Agenda 10/13/2015 Item #16D 810/13/2015 16.D.8.
EXECUTIVE SUMMARY
Recommendation to approve Memorandums of Understanding for the Retired and Senior
Volunteer Program (RSVP) for each volunteer station to include identification of project
requirements, working relationships and mutual responsibilities.
OBJECTIVE: To provide uninterrupted operation of Collier County's Retired and Senior Volunteer
(RSVP) grant program.
CONSIDERATIONS: Co- sponsored by Collier County since 1990, RSVP places senior volunteers in
various non - profit organizations and County agencies to provide support and community service. Collier
County Community and Human Services Division (CHS) will continue to administer this project. This is
a three -year grant with a period of 7/1/2015- 6/30/2018 and a total grant award of $163,566.
The Memorandum of Understanding (MOU) with each volunteer station outlines provisions to ensure
compliance with program regulations. The basic requirements for the MOU are found in the regulations
45 CFR 2553.23 (c) (2). Collier's RSVP program partners only with non - profit, government and
proprietary health care agencies that have volunteer opportunities identified under focus areas in the Serve
America Act. Currently, Collier has 15 volunteer stations that provide volunteer opportunities to RSVP
volunteers. Two of these stations include Collier County Parks and Recreation and Collier County
Veteran Services. Prior to placement of any volunteers, signing a Memorandum of Understanding with
Collier's RSVP program to establish working relationships and mutual responsibilities and detailing the
responsibilities is required. In the past this has been administratively processed. The MOU includes
general conditions applicable to all projects and volunteer stations and special conditions applicable to the
local volunteer station.
The MOU must be reviewed and renegotiated at least every three years. In order to provide uninterrupted
operation of the program, the period covered on the MOU spans the grant cycle from 7/1/2015- 6/30/2018,
however the MOU may be amended, in writing, at any time with concurrence of both parties.
FISCAL IMPACT: There is no Fiscal Impact associated with this Executive Summary.
LEGAL CONSIDERATIONS: A Memorandum of Understand is used for all stations, including those
located on County property. Accordingly in some cases, there will be a memorandum of understanding
between two County Divisions. Generally, the use of a memorandum of understanding between County
Divisions is not appropriate. These arrangements are an exception because 45 CFR 2553.23 expressly
requires the County, as the RSVP sponsor, to ensure that the placement of RSVP volunteers is
governed by a memorandum of understanding. As such, this item is approved as to form and legality
and requires a majority vote. - JAB
GROWTH MANAGEMENT IMPACT: There is no Growth Management Impact associated with this
Executive Summary.
RECOMMENDATION: That the Board of County Commissioners approve Memorandums of
Understanding for the Retired and Senior Volunteer Program (RSVP) for each volunteer station to include
identification of project requirements, working relationships and mutual responsibilities.
Prepared By: Rachel Brandhorst, Grants Coordinator, Community and Human Services Division
Attachments: 1) Memorandums of Understanding
Packet Page -1252-
10/13/2015 16.D.8.
100� COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.D.16.D.8.
Item Summary: Recommendation to approve Memorandums of Understanding for the
Retired and Senior Volunteer Program (RSVP) for each volunteer station to include
identification of project requirements, working relationships and mutual responsibilities.
Meeting Date: 10/13/2015
Prepared By
Name: BrandhorstRachel
Title: Grants Coordinator, Public Services Department
9/11/2015 4:23:03 PM
Submitted by
Title: Grants Coordinator, Public Services Department
Name: BrandhorstRachel
9/11/2015 4:23:04 PM
Approved By
Name: LopezMaggie
Title: Accountant, Senior, Public Services Department
Date: 9/14/2015 9:01:04 AM
Name: GrantKimberley
Title: Division Director - Cmnty & Human Svc, Public Services Department
Date: 9/14/2015 11:28:23 AM
Name: TownsendAmanda
Title: Division Director - Operations Support, Public Services Department
Date: 9/14/2015 11:28:32 AM
Name: Bendisa Marku
Title: Supervisor - Accounting, Public Services Department
Date: 9 /14/2015 1:37:13 PM
Packet Page -1253-
10/13/2015 16.D.8.
Name: AlonsoHailey
Title: Operations Analyst, Public Services Department
Date: 9/14/2015 4:53:01 PM
Name: SonntagKristi
Title: Manager - Federal /State Grants Operation, Public Services Department
Date: 9/15/2015 4:24:45 PM
Name: BelpedioJennifer
Title: Assistant County Attorney, CAO General Services
Date: 9/16/2015 10:10:13 AM
Name: RobinsonErica
Title: Accountant, Senior, Grants Management Office
Date: 9/21/2015 2:58:17 PM
Name: CarnellSteve
Title: Department Head - Public Services, Public Services Department
Date: 9/22/2015 2:23:19 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 9/23/2015 11:30:07 AM
Name: StanleyTherese
Title: Manager - Grants Compliance, Grants Management Office
Date: 9/25/2015 9:43:28 AM
Name: CasalanguidaNick
Title: Deputy County Manager, County Managers Office
Date: 9/27/2015 8:10:36 AM
Packet Page -1254-
<z-, *&r Crolinty
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer l^
Station: V
10/13/2015 16.D.8.
