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Agenda 12/12/2017 Item #16D1612/12/2017 EXECUTIVE SUMMARY ***This Item Continued from November 14, 2017 BCC Meeting, Item 16D6*** Recommendation to approve two State Housing Initiative Partnership (SHIP) Subrecipient Agreements with Housing Development Corporation of SW Florida, Inc. d/b/a HELP in the amount of $24,877 and Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation in the amount of $24,500 for the administration of a Homebuyer Education and Counseling Program for State of Florida FY16/17. OBJECTIVE: To continue to promote affordable housing strategies for very low, low, and moderate- income persons through the SHIP Program Homebuyer Education and Counseling. CONSIDERATIONS: The SHIP program receives a percentage of statewide documentary stamp tax revenues each year to fund local governments to create partnerships that produce and preserve affordable homeownership and multi-family housing. In 2013, the state Legislative Budget Commission approved a $10 million allocation from National Mortgage Settlement funds to provide foreclosure counseling services to be administered by Florida Housing Finance Corporation (FHFC) through the Foreclosure Counseling Program (FCP). The FHFC has allocated a portion of these funds to Collier County specifically for homebuyer education and counseling activities. On January 24, 2017, the Board approved/accepted the supplemental SHIP Program Housing Counseling funds for FY 2016/2017. The use of this funding will allow local governments to provide first -time homebuyer counseling and provide additional counseling that has not been funded previously, such as foreclosure prevention or financial coaching. These activities can only be carried out by HUD-approved counseling agencies in partnership with local government (as a sub-recipient or sponsor) or by local government staff that have appropriate training and are certified to provide the training. Community and Human Services staff took applications from two HUD-approved counseling agencies that are qualified to administer the homebuyer education and counseling classes for the SHIP program. On April 10, 2017, HELP and on March 7, 2017, Economic Growth Corporation provided staff Education and Counseling proposals to administer the homebuyer education and counseling classes in Collier County. The Subrecipient Agreements provide for first-time homebuyer counseling and provide additional financial management education for homeowners and potential homeowners, and fund programs such as foreclosure prevention or financial coaching to be administered by HELP and Economic Growth Corporation. FISCAL IMPACT: The funds are available in SHIP Grant Fund 791, Project 33467. The proposed action does not have an impact on the General Fund. LEGAL CONSIDERATIONS: This item has been approved for form and legality and requires a majority vote for Board approval. - JAB GROWTH MANAGEMENT IMPACT: Acceptance of these agreements will allow the County to expand affordable housing opportunities for its citizens and further the goals of the Housing Element of the Collier County Growth Management Plan. RECOMMENDATION: To approve and authorize the Chairman to sign the State Housing Initiative Partnership Subrecipient Agreements with Housing Development Corporation of SW Florida, Inc. d/b/a 12/12/2017 HELP and Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation. Prepared By: Lisa N. Carr, Senior Grants Coordinator, Community and Human Services Division ATTACHMENT(S) 1. HELP HBE AGREEMENT (PDF) 2. ROCK ISLAND HBE AGREEMENT (PDF) 12/12/2017 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.16 Doc ID: 4355 Item Summary: ***This Item Continued from November 14, 2017 BCC Meeting, Item 16D6*** Recommendation to approve two State Housing Initiative Partnership (SHIP) Subrecipient Agreements with Housing Development Corporation of SW Florida, Inc. d/b/a HELP in the amount of $24,877 and Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation in the amount of $24,500 for the administration of a Homebuyer Education and Counseling Program for State of Florida FY16/17. Meeting Date: 12/12/2017 Prepared by: Title: Executive Secretary to County Manager – County Manager's Office Name: MaryJo Brock 12/05/2017 3:50 PM Submitted by: Title: County Manager – County Manager's Office Name: Leo E. Ochs 12/05/2017 3:50 PM Approved By: Review: Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 12/05/2017 4:05 PM Grants Therese Stanley Additional Reviewer Completed 12/05/2017 4:13 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 12/06/2017 8:50 AM County Manager's Office Leo E. Ochs Level 4 County Manager Review Completed 12/06/2017 9:11 AM Board of County Commissioners MaryJo Brock Meeting Pending 12/12/2017 9:00 AM Grant - SHIP FY 2016-2017 Activity: - Homebuyer Education SUBRECIPIENT: - Housing Development Corporation of SW Florida, Inc. d/b/a HELP DUNS # - 830181330 CSFA # - 52.901 FEIN: 38-3695928 AGREEMENT BETWEEN COLLIER COUNTY AND Housing Development Corporation of SW Florida Inc. d/b/a HELP STATE HOUSING INITIATIVES PARTNERSHIP HOMEBUYER EDUCATION AND COUNSELING CSFA 1152.901 THIS AGREEMENT is made and entered into this day of 20 by and between Collier County, a political subdivision of the State of Florida, ("COUNTY" or "Grantee") having its principal address at 3339 E Tamiami Trail, Naples FL 34112, and the Housing Development Corporation of SW Florida, Inc. d/b/a HELP. hereinafter referred to as "SUBRECIPIENT", a private not-for-profit corporation existing under the laws of the State of Florida, having its principal office at 3200 Bailey Lane, Suite 109 Naples, Florida 34105. WHEREAS, the William E. Sadowski Affordable Housing Act adopted by the State of Florida in 1992 provided a dedicated revenue source for affordable housing in Florida and created the State Housing Initiatives Partnership (SHIP) Program; WHEREAS, the State Housing Initiative Program is established in accordance with Section 420.907-9079, Florida Statutes and Chapter 67-37, Florida Administrative Code; and WHEREAS, the COUNTY is a participant in the State Housing Initiatives Partnership Program; and WHEREAS, the Fiscal Year 2016-2019 Local Housing Assistance Plan as amended was adopted by the Board of County Commissioners on April 26, 2016, Resolution No. 2016-75; and WHEREAS, the COUNTY and the SUBRECIPIENT desire to provide the services specified in Exhibit "A" of this Agreement, in accordance with the approved Local Housing Assistance Plan; and WHEREAS, the COUNTY desires to engage the SUBRECIPIENT to implement such undertakings as specified in Exhibit "A" and determines that they are valid and worthwhile County purposes. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the Parties as follows: Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 1 PART I. DEFINITIONS AND PURPOSE A. DEFINITIONS 1. "Low-income person" or "low-income household" means the definition set forth in Section 420.9071(19), F.S. 2. "Moderate -income person" or "moderate -income household" means the definition set forth Section 420.9071(20), F.S. 3. "Very Low -Income person" or "very low-income household" means the definition set forth in Section 420.9071(28), F.S. B. PURPOSE The purpose of this Agreement is to state the covenants and conditions under which the SUBRECIPIENT will implement the Scope of Service in Exhibit "A". II. SCOPE OF SERVICES The SUBRECIPIENT shall, in a satisfactory and proper manner, as determined by the Collier County Community and Human Services Division (CHS), perform the tasks necessary to conduct the program outlined in Exhibit "A". III. PERIOD OF PERFORMANCE The effective date of the agreement between COUNTY and SUBRECIPIENT shall be December 1, 2017. SUBRECIPIENT is authorized to incur eligible expenses after that date. The services of the SUBRECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. In any event, all services required hereunder shall be completed by the SUBRECIPIENT prior to June 30, 2019. Any funds not obligated by the expiration date of this Agreement shall automatically revert to COUNTY. Iv. CONSIDERATION AND LIMITATION OF COSTS The SUBRECIPIENT shall be reimbursed by the COUNTY using State Housing Initiatives Partnership Program funding for allowable costs, determined by COUNTY, in an amount not to exceed TWENTY FOUR THOUSAND EIGHT HUNDRED SEVENTY SEVEN DOLLARS ($24,877.00) for the services described in Exhibit "A." V. NOTICES All notices required to be given under this Agreement shall be sufficient when delivered to Community and Human Services Division at its office, presently located at 3339 E Tamiami Trail, Suite 211, Naples, Florida 34112, and to SUBRECIPIENT when delivered to its office at the address listed on page one of this Agreement. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 2 2016-2017 SHIP Housing Counseling Agreement COLLIER COUNTY ATTENTION: Lisa N. Carr, Senior Grant Coordinator 3339 E Tamiami Trail, Suite 211 Naples, Florida 34112 Email: lisacarr@colliergov.net Telephone: (239) 252-2339 SUBRECIPIENT ATTENTION: Michael Puchalla, Executive Director 3200 Bailey Lane, Suite 109 Naples, Florida 34105 Email: michael@collierhousing.com Telephone: (239) 434-2397 VI. SPECIAL CONDITIONS The SUBRECIPIENT agrees to comply with the requirements of the State Housing Initiatives Partnership Program as described in Sections 420.907-420.9079, Florida Statutes and Chapter 67-37, F.A.C. The SUBRECIPIENT further agrees to utilize funds available under this Agreement to supplement, rather than supplant, funds otherwise available for specified activities. VII. GENERAL CONDITIONS A. IMPLEMENTATION OF PROJECT ACCORDING TO REQUIRED PROCEDURES The SUBRECIPIENT shall implement this Agreement in accordance with applicable Federal, State, and County laws, ordinances and codes, and with the procedures set forth in Community and Human Services Division Policies and Procedures memoranda. The Federal, State, and County laws, ordinances and codes, are minimal regulations supplemented by more restrictive guidelines set forth by Community and ill be made until approved by Community Human Services Division. No payments w and Human Services Division, or designee. Should a project receive additional funding after the commencement of this Agreement, the SUBRECIPIENT shall notify Community and Human Services Division in writing within thirty (3 0) days of receiving notification from the funding source and submit a cost allocation plan for approval within forty-five (45) days of said official notification. B. SUBCONTRACTS Any work or services subcontracted by the SUBRECIPIENT shall be done specifically by written contract or agreement, and such subcontracts shall be subject to each provision of this Agreement and applicable County, State, and Federal guidelines and regulations. Prior to execution by the SUBRECIPIENT of any subcontract hereunder, such subcontracts must be submitted by the SUBRECIPIENT to Community and Human Services Division for its review and approval, which will specifically include a determination of compliance with the terms of the attached Scope of Services set forth in Exhibit "A." Housing Development Corporation of SW Florida, Inc. d(b/a IdELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 3 2016-2017 SHIP Housing Counseling Agreement This review also includes ensuring that all consultant contracts and fee schedules meet the minimum standards as established by the Collier County Purchasing Department, Florida Statutes and Florida Housing Finance Corporation. Reimbursements for such services will be made at SUBRECIPIENT's cost. None of the work or services covered by this Agreement, including but not limited to consultant work or services, shall be subcontracted by the SUBRECIPIENT or reimbursed by the COUNTY without approval from Community and Human Services Division or its designee. C. 