient Direct
Department/Agency Indirect cost rate Cost Base
Ui
Funding Approval/Agreement U.S. Department of Housing and Urban
Emergency Solutions Grants Program Development
Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, Office of Community Planning and Development
42 U.S.C. 11371 et seq.
CFDA Number 14.231
1.Recipient Name and Address 2. Unique Federal Award Identification Number:
County Of Collier E17UC120016
3339 Tamiami TrI E Ste 211
Naples, FL 34112 3.Tax Identification Number: 596000558
4. Unique Entity Identifier(DUNS):076997790
5. Fiscal Year: 2017
6,Previous Obligation(Enter"0"for initial Fiscal Year allocation) $0
7.Amount of Funds Obligated or Deobligated by This Action(+or•) $183,318.00
8.Total Amount of Federal Funds Obligated $183,318.00
9.Total Required Match:$ 183,318.00
10.Start Date of Recipient's 11. Date HUD Received Recipient's 12.Period of Performance Start
Program Year Consolidated Plan Submission 08/11/2017 Date(the later of the dates listed in
10/01/17 Boxes 10 and 11) 10/01/2017
13.Type of Agreement(check applicable box) 14.Special Conditions
® Initial Agreement(Purpose#1-Initial Fiscal Year allocation) ❑ Not applicable ®Attached
❑ Amendment(Purpose#2-Deobligation of funds)
❑Amendment(Purpose#3-Obligation of additional funds) 15.Period of Performance End Date
10/18/2019
General Terms and Conditions: This Agreement between the U.S. Department of Housing and Urban
Development (HUD) and the Recipient is made pursuant to the authority of Subtitle B of Title IV of the
McKinney-Vento Homeless Assistance Act (42 U.S.C. 11371 et seq.). The Recipient's Consolidated Plan
submissions (including the Recipient's approved annual Action Plan and any amendments completed in
accordance with 24 CFR Part 91), the Emergency Solutions Grants Program regulations at 24 CFR Part
576 (as now in effect and as may be amended from time to time), and this Agreement, including any
special conditions attached to this Agreement, constitute part of this Agreement. Subject to the terms and
conditions of this Agreement, HUD will make the funds for the specified Fiscal Year available to the
Recipient upon execution of this Agreement by the Recipient and HUD. All funds for the specified Fiscal
Year that HUD provides by reallocation are covered by this Agreement upon execution of an amendment
by HUD, without the Recipient's execution of the amendment or other consent. The Recipient agrees to
assume all of the responsibilities with respect to environmental review, decision making, and action
required under the HUD regulations at 24 CFR Part 58. Nothing in this Agreement shall be construed as
creating or justifying any claim against the federal government or the Recipient by any third party. To the
extent authorized by HUD regulations at 24 CFR Part 576, HUD may, by its execution of an amendment,
deobligate funds previously awarded to the Recipient without the Recipient's execution of the amendment
or other consent.
16.For the U.S.Department of HUD(Name,Title,and Contact Information of `17.Sigp tuFe 18.Date
Authorized Official) Ann D.Chavis / �// / 10/19/2017
19. For the Recipient(Name and Title of Authorized Official) 0 ignature 21.Date
Funding Information(HUD Accounting Use Only): 9 /�
PAS Code: HAES Region:04 Program Code: SOG
Appropriation: 90192 Office: 14(Miami) Allotment:867
_ Appro Symbol: "0"
_ - — _ Approved as to form and legality
Assistant Cou orney
IZ
11 )2.1117
11J
Collier County
FY 2017 Grant Agreement#E17-UC-12-0016
ATTACHMENT: Indirect Cost Rate Provision for ESG
Indirect Cost Rate Provision
If the funds provided under this Agreement will be used for payment of the Recipient's
indirect costs pursuant to 2 CFR 200, Subpart E—Cost Principles, attach a schedule in the
format set forth below to the executed Agreement that is returned to HUD. The schedule
shall identify each department/agency of the Recipient that will carry out activities with
funds provided under this Agreement, the indirect cost rate applicable to that
department/agency (including if the de minimis rate is charged under 2 CFR 200.414), and
the direct cost base to which that rate will be applied. Do not include indirect cost rates for
subrecipients.