Address: 7C! � ToM,�d,o t r
City: N ox State: e L, Zip:, `
( .� - ?� Fax:-( ) 2- - IS
Phone: -
E- Mail: °t '1YX � r� 1 1 SPX 3J�.t1 V11ebsite: tl�iy� R l.` �1 X1;1 . A -i tf $ X'Gtt�1
Period Covered: 4 to
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1255-
(7,o er Co-unty
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for` assignment, as follows:
4. Furnish volunteers with transportation required during their assignments, as-foilows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination; The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1256-
�o er CoH.,Kt�
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term, Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is 1 . it is projected that these
assignments will be at the following locations, in approximately the following
numbers:
,_7fA V1, ✓ 4-0) 00
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print):
Title:
Phone:'
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1257-
CAT County
Signature of Volunteer Statiqn"'
Representative:
Title: Date:
SIGNATURES:
10/13/2015 16.D.8.
Each part to this MOU has caused it to be executed effective this _ day of
20
q
Kimberley Grant Date
Director
Communi and H an Services Division
(:Dandd-a To nd' Date 7
Director
Veteran Services Division
Steve Carpel!
Administrator
Collier County Public Services Department*
***Steve Carnell is signing as the
Administrator of the Department and the
Divisions represented on this document.***
Date
Approved as to form and legality
Assistant County.. Attorney
c.\V
Corporation for
NATIONAL&
COMMUNITY
SERVICE=
ry
Packet Page -1258-
Co eTr C:oavtV
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer Collier County Parks and Recreation - Bonebuilders
Station:
Address: 15,000 Livingston Road
City: Naples les State: FL Zip: 34109
-
10/13/2015 16.D.8.
Phone: (239 } 252 -4033 Fax:
E -Mail: jacobwinge@colliergov.net Website: www collierparks com
Period Covered: July 1, 2015 to
June 30, 2018
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2, Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies, Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL cSi
COMMUNITY
SERVICE
Packet Page -1259-
Co er County
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
Bonebuilders Training Room
4. Furnish volunteers with transportation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation:. The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
Corporation for
NATIONAL &
COMMUNITY
SERVICE
a�
Packet Page -1260-
Co e7r Colmty
10/13/2015 16.D.8.
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print): Jacob Winge
Title: Volunteer Coordinator
239- 252 -4033
Phone:
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
�J
Packet Page -1261-
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7.
Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8.
For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9.
Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10.
Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11.
This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least'thirty
days prior to the termination of the Agreement.
12.
This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13,
This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14.
The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is 1 . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
Volunteer Sonebuilders Trainer 5 Locations: NCRP, Veterans Park,
Golden Gate, Vineyards, East Naples
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print): Jacob Winge
Title: Volunteer Coordinator
239- 252 -4033
Phone:
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
�J
Packet Page -1261-
Signature of Volunteer Sltafi'qh
Representative:
Title: Date:
SIGNATURES:
10/13/2015 16.D.8.
Each part to this MOU has caused it to be executed effective this _ day of
20
Kimberley Grant
Dire for
Co unity aandan Services Division
Barry W lliams
Director
Collier County Parks & Recreation Division
SteV6 Carhell'
Administrator
Collier County Public Services Department*
***Steve Carnell is signing as the
Administrator of the Department and the
Divisions represented on this document. *'"*
Date
1: A -,( -
L
—6–at–e-'r— 41
Date
Approved as to form and legality
c,
Assistant County Attomey
Corporation for
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1262- 5 10
Volunte
Station
Addres
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
City: �\ ��4 �� State:
Phone: ( Z '? Fax: I-) 1 30
E -Mail: er(,n Pr. w6t Website: UJvJ
Period Covered: is t to 1 ,
r
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
�., with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL&
COMMUNITY
SERVICE
��,
Packet Page -1263-
10/13/2015 16.D.8.
1, Implement orientation, in- service instruction or special training of volunteers,
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
4. Furnish volunteers with transportation required during their assignments, as follows:
l�
5, Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime, The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service,
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and/or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
Corporation for
NATIONAL &
COMMUNITY
SERVICE
�.t
Packet Page -1264-
crt Cow. -pity
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is c , It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
-tom%
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
AAP_c
Name (Please Print): ` � s
Title:
Phone: 4�
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL
COMMUNITY
SERVICE
Packet Page -1265-
10/13/2015 16.D.8.
"A
Signature of Volunteer Itation
Representative:.