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. D. INDEMNIFICATION To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, 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 anyone employed or utilized by 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. 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. E. GRANTEE RECOGNITION The SUBRECIPIENT agrees that all notices, informational pamphlets, press releases, advertisements, descriptions of the sponsorships of the Program, research reports and similar public notices, whether printed or digitally prepared and released by the SUBRECIPIENT for, on behalf of, and/or about the Program shall include the statement: Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 4 2016-2017 SHIP Housing Counseling Agreement "FINANCED IN PART BY FLORIDA HOUSING FINANCE CORPORTATION (FHFC) AND COLLIER COUNTY COMMUNITY AND HUMAN SERVICES DIVISION." 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. F. TERNIINATION In event of termination for any of the following reasons, all finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared, and capital equipment secured by the SUBRECIPIENT with funds under this Agreement shall be returned to COUNTY. In the event of termination, the SUBRECIPIENT shall not be relieved of liability to the COUNTY for damages sustained by the COUNTY by virtue of any breach of the Contract by the SUBRECIPIENT, and the COUNTY may withhold any payment to the SUBRECIPIENT for set-off purposes until such time as the exact amount of damages due to the COUNTY from the SUBRECIPIENT is determined. 1. TERNIINATION FOR CAUSE If through any cause either party shall fail to fulfill in timely and proper manner its obligations under this Agreement, or if either party violates any of the covenants, agreements, or stipulations of this Agreement, either party shall have the right to terminate this Agreement in whole or part by giving written notice of such termination to the other party and specifying therein the effective date of termination. 2. TERMINATION FOR CONVENIENCE At any time during the term of this Agreement, either party may, at its option and for any reason, terminate this Agreement upon ten (10) working days written notice to the other party. Upon termination, the COUNTY shall pay the SUBRECIPIENT for services rendered pursuant to this Agreement through and including the date of termination. 3. TERNIINATION DUE TO CESSATION In the event the State Housing Initiatives Partnership Program is suspended or terminated, this Agreement shall be. suspended or terminated effective on the date that Florida Housing Finance Corporation specifies. Housing Development Corporation of SW Florida, Inc. d/bla HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 5 2016-2017 SHIP Housing Counseling Agreement G. INSURANCE SUBRECIPIENT shall obtain and carry, at all times during its performance under this Agreement, insurance of the types and in the amounts described herein and further set forth in Exhibit `B". H. SUBRECIPIENT LIABILITY OBLIGATION Compliance with the insurance requirements in Exhibit `B" shall not relieve the SUBRECIPIENT of its liability and obligation under this subsection or under any subsection of this contract. The contract is contingent upon receipt of the insurance documents within fifteen (15) calendar days after the Board of County Commissioners' approval. If the Insurance certificate is received within the specified period, but not in the manner prescribed in these requirements, the SUBRECIPIENT shall be verbally notified of the deficiency and shall have an additional five (5) calendar days to submit a corrected Certificate to the County. If the SUBRECIPIENT fails to submit the required insurance documents in the manner prescribed in these requirements within twenty (20) calendar days after the Board of County Commissioners' approval, the SUBRECIPIENT may be in default of the terms and conditions of the contract. VM. ADMINISTRATIVE REOUIREMENTS A. DOCUMENTATION AND RECOP-DICEEPING 1. The SUBRECIPIENT shall maintain all records required by the State Housing Initiatives Partnership Program and Community and Human Services Division. 2. All reports, plans, surveys, information, documents, maps, 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 at any time upon request by the COUNTY or Community and Human Services Division. Upon completion of all work contemplated under this Agreement, copies of all documents and records relating to this Agreement shall be surrendered to Community and Human Services Division, if requested. In any event the SUBRECIPIENT shall keep all documents and records for five (5) fiscal years funds expended and accounted for and/or satisfaction of loans whichever is later of this Agreement, as outlined in the General Schedule for Local Governments (GS I -L) of Florida Department of State requirements. 3. Deep and maintain public records required by COUNTY to perform the service. 4. Upon request from COUNTY'S custodian of public records, provide CO LJNTY with a copy of the requested records or allow the records to IM Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 6 2016-2017 SHIP Housing Counseling Agreement be inspected or copied, within a reasonable time, at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. 5. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed, except as authorized by law, for the duration of the contract term and following completion of the contract, if SUBRECIPIENT does not transfer the records to COUNTY. 6. Upon completion of the contract, transfer, at no cost, to COUNTY all public records in possession of SUBRECIPIENT or keep and maintain public records required by COUNTY to perform the service. If SUBRECIPIENT transfers all public records to the public agency upon completion of the contract, the SUBRECIPIENT shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If SUBRECIPIENT keeps and maintains public records upon completion of the contract, SUBRECIPIENT shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to COUNTY, upon request from COUNTY's custodian of public records, in a format that is compatible with the information technology systems of COUNTY. The SUBRECIPIENT shall submit detailed quarterly progress reports to Community and Human Services Division, outlining the status of specific activities under the project. Each report must account for the total activity for which the SUBRECIPIENT is paid with State Housing Initiatives Partnership Program funds, in part or in whole, and which is required in fulfillment of their obligation regarding the project. The progress reports shall be submitted on the attached Exhibit "D". Failure to adequately maintain any former State Housing Inifiatives Partnership Program funded project may result in the delay of processing reimbursement requests for ongoing activities or in the forfeiture of future State Housing Initiatives Partnership Program funds. 9. The SUBRECIPIENT further agrees that Community and Human Services Division shall be the final arbiter on the SUBRECIPIENT's compliance with the above. B. REPORTS AUDITS AND EVALUATIONS Reimbursement will be contingent on the timely receipt of complete and accurate reports required under this Agreement, and on the resolution of monitoring or audit findings identified pursuant to this Agreement. Quarterly reports will be, submitted using the form attached as Exhibit "D". Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 7 2016-2017 SHIP Housing Counseling Agreement The SUBRECIPIENT agrees that Community and Human Services Division will carry out periodic monitoring and evaluation activities, as determined necessary. The continuation of this Agreement is dependent upon satisfactory evaluation. The SUBRECIPIENT shall, upon the request of community and Human Services Division, submit information and status reports required by Community and Human Services Division or Florida Housing Finance Corporation to enable Community and Human Services Division to evaluate said progress and to allow for completion of reports required. The SUBRECIPIENT shall allow Community and Human Services Division or Florida Housing Finance Corporation to monitor the SUBRECIPIENT on site. Such site visits may be scheduled or unscheduled, as determined by Community and Human Services Division or Florida Housing Finance Corporation. Community and Human Services Division shall have the right under this Agreement to suspend or terminate reimbursement until the SUBRECIPIENT complies with any additional conditions that may be imposed by Community and Human Services Division, COUNTY, or Florida Housing Finance Corporation at any time. C. AUDITS AND INSPECTIONS Non-profit organizations that expend $750,000 or more annually in state awards shall have a single or program -specific audit conducted for that year in accordance with Florida Statute 215.97 (Florida Single Audit Act). Non-profit organizations with state awards of $750,000 or more, under only one state program, may elect to have a program - specific audit performed in accordance with the Florida Single Audit Act. 2. Non-profit organizations that expend less than $750,000 annually in state awards shall be exempt from an audit conducted in accordance with FL Statute 215.97, although their records must be available for review (e.g., inspections, evaluations). These agencies are required by Community and Human Services Division to submit "Reduced Scope" audits (e.g., financial audit, performance audits). They may choose, instead of a Reduced Scope Audit, to have a program audit conducted for each state award in accordance with the regulations governing the program in which they participate. Records must be available for review or audit by appropriate officials of federal and/or County agencies. 3. Ata minimum, each audit shall comply with the Florida Single Audit Act and include a fiscal review, which includes a validation of all program -generated income and its disposition, which are attributable to SHIP funds, an internal control review, and a compliance review. A copy of the audit report must be received by Community and Human Services Division no later than nine (9) months, following the end of the SUBRECIPIENT's fiscal year. 4. The SUBRECIPIENT shall maintain all contract records in accordance with generally accepted accounting principles, Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 8 2016-2017 SHIP Housing Counseling Agreement procedures, and practices, which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by COUNTY pursuant to the terms of this contract. 5. The SUBRECIPIENT shall maintain all contract records that document all actions undertaken to accomplish as outlined in Exhibit "A" of this Agreement. 6. The SUBRECIPIENT shall ensure that the contract records shall be, at all times, subject to and available for full access and review, inspection, or audit by COUNTY or state personnel and any other personnel duly authorized by COUNTY. 7. The SUBRECIPIENT shall include in all Community and Human Services Division approved subcontracts used to engage subcontractors to carry out any eligible substantive programmatic services, as such services are described in this contract and defined by Community and Human Services Division, each of the recordkeeping and audit requirements detailed in this contract. Community and Human Services Division shall, in its sole discretion, determine when services are eligible substantive programmatic services and subject to the audit and recordkeeping requirements described above. D. PURCHASING If applicable, the SUBRECIPIENT shall make all purchases for consumable, capital equipment and services by purchase order or by written contract in conformity and in full compliance with the procedures prescribed by applicable Florida Statutes (FL statute 287.017) and the Collier County Purchasing rules, whichever is more stringent. $10,000 - $50,000 3 Written Quotes $50,000+ Bids, Proposals, Contracts (ITB, All improvements specified in Part 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 contracts for improvements with the lowest, responsible and qualified bidder. Contract administration shall be handled by the SUBRECIPIENT and monitored by CHS, which shall have access to all records and documents related to the project. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 9 2016-2017 SHIP Housing Counseling Agreement E. DEBARMENT The SUBRECIPIENT certifies that no officer or agent of the SUBRECIPIENT has been debarred from bidding, proposing, or contracting for federal, state, or local government programs. The SUBRECIPIENT assures that all its subcontractors who will participate in activities which are subject to this agreement are eligible and have not been debarred. F. GRANT CLOSEOUT PROCEDURES SUBRECIPIENT'S obligation to COUNTY shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but not limited to: sale and occupancy of the unit (if applicable), making final payments, disposing of program assets (including the return of all unused materials, equipment, unspent cash advances, program income balances, and receivable accounts to the COUNTY), and determining the custodianship of records. IX. OTHER PROGRAM RE' QUIRE MENIS A. PROGRAM BENEFICIARIES The project funded under this Agreement shall assist beneficiaries for the term of the assistance, as designated in Exhibit "A" of this Agreement. The SUBRECIPIENT shall provide written verification of compliance to Community and Human Services Division, on an on-going quarterly basis throughout the life of the agreement, as well as final total for all beneficiaries served during the entire term of the agreement. B. EVALUATION AND MONITORING The SUBRECIPIENT agrees that Community and Human Services Division will carry out periodic monitoring and evaluation activities as determined necessary by Community and Human Services Division or the COUNTY and that the continuation of this Agreement is dependent upon satisfactory evaluation conclusions based on the terms of this Agreement, comparisons of planned versus actual progress relating to project scheduling, budgets, audit reports, and output measures. The SUBRECIPIENT agrees to furnish upon request to Community and Human Services Division, the COUNTY or the COUNTY'S designees and make copies or transcriptions of such records and information, as is determined necessary by Community and Human Services Division or the COUNTY. The SUBRECIPIENT shall, upon the request of Community and Human Services Division, submit information and status reports required by Community and Human Services Division, or the COUNTY on forms approved by Community and Human Services Division to enable Community and Human Services Division to evaluate said progress and to allow for completion of reports required of Community and Human Services Division by Florida Housing Finance Corporation. The SUBRECIPIENT shall allow Community and Human Services Division to monitor the SUBRECIPIENT on site. Such site visits may be scheduled or unscheduled, as determined by Community and Human Services Division and the Florida Housing Finance Corporation. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling Page 10 2016-2017 SHIP housing Counseling Agreement C. CORRECTIVE ACT10N 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 COUNTY Resolution No. 2013-228, CHS has adopted an escalation policy to ensure continued compliance by Subrecipients, Developers, or any entity receiving grant funds from CHS. CHS'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 Division within 15 days following issuance of the report. Any pay requests that have been submitted to the Division for payment will be held, until the corrective action plan has been submitted. CHS 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 Division, the Division may require a portion of the awarded grant amount be returned to the Division. The County may require upwards of five percent (5%) of the award amount be returned to the Division, at the discretion of the Board of County Commissioners. The entity may be considered in violation of Resolution No. 2013-228 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 Division of their substantial non-compliance by certified mail; the Division 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 Division. The Division may require upwards of ten percent (10%) of the award amount be returned to the Division, at the discretion of the Board of County Commissioners. 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 Division may recommend the contract or award be terminated. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling page 11 2016-2017 SHIP Housing Counseling Agreement The Division 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 the project that was terminated. This includes the amount invested by the County for the initial acquisition of the properties or other activities. The entity will be considered in violation of Resolution No. 2013-228 If in the case the Entity has multiple agreements with the Division and is found to be non- compliant, the above sanctions may be imposed across all awards at the BCC's discretion. D. CONFLICT OF INTEREST In accordance with Section 112.313 Florida Statutes, the SUBRECIPIENT covenants that no person who presently exercises any functions or responsibilities in connection with the Project, has any personal financial interest, direct or indirect, in the target 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. Any possible conflict of interest on the part of the SUBRECIPIENT or its employees shall be disclosed in writing to Community and Human Services Division 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 very low-income residents of the project target area. E. PUBLIC ENTITY CRIMES As provided in Section 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 Section 287.133 (3)(a), Florida Statutes. F. CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her kriowledge and belief, that: 1. No State Housing Initiatives Partnership Program 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, in connection with the award of any State Housing Initiatives Partnership Program contract, the making of any State Housing Initiatives Partnership Program grant, the making of any State Housing Initiatives Partnership Program loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any State Housing Initiatives Partnership Program contract, grant, loan, or cooperative agreement. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 12 2. Any lobbying efforts regarding the award of any State Housing Initiatives Partnership Program contract, the making of any State Housing Initiatives Partnership Program grant, the making of any State Housing Initiatives Partnership Program loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any State Housing Initiatives Partnership Program contract, grant, loan, or cooperative agreement must be carried out by a State of Florida registered lobbyist comply with Florida Statutes 112.3215. 3. 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, and contracts under grants, loans, and cooperative Agreements) and that all SUBRECIPIENTS shall certify and disclose accordingly. X. SEVERABILITY OF PROVISIONS If any provision of this Agreement is held invalid, the remainder of this Agreement shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law. XI. COUNTERPARTS OF THE AGREEMENT This Agreement, consisting of twenty-two (22) enumerated pages, which include the exhibits referenced herein, shall be executed in two (2) counterparts, each of which shall be deemed to be an original, and such counterparts will constitute one and the same instrument. XII. ENTIRE UNDERSTANDING This Agreement and its provisions merge any prior agreements, if any, between the parties and constitute the entire understanding. The parties hereby acknowledge that there have been and are no representations, warranties, covenants, or undertakings other than those expressly set forth herein. (Signature Page to Follow) Housing Development Corporation of SW Florida, hie. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 13 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 Approved as to form and legality: A" Jennifer Belpedio ®��\ CD Assistant County Attorney ao Date: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA PENNY TAYLOR, CHAIRMAN Date: MICHAEL PUCHALLA, EXECUTIVE DIRECTOR: Q By19— Date: 1n0 Housing Development Corporation of SW Florida, Inc. d/bla HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 14 EXHIBIT "A" SCOPE OF SERVICES Housing Development Corporation of SW Florida, Inc. d/b/a HELP SHIP FY 2016-2017 HOMEBUYER/FINANCIAL MANAGEMENT EDUCATION AND COUNSELING A. PROJECT SCOPE: SUBRECIPIENT proposes to use State Housing Initiatives Partnership (SHIP) funds for the following activities: • Pre -Purchase Homebuyer Counseling • Homebuyer Education Workshop • Financial Management Education -Money Management • Financial Coaching (one-on-one) • Financial Literacy Workshop • Web Based Curriculum Portal The SUBRECEIPIENT must be a HUD certified counseling agency and provide services under this Agreement in Collier County. B. METHOD OF PAYMENT: The COUNTY agrees to make available TWENTY FOUR THOUSAND EIGHT HUNDRED SEVENTY SEVEN DOLLARS ($24,877.001 from SHIP 2016-2017 funding year is reserved to complete the activities under this Agreement. Modification to the "Budget and Scope" may only be made if approved in advance. Budgeted fund shifts among line items shall not be more than 10% of the total funding amount and does not signify a change in scope. Fund shifts that exceed 10% of the agreement amount shall only be made with Board approval. 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 CHS. 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. SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred during the term of this agreement. Invoices for work performed are required every month. 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 after the end of the agreement may not be processed without written authorization from the Grant Coordinator. Housing Development Corporation of SW Florida, hie. d/h/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 15 The County Manager or designee may extend the term of this agreement for a period of up to 180 days after the end of the agreement. Extensions must be authorized, in writing, by formal letter to the SUBRECIPIENT. No payment will be made until approved by CHS 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." C. BUDGET: Line Item: Unit Cost Counseling: Pre -Purchase for homebuyers. Minimum 3 $375/per household sessions per household. Determine dates of education classes; Homebuyer Education Workshops, 1 to 50 participants $1,000 per 8 hour session or develop and provide pre -purchase two 4 hour sessions Financial Management Education -Money Management $150/course Course Financial Coaching (one-on-one) $175/session Financial Literacy Workshop, 1 to 25 participants $175/worksho Development and on-going administration of on line / $500.00 one-time fee web based pre -purchase curriculum D. PROJECT MILESTONE SCHEDULE: The time frame for completion of the outlined activities shall be: MILESTONE/TASK START DATE END DATE Determine dates of education classes; December 1, 2017 June 30, 2019 develop and provide pre -purchase counseling; homebuyer education workshops; financial management education courses— money management courses; one-on-one financial coaching; financial literacy workshops; establish on line curriculum and portal to allow certification This agreement shall allow reimbursement of expenses for all eligible costs associated with the agreement and does not require the completion of all agreement milestones for reimbursement to be paid. E. PROJECT DELIVERABLES: 1. Provide evidence of current U.S. Housing and Urban Development Approved Counseling Agency status; and 2. Company's organizational chart and staff position descriptions 3. Quarterly Progress Reports 4. Workshop/counseling locations and agendas Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 16 F. PERFORMANCE DELIVERABLES: Program Deliverable Deliverable Supporting Documentation Submission Schedule Provide pre -purchase Class/workshop schedule and On-going per occurrence counseling; homebuyer agenda Request for payment shall education workshops; financial counseling session management -financial literacy be submitted once a month courses; flyers. (Deliverable 2,3,5) G. PAYMENT DELIVERABLES: The following table details the project deliverables and payment schedule. Deliverable Supporting Documents Payment Schedule 1. Pre -purchase homebuyer A. Workshop/counseling Request for payment shall counseling session locations and workshop be submitted once a month flyers. (Deliverable 2,3,5) for all activities completed 2. Homebuyer Education Workshop during the previous month B. Sign in sheet for each period. 