Agenda 12/10/2013 Item #16D10 12/10/2013 16.D.10.
EXECUTIVE SUMMARY
Recommendation to approve four Disaster Recovery Grant Signature Authority Forms for
submittal to the Florida Department of Economic Opportunity in order to reflect the signatures of
current staff members.
OBJECTIVE: To update the Signature Authority forms with staff information.
CONSIDERATION: Collier County currently has four Disaster Recovery grant agreements with the
Florida Department of Economic Opportunity (DEO). The DEO provides a specific Signature Authority
Form for the grantee to use when identifying or updating the administrative staff. A form for each grant
is being submitted at this time to update the Housing Human and Veteran Services staff currently
administering the grants.
An updated Signature Authority form is provided for each Disaster Recovery grant listed below:
Disaster Recovery Grant#07DB-3V-09-21-01-Z01
Disaster Recovery Grant#08DB-D3-09-21-01-A03
Disaster Recovery Grant#10DB-D4-09-21-01-K09
Disaster Recovery Enhancement Funds#12DB-P5-09-21-01-K39
Approval of this item will update Collier County's previously submitted Signature Authority Forms with
the DEO.
FISCAL IMPACT: These forms have no impact on the approved budgets for these grants and related
projects. No general funds are associated with these projects.
GROWTH MANAGEMENT IMPACT: There are no growth management impacts associated with
this program.
LEGAL CONSIDERATION: This item is approved as to form and legality and requires majority vote
for approval—JAB
STAFF RECOMMENDATION: To approve and authorize the Chairwoman to sign Signature
Authority Forms for four Disaster Recovery Grant agreements, between the Florida Department of
Economic Opportunity and Collier County.
PREPARED BY: Lisa Oien, Grants Coordinator,Housing,Human and Veteran Services
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12/10/2013 16.D.10.
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.16.D.16.D.10.
Item Summary: Recommendation to approve four Disaster Recovery Grant Signature
Authority Forms for submittal to the Florida Department of Economic Opportunity in order to
reflect the signatures of current staff members.
Meeting Date: 12/10/2013
Prepared By
Name:OienLisa
Title: Grants Coordinator,Housing,Human&Veteran Servic
11/12/2013 4:42:16 PM
Submitted by
Title: Grants Coordinator,Housing,Human&Veteran Servic
Name: OienLisa
11/12/2013 4:42:17 PM
Approved By
Name: SonntagKristi
Date: 11/13/2013 4:02:11 PM
Name:GrantKimberley
Title: Interim Director
Date: 11/14/2013 8:54:10 AM
Name:AlonsoHailey
Title: Operations Analyst,Public Service Division
Date: 11/14/2013 11:10:23 AM
Name:MagonGeoffrey
Title: Grants Coordinator
Date: 11/15/2013 1:14:13 PM
Name: CarnellSteve
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12/10/2013 16.D.10.
Title: Purchasing/General Services Director
Date: 11/16/2013 8:29:31 AM
Name: BelpedioJennifer
Title: Assistant County Attorney,County Attorney
Date: 11/19/2013 8:54:00 AM
Name: RobinsonErica
Date: 11/20/2013 8:59:48 AM
Name: KlatzkowJeff
Title: County Attorney
Date: 11/20/2013 9:30:55 AM
Name: FinnEd
Title: Senior Budget Analyst, OMB
Date: 11/21/2013 2:14:05 PM
Name: StanleyTherese
Title: Management/Budget Analyst, Senior,Office of Manage
Date: 11/21/2013 4:38:16 PM
Name: OchsLeo
Title: County Manager
Date: 11/25/2013 1:45:44 PM
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12/10/2013 16.D.10.