175
Title: V
31
IN WITNESS WHERE6/rF-, the Station Representative 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: COLLIER COUNTY
DWIGHT E. BROCK, CLERK
By:
DEPUTY CLERK TIM NANCE, CHAIRMAN
Approval for form and legality:
Jennifer A, Belpedio�
Assistant County Attorney
Corporatjoit for
NATIONAL&
COMMUNITY
SERVICE=
Packet Page -1266-
jjr(a
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer aa
Station: f) _cru
Address:
MW
10/13/2015 16.D.8.
City:` _ h __ State: _. Zip:
Phone ann 0 Fax:.-- �.����3
E- Mail:_ G &04i,
// 9r.�lcJ� j -G
Period Covered; ��� / ;_0 t • to � Z3 0/ 20 1
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
^. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL &
COMMUNI FY
SERV ICE '
Packet Page -1267-
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
4, Furnish volunteers with t r a n s l rrtation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e -mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff. Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
1 Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6, Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
CQNf MUNI rY
SERVICE
Packet Page -1268-
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP,
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12, This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is Z . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
_1�_ - - - -- _
The Volunteer.Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print): ! rf1 1-koL k-- 11.1 IA— A in- JA
Title:TAo Ltrt = Coo t•-( t t& o
Phone: " ?I q JJ)1 15 —1
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
Corporation for
NATIONAL
COMMUNITY
SERV ICES' :x;
Packet Page -1269-
10V13/2015 16.Fl.8.
Of V(.) It.1111COt Station
Represel Ita live lei
|N WITNESS WHEREOF, the Station Representative and the County, hmve e=h roapeohve!y,
by an authorized pcmon or ugen(, hereundor set their hands and seals on the date first written
above.
ATTEST: COLLIER COUNTY
DWIGHT E.BR0CKCLERK
. DEPUTY CLERK
Approval for fonn and legality:
Assistant County Attaf`ney
By:
TIM NANCECHAIRMAN
w»wu
^-rI C-~
�D[7T/l�T� T
^,�c^/�//v'`/~��-
COMMUNITY
SERVICE
,U, ^`.^_=u -
Packet Page -1270-
Corr County
VOID
Stat
FM
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
City: S State:/ ,/-- Zip: cJ �oC
Phone: � ;3 qs; Fax: �-
D2
E- Mail:�/V6°5 AvA2U�ia� 1IVei ite:
Period Covered:. JUG(/ 161s to �i U � �° 3 OD /9
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A, Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP,volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1271-
Cd Y COU14ty
�.:.
10/13/2015 16.D.8.
1, Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish olunteers pth materials required for assignment, as folio s:
we_/ If t A) o 2 Yrt adJ / z?o %S
4. Furnish volunteers with transportation required during their assignments, as fol ows:
r
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and n
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIOONAL&
COMMUNITY
SERVICE
Packet Page -1272-
colder, County
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
B. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10, Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties, No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is q . It is projected that these
assignments will be at the following locations, in approximately the following
numb rs:
v2 ` c
9'e5oviece
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteeeerr orientation and supervision is:
Name (Please Print):_„(® /-� k)f)40(? J04)e,S
Title: r I, SST - 0)J2eC-1Z)12
Phone: � � � r ✓ � �71 ,o/y
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1273-
Signature of Volunteer Station X12
Representative:.-------- Q
Title: Date: � �?/
--Zp
10/13/2015 16.D.8.
IN WITNESS WHEREOF, the Station Representative 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
, DEPUTY CLERK
Approval for form and legality:
Jennifer A. Belped1
Assistant County Attorney
COLLIER COUNTY
mm
TIM NANCE, CHAIRMAN
C'orporoliall fol
NATIONAL&
COMMUNITY
SERVICE CM-,'..'
Packet Page -1274-
Cc� ie coul'tty
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer / ,z�
Station: �-� fs`- / F
10/13/2015 16.D.8.
Address: 3(o
City: ( State: rAo— Zip:
Phone: ci 5"��'� IFOO 7 Fax: .9l —,f C1 {{- ?60
E -Mail ) IGg / fib 5(, ,/-L- Cf2 C Webs1te: t<; >
Period Covered: ? r 1— A to 6 -3,--,- 2-0/ 9
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5, Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL&
COMMUNITY
SERVICE
(Do
Packet Page -1275-
10/13/2015 16. D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish plunteers with materials required for assignment, as follow(✓
4. Furnish vglunt ers with transportation required durin their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance a -mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
6, Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination, The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
COMMUNITY
SERVICE
J�
Packet Page -1276-
c,t.fter 0"74
ty
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9, Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds, If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is 14 . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
-S s cry. l
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print) 1C (4 14 tiXi J 1
Title; 94 6 K sh' AM �) ( LC- =2&
Phone; 32— 52Y-2001
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1277-
Signalure of Volunteer : -;tation
Representative:
A
Title: Z-1t
Date: 2 -- 3 /- / 5'
10/13/2015 16.D.8.