3. Financial Management workshop with a client Education -Money Management identifier or name and signed Course by facilitator. Deliverable 2,3,5) 4. Financial Coaching Session (one- on-one) C. Sign in sheet for each counseling session including 5. Financial Literacy Workshop client identifier or signature and facilitator. (Deliverable 6. Establish and maintain an on 1,4) line pre -purchase web based curriculum D. Documentation of web based curriculum and url location (Deliverable 6 via screenshot) E. Exhibit C All Deliverables Duplication of clients between deliverable tasks is permitted. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 17 INSURANCE REQUIREMENTS The SUBRECIPIENT shall furnish to Collier County, c/o Community and Human Services Division 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. Public Liability Insurance on a comprehensive basis in an amount no less than $300,000 per occurrence for combined Bodily Injury and Properly Damage. 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 $300,000 per occurrence for combined Bodily Injury and Property Damage. 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 $300,000 per occurrence providing for all sums which the SUBRECIPIENT and/or the design professional shall become legally obligated to pay as damages from 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. 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 policies 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. Flood Insurance shall be provided for those properties found to be within a flood hazard zone, in an amount not less than the full replace values of the completed structure(s) or the maximum amount of coverage available through the National Flood Insurance Program (NFIP), whichever is greater. The policy will show Collier County as a Loss Payee A.T.I.M.A. This policy will be provided as such time that he buildings' walls and roof exist. OPERATION/MANAGEMENT PHASE (IF APPLICABLE) Housing Development Corporation of SW Florida, Inc. dibla HELP State Housing Initiatives Partnership IIomebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 18 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. Public Liability coverage in an amount not less than $1,000,000 per occurrence for combined Bodily Injury and Property damage. Collier County must be shown as an additional insured with respect to this coverage. 8. 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. 9. 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. Housing Development Corporation of SW Florida, Inc. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 19 EXHIBIT "C" COLLIER COUNTY COMMUNITY & HUMAN SERVICES REQUEST FOR PAYMENT SECTION I: REQUEST FOR PAYMENT SubrecipientName: Housing Development Corporation of SW Florida, Inc. d/b/a HELP Subrecipient Address: 3200 Bailey Lane, Suite 109 Naples, FL 34105 Project Name: STATE HOUSING INITIATIVES PARTNERSHIP HOMEBUYER EDUCATION AND COUNSELING Project No: 16-17 HBE 001 Payment Request # Total Payment Minus Retainage Period of Availability: through Period for which the Agency has incurred the indebtedness through SECTION H: STATUS OF FUNDS 1.Grant Amount Awarded 2. Sum of Past Claims Submitted on this Account 3.Total Grant Amount Awarded Less Sum of Past Claims Submitted on this Account 4.Amount of Today's Request 5.10% Retainage Amount Withheld $ N/A 6.Current Grant Balance (Initial Grant Amount Award request) ( includes Retainage) $ 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 Title Authorizing Grant Coordinator Supervisor (Approval required $15,000 and above) Date Authorizing Grant Accountant Division Director (Approval Required $15,000 and above) Housing Development Corporation of SW Florida, hie. d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 20 EXIMIT `aD" QUARTERLY PROGRESS REPORT Complete form for past quarter and submit to Community & Human Services staff by the 10 of the following month. (January 10", April 10`h, July 10`h & October IOrI) Housing Counseling Agency . AclirityReport QUAMRt 1. Name'- Name: Adan 2-EnmfogPened From: To: Oategubm Ned_ Tab( 4tmWH.min Cmmsdwg PragamRAdSe% An 5omrc: 5 .: faddifia0 Hom_tma Cam;arsgk Firm Fmedowa Pc-med® Fin'"^+t corm.elme Fiwrdai H� - Edlia[ma Fl,,du Firr�t M.^*Y— Firt7iee Hemelvym C—Imla FJJ�salHmasdoids K,T':3: a¢ N,nmy,x CbmemtfompT Sxfas37oo1 0 0 0 01 01 0 l.BaaalHa�ehalds ltam flmsri®todm'Alas7sP -45b. 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Sfo¢s ioNs timeprecmtGdaiRmhxdnmzt�xpdefaLaEac>.-llvo± HRuiag ('gnnzxline $exritas. slclioa IDTw o 0 0 0 0 0 Housing Development Corporation of SW Florida, Inc, d/b/a HELP State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 22 CERTIFICATION FOR THE SUBRECIPIENT OR DEVELOPER OR VENDOR ENTITY CERTIFICATION FOR THE GRANTEE ENTITY Only one required per entity signed by an authorized representative REGARDING DEBARMENT or SUSPENSION, REAL OR APPARENT CONFLICT OF INTEREST, FALSIFICATION OF DOCUMENTS, SUBSTANTIAL NON-COMPLIANCE OR NON-PERFORMANCE UNDER A GRANT, INELIGIBILITY, VOLUNTARY EXCLUSION ON AGREEMENTS/SUB-AGREEMENTS This certification is required by the regulation implementing Executive Order 12549, Debarment and Suspension, signed February 18, 1986. The guidelines were published in the May 29, 1987 Federal Register (52 Fed. Reg., pages 20360-20369). The Board of County Commissioners further adopted a Resolution (2013-228) effective October 8, 2013 to establish application screening criteria for Collier County administered federal and state grants. The resolution specifies this list of interested parties refers to the following representatives of the grantee organization under any form of arrangement or agreement: Each Board of Directors member Officers of the Board Executive Director All employees and supervisors that will work on the grant Definitions: [Note: The Definitions (1) will be tailored for the applicable grant progranti (1) The terms "debarred," "suspended," "ineligible," "person," "principal," and "voluntarily excluded," as used in this certification, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549 and 45 CFR (Code of Federal Regulations), Part 76. Contact Collier Community and Human Services or go to www.HlJD.rrov website for assistance in obtaining a copy of those regulations. (2) The term substantial non-compliance or non-conformance as used in this certification includes: • Return of awarded grant funds on more than one occasion in the last three years • Non-compliance with a monitoring corrective action plan • Other substantial non-compliance or non-conformance of a grant • The organization applying for grant funding is hereby certifying and will follow the below listed: 1. Each grantee of federal or state financial and non-financial assistance must sign this debarment certification at time of application. Independent auditors who audit federal or state programs regardless of the dollar amount are required to sign this certification form to include certification of debarment. Collier County Community and Human Services or its agreement grantee/contractors will not contract with subcontractors if they are debarred or suspended by the federal government. 2. Each entity applying for a grant from Collier County will assure all individuals and positions listed above complete and submit appropriate certifications. 3. The grantee shall provide immediate written notice to the grant coordinator at any time the grantee/contractor learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The grantee further agrees by submitting this certification that, it shall not knowingly enter into any sub -agreement with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this contract unless authorized by the Federal Government. S. The grantee further agrees by submitting this certification that it will require each contractor/subcontractor of agreements and/or contracts referencing this contract whose payment will equal or exceed $100,000 in federal monies, to submit a signed copy of this certification with each sub -agreement. 6. The grantee may rely upon a certification by a subcontractor entity that it is not debarred, suspended, ineligible, or voluntarily excluded from contracting/subcontracting unless the grantee/contractor knows that the certification is erroneous. 7. The grantee has adopted conflict of interest policies and procedures within their organization and will provide a copy of such prior to the execution of an agreement should the grant application be funded. If the grantee does not have conflict of interest policies and procedures they must adopt policies/procedures for determining when a conflict of interest exists and disclosing it to the public as required by the applicable program requirements. The prospective grantee certifies, by signing this certification, that neither the entity nor their above noted principals and respective employees, within the last three years: (1) Has been debarred, suspended, proposed for debarment, and declared ineligible, or voluntarily excluded from participation in contracting with Collier County Community and Human Services by any federal department or agency. Where the prospective grantee is unable to certify to any of the statements in this certification, such prospective grantee shall attach an explanation to this certification. (2) Has had a real or apparent conflict of interest (3) Has falsified documents (4) Has substantial non-compliance or non-conformance with performance under a grant with Collier County or any other entity Collier County Community and Human Services will rely on the certifications of this document as true and reliable. However, the County reserves the right to request additional documentation prior to making a final determination. Collier County Community and Human Services may rely upon a certification by a nonprofit organization that it is not debarred, suspended, ineligible, or voluntarily excluded from contracting or subcontracting unless the department knows that the certification is erroneous. This certification is a material representation of fact upon which reliance is placed when this application is submitted. If it is later determined that the signed knowingly rendered an erroneous certification, the Federal Government (via Section 1001 of Title 18 USC for making false statements) and Collier County may pursue available remedies, including suspension, debarment, grant award retraction, and/or suspension from applying for awards for three years under Resolution 2013-228. Name of Organization: yg �iye'�pyveh� coYir a S� ��o�°{a Cllbl lT�"G}� Signature of Authorized Individual Date 10 / d W\(Ar\uQ1 U C���a��,C�u�vy� Q�rec o✓ Name and Title of Authorized Individual (Print or type) CERTIFICATION FOR THE DIRECTORS OF THE BOARD, EXECUTIVE DIRECTOR, EMPLOYEE OR SUPERVISOR One EACH for every director, the executive director, and each staff member proposed to be directly working on or overseeing a staff member directly working on the grant REGARDING DEBARMENT or SUSPENSION, REAL OR APPARENT CONFLICT OF INTEREST, FALSIFICATION OF DOCUMENTS, SUBSTANTIAL NON-COMPLIANCE OR NON-PERFORMANCE UNDER A GRANT, INELIGIBILITY, VOLUNTARY EXCLUSION ON AGREEMENTS/SUB-AGREEMENTS The Board of County Commissioners adopted a Resolution (2013-228) effective October 8, 2013 to establish application screening criteria for Collier County administered federal and state grants. The resolution specifies this list of interested parties refers to the following representatives of the grantee organization under any form of arrangement or agreement: Each Board of Directors member Officers of the Board Executive Director All employees and supervisors that will work on the grant Definitions: (1) The terms "debarred," "suspended," "ineligible," "person," "principal," and "voluntarily excluded," as used in this certification, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549 and 45 CFR (Code of Federal Regulations), Part 76. Contact Collier County Community and Human Services or go to www.HUD.eov website for assistance in obtaining a copy of those regulations. (2) The term substantial non-compliance or non-conformance as used in this certification includes: • Return of awarded grant funds on more than one occasion in the last three years • Non-compliance with a monitoring corrective action plan • Other substantial non-compliance or non-conformance of a grant The undersigned certifies, by signing this certification, that, within the last three years, they have not: 1. Been debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in contracting with Collier County Community and Human Services by any federal department or agency. (Where the prospective individual is unable to certify to any of the statements in this certification, such individual shall attach an explanation to this certification.) 