Department of Economic Opportunity Small Cities Development Block Grant Program
ATTACHMENT L-SIGNATURE AUTHORITY FORM
Submit an original Signature Authority Form with each contract. _
Recipient i Contract# , Funding Source ':
' Board of Collier County Commissioners C 07DB 3V 09.2.1 01-Z01 i [ ]Small Cities CDBG
Mailing Address(Street or Post Office Box) —— -- _.1 [X]Disaster Recovery
3339 Tamiami Trail East Suite 211 [ )Neighborhood Stabilization
City, State and Zip Code ; Local Government DUNS#
Naples, FL 34112 ' 076997790
Project Contact Person ' Telephone # E-mail Address
Lisa Oien, Grants Coordinator 239-252-6141 lisaoien @colliergov.net
Collier County Housing, Human
and Veteran Services
Financial Contact Person Telephone # E-mail Address
Bendisa Marku,Supervisor 239-252-2689 bendisamarku @colliergov.net
Accountant, Collier County I 1
Housing, Human and Veteran
Services
Other Local Government Contact Telephone # j E-mail Address
Kristi Sonntag, Grants Manager ; 239-252-2486 I kristisonntag @colliergov.net
Collier County Housing, Human
and Veteran Services _ _
-Requests for Funds(RFFs) require (check one); [ ]one signature [ X]two signatures by individuals authorized below.
RFFs must be submitted via the Department's website at http://ecdbg.dca.state.fl.us/ (or by an alternative means specified by
the Department).
Typed Name Date I Sign
Bendisa Marku,Supervisor Accountant f cei4__k_._. � � €'1l' _=`'�
[X]Check here if above person is authorized to submit RFFs 1 E-mail 7address
bendisamarku@colliergov.net if
Typed Name j Dat i Signature ,
.Edmond Kushil Accountant I // eliZA__ _
[X]Check here if above person is authorized to submit RFFs ! E- ail ddress `
Typed Name Date Signature ,;
Lisa Oien, Grants Coordinator _ P--5--— ! /► '._ ,�-._ — ___._._.___.___.__._._-i
[ ]Check here if above person is authorized to submit RFFs E-mail Address
lisaoien @colliergovnet _-_._____ '
Typed Name —' _ Date Signature ,. —_ ___-_--_ --____._______ __.__-t
Lori FisherGrants Support Specialist 1_Gi _ � �_ _ i ___ y ! ._ —__� ._._.__.____�_
[ )Check here if above person is authorized to submit RFFs E-mail W� Address —
Lari.fisher @colliergov.net i
I certify, as the recipient's Chief Elected Official,that the above signatures are of the individuals authorized to sign Requests for
Funds and to submit RFF's electronically... , ___ ._ .____._.__ __ ___.___ _____._.__ __._ __.__-________._._-
Typed Nam e j Date l Signature
Georgia A. Hiller, Esq, Chairwoman
Board of Collier County Commissioners_ i l —__.__.._..-
[X] Check here if your local government utilizes Electronic Funds Transfer(EFT)from the State of Florida. j
[X] Check here if your local government will be working on a reimbursement basis. 1
CDBG payments to local governments using EFTare automatically deposited in the local government's general account. If the
account is interest bearing,the CDBG funds must be transferred to a non-interest bearing account. Please call the CDBG
Program at 850/922-1878 or 487-3644 if you have questions. You can check the status of your deposit at the Comptroller's
website: http:l/flair.dbf.state.fl.us/. Local governments not receiving EFT, and not working on a reimbursement basis,must
establish a non-interest bearing account. Provide account information for the financial institution (insured by FDIC)below. All 1
_signatures on the account must be bonded. — _� __
Name of Financial Institution Account Number —____.__.. _. _____—_
Fifth Third Bank ` 113-8577
Street Address or Post Office Box I Telephone Number
999 Vanderbilt Beach Road i 239-591-6397 i
City, State and Zip Co E T; Approved as to form uiid legality
Naples1_Florida_34losnwiG _E.BRo @_esi .___..._— -._.. _.-- Revised April 2011
y.__ r -
13y: Packet Page-153n istant Cou ttorney
12/10/2013 16.D.10.
Department of Economic Opportunity-Small Cities Development Block Grant Program
ATTACHMENT L-SIGNATURE AUTHORITY FORM
Submit an original Signature Authority Form with each contract .. ___.—_._____.____
Recipient Contract# Funding Source
._Board of Collier County Commissioners 08DB-D3-09-21-01-A03 [ ]Small Cities CDBG
.- ..__ � _._�.