IN WITNESS WHEREOF, the Station Representative and the County, have each respectively,
by an authorized person or agent, hereunder set their hands and seals on the date first written
abova.
ATTEST: COLLIER COUNTY
DWIGHT E. BROCK, CLERK
By-,
DEPUTY CLERK
Approval for fOFITI and legality:
I
N
Jennifer A. Belpedl`
Assistant County Aitiomey
TIM NANCE, CHAIRMAN
Corpmoli'm for
NATIONAL&
COMMUNITY
SERVICEMU."
Packet Page -1278-
101*11,
Go! i� Coul tty
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer
Station:
i3abi. ta.t fc�r Human-1 t i.� of Cc11i .r C'c�u «t��
Address: 112.45 Tamiami Trail Fast
City: Naples
State: FL Zip: 411. {
Phone: (-LID 175 _ 0036 Fax: (23{ ) -1,75-0477
Website: www.l)abi,,atcoCiier.org
10/13/2015 16.D.8.
Period Covered: 01 July 2015 to 30 June 2018
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3, Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed,
4, Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
Corporation for
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1279-
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
Buildinq homes & doing office work. --
4. Furnish volunteers with transportation required during their assignments, as follows:
N/A
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
B. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
COMMUNITY
SERVICE
04
Packet Page - 1280 - O
Ca &r County
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is 2 . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
1. Jobsite (Marne Construction) 2. Habitat Collier, Office
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print):'���f`�
t
Title:
Phone. '
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
Corporation for
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1281-
Signature of Volunteer Sla
Representative:
Title:
Dale:
10/13/2015 16.D.8.
IN WITNESS WHEREOF, the Station Representative 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
, DEPUTY CLERK
Approval for form and legality:
JennifU'r A. Belpecli(q`\
Assistant County AttMrney
COLLIER COUNTY
m
TIM NANCE, CHAIRMAN
r'O I
C pot (it it) ii, for
NATIONAL&
COMMUNITY
SERVICE =E;,
Packet Page -1282-
my co-Eckay
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
Volunteer 1 (+ d
Station:
Address:
City: t� —" State: _ Zip:
Phone: l --t;
i1 "
Fax:
E- Mail :�+►�ac3t����ai, �•d- -�-- ebsite;
Period Covered: W 4�� to f
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
�- with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
f. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers` service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6, Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1283-
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with m�yterials required for as ignment, a follows:
Ku _ _ l -.r _ (- _.,1_.1 A— A_ _ r"In� n A__-% -,L
volunteers with transportation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
rnonihly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action, n
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
Corporation for
NATIONAL , N
COMMUNITY
SERVICE
J
Packet Page -1284-
T Cnp.lty
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes,
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12, This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is It is projected that these
assignments will be at the following locations, in_ approximately the following
numbers: a140.
Lz1 Q`i in
The Volunteer Station representative who will serve as Ii,
responsible for volunteer orientation and supervision is:
Name (Please Print): �pj�f LPtS
Title: Sfj����,�LC1>(
Phone:
�r�r ,, -vat ►cam `�ie�
:h RSVP and who will be
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NIATIONAL&
COMMUNITY
SERVICE
Packet Page -1285-
8h]'
Rep
Title
10K13/2015 16.Fl.8.
IN WITNESS WHEREOF, the Station Representative and the COUnty, have each respectively,
bvan authorized person or agent, hereunder set their hands and seals on the date first written
above.
ATTEST: COLLIER COUNTY
DWIGHT E. BROCK, CLERK
By:
DEPUTY CLERK TIM NANCE.CHAIRMAN
Approval for form and |ega|ih/�
.~....~. ' ^ B~.~~..~
Assistant County Attorney
�
Corpo) 1110;1 JO r
COMMUNITY
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Packet Page -1286-
Volunteer
Station:
Memorandurn of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
2 )0, Xe,:2 Celt ?r
10/13/2015 16.D.8.
Address:�Q
City: State: Zip, y
—70
Phone: 6q (�j / _ _Fax: /
E -Mail: C L � /� d) C cEfT'0 6,- Website:
Period Covered: L( -4
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4, Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance,
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
Corporation for
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1287-
1
2
3
4.
10/13/2015 16.D.8.
Implement orientation, in- service instruction or special training of volunteers.
Interview and make final decision on assignment of volunteers.
V v
5, Provide supervision of volunteers on'assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing,
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4, Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace empioyed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and/or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1288-
ty
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is, It is projected that these
assignments will be at the following locations, in approximately the following
numb�rs C.
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print):
Title: r-A
Phone: %f & `r
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public: or nonprofit private organization, or a proprietary health care agency.