2. Had a real or apparent conflict of interest 3. Falsified documents 4. Had substantial non-compliance or non-conformance with performance under a grant with Collier County or any other entity The undersigned shall provide immediate written notice to the grantee at any time the undersigned learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. Collier Comity Community and Human Services will rely on the certification of this document as hue and reliable. However, the County reserves the right to request additional documentation prim to making a final determination. This certification is a material representation of fact upon which reliance is placed when this application is submitted. If it is later determined that the signed knowingly rendered an erroneous certification, the Federal Government (via Section 1001 of Title 18 USC for making false statements) and Collier County may pursue available remedies, including suspension, debarment, grant award retraction, and/or suspension from applying for awards for three years under Resolution 2013-228. t%ovs;" elo,menl Name of Organization �R(ole of undersigned (Direct'or(,� (Executive Director, Employee [specify role], Supervisor [specify role] \� \\ Signature Date: / o� -7 / Print or type name of signatory Grant - SHIP FY 2016-2017 Activity: - Homebuyer Education SUBRECIPIENT: - Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation DUNS # - 78-763-9681 CSFA # - 52.901 FEIN: 36-3267851 AGREEMENT BETWEEN COLLIER COUNTY AND ROCK ISLAND ECONOMIC GROWTH CORPORATION D/B/A ECONOMIC GROWTH CORPORATION STATE HOUSING INITIATIVES PARTNERSHIP HOMEBUYER EDUCATION AND COUNSELING CSFA #52.901 THIS AGREEMENT is made and entered into this _ day of 20_, by and between Collier County, a political subdivision of the State of Florida, ("COUNTY" or "Grantee") having its principal address at 3339 E Tamiami Trail, Naples FL 34112, and the Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation. hereinafter referred to as "SUBRECIPIENT", a private not-for-profit corporation existing under the laws of the State of Florida, having its principal office at 100 191 Street Suite 109 Rock Island, IL 61201. WHEREAS, the William E. Sadowski Affordable Housing Act adopted by the State of Florida in 1992 provided a dedicated revenue source for affordable housing in Florida and created the State Housing Initiatives Partnership (SHIP) Program; WHEREAS, the State Housing Initiative Program is established in accordance with Section 420.907-9079, Florida Statutes and Chapter 67-37, Florida Administrative Code; and WHEREAS, the COUNTY is a participant in the State Housing Initiatives Partnership Program; and WHEREAS, the Fiscal Year 2016-2019 Local Housing Assistance Plan as amended was adopted by the Board of County Commissioners on April 26, 2016, Resolution No. 2016-75; and WHEREAS, the COUNTY and the SUBRECIPIENT desire to provide the services specified in Exhibit "A" of this Agreement, in accordance with the approved Local Housing Assistance Plan; and WHEREAS, the COUNTY desires to engage the SUBRECIPIENT to implement such undertakings as specified in Exhibit "A" and determines that they are valid and worthwhile County purposes. NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it is agreed by the Parties as follows: Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling -2016-2017 SHIP Housing Counseling Agreement Page 1 PART I. DEFINITIONS AND PURPOSE A. DEFINITIONS 1. "Low-income person" or "low-income household" means the definition set forth in Section 420.9071(19), F.S. 2. "Moderate -income person" or "moderate -income household" means the definition set forth Section 420.9071(20), F.S. 3. "Very Low -Income person" or "very low-income household" means the definition set forth in Section 420.9071(28), F.S. B. PURPOSE The purpose of this Agreement is to state the covenants and conditions under which the SUBRECIPIENT will implement the Scope of Service in Exhibit "A". H. SCOPE OF SERVICES The SUBRECIPIENT shall, in a satisfactory and proper manner, as determined by the Collier County Community and Human Services Division (CHS), perform the tasks necessary to conduct the program outlined in Exhibit "A". III. PERIOD OF PERFORMANCE The effective date of the agreement between COUNTY and SUBRECIPIENT shall be December 1, 2017. SUBRECIPIENT is authorized to incur eligible expenses after that date. The services of the SUBRECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. In any event, all services required hereunder shall be completed by the SUBRECIPIENT prior to June 30, 2019. Any funds not obligated by the expiration date of this Agreement shall automatically revert to COUNTY. IV. CONSIDERATION AND LIMITATION OF COSTS The SUBRECIPIENT shall be reimbursed by the COUNTY using State Housing Initiatives Partnership Program funding for allowable costs, determined by COUNTY, in an amount not to exceed TWENTY FOUR THOUSAND FIVE HUNDRED DOLLARS ($24,500.00) for the services described in Exhibit "A." V. NOTICES All notices required to be given under this Agreement shall be sufficient when delivered to Community and Human Services Division at its office, presently located at 3339 E Tamiami Trail, Suite 211, Naples, Florida 34112, and to SUBRECIPIENT when delivered to its office at the address listed on page one of this Agreement. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling Page 2 2016-2017 SHIP Housing Counseling Agreement COLLIER COUNTY ATTENTION: Lisa N. Carr, Senior Grant Coordinator 3339 E Tamiami Trail, Suite 211 Naples, Florida 34112 Email: lisacarr@colliergov.net Telephone: (239) 252-2339 SUBRECIPIENT ATTENTION: Jill Clark, Housing Manager 100 191` Street Suite 109 Rock Island, IL 61201 Email: jclark@growthcorp.org Telephone: (309) 788-6311 VI. SPECIAL CONDITIONS The SUBRECIPIENT agrees to comply with the requirements of the State Housing Initiatives Partnership Program as described in Sections 420.907-420.9079, Florida Statutes and Chapter 67-37, F.A.C. The SUBRECIPIENT further agrees to utilize funds available under this Agreement to supplement, rather than supplant, funds otherwise available for specified activities. VII. GENERAL CONDITIONS A. IMPLEMENTATION OF PROJECT ACCORDING TO REQUIRED PROCEDURES The SUBRECIPIENT shall implement this Agreement in accordance with applicable Federal, State, and County laws, ordinances and codes, and with the procedures set forth in Community and Human Services Division Policies and Procedures memoranda. The Federal, State, and County laws, ordinances and codes, are minimal regulations supplemented by more restrictive guidelines set forth by Community and Human Services Division. No payments will be made until approved by Community and Human Services Division, or designee. Should a project receive additional funding after the commencement of this Agreement, the SUBRECIPIENT shall notify Community and Human Services Division in writing within thirty (30) days of receiving notification from the funding source and submit a cost allocation plan for approval within forty-five (45) days of said official notification. B. SUBCONTRACTS Any work or services subcontracted by the SUBRECIPIENT shall be done specifically by written contract or agreement, and such subcontracts shall be subject to each provision of this Agreement and applicable County, State, and Federal guidelines and regulations. Prior to execution by the SUBRECIPIENT of any subcontract hereunder, such subcontracts must be submitted by the SUBRECIPIENT to Community and Human Services Division for its review and approval, which will specifically include a determination of compliance with the terms of the attached Scope of Services set forth in Exhibit "A." Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling Page 3 2016-2017 SHIP Housing Counseling Agreement This review also includes ensuring that all consultant contracts and fee schedules meet the minimum standards as established by the Collier County Purchasing Department, Florida Statutes and Florida Housing Finance Corporation. Reimbursements for such services will be made at SUBRECIPIENT's cost. None of the work or services covered by this Agreement, including but not limited to consultant work or services, shall be subcontracted by the SUBRECIPIENT or reimbursed by the COUNTY without approval from Community and Human Services Division or its designee. C. 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. D. INDEMNIFICATION To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, 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 anyone employed or utilized by 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. 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. E. GRANTEE RECOGNITION The SUBRECIPIENT agrees that all notices, informational pamphlets, press releases, advertisements, descriptions of the sponsorships of the Program, research reports and similar public notices, whether printed or digitally prepared and released by the SUBRECIPIENT for, on behalf of, and/or about the Program shall include the statement: Rock Island Economic Growth Corporation d/h/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 4 "FINANCED IN PART BY FLORIDA HOUSING FINANCE CORPORATION (FIIFC) AND COLLIER COUNTY COMMUNITY AND HUMAN SERVICES DIVISION" 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. F. TERMINATION In event of termination for any of the following reasons, all finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared, and capital equipment secured by the SUBRECIPIENT with funds under this, Agreement shall be returned to COUNTY. In the event of termination, the SUBRECIPIENT shall not be relieved of liability to the COUNTY for damages sustained by the COUNTY by virtue of any breach of the Contract by the SUBRECIPIENT, and the COUNTY may withhold any payment to the SUBRECIPIENT for set-off purposes until such time as the exact amount of damages due to the COUNTY from the SUBRECIPIENT is determined. 1. TERMINATION FOR CAUSE If through any cause either party shall fail to fulfill in timely and proper manner its obligations under this Agreement, or if either parry violates any of the covenants, agreements, or stipulations of this Agreement, either party shall have the right to terminate this Agreement in whole or part by giving written notice of such termination to the other party and specifying therein the effective date of termination. 