Mailing Address(Street or Post Office Box) [X]Disaster Recovery}Neighborhood Stabilization
3339 Tamiami Trail East, Suite 2 11
City,State and Zip Code Local Government DUNS#
Naples, FL 34112 076997790
Project Contact Person Telephone# E-mail Address
Lisa Oien, Grants Coordinator ` 239-252-6141 1 lisaoien @colliergov.net
Collier County Housing, Human
and Veteran Services
Financial Contact Person Telephone# E-mail Address
Bendisa Marku,Supervisor 239-252-2689 bendisamarku @colliergov.net
Accountant,Collier County
Housing, Human and Veteran I i
S_ervices__ _ ____ _ _
Other Local Government Contact Telephone# E-mail Address
Kristi Sonntag,Grants Manager 239-252-2486 kristisonntag @colliergov.net I
Collier County Housing, Human
and Veteran Services
Requests for Funds(RFFs) require (check one); [ ] one signature [ X]two signatures by individuals authorized below.
RFFs must be submitted via the Department's website at http://ecdbo.dca.state.fl.us/(or by an alternative means specified by
the Department).
Typed Name Date Signat
Bendisa MarkuSupervisor Accountant /j5/, ,5" �._
[X]Check here if above person is authorized to submit RFFs ; E- ail ddress _
_______.___ __...�.___ ____._.._.____—___.__..__-----_._._bendisamarku @colliergov.net_
Typed Name Da i Signature ±
Edmond Kush',_Accountant _ —__._ it of/77__ ; � A _..�__. "PIPr''�r►W _ _— ..___j
[X]Check here if above person is authorized to submit RFFs E-mail Address
Typed Name Date Signature -- _— __. _._..___.___.___.___
Lisa Olen Grants Coordinator /!- ° 3 ! 7 ,
L`=
[ j Check here if above person is authorized to submit RFFs ' E-mail Address
lisaoien @colliergov.net
Typed Name T Date ' Signature _
Lon Fisher,Grants Support Specialist /O. 3� _i S _ 26 f, 7-. _ �____ ,,__ _,—____,_,_
[ 'Check here if above person is authorized to submit RFFs i E-mail Address
__ _ _ _ _ _ _ _ __ ! Lori.fisher@colliergov.net �_�,—____._.._�.—...._.._.�._____.____i
I certify,as the recipient's Chief Elected Official,that the above signatures are of the individuals authorized to sign Requests for
Funds and to submit RFF's electronically. i
Typed Name 1 Date ' Signature
Georgia A. Hiller, Esq, Chairwoman
Board of Collier County Commissioners_ _ _ _ _
�[X] Check here if your local government utilizes Electronic Funds Transfer(EFT)from the State of Florida.
[X] Check here if your local government will be working on a reimbursement basis.
CDBG payments to local governments using EFTare automatically deposited in the local government's general account. If the
account is interest bearing, the CDBG funds must be transferred to a non-interest bearing account. Please call the CDBG
Program at 850/922-1878 or 487-3644 if you have questions. You can check the status of your deposit at the Comptroller's
website: http:l/flair.dbf.state.fl.us/. Local governments not receiving EFT,and not working on a reimbursement basis, must
establish a non-interest bearing account. Provide account information for the financial institution (insured by FDIC)below. All
-signatures on the account must be bonded...___
Name of Financial Institution ' Account Number
Fifth Third Bank ; 113-8577
Street Address or Post Office Box Telephone Number
999 Vanderbilt Beach Road { 239-591-6397` _____
City, State and Zip Code Approved as to form and legality
Naoles,._Florida 34108 — —___—r__.___ _ —___ _— i
— .�..�ES -_._ -_._-_.—________�_.__�_ Revised April 2011
DWIGHT E. BROCK, Mr&Packet Page-1535- %.C.-( :ik- C::)4'''
Assistant County Attorrr- ��"
12/10/2013 16.D.10.