NATIONAL&
COMMUNITY
SERVICE
Packet Page -1289-
c
10V13/2015 16.[l.8.
Si oi Volt if �
|NVNTWESSVVHEQE0F. iho GbaUon Repnauen\oUvaand |heCounly. have-each respectively,
1--)y an authorized person or agent, heneundarse\their hands and seals onthp date first written
000xe
ATTEST:
DWIGHT E. BROCK, CLERK
DEPUTY CLERK
Approval for fonnand|ega|Uy�
JenriffeFk
COLLIER COUNTY
By"
T|MNANCE. CHAIRMAN
cv r / .. for �_�
T
[4��|I(.>���\��(.�-)
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./�-^�v ��^��o�u�u��=
Packet Page -1290-
a r 6e 4' rf%7 to Y
Memorandum of Understanding for the
Retired and Senior Volunteer program
of Collier County and
Volunteer / 6
Station:
Address•
10/13/2015 16.D.8.
X4`7
City: r State: Zip: t r
Phone: (: LD
E -Mail: / e ?Cf'1 C tyZ�flttebs t I'�
Period Covered: fir °+�' ✓-�' toy` #�'* O
"
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and/or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
C:011301-etion jar
NATIONA I�Y
COMMUNITY
SERVICE -.X
Packet Page -1291-
,
� lr
10/13/2015 16.D.8.
1 . Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
/f,
4. Furnish v unteers with transNortation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e -mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. Ali reports will be submitted in writing.
C. Other Provisions:
T. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service. 1f 'EI
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation. The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
corJ10111 011 jor
NATIONAL&
COMMUNITY
SERVICED=-:',4
Packet Page -1292-
10/13/2015 16.D.8.
Ylly
0or
sexual orionta0on, religion, or on the basis of disability, if the volunteer is o
qualified individual with a disability,
7 Specify, eKherbywhthan information or verbally, that RSVP vo}un�'era are
� �ic'" n�o�n the Volunteer program in all publicity featuring such
volunteers, whether it be participants radio, TV hrd or verbal presentation. [}iop|oy an RSVP ,
8, For impact-based assignments, supply data measuring voluntee
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. it will be reviewed
every three years tn permit needed changes,
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11 This Agreement is subject to the availability of funds, If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days priur to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director
14, The total number of RSVP volunteer assignments rojected to be available with
on an annual basis is 14 ()�. it is projected that these
the Volunteer Station ately the following
assignments will be at the following locations, in approxiM
numb rs,
The Volunteer Station representative who will serve _-liaison
responsible for volunteer orientation and supervision in:
Narne (Please Print):.
Title-
x ^ /
certifies that station is o
By signing this K0OU' the Volunteer Station Representative
public or nonprofit private organization, or a proprietary health care agency.
COMMUNITY
Packet Page -1293-
10/13/2015 16.D.8.
11\1 VVO'NE80' VVHEREO[. Me, Sindon Represen\aiivc and UheCoun\y. have each naopeodve|y,
byunau\huriz^d person u/ agent, hnnaunde/neiihoirhandu and aea|nun [lie date 8rs wh|hen
ennve
ATTEST: G()LL|ERCOUNTY
DWIGHT E,BR0CK,CLERK
By:
.DEPUTY CLERK TIM NANCE.CHAIRMAN
Approval hx form and. !(-ga|Uy:
Asoisian( County At'�onnay
ovy"w'
7(
T�T�T
��/�a��-��-
KATTNX-[~V
�'�/�/—�
'/^_��~ ^ ��c_x��a�u�
Packet Page -1294-
rmibll
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
Volunteer
Station: I a Dlc '
City:ju
State:
10/13/2015 16.D.8.
Zip: 3 0 0 ( '
Phone: 02 LC 'J Fax:
E -Mail: Website:-WOO
Period Covered;;Ltk r 1 ko I to ���1 � y �`61
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A, Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
Corporation for
NATIONAL&
COMMUNITY
SERVICE
t'
Packet Page -1295-
. 're Colckl ;;y
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers,
2. Interview and make final decision on assignment of volunteers.
3. Mnish volunteers with materials requ.r d for assignment, a ollows: � � C� �t t ! -F.QeS 711�.� � i(1i 8 I () i'le
4. Furnish Nglunteers with transportation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
B. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis,
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing,
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime, The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
I k) 6 � �
NrATIONAL&
COMMUNITY
SERVICE
�v
Packet Page -1296-
ty
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is 5 , It is projected that these
assignments will be at the following locations, in approximately the following
tubers:
c` r � l��ffa
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for
Name (Please Print):
Title:
orientation and supervision is:
C) 0 C
Phone: �q I — R I (C4
Lt —S
a "
0(' DQJC,,s(� ty, Or?