2. TERMINATION FOR CONVENIENCE At any time during the term of this Agreement, either party may, at its option and for any reason, terminate this Agreement upon ten (10) working days written notice to the other party. Upon termination, the COUNTY shall pay the SUBRECIPIENT for services rendered pursuant to this Agreement through and including the date of termination. TERMINATION DUE TO CESSATION In the event the State Housing Initiatives Partnership Program is suspended or terminated, this Agreement shall be suspended or terminated effective on the date that Florida Housing Finance Corporation specifies. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 5 G. INSURANCE SUBRECIPIENT shall obtain and carry, at all times during its performance under this Agreement, insurance of the types and in the amounts described herein and further set forth in Exhibit `B". H. SUBRECIPIENT LIABILITY OBLIGATION Compliance with the insurance requirements in Exhibit `B" shall not relieve the SUBRECIPIENT of its liability and obligation under this subsection or under any subsection of this contract. The contract is contingent upon receipt of the insurance documents within fifteen (15) calendar days after the Board of County Commissioners' approval. If the Insurance certificate is received within the specified period, but not in the manner prescribed in these requirements, the SUBRECIPIENT shall be verbally notified of the deficiency and shall have an additional five (5) calendar days to submit a corrected Certificate to the County. If the SUBRECIPIENT fails to submit the required insurance documents in the manner prescribed in these requirements within twenty (20) calendar days after the Board of County Commissioners' approval, the SUBRECIPIENT may be in default of the terms and conditions of the contract. VIII. ADMINISTRATIVE REQUIREMENTS A. DOCUMENTATION AND RECORDKEEPING 1. The SUBRECIPIENT shall maintain all records required by the State Housing Initiatives Partnership Program and Community and Human Services Division. 2. All reports, plans, surveys, information, documents, maps, 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 at any time upon request by the COUNTY or Community and Human Services Division. Upon completion of all work contemplated under this Agreement, copies of all documents and records relating to this Agreement shall be surrendered to Community and Human Services Division, if requested. In any event the SUBRECIPIENT shall keep all documents and records for five (5) fiscal years funds expended and accounted for and/or satisfaction of loans whichever is later of this Agreement, as outlined in the General Schedule for Local Governments (GS I -L) of Florida Department of State requirements. Keep and maintain public records required by COUNTY to perform the service. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 6 4. Upon request from COUNTY'S custodian of public records, provide COUNTY with a copy of the requested records or allow the records to be inspected or copied, within a reasonable time, at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed, except as authorized by law, for the duration of the contract term and following completion of the contract, if SUBRECIPIENT does not transfer the records to COUNTY. 6. Upon completion of the contract, transfer, at no cost, to COUNTY all public records in possession of SUBRECIPIENT or keep and maintain public records required by COUNTY to perform the service. If SUBRECIPIENT transfers all public records to the public agency upon completion of the contract, the SUBRECIPIENT shall destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. If SUBRECIPIENT keeps and maintains public records upon completion of the contract, SUBRECIPIENT shall meet all applicable requirements for retaining public records. All records stored electronically must be provided to COUNTY, upon request from COUNTY's custodian of public records, in a format that is compatible with the information technology systems of COUNTY. The SUBRECIPIENT shall submit detailed quarterly progress reports to Community and Human Services Division, outlining the status of specific activities under the project. Each report must account for the total activity for which the SUBRECIPIENT is paid with State Housing Initiatives Partnership Program funds, in part or in whole, and which is required in fulfillment of their obligation regarding the project. The progress reports shall be submitted on the attached Exhibit "D". 8. Failure to adequately maintain any former State Housing Initiatives Partnership Program funded project may result in the delay of processing reimbursement requests for ongoing activities or in the forfeiture of future State Housing Initiatives Partnership Program funds. 9. The SUBRECIPIENT further agrees that Community and Human Services Division shall be the final arbiter on the SUBRECIPIENT's compliance with the above. B. REPORTS, AUDITS, AND EVALUATIONS Reimbursement will be contingent on the timely receipt of complete and accurate reports required under this Agreement, and on the resolution of monitoring or audit findings identified pursuant to this Agreement. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 7 Quarterly reports will be submitted using the form attached as Exhibit "D". The SUBRECIPIENT agrees that Community and Human Services Division will carry out periodic monitoring and evaluation activities, as determined necessary. The continuation of this Agreement is dependent upon satisfactory evaluation. The SUBRECIPIENT shall, upon the request of Community and Human Services Division, submit information and status reports required by Community and Human Services Division or Florida Housing Finance Corporation to enable Community and Human Services Division to evaluate said progress and to allow for completion of reports required. The SUBRECIPIENT shall allow Community and Human Services Division or Florida Housing Finance Corporation to monitor the SUBRECIPIENT on site. Such site visits may be scheduled or unscheduled, as determined by Community and Human Services Division or Florida Housing Finance Corporation. Community and Human Services Division shall have the right under this Agreement to suspend or terminate reimbursement until the SUBRECIPIENT complies with any additional conditions that may be imposed by Community and Human Services Division, COUNTY, or Florida Housing Finance Corporation at any time. C. AUDITS AND INSPECTIONS Non-profit organizations that expend $750,000 or more annually in state awards shall have a single or program -specific audit conducted for that year in accordance with Florida Statute 215.97 (Florida Single Audit Act). Non-profit organizations with state awards of $750,000 or more, under only one state program, may elect to have a program - specific audit performed in accordance with the Florida Single Audit Act. 2. Non-profit organizations that expend less than $750,000 annually in state awards shall be exempt fi•om an audit conducted in accordance with FL Statute 215.97, although their records must be available for review (e.g., inspections, evaluations). These agencies are required by Community and Human Services Division to submit "Reduced Scope" audits (e.g., financial audit, performance audits). They may choose, instead of a Reduced Scope Audit, to have a program audit conducted for each state award in accordance with the regulations governing the program in which they participate. Records must be available for review or audit by appropriate officials of federal and/or County agencies. 3. At a minimum, each audit shall comply with the Florida Single Audit Act and include a fiscal review, which includes a validation of all program -generated income and its disposition, which are attributable to SHIP funds, an internal control review, and a compliance review. A copy of the audit report must be received by Community and Human Services Division no later than nine (9) months, following the end of the SUBRECIPIENT's fiscal year. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 8 4. The SUBRECIPIENT shall maintain all contract records in accordance with generally accepted accounting principles, procedures, and practices, which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by COUNTY pursuant to the terms of this contract. S. The SUBRECIPIENT shall maintain all contract records that document all actions undertaken to accomplish as outlined in Exhibit "A" of this Agreement. 6. The SUBRECIPIENT shall ensure that the contract records shall be, at all times, subject to and available for full access and review, inspection, or audit by COUNTY or state personnel and any other personnel duly authorized by COUNTY. 7. The SUBRECIPIENT shall include in all Community and Human Services Division approved subcontracts used to engage subcontractors to carry out any eligible substantive programmatic services, as such services are described in this contract and defined by Community and Human Services Division, each of the recordkeeping and audit requirements detailed in this contract. Community and Human Services Division shall, in its sole discretion, determine when services are eligible substantive programmatic services and subject to the audit and recordkeeping requirements described above. D. PURCHASING If applicable, the SUBRECIPIENT shall make all purchases for consumable, capital equipment and services by purchase order or by written contract in conformity and in full compliance with the procedures prescribed by applicable Florida Statutes (FL statute 287.017) and the Collier County Purchasing rules, whichever is more stringent. Range: Competition Required $0-$3,000 1 Verbal Quote $3,000 - $10,000 3 Verbal Quotes $10,000 - $50,000 3 Written Quotes $50,000+ Bids, Proposals, Contracts (ITB, RFP, etc All improvements specified in Part 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 contracts for improvements with the lowest, responsible and qualified bidder. Contract administration shall be handled by the SUBRECIPIENT and monitored by CHS, which shall have access to all records and documents related to the project. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 9 E. DEBARMENT The SUBRECIPIENT certifies that no officer or agent of the SUBRECIPIENT has been debarred from bidding, proposing, or contracting for federal, state, or local government programs. The SUBRECIPIENT assures that all its subcontractors who will participate in activities which are subject to this agreement are eligible and have not been debarred. F. GRANT CLOSEOUT PROCEDURES SUBRECIPIENT'S obligation to COUNTY shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but not limited to: sale and occupancy of the unit (if applicable), making final payments, disposing of program assets (including the return of all unused materials, equipment, unspent cash advances, program income balances, and receivable accounts to the COUNTY), and determining the custodianship of records. IX. OTHER PROGRAM REQUIREMENTS A. PROGRAM BENEFICIARIES The project funded under this Agreement shall assist beneficiaries for the term of the assistance, as designated in Exhibit "A" of this Agreement. The SUBRECIPIENT shall provide written verification of compliance to Community and Human Services Division, on an on-going quarterly basis throughout the life of the agreement, as well as final total for all beneficiaries served during the entire term of the agreement. B. EVALUATION AND MONITORING The SUBRECIPIENT agrees that Community and Human Services Division will carry out periodic monitoring and evaluation activities as determined necessary by Community and Human Services Division or the COUNTY and that the continuation of this Agreement is dependent upon satisfactory evaluation conclusions based on the terms of this Agreement, comparisons of planned versus actual progress relating to project scheduling, budgets, audit reports, and output measures. The SUBRECIPIENT agrees to furnish upon request to Community and Human Services Division, the COUNTY or the COUNTY'S designees and make copies or transcriptions of such records and information, as is determined necessary by Community and Human Services Division or the COUNTY. The SUBRECIPIENT shall, upon the request of Community and Human Services Division, submit information and status reports required by Community and Human Services Division, or the COUNTY on forms approved by Community and Human Services Division to enable Community and Human Services Division to evaluate said progress and to allow for completion of reports required of Community and Human Services Division by Florida Housing Finance Corporation. The SUBRECIPIENT shall allow Community and Human Services Division to monitor the SUBRECIPIENT on site. Such site visits may be scheduled or unscheduled, as determined by Community and Human Services Division and the Florida Housing Finance Corporation. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 10 C. 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 COUNTY Resolution No. 2013-228, CHS has adopted an escalation policy to ensure continued compliance by Subrecipients, Developers, or any entity receiving grant funds from CHS. CHS's policy for escalation for non- compliance is as follows: 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 Division within 15 days following issuance of the report. Any pay requests that have been submitted to the Division for payment will be held, until the corrective action plan has been submitted. CHS 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 Division, the Division may require a portion of the awarded grant amount be returned to the Division. The County may require upwards of five percent (5%) of the award amount be returned to the Division, at the discretion of the Board of County Commissioners. 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 Division of their substantial non-compliance by certified mail; the Division 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 Division. The Division may require upwards of ten percent (10%) of the award amount be returned to the Division, at the discretion of the Board of County Commissioners. 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 Division may recommend the contract or award be terminated. Rock Island Economic Growth Corporation d(b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 11 The Division 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 the project that was terminated. This includes the amount invested by the County for the initial acquisition of the properties or other activities. The entity will be considered in violation of Resolution No. 2013-228 If in the case the Entity has multiple agreements with the Division and is found to be non- compliant, the above sanctions may be imposed across all awards at the BCC's discretion. D. CONFLICT OF INTEREST In accordance with Section 112.313 Florida Statutes, the SUBRECIPIENT covenants that no person who presently exercises any functions or responsibilities in connection with the Project, has any personal financial interest, direct or indirect, in the target 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. Any possible conflict of interest on the part of the SUBRECIPIENT or its employees shall be disclosed in writing to Community and Human Services Division 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 very low-income residents of the project target area. E. PUBLIC ENTITY CRIMES As provided in Section 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 Section 287.133 (3)(a), Florida Statutes. F. CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her knowledge and belief, that: 1. No State Housing Initiatives Partnership Program 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, in connection with the award of any State Housing Initiatives Partnership Program contract, the making of any State Housing Initiatives Partnership Program grant, the malting of any State Housing Initiatives Partnership Program loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any State Housing Initiatives Partnership Program contract, grant, loan, or cooperative agreement. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 12 2. Any lobbying efforts regarding the award of any State Housing Initiatives Partnership Program contract, the making of any State Housing Initiatives Partnership Program grant, the making of any State Housing Initiatives Partnership Program loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any State Housing Initiatives Partnership Program contract, grant, loan, or cooperative agreement must be carried out by a State of Florida registered lobbyist comply with Florida Statutes 112.3215. 3. 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, and contracts under grants, loans, and cooperative Agreements) and that all SUBRECIPIENTS shall certify and disclose accordingly. X. SEVERABILITY OF PROVISIONS If any provision of this Agreement is held invalid, the remainder of this Agreement shall not be affected thereby if such remainder would then continue to conform to the terms and requirements of applicable law. XI. COUNTERPARTS OF THE AGREEMENT This Agreement, consisting of twenty-two (22) enumerated pages, which include the exhibits referenced herein, shall be executed in two (2) counterparts, each of which shall be deemed to be an original, and such counterparts will constitute one and the same instrument. This Agreement and its provisions merge any prior agreements, if any, between the parties and constitute the entire understanding. The parties hereby acknowledge that there have been and are no representations, warranties, covenants, or undertakings other than those expressly set forth herein. (Signature Page to Follow) Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 13 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 Date: Approved as to form and legality: Jennifer Belpedio Assistant County Attorney Date: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA PENNY TAYLOR, CHAIRMAN .&A /IVI' M No a211 114@ 9 N 9LI 10122 By:,04— 0` 4-11 Date: Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 14 EXHIBIT "A" SCOPE OF SERVICES Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation SHR FY 2016-2017 HOMEBUYER/FINANCIAL MANAGEMENT EDUCATION AND COUNSELING A. PROJECT SCOPE: SUBRECIPIENT proposes to use State Housing Initiatives Partnership (SHIP) funds for the following activities: • Pre -Purchase Homebuyer Counseling • Homebuyer Education Workshop • Financial Management Education -Money Management • Financial Literacy Workshop • Web Based Curriculum Portal The SUBRECEIPIENT must be a HUD certified counseling agency and provide services under this Agreement in Collier County. B. METHOD OF PAYMENT: The COUNTY agrees to make available TWENTY- FOUR THOUSAND FIVE HUNDRED DOLLARS ($24,500.00) from SHIP 2016-2017 funding year is reserved to complete the activities under this Agreement. Modification to the "Budget and Scope" may only be made if approved in advance. Budgeted fund shifts among line items shall not be more than 10% of the total funding amount and does not signify a change in scope. Fund shifts that exceed 10% of the agreement amount shall only be made with Board approval. 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 CHS. 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. SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred during the term of this agreement. Invoices for work performed are required every month. 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 after the end of the agreement may not be processed without written authorization from the Grant Coordinator. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 15 The County Manager or designee may extend the tetra of this agreement for a period of up to 180 days after the end of the agreement. Extensions must be authorized, in writing, by formal letter to the Subrecipient. No payment will be made until approved by CHS 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." C. BUDGET: Line Item: Unit Cost Counseling: Pre -Purchase for homebuyers Minimum 3 $375/per household sessions per household Determine dates of education classes; Homebuyer Education Workshops, 1 to 50 participants $2,000 per 8 hour session or develop and provide pre -purchase two 4 hour sessions Financial Management Education -Money Management $150/course Course Financial Literacy Workshop $175/worksho Development and on-going administration of on line / $500.00 one-time fee web based pre -purchase curriculum D. PROJECT MILESTONE SCHEDULE: The time frame for completion of the outlined activities shall be: MILESTONE/TASK START DATE END DATE Determine dates of education classes; December 1, 2017 June 30, 2019 develop and provide pre -purchase counseling; homebuyer education workshops; financial management education courses- money management courses; financial literacy workshops; establish on line curriculum and portal to allow certification This agreement shall allow reimbursement of expenses for all eligible costs associated with the agreement and does not require the completion of all agreement milestones for reimbursement to be paid E. PROJECT DELIVERABLES: 1. Provide evidence of current U.S. Housing and Urban Development Approved Counseling Agency status; and 2. Company's organizational chart and staff position descriptions 3. Quarterly Progress Reports 4. Workshop/counseling locations and agendas Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 16 F. PERFORMANCE DELIVERABLES: Program Deliverable Deliverable Supporting Documentation Submission Schedule Provide pre -purchase Class/workshop schedule and On-going per occurrence counseling; homebuyer agenda Request for payment shall education workshops; financial counseling session management -financial literacy be submitted once a month courses; flyers. (Deliverable 2,3,5) G. PAYMENT DELIVERABLES: The following table details the project deliverables and payment schedule. Deliverable Supporting Documents Payment Schedule 1. Pre -purchase homebuyer A. Workshop/counseling Request for payment shall counseling session locations and workshop be submitted once a month flyers. (Deliverable 2,3,5) for all activities completed 2. Homebuyer Education Workshop during the previous month B. Sign in sheet for each period. 3. Financial Management workshop with a client Education -Money Management identifier or name and signed' Course by facilitator. Deliverable 2,3,5) 4. Financial Literacy Workshop C. Sign in sheet for each 5. Establish and maintain an on line counseling session including pre -purchased web based client identifier or signature curriculum and facilitator. (Deliverable 1) D. Documentation of web based curriculum and url location (Deliverable 6 via screenshot) E. Exhibit C All Deliverables Duplication of clients between deliverable tasks is permitted. Rock Island Economic Growth Corporation d1h/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 17 El Y UMIT "B" The SUBRECIPIENT shall furnish to Collier County, c/o Community and Human Services Division 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. Public Liability Insurance on a comprehensive basis in an amount no less than $300,000 per occurrence for combined Bodily Injury and Property Damage. 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 $300,000 per occurrence for combined Bodily Injury and Property Damage. 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 $300,000 per occurrence providing for all sums which the SUBRECIPIENT and/or the design professional shall become legally obligated to pay as damages from 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. 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 policies 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. Flood Insurance shall be provided for those properties found to be within a flood hazard zone, in an amount not less than the full replace values of the completed structure(s) or the maximum amount of coverage available through the National Flood Insurance Program (NFIP), whichever is greater. The policy will show Collier County as a Loss Payee A.T.I.M.A. This policy will be provided as such time that he buildings' walls and roof exist. OPERATION/MANAGI]NIENT PHASE (IF APPLICABLE) Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page IS 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. Public Liability coverage in an amount not less than $1,000,000 per occurrence for combined Bodily Injury and Property damage. Collier County must be shown as an additional insured with respect to this coverage. 8. 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. 9. 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. Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 19 EXMIT "C" COLLIER COUNTY COMMUNITY & HUMAN SERVICES REQUEST FOR PAYMENT SECTION L• REQUEST FOR PAYMENT Subrecipient Name: Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation Subrecipient Address: 100 19' Street Suite 109, Rock Island, IL 61201 Project Name: STATE HOUSING INITIATIVES PARTNERSHIP HOMEBUYER EDUCATION AND COUNSELING Project No: 16-17 BBE 001 Payment Request # Total Payment Minus Retainage Period of Availability: through Period for which the Agency has incurred the indebtedness through SECTION H: STATUS OF FUNDS l.Grant Amount Awarded 2. Sum of Past Claims Submitted on this Account 3.Total Grant Amount Awarded Less Sum of Past Claims Submitted on this Account 4.Amount of Today's Request 5.10% Retainage Amount Withheld 6.Current Grant Balance (Initial Grant Amount Award request) ( includes Retainage) N/A 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 Division Director (Approval required $15,000 and above) (Approval Required $15,000 and above) Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 20 EXMIT "D" QUARTERLY PROGRESS REPORT Complete form for past quarter and submit to Community & Human Services staff by the 10`I' of the following month. (January 10t7i, April 10'" July 10`h & October 10`,') Housing counseling Agency Activity Report QDABITAl p. Ca xmae Addasz 1 lkiiod ftp: To. 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Sectlm 10Toc1 0 0 0 0 Rock Island Economic Growth Corporation d/b/a Economic Growth Corporation State Housing Initiatives Partnership Homebuyer Education and Counseling 2016-2017 SHIP Housing Counseling Agreement Page 22 CERTIFICATION FOR THE SUBRECIPIENT OR DEVELOPER OR VENDOR ENTITY CERTIFICATION FOR THE GRANTEE ENTITY Only one required per entity signed by an authorized representative REGARDING DEBARMENT or SUSPENSION, REAL OR APPARENT CONFLICT OF INTEREST, FALSIFICATION OF DOCUMENTS, SUBSTANTIAL NON-COMPLIANCE OR NON-PERFORMANCE UNDER A GRANT, INELIGIBILITY, VOLUNTARY EXCLUSION ON AGREEMENTS/SUB-AGREEMENTS This certification is required by the regulation implementing Executive Order 12549, Debarment and Suspension, signed February 18, 1986. The guidelines were published in the May 29, 1987 Federal Register (52 Fed. Reg., pages 20360-20369). The Board of County Commissioners further adopted a Resolution (2013-228) effective October 8, 2013 to establish application screening criteria for Collier County administered federal and state grants. The resolution specifies this list of interested parties refers to the following representatives of the grantee organization under any form of arrangement or agreement: Each Board of Directors member Officers of the Board Executive Director All employees and supervisors that will work on the grant Definitions: (Note: The Definitions (1) will be tailored for the applicable grantprogranil (1) The terms "debarred," "suspended," "ineligible," "person," "principal," and "voluntarily excluded," as used in this certification, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549 and 45 CFR (Code of Federal Regulations), Part 76. Contact Collier Community and Human Services or go to www.HUD.gov website for assistance in obtaining a copy of those regulations. (2) The term substantial non-compliance or non-conformance as used in this certification includes: • Return of awarded grant funds on more than one occasion in the last three years • Non-compliance with a monitoring corrective action plan • Other substantial non-compliance or non-conformance of a grant • The organization applying for grant funding is hereby certifying and will follow the below listed: 1. Each grantee of federal or state financial and non-financial assistance must sign this debarment certification at time of application. Independent auditors who audit federal or state programs regardless of the dollar amount are required to sign this certification form to include certification of debarment. Collier County Community and Human Services or its agreement grantee/contractors will not contract with subcontractors if they are debarred or suspended by the federal government. 2. Each entity applying for a grant from Collier County will assure all individuals and positions listed above complete and submit appropriate certifications. 3. The grantee shall provide immediate written notice to the grant coordinator at any time the grantee/contractor learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. 4. The grantee further agrees by submitting this certification that, it shall not knowingly enter into any sub -agreement with a person who is debarred, suspended, declared ineligible, or voluntarily excluded from participation in this contract unless authorized by the Federal Government. 5. The grantee further agrees by submitting this certification that it will require each contractor/subcontractor of agreements and/or contracts referencing this contract whose payment will equal or exceed $100,000 in federal monies, to submit a signed copy of this certification with each sub -agreement. 6. The grantee may rely upon a certification by a subcontractor entity that it is not debarred, suspended, ineligible, or voluntarily excluded from contracting/subcontracting unless the grantee/contractor knows that the certification is erroneous. 7. The grantee has adopted conflict of interest policies and procedures within their organization and will provide a copy of such prior to the execution of an agreement should the grant application be funded. If the grantee does not have conflict of interest policies and procedures they must adopt policies/procedures for determining when a conflict of interest exists and disclosing it to the public as required by the applicable program requirements. The prospective grantee certifies, by signing this certification, that neither the entity nor their above noted principals and respective employees, within the last three years: (1) Has been debarred, suspended, proposed for debarment, and declared ineligible, or voluntarily excluded from participation in contracting with Collier County Community and Human Services by any federal department or agency. Where the prospective grantee is unable to certify to any of the statements in this certification, such prospective grantee shall attach an explanation to this certification. (2) Has had a real or apparent conflict of interest (3) Has falsified documents (4) Has substantial non-compliance or non-conformance with performance under a grant with Collier County or any other entity Collier County Community and Human Services will rely on the certifications of this document as hue and reliable. However, the County reserves the right to request additional documentation prior to making a final determination. Collier County Community and Human Services may rely upon a certification by a nonprofit organization that it is not debarred, suspended, ineligible, or voluntarily excluded from contracting or subcontracting unless the department knows that the certification is erroneous. This certification is a material representation of fact upon which reliance is placed when this application is submitted. If it is later determined that the signed knowingly rendered an erroneous certification, the Federal Government (via Section 1001 of Title 18 USC for making false statements) and Collier County may pursue available remedies, including suspension, debarment, grant award retraction, and/or suspension from applying for awards for three years under Resolution 2013-228. 10�{00-�TS �AnCi �vww- C. l?'�-t-� �•OrPJJ c.%� Name of Organization: V'/b'A Signature of Authorized Individual Date It I I i l -I �ruu.1-�Iler�.loac�c. `�es � �dr4 C �i� Name and Title of Authorized Individual (Print or type) CERTIFICATION FOR THE DIRECTORS OF THE BOARD, EXECUTIVE DIRECTOR, EMPLOYEE OR SUPERVISOR One EACH for every director, the executive director, and each staff member proposed to be directly working on or overseeing a staff member directly working on the grant REGARDING DEBARMENT or SUSPENSION, REAL OR APPARENT CONFLICT OF INTEREST, FALSIFICATION OF DOCUMENTS, SUBSTANTIAL NON-COMPLIANCE OR NON-PERFORMANCE UNDER A GRANT, INELIGIBILITY, VOLUNTARY EXCLUSION ON AGREEMENTS/SUB-AGREEMENTS The Board of County Commissioners adopted a Resolution (2013-228) effective October 8, 2013 to establish application screening criteria for Collier County administered federal and state grants. The resolution specifies this list of interested patties refers to the following representatives of the grantee organization under any form of arrangement or agreement: Each Board of Directors member Officers of the Board Executive Director All employees and supervisors that will work on the grant Definitions: (1) The terms "debarred," "suspended," "ineligible," "person," "principal," and 'voluntarily excluded," as used in this certification, have the meanings set out in the Definitions and Coverage sections of rules implementing Executive Order 12549 and 45 CFR (Code of Federal Regulations), Part 76. Contact Collier County Community and Human Services or go to www.HIJD.gov website for assistance in obtaining a copy of those regulations. (2) The term substantial non-compliance or non-conformance as used in this certification includes: • Return of awarded grant funds on more than one occasion in the last three years • Non-compliance with a monitoring corrective action plan • Other substantial non-compliance or non-conformance of a grant The undersigned certifies, by signing this certification, that, within the last three years, they have not: Been debarred, suspended, proposed for debarment, declared ineligible or voluntarily excluded from participation in contracting with Collier County Community and Human Services by any federal department or agency. (Where the prospective individual is unable to certify to any of the statements in this certification, such individual shall attach an explanation to this certification.) 2. Had a real or apparent conflict of interest 3. Falsified documents 4. Had substantial non-compliance or non-conformance with performance under a grant with Collier County or any other entity The undersigned shall provide immediate written notice to the grantee at any time the undersigned learns that its certification was erroneous when submitted or has become erroneous by reason of changed circumstances. Collier County Community and Human Services will rely on the certification of this document as true and reliable. However, the County reserves the right to request additional documentation prior to making a final determination. This certification is a material representation of fact upon which reliance is placed when this application is submitted. If it is later determined that the signed knowingly rendered an erroneous certification, the Federal Government (via Section 1001 of Title 18 USC for making false statements) and Collier County may pursue available remedies, including suspension, debarment, grant award retraction, and/or suspension from applying for awards for three years under Resolution 2013-228. G� b) a C W tiOYw L �y Orpa rc.-I,L� Name of Organization Role of undersigned (Director, Executive Director, Employee [specify role], Supervisor [specify role] Signature ZXIGn C>�1t�nci� Date: T Print or type name of signatory