Department of Economic Opportunity-Small Cities Development Block Grant Program
ATTACHMENT L-SIGNATURE AUTHORITY FORM
Submit air anginal Signature Authority farm with each contract
Recipient 1 Contract# Funding Source
Board of Collier County Commissioners I 10DB-D4-09-21-01-K09 [ ]Small Gibes CDBG
Mailing Address(Street or Post Office Box) [x] Disaster Recovery
Neighborhd abilization
33 39 Tamiami Trail East,Suite 211 ._.. j ] ooSt
City, State and Zip Code Local Government DUNS #
Naples, FL 34112 076997790
, .
, *
Project Contact Person I Telephone # 1 E-mail Address
Lisa Olen, Grants Coordinator ! 239-252-6141 1 lisaoien@colliergov.net
Collier County Housing, Human ,
and Veteran Services ,
Financial Contact Person Telephone # ' E-mail Address
Bendisa Marku,Supervisor 239-252-2689 bendisamarku@colliergov.net
Accountant,Collier County
Housing, Human and Veteran
Services
',—
Other Local Government Contact i Telephone # E-mail Address
Kristi Sonntag, Grants Manager 1 239-252-2486 kristisonntag@colliergov.net
Collier County Housing, Human i
and Veteran Services
.._
Requests for Funds(RFFs) require (check one); [ ]one signature [X]two signatures by individuals authorized below.
RFFs must be submitted via the Department's website at http://ecdbg.dca.state.fl.us/(or by an alternative means specified by
the Department).
- . ..._
Typed Name 1 Date . 1 Sign i
_Bendisa Marky,Supervisor Accountant , __ _______1441.1.a_l_ _. .
:z..4/9,.e.e..__
[Y(]Check here if above person is authorized to submit RFFs i E-mall Address
1 bendisamarku@colliergov.net
Typed Name 1 Da, 1 Signatur , ifiz2L;
Edmond Kushi, Accountant 1 # C.Sp..3 1 A o
,...- ...., eu._
[X]Check here if above person is authorized to submit RFFs 1 E-mail Address gr ...
Typed Name 1Date i Signature ,. /.."'- 0
Lisa Oien Grants Coordinator ! 1„/„_ -,''', -75 L. _ ,.-2-- ....„.._,-
. , —
i [ i Check here if above person is authorized to submit RFFs l E-mail Address
•
1 lisaoien@colliergov.net
Typed Name 1 Date , Signature
Lori Fisher, Grants Support Specialist ; '('' , 1,/ - i 3 i
j j 2 _ ..^:....- 1,, . ^
.
[ j Check here if above person is authorized to submit RFFs i E-mail Address
1 Lori.fisher@colliergov.net
1 I certify, as the recipient's Chief Elected Official,that the above signatures are of the individuals authorized to sign Requests for
Funds and to submit RFF's electronically.
Typed Name 1 Date 1 Signature
Georgia A. Hiller, Esq, Chairwoman . 1
.
Board of Collier County Commissione 4.
rs ' I
___
: [X 3 Check here if your local government utilizes Electronic Funds.Transfer(EFT)from the State of Florida.
[X 3 Check here if your local government will be working on a reimbursement basis.
CDBG payments to local governments using EFTare automatically deposited in the local government's general account. If the
. account is interest bearing,the CDBG funds must be transferred to a non-interest bearing account. Please call the CDBG
Program at 850/922-1878 or 487-3644 if you have questions. You can check the status of your deposit at the Comptroller's
website: http://flair.dbf.state.fl.us/. Local governments not receiving EFT, and not working on a reimbursement basis, must
establish a non-interest bearing account. Provide account information for the financial institution (insured by FDIC)below. All
signatures on the account must be bonded. -,-
Name of Financial Institution 1 Account Number
Fifth Third Bank : 113-8577
Street Address or Post Office Box I Telephone Number
999 Vanderbilt Beach Road 1 239-591-6397
City,State and Zip Code
Naplesetrgt4108
Approvefasie-formand-legality .
Revised April 2011
DWIGHT E. BROCK, Clerk .