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1297-
Signsdune of Vnlunk.�(-,,r2X�
sontaiive:________
�" fi��
'
10/13y2015 16.[l.8.
|NVV[TNES>3 WHEREOF, the Station Representative arid the County, have each respectively,
bvanouU`ohzedpomonorogent.hereundernettheirhandnandaaa|nmnUhedehaDndvvhtten
above.
ATTEST:
DWIGHT E. BROCK, CLERK
. DEPUTY CLERK
Approval for form and legaliiy�
Assistant COUnty-Altorney
COLLIER COUNTY
TIM NANCE, CHAIRMAN
.'r-~_ for �_~
?`T�7-1 T
/�z�c��/�n/^x_,��-
/-(l&���TT�JT-[�7
���/o��,�����^� �
����7/-�
~/^_��vz�~�-rM.°
Packet Page -1298-
cAt -r ccrt,,Pity
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
Volunteer �/ �/ to // '} /' / /� �4,el ~�
Station: D� (,�U` Psc �j,er (�� fX�i - /C�Se� -r lJ Y
Address:��!/ -GK'S
City: i1 -� State: Zip: 3 y/y
Phone: {23 ) 31 G°� Fax:
E- MaiL�iA'N�+�O �yj2f/�CoLCirnC.F /�ebsite
Period Covered; �� ?� �r to
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties, This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
NATIONAL CSC
COMMUNITY
SERVICE
Packet Page -1299-
C6 mr County
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish vol unteers with materials required for assignment, as follows: /
4. Furnish volunteers with transportation required during their assignments, as follows:
05: xW- ` />! 174 cT i¢rr7o •VZ. -S /'d 4r .0"d vi l�f®
5. Provide supervision of volunteers on assignments.
B. Provide for adequate safety of volunteers and submit an annual assurance e -mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis,
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action, �
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities,
3. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1300-
Clot -r County
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7, Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is >6 . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print): fW4
Titie��y�I� J7/f%aitr�� -�%lo✓ �- ��+r".` -_
Phone: >-34 %TY-314 9
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
NATIONAL &
COMMUNITY
SERVICE
Q
Packet Page -1301-
Di�jna[Ufe 01'Vo|
Repre-.en1aiivn:
C-1
on
10U13/2015 16.[l.8.
IN WITNESS WHEREOF, the Station Representative and the County. have each reopecdvak/,
by an authorized person or agent, hereunder set their hands and seals on the date first written
above.
ATTEST: COLLIER COUNTY
DWIGHT E.BRDCK.CLERK
. DEPUTY CLERK
Approval for form and legality:
Jennifer A, Belpe4m . `
Assistant County *�ttorney
`
TIM NANCE.CHAIRMAN
��
T(l?�l4T
����� ����,�`���`��
/—�\����YTTJT'F�7
�����v��,^�/�n/� �
SER\ T/—E
Packet Page -1302-
Volunteer
Station: f
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
Address:
City: ,; �. State: Zip: L)
Phone: ,,( '> r "%; > - °� f 7 — Fax: __ 3 `-j _ 2 ., 7 `S- _ �� �:> �t
E -Mail: j _ V 6 64 ebsite: t
Period Covered: _ _- �� v -� i c� i to `
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
6. Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station,
7. Annually assess volunteer placements to ensure the safety of volunteers as follows:
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e -mail assurance of safety
from each volunteer station covered by this agreement.
B. The Volunteer Station Responsibilities will:
Corporation for
NATIONAL'
COMMUNITY
SERVICE
( 7
Packet Page -1303-
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
/0 ! V4
4. Furnish volunteers with transportation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Emoloyees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL&
COMMUNITY
SERVICE
G�
Packet Page -1304-
10/13/2015 16.D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP,
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10, Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto.
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments projected to be available with
the Volunteer Station on an annual basis is C . It is projected that these
assignments will be at the following locations, in approximately the following
numbers:
_� 71 i t L �: 7�{ 1) Q-1) rsz�i
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print): pi-4 �,., ,�. �,) ti0
Title: i c, �% _� `c , CL- :� 6a C) iiZ
Phone: 1-1�
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
Corporation Jar
NATIONAL &
COMMUNITY
SERVICE
Packet Page -1305- ���
C
Signature of Volunteer S'a 1 1-1
Repi esentadve: Q2'
Title
10/13/2015 16.D.8.
IN WITNESS WHEREOF, the Station Representative 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: COLLIER COUNTY
DWIGHT E. BROCK, CLERK
, DEPUTY CLERK
Approval for form and legality:
Jinni r A Pal n�+X
Assistant County Attorney
By:
TIM NANCE, CHAIRMAN
Corporaiiom J01
NATIONAL&
COMM-UNITY
SERVICE M-ME2,"�;'!
Packet Page -1306-
Carer County
Memorandum of Understanding for the
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
Volunteer
Station: ----Rookery Bay National Estuarine Research Researve_._.. ---
Address: ,w300 Tower Road ---
City: Naples State:,,- „,,Fl_ Zip: ^4113_
Phone: ( 239) _....530-5974 Fax: r —
E -Mail: _volunteer @rookerybay.org — Website: www.rookerybay.org
Period Covered : ,.„7/1/2015 to .6/30/2018
This Memorandum of Understanding (MOU) contains basic provisions, which will guide the
working relationship between both parties. This MOU may be amended, in writing, at any time
with concurrence of both parties and must be renegotiated at least every three years.
A. Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
I Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, as needed.
4. Develop publicity for RSVP such as radio, TV, print or verbal presentations
highlighting volunteers' service, accomplishments and impact on the community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance,
6, Periodically monitor volunteer activities at volunteer station to assess and /or discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers as follows;
Throughout the three year duration of this memorandum of understanding an annual
safety assessment will be conducted, including a required e-mail assurance of safety
from each volunteer station covered by this agreement;
B. The Volunteer Station Responsibilities will:
NATIONAL'
COMMUNITY
SERME”!
Packet Page -1307-
bJ
r�.
Golder GOU.14q
,,.h,�: Mme,-- ,��.:,.�-- �.:.- �-�•.,,,,_. ,... .�
10/13/2015 16. D.B.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish vol teers with materials required fo assignment, as follows:
11 o� ^v
4. Furnish voluLUeers h transportation required during ffieir assignments, as follows,
j
5. Provide sup vvision of volunteers on assignments:
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
B. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office, All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service. The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2. Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service,
5. Accessibility and Reasonable Accommodation; The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and /or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIU�NAL&
COMMUNITY
SERVICE
GL
U
Packet Page -1308-
couxty
10/13/2015 16. D.8.
sexual orientation, religion, or on the basis of disability, if the volunteer is a
qualified individual with a disability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may be viewed by the public.
8. For impact -based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
9. Conditions of this Memorandum of Understanding may be amended or
terminated in writing at anytime at the request of either party. It will be reviewed
every three years to permit needed changes.
10. Term. Either party may terminate this Agreement for any reason with thirty (30)
days written notice to the other party.
11. This Agreement is subject to the availability of funds. If funds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12. This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, oral or
otherwise, shall be deemed to exist or to bind any of the parties hereto,
13. This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number of RSVP volunteer assignments�rojected to be available with
the Volunteer Station on an annual basis is_. It is projected that these
assignments will be at the following locations, in approximately the following
nu bers:
�C Oczcf7
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please PrintU
Title:
Phone.
By signing this MOU, the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
Corporation for
NATIONAL&
.� COMMUNITY
i
Packet Page -1309-
~-~�~
Signatu
Represt
Title: —Visitor Services & Volunteer Coordinator— Date
10/13/2015 16.F1.8.
IN WITNESS WHEREOF, the Station Representative and the County, have each nsspectme|y,
by an authorized person or agent, hereunder set their hands and seats on the date first written
above.
ATTEST: COLLIER COUNTY
DWIGHT E. BROCK, CLERK
DEPUTY CLERK
Approval for form and legality:
Jennifer ..'`~~ '
Assistant County Attorney
TIM NANCE.CHAIRMAN
Corpoiotioii for
COMMUNITY
SERV ICE=
Packet Page -1310-
Cot CO-1-int
Volunteer
Station:
Phone:
Retired and Senior Volunteer Program
of Collier County and
10/13/2015 16.D.8.
'---'— :
Period Covered: to
This Memorandum of Understanding @8OU\ contains basic provisions, which will guide the
working relationship between both parties. This K8OU may be amendad, in writing, mt any time
.--`.
with concurrence of both parties and must be renegotiated at least every three years.
/\, Retired and Senior Volunteer Program will:
1. Do volunteer screening in compliance with County policies and ordinances.
2. Recruit, interview and enroll RSVP volunteers and refer volunteers to the volunteer
station.
3. Provide RSVP orientation and training to volunteer station staff prior to placement of
volunteers and at other times, ooneeded.
4. Develop publicity for RSVP such as rmdio. TV, print or worb8| presentations
highlighting volunteers' een/ice, accomplishments and impact oDthe community.
5. Furnish accident, personal liability and excess automobile insurance coverage as
required by program policies. Insurance is secondary coverage and is not primary
insurance.
8, Periodically monitor volunteer activities at volunteer station to assess ancKor discuss
needs of volunteers and volunteer station.
7. Annually assess volunteer placements to ensure the safety of volunteers aSfollows:
Throughout the three year duration of this memorandum of understanding anannual
safety assessment will be ouUdUCtGd, including a required e-mail assurance of safety
from each volunteer station covered bythis agreement.
B. The Volunteer Station Responsibilities will:
Corporation for
COMMUNITY
Packet Page -1311-
10/13/2015 16.D.8.
1. Implement orientation, in- service instruction or special training of volunteers.
2. Interview and make final decision on assignment of volunteers.
3. Furnish volunteers with materials required for assignment, as follows:
fad. tai'z"T ��
4. Furnish volunteers with transportation required during their assignments, as follows:
5. Provide supervision of volunteers on assignments.
6. Provide for adequate safety of volunteers and submit an annual assurance e-mail
upon request by the project sponsor.
7. Collect and validate appropriate volunteer reports for submission to RSVP office on a
monthly basis.
8. Investigate and report any accidents and injuries involving RSVP volunteers
immediately to the RSVP office. All reports will be submitted in writing.
C. Other Provisions:
1. Separation from volunteer service: The volunteer station may request the
removal of an RSVP volunteer at anytime. The RSVP volunteer may withdraw
from service at the Volunteer Station or from RSVP at anytime. Discussion of
individual separations will occur among RSVP staff, Volunteer Station staff and n
the volunteer to clarify the reasons, resolve conflicts, or take remedial action,
including placement with another Volunteer Station.
2, Letters of Agreement: When in -home assignments of volunteers are made, a
letter of agreement will be signed by the parties involved. The document will
authorize volunteer service in the home and identify specific volunteer activities,
periods and conditions of service.
3. Religious Activities: The Volunteer Station will not request or assign RSVP
volunteers to conduct or engage in religious, sectarian or political activities.
4. Displacement of Employees: The Volunteer Station will not assign RSVP
volunteers to any assignment which would displace employed workers or impair
existing contracts for service.
5. Accessibility and Reasonable Accommodation: The Volunteer Station will
maintain the programs and activities to which RSVP volunteers are assigned
accessible to persons with disabilities (including mobility, hearing, vision, mental
and cognitive impairments or addictions and diseases) and/or limited English
language proficiency and provide reasonable accommodation to allow persons
with disabilities to participate in programs and activities.
6. Prohibition of Discrimination: The Volunteer Station will not discriminate against
RSVP volunteers or in the operation of its programs on the basis of race, color,
national origin, including limited English proficiency; sex, age, political affiliation,
NATIONAL
COMMUNITY
SERVICE
Packet Page -1312-
10K13/2015 16.Fl.8.
sexual orientation, religion, oronthebasieofdisob)|kv.if the volunteer isa
qualified individual with adisability.
7. Specify, either by written information or verbally, that RSVP volunteers are
participants in the Volunteer Station's program in all publicity featuring such
volunteers, whether it be radio, TV, print or verbal presentation. Display an RSVP
placard where it may bm viewed by the public.
8. For impact-based assignments, supply data measuring volunteer impact on
community needs to Collier County RSVP.
S. Conditions of this Memorandum of Understanding may be amended or
terminated iO writing aLanytime at the request of either party. h will bereviewed
every three years to permit needed changes.
10. Term. Either parly may terminate this Agreement for any reason with thirty (30)
days written notice bo the other party.
11. This Agreement ie subject tO the availability of funds, |ffunds are not available,
the County will provide notice in writing to the Volunteer Station at least thirty
days prior to the termination of the Agreement.
12, This Memorandum of Understanding contains all the terms and conditions
agreed upon by the contracting parties. No other understanding, nna| or
otherwise, shall be deemed to exist orto bind any of the parties hereto.
13, This Memorandum of Understanding will be in effect upon dated signature of the
Volunteer Station's Representative and the RSVP Project Director.
14. The total number ofRSVP volunteer assignments projected to be available with
the Volunteer Station onon annual basis i - .|(is projected thatthege
assignments will be at the following locations, in approximately the following
numbers:
The Volunteer Station representative who will serve as liaison with RSVP and who will be
responsible for volunteer orientation and supervision is:
Name (Please Print ):
By signing this M0L[ the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
COITO"'Li011 f"
COMMUNITY
Packet Page -1313-
�~
JS
By signing this M0L[ the Volunteer Station Representative certifies that the station is a
public or nonprofit private organization, or a proprietary health care agency.
COITO"'Li011 f"
COMMUNITY
Packet Page -1313-
10/13/2015 16.[l.8.
Slignalmeof
xeprooen[a1|ve
!N WITNESS WHEREOF, the Station Representative and the Counh/, have each peopncive|y,
by an authorized person or agent, hereunder set their hands and seals on the date first written
above.
ATTEST: COLLIER COUNTY
DWIGHT E.BROCK.CLERK
.DEPUTYCLERM
Approval for form and legality:
Ao��banfCo / «*oy
TIM N4WCE.CHAIRMAN
coym-atiom for
��
�J��| |���J4T [`�)
COMMUNITY
����^,^o�c/�n���
CT���7T/—l�
./^_�^v^�~u~m^m�,
, -r^
Packet Page -1314-
L` /