Recipient Direct
Department/Agency Indirect cost rate Cost Base
11J
Funding Approval/Agreement u.s.Department of Housing and Urban
Emergency Solutions Grants Program Development
Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, Office of Community Planning and Development
42 U.S.C. 11371 et seq.
CFDA Number 14.231
1.Recipient Name and Address 2. Unique Federal Award Identification Number:
County Of Collier
3339 Tamiami Trl E Ste 211 E17UC120016
Naples, FL 34112 3.Tax Identification Number: 596000558
4. Unique Entity Identifier(DUNS):076997790
5.Fiscal Year: 2017
6. Previous Obligation(Enter"0"for initial Fiscal Year allocation) $o
7.Amount of Funds Obligated or Deobligated by This Action(+or-) $183,318.00
8.Total Amount of Federal Funds Obligated $183,318.00
9.Total Required Match:$ 183,318.00
10.Start Date of Recipient's 11.Date HUD Received Recipient's 12. Period of Performance Start
Program Year Consolidated Plan Submission 08/11/2017 Date(the later of the dates listed in
10/01/17 Boxes 10 and 11) 10/01/2017
13.Type of Agreement(check applicable box) 14.Special Conditions
® Initial Agreement(Purpose#1 —Initial Fiscal Year allocation) 0 Not applicable ®Attached
0 Amendment(Purpose#2—Deobligation of funds)
1:: Amendment(Purpose#3—Obligation of additional funds) 15.Period of Performance End Date
10/18/2019
General Terms and Conditions: This Agreement between the U.S. Department of Housing and Urban
Development (HUD) and the Recipient is made pursuant to the authority of Subtitle B of Title IV of the
McKinney-Vento Homeless Assistance Act (42 U.S.C. 11371 et seq.), The Recipient's Consolidated Plan
submissions (including the Recipient's approved annual Action Plan and any amendments completed in
accordance with 24 CFR Part 91), the Emergency Solutions Grants Program regulations at 24 CFR Part
576 (as now in effect and as may be amended from time to time), and this Agreement, including any
special conditions attached to this Agreement, constitute part of this Agreement. Subject to the terms and
conditions of this Agreement, HUD will make the funds for the specified Fiscal Year available to the
Recipient upon execution of this Agreement by the Recipient and HUD. All funds for the specified Fiscal
Year that HUD provides by reallocation are covered by this Agreement upon execution of an amendment
by HUD, without the Recipient's execution of the amendment or other consent. The Recipient agrees to
assume all of the responsibilities with respect to environmental review, decision making, and action
required under the HUD regulations at 24 CFR Part 58. Nothing in this Agreement shall be construed as
creating or justifying any claim against the federal government or the Recipient by any third party. To the
extent authorized by HUD regulations at 24 CFR Part 576, HUD may, by its execution of an amendment,
deobligate funds previously awarded to the Recipient without the Recipient,'s execution of the amendment
or other consent.
16.For the U.S.Department of HUD(Name,Title,and Contact Information of17. ., 8.Date
Authorized Official) Ann D.Chavis
10/19/2017
1 For the Recipient(Name and Title of Authorized Official) 0 ignature / 21,Date
FundinOnly):
(HUD9 Y)Information Accountin Use ` �'
PAS Code: HAES Region:04 Program Code: SOG
Appropriation: 90192 Office: 14(Miami) Allotment:867
Appro Symbol: "Q"
Approved as to farm and legality
ssistant County . ttorneY C�C�..�
‘11bZ0
11J
Collier County
FY 2017 Grant Agreement#E17-UC-12-0016
ATTACHMENT: Indirect Cost Rate Provision for ESG
Indirect Cost Rate Provision
If the funds provided under this Agreement will be used for payment of the Recipient's
indirect costs pursuant to 2 CFR 200, Subpart E—Cost Principles, attach a schedule in the
format set forth below to the executed Agreement that is returned to HUD. The schedule
shall identify each department/agency of the Recipient that will carry out activities with
funds provided under this Agreement, the indirect cost rate applicable to that
department/agency (including if the de minimis rate is charged under 2 CFR 200.414),and
the direct cost base to which that rate will be applied. Do not include indirect cost rates for
subrecipients.
Recipient Direct
Department/Agency Indirect cost rate Cost Base