3
Packet Page-1536-_,AX,q
By: . _.,
Assistant Count Attgaey ■,‘
12/10/2013 16.D.10.
Department of Economic Opportunity-Small Cities Development Block Grant Program
ATTACHMENT L-SIGNATURE AUTHORITY FORM
Submit an oti_ final Spature Authority Form with each contract
Recipient 1 Contract# Funding Source
i. Board of Collier Coun Commissioners 1
12D8-P5-09-21-01K39 [ ]Small Cities CDBG
Mailing Address(Street or Post Office Box) • - [ ] Recovery
X Disaster Recove
3339 Tamiami Trail East, Suite 211 [ )Neighborhood Stabilization
City, State and Zip Code Local Government DUNS#
Naples, FL 34112 076997790
Project Contact Person ; Telephone # E-mail Address
Lisa Oien, Grants Coordinator 239-252-6141 lisaoien @colliergov.net
Collier County Housing, Human
and Veteran Services
Financial Contact Person Telephone # E-mail Address
Bendisa Marku,Supervisor 239-252-2689 bendisamarku@colliergov.net
Accountant,Collier County
Housing, Human and Veteran
Services_.._.-._..._ _ _.-----____.__ ___—__._—___......____-__.....__________._.!_____—_
Other Local Government Contact Telephone # E-mail Address
Kristi Sonntag, Grants Manager 239-252-2486 I kristisonntag @colliergov.net
Collier County Housing, Human
and Services
Requests for Funds(RFFs) require (check �_..._.
Re
q ( ) ui
q (heck one); [ 3 one signature [X]two signatures by individuals authorized below.
RFFs must be submitted via the Department's website at htto://ecdbg.dca.state.fl.us/ (or by an alternative means specified by
the Department).
e,
Typed Name Date LOSi T Bendisa MarkuSupervisor Accountant _1 1' _! .__....__- _.:_�_ -.-___ ___.._
[X]Check here If above person is authorized to submit RFFs i E-mail ddress
I i
Typed Name .___..._, Da _ Signature Ask
TBD Housin Human and Veteran Services Accountant Of/ �./p1_t... �
[X] Check here if above person is authorized to submit RFFs E- ail Address
Typed Name Date I Signature
Lisa Oien Grants Coordinator /0-5 -< j t f ,-
[ ]Check here if above person is authorized to submit RFFs E-mail Address
lisaoien @collier v.net
Typed Name i Date -. i Signature ..,
Lori Fisher Grants Support Specialist I / l- 1 Vr
[ )Check here if above person is authorized to submit RFFs , E-mail Address ''
_ _.__.__.._____-•--_---_. _;_Lori.fisher @colliergov.net
I certify, as the recipient's Chief Elected Official,that the above signatures are of the individuals authorized to sign Requests for
Funds and to submit RFF's electronically_, _ —_ — __�__,_I
Typed Name Date . Signature
Georgia A. Hiller, Esq,Chairwoman
Board of Collier CounW, Commissioners ! _,{
[X] Check here if your local government utilizes Electronic Funds Transfer(EFT)from the State of Florida.
[X]Check here if your local government will be working on a reimbursement basis.
CDBG payments to local governments using EFTare automatically deposited in the local government's general account. If the �f
I account is interest bearing,the CDBG funds must be transferred to a non-interest bearing account. Please call the CDBG
Program at 850/922-1878 or 487-3644 if you have questions. You can check the status of your deposit at the Comptroller's
website: http://flair.dbf.state.fl.us/. Local governments not receiving EFT, and not working on a reimbursement basis, must
establish a non-interest bearing account. Provide account information for the financial institution (insured by FDIC)below. All
':, signatures on,the account must be bonded. ___,________-____._....,..�
Name of Financial Institution . Account Number
Fifth Third Bank � 113-8577
Street Address or Post Office Box I Telephone Number
999 Vanderbilt Beach Road I 239-591-6397
City, State and Zip Code Approved as to form am; i4 �;,'
DWIGHT E. B>� � f Glee pp \:`,,, Revised April 2011
Packet Page-1A5taut County A 'terry
By: