Agenda 07/24/2012 Item #16D 27/2412012 Item 16.D.2.
EXECUTIVE SUMMARY
Recommendation to approve an amendment to the Criminal Justice, Mental Health and Substance
Abuse (CJMHSA) Grant Memorandum of Understanding (MOU) between Collier County and the
Florida Department of Children and Families (DCF) for required clarifications and updates and to
approve submittal of an updated budget worksheet, match commitment forms and approve
amendments to the associated subrecipient agreements.
OJECTIVE: Allow for modification, budget updates and language incorporation to documents
associated with already approved grant and sub grant agreements.
CONSIDERATIONS: The BCC approved strategic plan includes Strategic Focus Area III: Community
Health, Wellness and Human Services, and the associated strategic goal is: "To improve the quality of life
and promote personal wellness, self reliance and independence ". Part of the agency's tactical
achievement toward this goal is the receipt and management of the CJMHSA grant. The purpose of the
CJMHSA grant is to fund community programs that provide treatment services for mental illnesses and
substance abuse.
The original CJMHSA grant agreement became effective upon execution by the Florida Department of
Children and Families on February 24, 2011. The grantor agency, (DCF) has submitted an amendment to
the MOU for the Boards consent and approval. This amendment contains clarifications and updated
contact information.
To operate the CJMHSA program, the Board of County Commissioners approved subrecipient
agreements with three local agencies: the David Lawrence Center for Mental Health ( DLCMH), the
National Alliance on Mental Illness of Collier County (NAMI), and the Collier County Sheriff's Office
(CCSO). These associated subrecipient agreements are being amended to clearly define governing
documents, audit and monitoring responsibilities.
In addition Housing Human and Veteran Services will submit a revised Budget Worksheet for the grant to
the DCF. The revised budget worksheet places specific designated funds as non committed, increases the
match commitments for DLCMH and NAMI and decreases their budget amounts. These adjustments to
the budget worksheet are exhibited in the DLCMH and NAMI subrecipient agreements and
corresponding match commitment forms. Once the DCF receives and accepts the revised budget
worksheet they will send an official confirmation of acceptance. No further Board action is necessary.
These amendments will allow for a more effective and compliant implementation of the grant funded
program.
FISCAL IMPACT: Subrecipient revisions only affect Year 2 and Year 3 for minor reductions in
the allocation of grant funds to David Lawrence Center ($18,842 ) and NAMI ($710) and an
increase in allocations of match among the subrecipients (net change $37,360). The total amount
of the grant awarded ($548,490) by the Department of Children and Families to the County has
not changed. Unallocated funding in the amount of $9,776 for each of Years 2 and 3 remains,
for a total of $19,552. These funds will be allocated at a later time as the grant progresses and
the best use of the funds can be determined. Funds are available within the Housing Grant Fund
(705) Project 33147.
Packet Page -2408-
7/24/2012 Item 16.D.2.
LEGAL CONSIDERATIONS: This item is legally sufficient and requires a majority vote for Board
action - JBW
GROWTH MANAGEMENT IMPACT: There is no growth management impacts associated with this
item.
RECOMMENDATION: To approve and authorize an amendment to the MOU between Collier County
and the Florida Department of Children and Families (DCF) for the CJMHSA Grant, submittal of an
updated budget worksheet, revised match commitment forms and three (3) subrecipient agreement
amendments between Collier County and subrecipients.
Prepared By: Lisa Oien, Grants Coordinator, Housing, Human & Veteran Services
Packet Page -2409-
COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.2.
7/24/20'12 Item 16.x.2.
Item Summary: Recommendation to approve an amendment to the Criminal Justice,
Mental Health and Substance Abuse (CJMHSA) Grant Memorandum of Understanding (MOU)
between Collier County and the Florida Department of Children and Families (DCF) for required
clarifications and updates and to approve submittal of an updated budget worksheet, match
commitment forms and approve amendments to the associated subrecipient agreements; with
no fiscal impact.
Meeting Date: 7/24/2012
Prepared By
Name: OienLisa
Title: Grants Coordinator,Housing, Human & Veteran Services
6/19/2012 8:56:51 AM
Submitted by
Title: Grants Coordinator,Housing, Human & Veteran Services
Name: OienLisa
6/19/2012 8:56:52 AM
Approved By
Name: SonntagKristi
Date: 7/1/2012 5:36:21 PM
Name: AlonsoHailey
Title: Operations Analyst, Public Service Division
Date: 7/2/2012 11:21:02 AM
Name: GrantKimberley
Title: Interim Director, HHVS
Date: 7/5/2012 3:12:08 PM
Name: AckermanMaria
Packet Page -2410-
Title: Senior Accountant, Grants
Date: 7/5/2012 3:31:11 PM
7/24/2012 Item 16.D.2.
Name: CarnellSteve
Title: Director - Purchasing /General Services,Purchasing
Date: 7/9/2012 8:20:54 AM
Name: WhiteJennifer
Title: Assistant County Attomey,County Attorney
Date: 7/16/2012 3:55:26 PM
Name: PryorCheryl
Title: Management/ Budget Analyst, Senior,Office of Management & Budget
Date: 7/17/2012 11:48:14 AM
Name: StanleyTherese
Title: Management/Budget Analyst, Senior,Office of Management & Budget
Date: 7/17/2012 12:28:52 PM
Name: KlatzkowJeff
Title: County Attorney
Date: 7/17/2012 1:08:01 PM
Name: IsacksonMark
Title: Director -Corp Financial and Mgmt Svs,CMO
Date: 7/17/2012 1:22:37 PM
Packet Page -2411-
LHZ2 5
THIS AMENDMENT, entered into between the State
Families, hereinafter referred to as the "department"
Commissioners hereinafter referred to as the
Understanding (MOU) # LHZ25.
1. Page 3, MOU, Item 10, is hereby amended to read:
E
3
4
7112412012 Item 16.0.2.
.iWy =. 201--
of Florida, Department of Children and
and Collier County Board of County
"County," amends Memorandum of
10. County agrees to provide data and other information requested by the Criminal
Justice Mental Health Substance Abuse (CJMHSA) Grant Technical Assistance
Center (TAC) at the Louis de la Parte Florida Mental Health Institute of the
University of South Florida to enable TAC to perform statutory duties established
in the authorizing legislation. County agrees to submit a semi - annual program
report and a semi - annual financial report, signed by the County Administrator, on
or before May 1 and November 1, to the Florida Department of Children and
Families. County agrees to submit a final program report and a final fiscal
report, signed by the County Administrator, on or before the next regular semi-
annual reporting date (May 1 or November 1) following the ending date of the
program, to the Florida Department of Children and Families. The Department
will provide County with templates and forms needed to file all required reports.
Page 3, MOU, Item 11, is hereby amended to read:
11. County agrees to be liable, to the extent provided by law, for all claims, suits,
judgments, or damages, including court costs and attorney's fees, arising out of
the negligent or intentional acts or omissions of the County, and its agents, sub -
recipients and employees, during performance of the contracts authorized by
this Grant Memorandum of Understanding.
Page 5, MOU, Item 24., a), is hereby amended to read:
a) Official name of payee and address where payment is to be sent:
Collier County Board of County Commissioners
Attention: Clerk's Finance Office
3299 Tamiami Trail East, Suite 700
Naples, FL 34112
Page 5, MOU, Item 24., b), is hereby amended to read:
b) The name, address, telephone number, and email address of the Grant Manager
for the County under this Grant Memorandum of Understanding is:
Kristi Sonntag, Manager, State and Federal Grants
Housing, Human and Veteran Services
3339 Tamiami Trail East, Suite 211
Naples, FL 34112
Phone: 239 - 252 -2486
KristiSonntag(a colliergov.net
Packet Page -2412-
LHZ25 7/24/2012 Item 16.D.2.
Juiy I, 2012
5. Page 5, MOU, Item 24., c), is hereby amended to read:
c) The name, address, telephone number, and email address of the
Procurement/Program Manager for the Department of Children and Families
under this Grant Memorandum of Understanding is:
Cynthia Holland
Florida Department of Children and Families
Substance Abuse and Mental Health
1317 Winewood Boulevard
Bldg 6, Room 209
Tallahassee, FL 32399 -0700
Phone: (850) 717 -4622
cynthia holland(aD-dcf.state.fl.us
6. Page 5, MOU, Item 24., d), is hereby amended to read:
d) The name, address, telephone number, and email address of the Grant
Manager for the Department of Children and Families under this Grant
Memorandum of Understanding is:
Jennifer Benghuzzi
Florida Department of Children and Families
Substance Abuse and Mental Health Program Office
Contract Management Unit
1317 Winewood Boulevard
Building 6, Room 255
Tallahassee, Florida 32399 -0700
Phone: (850) 717 -4348
Jennifer Benahuzzi(&-dcf.state.fl.us
7. Page 6, MOU, a new Item #28 is added to read:
28. Annual advanced payments shall be reduced by the amount of interest earned
and reported to the Department on previous advanced funds. County agrees to
return to the Department any unmatched grant funds, unused advance grant
funds, and any unapplied interest accrued on advance grant funds following the
ending date of the program.
8. Page 6, MOU, a new Item #29 is added to read:
29.The established total amount of match must be adhered to but may be
reallocated among the subrecipients upon submittal of updated match
commitment forms /letters.
This amendment shall begin on July 1, 2012 or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the MOU and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
iA
Packet Page -2413-
HZ2 c
7/24/2012 Item 16.D.2.
July ;, 2032
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
[SIGNATURES CONTAINED ON NEXT PAGE]
Packet Page -2414-
Lxz2;
7/24/2012 Item 16.D.2.
huh, 1. 2012
IN WITNESS THEREOF, the parties hereto have caused this four (4) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER: STATE OF FLORIDA
COLLIER COUNTY BOARD OF COUNTY DEPARTMENT OF CHILDREN AND
COMMISSIONERS FAMILIES
SIGNED
BY:
NAME:
TITLE:
DATE:
FEDERAL ID NUMBER: 59- 6000558
SIGNED
BY:
NAME: Rob Siedlecki
TITLE: Assistant Secretary for Substance
Abuse and Mental Health
DATE:
4
Packet Page -2415-
7124/2012 Item 16.D.2.
AMENDMENT NO.2
AGREEMENT
FOR
CRIMINAL TUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25 -001)
THIS AMENDMENT, made and entered into on this 24th day of July 2012, by and between
David Lawrence Mental Health Center, Inc., EIN 59- 2206025, (d /b /a David Lawrence
Center), authorized to do business in the State of Florida, whose business address is 6075
Bathey Lane, Naples, Florida, 34116, hereinafter called the "Subrecipient" and Collier County,
a political subdivision of the State of Florida, Collier County, Naples, hereinafter called the
"County ":
Words SIE Th&auo are deleted; Words Underlined are added
WITNESSETH:
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", Special Conditions, attached as Exhibit
"B ", and the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding #LHZ25
with all Attachments, referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of
this Agreement a total amount of
Eighty Pi-ve and 00,1100 Dollars ($283,495.00 Two Hundred Sixty -Four Thousand Six
Hundred Forty -Three and 00/100 Dollars ($264,643.00) the term of the Agreement with
Ninety Four Thousand Four Hundred Ninety Five and 00/100 Dollars ($94,495.00) for
year one and Eighty Five Thousand Seventy Four and 00/100 Dollars ($85 074.00) for
year two and year three of that total amount being awarded beginning with state fiscal
year 2010 -2011,
Payment will be made upon receipt of a proper invoice and match documentation equal
to or more than the total of submitted payment request and upon approval by Housing,
Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla.
Stats., otherwise known as the "Local Government Prompt Payment Act ".
Page 1 of 6
Packet Page -2416-
7/24/2012 Item 16.D.2.
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within sib) Ar►
months thirty days after completion of eefAfae agreement. Any untimely submission of
invoices beyond the specified deadline period is subject to non - payment under the legal
doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with
respect to the timely submission of invoices under this agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
David Lawrence Center
6075 Bathey Lane
Naples, Florida 34116
Attn: David C. Schimmel, Chief Executive Officer
Phone: 239- 455 -8500
Fax: 239 -455 -6561
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: Rap& Ramsey, Heusing Manage
Geoffrey Magon, Grant Coordinator
Telephone: 239 - 252 -4663
Facsimile: 239 -252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS GONTn A C-T AGREEMENT. This eent
a-g_reement consists of the attached component parts, all of which are as fully a part of
the ee agreement as if herein set out verbatim: Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 -001 with all Attachments
Addendum� Addenda.
Page 2 of 6
Packet Page -2417-
7/24112012 Item 16.G.-_,
24. MATCH FUNDS. A match amount of $147,451.00 is required over the three (3) year
grant period for this subrecipient agreement. The match requirement may be satisfied
by providing services, salaries, fringe, rent, office expenditures, cash or in -kind services
that are not otherwise used as match for other state or federal dollars. The percentage of
pay requests to total awarded funds must equal or exceed the percentage of match fund
expenditures to total match funds when submitted, or pay requests will not be paid.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
;�5 W) Two Hundred Sixty -Four Thousand Six Hundred Forty -Three and
00/100 Dollars ($264,643.00). The Subrecipient shall provide a match of One u.,na..,a
($126,171.00 )
One Hundred Fortv -Seven Thousand Four Hundred Fiftv -One and 00/100 Dollars
($147,451.00),. The match will be in the form of in -kind services and cash. The table
below, as approved by the grantor agency, provides line items budgeted by State
Funds, Local Match and Total Line Budget.
YEAR ONE OF THREE
BUDGET DETAIL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$61,395.00
$42,057.00
$103,452.00
Enhancement
$33,100.00
$0.00
$33,100.00
TOTAL YEAR ONE
$94,495.00
$42,057.00
$136,552.00
YEAR TWO OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$61�g
$42,057. nn
$103,452.00
$53,384.00
$N&97.00
$106,081.00
Enhancement
$33408:88
$0.00
$33,180.0
$31,690.00
$31,690.00
TOTAL YEAR TWO
Qne ene )
$4-2,057. nn
$136,552.90
MI Q74.00
$52,697.00
$137,771.00
Page 3 of 6
Packet Page -2418-
7/24/2012 Item 16.D.2.
YEAR THREE OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$641395 --w
$4 -;Q57 8A
$ 03,�sv 452.0
Provide case management services
$53,384.00
52 697.00
$106,081.00
Enhancement
$33,100
$0.00
$33•;109:09
02/2014
31 690.00
03/2011
$H±2-0-00
TOTAL YEAR THREE
$94,495. nn
98
$136,55 M
07 2012
85 074.00
$52,697.00
$137,771.00
TOTAL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$184,4$x 89
$"G
$283,485.00
Provide case management services
$168,163.00
$147,451.00
$315,614.00
Enhancement
$99;399:09
$0.00
$99,300.00
02/2014
$96,480.00
03/2011
12LI80.00
TOTAL
$283,485 9
$126,171.0
$381,785:89
07 2012
$264,643.00
$147,451.00
$412,094.00
C. PROTECT WORK PLAN
The following Project Work Plan is in effect for program monitoring requirements
only and, as such, is not intended to be used as a payment schedule.
Date
Start
Date
End
YEAR ONE THROUGH THREE Work Plan
03/2011
02/2014
Collier County provide administrative services
03/2011
02/2014
Provide case management services
03/2011
02/2014
Provide mental health counseling services
03/2011
1 02/2014
Supervise forensic and clinical activities
03/2011
02/2014
Coordinate and evaluate program
03/2011
02/2014
Coordinate Enhancement expenditures
03/2011
02/2014
Collect data and prepare reports
07 2012
02 2014
I Provide gant accountin com troller services
The above Project Work Plan details items to be completed and submitted by "Date
End ". Modifications to the above Work Plan require the prior written approval of the
County. A Work Plan modification will be required if the listed activity exceeds the
assigned end date by 90 days or greater. Any modification(s) will be made an
integral component of this Agreement.
Page 4 of 6
Packet Page -2419-
7,'24/2012 Item 16L.2.
D. PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule.
Deliverable
Payment Schedule
Case management
Signed timesheet and evidence of payment
Project Coordination
Signed timesheet and evidence of payment
Program Evaluation
Annual Evaluation Reports
Supplies
Invoice /bill and evidence of payment
Local travel
Actual travel costs
Rent /Utilities
Signed attestation of Chief Financial Officer
Enhancements
Invoice /bill and evidence of payment
Comptroller Services
Si ed timesheet and evidence of plyment
EXHIBIT "B"
SPECIAL CONDITIONS
F. MONITORING
The Subrecipient shall vermit all persons who are dulv authorized by the County to
inspect and cony any records, papers, documents, facilities, goods and services of the
Subrecipient which are relevant to this agreement, and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County of
the satisfactory performance of the terms and conditions of this agreement. Following
such review, the County will deliver to the Subrecipient a written report of its
findings, and may direct the development, by the Subrecipient, of a corrective action
plan where aRgropriate. The Subrecipient hereby agrees to timely correct all
deficiencies identified in the corrective action plan.
G. AUDITS
1. In the event the subrecipient expends $500,000 or more in Federal awards durin
its fiscal year, the subrecipient must have a single or proglram- specific audit
conducted in accordance with the provisions of OMB Circular A -133, as revised.
The subrecil2ient agrees to provide a copy of the single audit to the Department's
Single Audit to the County's grant coordinator's grant coordinator. In the event
the subrecipient expends less than $500,000 in Federal awards during its fiscal year,
the subrecipient agrees to provide certification to the County's grant coordinator
that a single audit was not required. In determining the Federal awards expended
during its fiscal year, the subrecipient shall consider all sources of Federal awards,
including Federal resources received from the County and other government
agencies. Federal government (direct), other state agencies, and other non -state
Page 5 of 6
Packet Page -2420-
7/24/2012 Item 16.D.2.
entities. The determination of amounts of Federal awards expended should be in
accordance with guidelines established by OMB Circular A -133, as revised. An
audit of the subrecipient conducted by the Auditor General in accordance with the
provision of OMB Circular A -133, as revised, will meet the requirements of this
part. In connection with the above audit requirements, the subrecipient shall fulfill
the requirements relative to auditee responsibilities as provided in Subpart C of
OMB Circular A -133, as revised.
2. The schedule of expenditures should disclose the expenditures by agreement or
contract number for each agreement with the County in effect during the audit
period. The financial statements should disclose whether or not the matching
requirements was met for each applicable agreement. All questioned costs and
liabilities due the department shall be fully disclosed in the audit report package
with reference to the specific agreement number.
IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
By:
Dated:
(SEAL)
First Witness
TType /print witness nameT
Second Witness
TType /print witness nameT
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Fred W. Coyle, Chairman
DAVID LAWRENCE MENTAL
HEALTH CENTER (D /B /A DAVID
LAWRENCE CENTER)
50
David C. Schimmel
Chief Executive Officer
Approved as to form and
legal sufficiency:
Jennifer B. White
Assistant County Attorney
Page 6 of 6
Packet Page -2421-
7124/2012 Item 16.1).2.
AMENDMENT NO.2
AGREEMENT
FOR
CRIMINAL JUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25)
THIS AMENDMENT, made and entered into on this 24th day of July 2012, by and between
Collier County Sheriff's Office, whose business address is 3319 Tamiami Trail E., Naples,
Florida 34112, hereinafter called the "Subrecipient" and Collier County, a political subdivision
of the State of Florida, Collier County, Naples, hereinafter called the "County ":
Words STuek T-hfetgl3 are deleted; Words Underlined are added
WITNESSETH:
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", Special Conditions, attached as Exhibit
"B", and the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding #LHZ25
with all Attachments, referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of
this Agreement a total amount of One Hundred Fourteen Thousand Eight Hundred One
and 00/100 Dollars ($114,801.00) the term of the Agreement with Thirty Eight Thousand
Two Hundred Sixty Seven and 00/100 Dollars ($38,267.00) of that total amount being
awarded beginning with state fiscal year 2010 -2011, subjeEt to Change Qfder-s as
approved in advance by the County. Payment will be made upon receipt of a proper
invoice and match documentation equal to or more than the total of submitted payment
request and upon approval by Housing, Human and Veteran Services, or his designee,
and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local
m
Governent Prompt Payment Act ".
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within six (6)
months thirty days after completion of eentfae agreement. Any untimely submission of
invoices beyond the specified deadline period is subject to non - payment under the legal
Page 1 of 4
Packet Page -2422-
7/24/2012 Item 16.Q.2.
doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with
respect to the timely submission of invoices under this agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
Collier County Sheriff's Office
3319 Tamiami Trail E.
Naples, Florida 34112
Attn: Kevin Ran+beslc, SheFif€
Scott Sallev. Chief of Corrections
Phone: 239 - 252 -0554
Fax: 239 - 793 -9333
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: Frank Rafasey, Housing Manager
Geoffrev MaLyon, Grant Coordinator
Telephone: 239- 252 -4663
Facsimile: 239- 252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS CONTRACT- AGREEMENT. This -z
agreement consists of the attached component parts, all of which are as fully a part of
the eent%e agreement as if herein set out verbatim: Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 with all Attachments
Addendum/ Addenda.
24. MATCH FUNDS. A match amount of $301,692.00 is required over the three (3) year
grant period for this subrecipient agreement. The match requirement may be satisfied
by providing services, salaries., fringe, rent, office expenditures, cash or in -kind services
Page 2 of 4
Packet Page -2423-
712+12012 IternE 10.1).2.
that are not otherwise used as match for other state or federal dollars. The percentage of
pa, requests to total awarded funds must equal or exceed the percentage of match fund
expenditures to total match funds when submitted, or pay requests will not be paid.
EXHIBIT "B"
SPECIAL CONDITIONS
A. MONITORING
The Subrecipient shall permit all persons who are duly_ authorized by the Coum to
inspect and copy any records, papers, documents, facilities, goods and services of the
Subrecipient which are relevant to this agreement, and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County
the satisfactory performance of the terms and conditions of this agreement. Following
such review, the County will deliver to the Subrecipient a written report of its
findings, and may direct the development, by the Subrecipient, of a corrective action
plan where appropriate. The Subrecipient hereby agrees to timely correct all
deficiencies identified in the corrective action plan.
B. AUDITS
1. In the event the subrecipient expends $500,000 or more in Federal awards during
its fiscal year, the subrecipient must have a single or program- specific audit
conducted in accordance with the provisions of OMB Circular A -133, as revised.
The subrecipient agrees es to provide a copy of the single audit to the Department's
Single Audit to the Coup&'s grant coordinator's grant coordinator. In the event
the subrecipient expends less than $500,000 in Federal awards during its fiscal year,
the subrecipient agrees to provide certification to the County's grant coordinator
that a single audit was not required. In determining the Federal awards expended
during its fiscal year, the subrecipient shall consider all sources of Federal awards,
including Federal resources received from the County and other government
agencies. Federal government (direct), other state agencies, and other non -state
entities. The determination of amounts of Federal awards expended should be in
accordance with guidelines established by OMB Circular A -133, as revised. An
audit of the subrecipient conducted by the Auditor General in accordance with the
provision of OMB Circular A -133, as revised, will meet the requirements of this
part. In connection with the above audit requirements, the subrecipient shall fulfill
the requirements relative to auditee responsibilities as provided in Subpart C of
OMB Circular A -133, as revised.
Page 3 of 4
Packet Page -2424-
7/24/2012 Item 16.D.2
2. The schedule of expenditures should disclose the exlenditures by agreement or
contract number for each agreement with the Count: in effect during the audit
period. The financial statements should disclose whether or not the matching
requirements was met for each applicable agreement. All questioned costs and
liabilities due the department shall be fully disclosed in the audit report package
with reference to the specific agreement number.
IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
By:
Dated:
(SEAL)
First Witness
TType /print witness name%
Second Witness
TType /print witness nameT
Approved as to form and
legal sufficiency:
Jennifer B. White
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
Fred W. Coyle, Chairman
Collier County Sheriff's Office
0
Scott Salley
Chief of Corrections
Page 4 of 4
Packet Page -2425-
X124/201'2 Item 16.D. -,
AMENDMENT NO.2
AGREEMENT
FOR
CRIMINAL JUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25 -002)
THIS AMENDMENT, made and entered into on this 24th day of July 2012, by and between
the National Alliance on Mental Illness of Collier County, Inc., EIN 65- 0047747, (d /b /a
NAMI), authorized to do business in the State of Florida, whose business address is 6216
Trail Boulevard, Building C, Naples, Florida 34108, hereinafter called the "Subrecipient" and
Collier County, a political subdivision of the State of Florida, Collier County, Naples,
hereinafter called the "County ":
Words Stnaek -T4-.-,et gh are deleted; Words Underlined are added
WITNESSETH:
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", Special Conditions, attached as Exhibit
L „, a4 the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding #LHZ25
with all Attachments, referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of
this Agreement a total amount of
Dellars ($96,204.00) the term ef Aff eement with Thir-ty Tive Thousand Sb" Eight
00,1100 Deliffs ($32,068.90) Ninety Four Thousand Four Hundred Fourteen and 00/100
Dollars ($94,414.00) for year 1 and Thirty One Thousand One Hundred Seventy Three
00 /100 Dollars ($31,173.00) for year 2 and year ar 3 of that total amount being awarded
beginning with state fiscal year 2010 -2011,
advanee by the County. Payment will be made upon receipt of a proper invoice and
match documentation equal to or more than the total of submitted payment request and
upon approval by Housing, Human and Veteran Services, or his designee, and in
compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government
Prompt Payment Act ".
Page 1 of 6
Packet Page -2426-
7/24/2012 Item 16.D.2
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within six 6)
months thirty days after completion of eentFae agreement. Any untimely submission of
invoices beyond the specified deadline period is subject to non - payment under the legal
doctrine of "laches" as untimely submitted. Time shall be deemed of the essence with
respect to the timely submission of invoices under this agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
NAMI of Collier County, Inc.
6216 Trail Boulevard
Building C
Naples, Florida 34108
Attn: Kathryn Leib - Hunter, Executive Director
Phone: 239 -434 -6726
Fax: 239 -455 -6561
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: Frank Ramsey,
Geoffrey Magon, Grant Coordinator
Telephone: 239 - 252 -4663
Facsimile: 239 - 252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS GQX. Tn A.CT AGREEMENT. This c-ertr-ae-�
agreement consists of the attached component parts, all of which are as fully a part of
the eentraet agreement as if herein set out verbatim: Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 -002 with all Attachments
Page 2 of 6
Packet Page -2427-
7124/2012 Item 10.D.2.
24. MATCH FUNDS. A match amount of $51,264.00 is required over the three (3) year grant
period for this subrecil2ient agreement. The match requirement may be satisfied by
providing services, salaries, fringe, rent, office expenditures, cash or in -kind services
that are not otherwise used as match for other state or federal dollars. The percentage of
pay requests to total awarded funds must equal or exceed the percentage of match fund
expenditures to total match funds when submitted, or Ray requests will not be paid.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
Ninety Four
Thousand Four Hundred Fourteen and 00 /100 Dollars ($94,414.00)for year 1 and
Thirty One Thousand One Hundred Seventy Three 00 /100 Dollars ($31,173.00 ) for
year 2 and year 3. The Subrecipient shall provide a match of Thir-t;, Five •r,.,,,.•san -4
. Fifty-One Thousand Two
Hundred Sixty -Four and 00/100 Dollars ($51,264.00). The match will be in the form of
participant fees, in -kind services, and cash. The table below, as approved by the
grantor agency, provides line items budgeted by State Funds, Local Match and Total
Line Budget.
YEAR ONE OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$32,068.00
$11,728.00
$43,796.00
TOTAL YEAR ONE
$32,068.00
$11,728.00
$43,796.00
YEAR TWO OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$3.2,06 BA
$14,7128.00
$4 3,796 .98
$31,713.00
J!2,768.00
$51,481.00
TOTAL YEAR ONE
$ ?A68:9A
$11,7728.9
$43,796.
31713.00
$12,768.00
$RA81.00
Page 3 of 6
Packet Page -2428-
7/24/2012 Item 16.D.2.
YEAR THREE OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$32,065 00
Q" '� 00
$496.00
Provide Peer Specialist services
31713.00
112168.00
$51,481.00
TOTAL YEAR ONE
$32,06
Qze
��1 e4nn o
$43,m lT -96.0
1 02 2014
31713.00
19 768.00
51481.00
TOTAL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$96,29 nn
$35,184.90
$43i,388.00
Provide Peer Specialist services
$95,494.00
$LZ64.00
$146,758.00
TOTAL
$96,84 -.00
Qze
��1 e4nn o
$431,38 90
1 02 2014
95 494.00
I Jaa64.00
J146,758.00
C. PROTECT WORK PLAN
The following Project Work Plan is in effect for program monitoring requirements
only and, as such, is not intended to be used as a payment schedule.
Date
Start
Date
End
YEAR ONE THROUGH THREE Work Plan
03/2011
02/2014
Collier County provide administrative services
03/2011
02/2014
Provide Peer Specialist services
03/2011
02/2014
Provide Peer Specialist supervision
03/2011
02/2014
Training to Peer Specialist in SSI Outreach Access Recovery
SOAR
107/201 2
1 02 2014
1 Provide CIT Training Volunteer services
The above Project Work Plan details items to be completed and submitted by "Date
End ". Modifications to the above Work Plan require the prior written approval of the
County. A Work Plan modification will be required if the listed activity exceeds the
assigned end date by 90 days or greater. Any modification(s) will be made an
integral component of this Agreement.
D. PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule.
Deliverable
Payment Schedule
Peer Specialist services
Signed timesheet and evidence of payment
Peer Specialist supervision
Signed timesheet and evidence of payment
CIT Training Volunteer
SigLied timesheet
Page 4 of 6
Packet Page -2429-
Local travel I Actual travel costs
EXHIBIT "B"
SPECIAL CONDITIONS
F. MONITORING
7/24/2012 Item 16.0.2.
The Subrecipient shall permit all persons who are duly authorized by the County to
inspect and coly any records, papers, documents, facilities, goods and services of the
Subrecipient which are relevant to this agreement, and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County of
the satisfactory performance of the terms and conditions of this agreement. Following
such review, the County will deliver to the Subrecipient a written report of its
findings, and may direct the development, by the Subrecipient, of a corrective action
plan where appropriate The Subrecipient hereby agrees to timely correct all
deficiencies identified in the corrective action plan.
G. AUDITS
1. In the event the subrecipient expends $500,000 or more in Federal awards during
its fiscal year, the subrecipient must have a single or program- specific audit
conducted in accordance with the provisions of OMB Circular A -133, as revised.
The subrecipient agrees to provide a copy of the single audit to the Department's
Single Audit to the County's grant coordinator's grant coordinator. In the event
the subrecipient emends less than $500,000 in Federal awards during its fiscal year,
the subrecipient agrees to provide certification to the County's grant coordinator
that a single audit was not required. In determining the Federal awards expended
during its fiscal year, the subrecipient shall consider all sources of Federal awards,
including Federal resources received from the County and other government
agencies. Federal government (direct), other state agencies, and other non -state
entities. The determination of amounts of Federal awards expended should be in
accordance with guidelines established by OMB Circular A -133, as revised. An
audit of the subrecipient conducted by the Auditor General in accordance with the
provision of OMB Circular A -133, as revised will meet the requirements of this
part. In connection with the above audit requirements, the subrecipient shall fulfill
the requirements relative to auditee responsibilities as provided in Subpart C of
OMB Circular A -133, as revised.
2. The schedule of expenditures should disclose the expenditures by agreement or
contract number for each agreement with the County in effect during the audit
period. The financial statements should disclose whether or not the matching
Page 5 of 6
Packet Page -2430-
7/24/2012 Item 16.03.2.
requirements was met for each applicable agreement. All questioned costs and
liabilities due the department shall be fully disclosed in the audit report package
with reference to the specific agreement number.
IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
By:
Dated:
(SEAL)
First Witness
TType /print witness nameT
Second Witness
TType /print witness nameT
Approved as to form and
legal sufficiency:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
an
Fred W. Coyle, Chairman
NAMI OF COLLIER COUNTY, INC.
LIM
Kathryn Leib - Hunter
Executive Director
Jennifer B. White
Assistant County Attorney
Page 6 of 6
Packet Page -2431-
7/2412012 Item 16.D.'(-.
Collier Countv
Criminal Justice. Mental Healtn and Substance Abuse Reinvestment Gran;
Budget
Page 1 of 2
Packet Page -2432-
Budget Worksheet
Annual Budget Years 2 and 3
Funding:Category
Grant Funds
Match'
Revised
Original
Revised
Original
Source of Funds
Collier County Housing , H.uman.&1Geteran Services
Salaries:
$
-
$
-
$
$
-
Administration:
$
18,000.00
$
18,000.00
$
$
Equipment:
$
-
$
-
$
$
-
Travel:
$
-
$
-
$
$
-
Contractual:
$
155,054.00
$
164,830.00
$
201,529.00
$
182,849.00
Partner agencies
Supplies:
$
-
$
-
$
-
$
-
Rent/Utilities:
$
-
$
-
$
$
Other Expenses:
Totals:
$
173,054.00
$
182,830.00
$
201,529.00
$
182,849.00
Total Project Cost:
$
374,583.00
Year 2 -3
$
365,679.00
Year
Contractual
Fundin Cate o
Grant
Funds
Match
Contract 1: DLC
Salaries:
Revised
Original
Revised
Original
Source
1 Case Manager 1.0 FTE
$
31,900.00
$
31,900.00
$
$
(2 ) MA Counselor 0.50 FTE
$
16,500.00
$
16,500.00
$
$
3 Forensic Supervisor .3
$
-
$
-
$
12,300.00
$
12,300.00
DLC
4 Clinical Supervision .1
$
-
$
-
$
7,200.00
$
7,200.00
DLC
5 Project Coord /Eval .15 to .20
$
-
$
-
$
13,390.00
$
9,750.00
DLC
6 Comptroller .1
$
-
$
-
$
7,000.00
$
-
DLC
Fringe Benefits @ 24.71 % to 7.65
1 Case Manager
$
2,440.00
$
7,636.00
$
-
$
-
2 MA Counselor
$
1,262.00
$
4,077.00
$
Equipment
Travel:
Local travel 2 positions
$
1,282.00
$
1,282.00
$
-
$
-
Supplies:
$
455.00
$
455.00
Rent/Utilities:
$
-
$
-
$
2,352.00
$
2,352.00
DLC
Enhancements
$
31,690.00
$
33,100.00
Other: Cash
$
-
$
-
$
10,000.00
$
10,000.00
DLC
Subtotal
$
85,074.00
$
94,495.00
$
52,697.00
$
42,057.00
DLC Total
$
85,074.00
$
94,495.00
$
52,697.00
$
42,057.00
Funding Category
Grant Funds
Match
Contract 2: CCSO
Salaries:
1 Discharge Planner 1.0
$
30,000.00
$
30,000.00
$
-
$
-
2 D/C Plan Supervisor .15
$
-
$
-
$
9,000.00
$
9,000.00
CCSO
3 Grant Coord /Mt s .05
$
-
$
-
$
2,684.00
$
2,684.00
CCSO
Fringe Benefits 26.04
1 Discharge Planner
$
7,812.00 1
$
7,812.00 1
$
-
$
-
Page 1 of 2
Packet Page -2432-
7/24/2012 Item 15.D.2.
Collier County
Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant
Budget
Page 2 of 2
Packet Page -2433-
Equipment computer
$
$
$
$
Travel: We
$
$
$
-
$
Supplies:
$
455.00
$
455.00
$
-
$
Rent/Utilities:
$
-
$
-
$
2,448.00
$
2,448.00
CCSO
Other: Cash
$
-
$
-
$
10,000.00
$
10,000.00
CCSO
CIT Training
$
76,432.00
$
76,432.00
CCSO
SubTotal
$
38,267.00
$
38,267.00
$
100,564.00
$
100,564.00
CCSO Total
$
38,267.00
$
38,267.00
$
100,564.00
$
100,564.00
Funding Category
Grant Funds
Match
Contract 3: NAMI
Salaries
1 Peer Counselor .03 increase
$
28,843.00
$
28,000.00
$
-
$
-
2 NAMI Director 0.10 to .15
$
-
$
12,900.00
$
7,500.00
NAMI
Fringe Benefits @ 9.95 %
1 Peer Counselors .03 increase
$
2,870.00
$
2,786.00
$
-
$
-
Equipment: n/a
$
-
$
-
$
-
$
-
Travel
Local Travel
$
$
1,282.00
$
-
$
Supplies: n/a
$
$
-
$
-
$
-
Rent/Utilities
$
$
$
1,728.00
$
1,728.00
NAMI
Other:
CIT Training Volunteer
$
2,640.00
NAMI
Cash
$
$
$
2,500.00
$
2,500.00
NAMI
Subtotal
$
31,713.00
$
32,068.00
$
19,768.00
$
11,728.00
NAMI Total
$
31,713.00
$
32,068.00
$
19,768.00
$
11,728.00
Funding Category
Grant Funds Requested
Match
Contract 4: Florida Gulf Coast ersity
Salaries
1 EdD Coordinator 0.15
$
$
$
11,700.00
$
11,700.00
FGCU
2 Volunteer/ Interns .60
$
$
$
16,800.00
$
16,800.00
FGCU
FGCU Total
$0.00
$0.00
$
28,500.00
$28,500.00
Unencumbered Funds
Carry-over Funds from Year One and Remainder of Year Two Allocation to be Held Unencumbered (Not Committed)
Page 2 of 2
Packet Page -2433-
C
U
Q
C
N
cn
cnC
N
O
- t,E17Z- aged IOPee
Q
p' a o, o
0 0'
Q
�N m N
i
u '�icfl
N
pM
M
U
O
O
O
ct
c
r
O
cC
O
O
Lt
M
in
06
.�
M
O
O!
U
06
M
O
O
c
N
3
tom"
U
y
O
^v,
cu
•
bA
Efi
0
6Ms
69
rL
O
Ei3
CD
.�
sN.
�?oo.�•~
cock
cd
•�
O
W
N
O
w
o
64
o
v,
�
cz
O
69
V
p
O
Cl.
cz
ct
. o
�
M
a
c
U
0
tt
o
O
tA
y
U
y
Q
u
Q
N
pM
U
O
O
ct
c
cC
O
Lt
M
06
.�
cz
U
06
M
O
O
c
N
3
tom"
U
y
O
^v,
cu
•
bA
Q
u
Q
N
[71
U
ct ct
ct
c
cC
O
Lt
M
.�
cz
U
cz
M
O
O
c
N
3
tom"
U
y
O
^v,
cu
•
bA
0
6Ms
MM
rL
O
CD
.�
sN.
�?oo.�•~
cock
cd
•�
O
W
N
O
w
o
o
o
v,
�
cz
Cl.
cz
ct
. o
a
c
U
0
tt
o
O
tA
y
U
y
o
C
bA
as
Z
L
L
O
N
H
CIS
�x�
I
•Cd
Z'(1,91, Wall z l OZ /tZ /L
U
U
O
Q
U
O
ti
O
h
O �
� o
o
U N
h
O •U
U
o�
� o00
u
U
ct ct
ct
c
cC
O
Lt
M
.�
cz
U
cz
M
O
O
c
N
^v,
•
bA
0
6Ms
MM
rL
�?oo.�•~
cock
cd
O
W
O
w
o
o
o
v,
�
cz
Cl.
cz
ct
. o
tt
C
U
Q
C
a)
y
C
O
y
7
.Q
Q
N
U
C
�6
Cn
7
CO
f0
C
N
U
Fo
E
c
0
U
0
U
CD
C6
z
m
- S£tZ- @OedIaN:)ed
'Z'0'91, well UOZ1VZ 1L
O
N ,
N
Ca
d
M l-
EA'
I
69 69 69
64i
O
N
N
O
0
b9
64
I
M
00
M
�
69
69
69
O
kn
O
O
69
64
fs4
M
M
69
69
6H
v�
�
�
w
O
�
in
03
to
(0
O
M
p
Cz
M
Q
0
N
.
a,
rn
.^.
- -
Uj
Q
3
cz
o
Lt
U
CZ
>,
m
cu
Os
w
o
bD
°?
o
°
U
U
C
,r
H
coo
a,
H
�°
N
°
°
0
LL4
Co-�
"Q.
-
=>w
a"
CO
03
, ,
C3
U)
69
+U'
cc
CU
CZI
�
U
cz
r
ct
0°
cz
CU
b9
m
cz
p
=�
m
N
Q
O
s
U
tn
E
U
CC
r
ti
.0
CCi
4]
C',
10
L
;.
U
�I
�^
L
^"
4a
O
ice.+
a)
S
RS
E�,
b
a
R;
O
U
r/�
�O
O
wl-c
w
�
Q
'05
.�
'Z'0'91, well UOZ1VZ 1L
O
N ,
N
Ca
d
C
N
U
U
Q
C
E
U)
C
N
U
U
C
co
y
ClS
N
CD
ai
•U
Z5
m
C
U
0
U
a�
0
U
N
.Z6
ca
Z
N
7
in
- 9EI7Z- @SEd
z"(1,91, Well Z l- OZ /VZ /L
5
D7
(6
CL
OC
lw�
b9
I
^�
tn
j
\J t o
M
00
b4
M L,
00
N
rI,
69
1
00
N
0
00
M
O
�o ,
4;
N
69
69
64
b9
: LC
�
00
N
69
Ge
06
M L
_
69
r s
N
O
�
^N
69
Q)
M
Obp
•p
r0
N
kr)
O
�
O
sue,
co
w
a
o
w
COD
crj
U
Qn
U
O
._�
Ct
O
Cd
rn
�,
bi)
a�
Q
Co
o
o
Z
x
O
S
O
•"
tb
C
N
N
�
Q
N
�
U
U
'C
Q
O
Ll
a3
p
U
i,
U
U
tq
y
O
V
U
00
U
SCI
O
'
�
U
6N9
p
3
m
ca
4,
�
x
M
.�
�
>
.c
.o
r-
o
ct
°
M
ct
bp
O
o•.
N
O
�'
L
U
tb
O
M
O
�.
U
U
`U
a0i
�=
40
°
._°
i.:
a`i
by
cz
's:
'�' L' •-°:
N
9
Q
U
C
CZ
Q
z"(1,91, Well Z l- OZ /VZ /L
5
D7
(6
CL
C
U
Q
C
E
cn
N
C
N
cn
7
Q
aD
U
C
cn >
co
Z
a)
N CD
cu m
O
C
CD
00
(D
U
N
0
n
cu
c
E
C
0
U
N
O
U
-LEVZ- a19ed laN:)ed
CD
oo
o O
o0 0
0
0
C,'
!
N NI
N
Z9
614 69
- E!4
Efl
(
64
0
N
M
69
b9
b9
00
O
O
O
00
6A
99
69
�O
N
00
00
l—
00
N
°
�
�
N
M
U
�
COO
'b
o
:Z
�
ccr
E
b s
p
O
6,q
.—
o
p
W
cn
>,
s�4
U
rn
�s -
Q
14
to
O
O
7�
r ^
C)
cl
m
cz
ct
as
r.n
O
w
U
N
a
d
CC
(6
—
ai
-
CC
u
00
o
°
L
°;
b
H
3
W
V
��
�4",w
o�
�H
V
ct
-04
O
N
�
M
L
U
0�
O
s
„U
°
o
Lo
' Z' a' 9 � W911 Z WZ /VZ /L
0
a�
cu
a.
7/24/2012 Item 16.1).-L.
COMMITMENT OF MATCH/DONATION FORM
TO:(name of County) _Collier County
FROM: David Lawrence Center
ADDRESS: 6075 Bathey Lane, Naples, FL 34116
The following X space, _ equipment, X goods /supplies, and/or X services, are donated to the
County
permanently (title passes to the County)
X temporarily, for the period _Jan 2011 to June 2014 (title is retained by the donor)
Description and Basis for Valuation (See next page)
Value Corporation USE
(1) Personnel Services:_ Annual Salary (KB)
$36,900 x .3 FTE x 3 vears $ 36,900
(2)Personnel Services: Annual Salary (GW
$72,000 x .10 FTE x 3 years
$ 21,600
(3a) Personnel Services: Annual Salary (PB)
$65,000 x .15 FTE x 1 year
$ 9,750
(3b)Personnel Services: Annual Salary (PB)
$66,950 x .20 FTE x 2 years
$26,780
4) Personnel Services: Annual Salary (PC)
$ 70,000 x.10 FTE x 2 years
$14,000
4)JGoods /Supplies: FMV
$455 /year x 3 years $ 1,365
(5) Building Space
$12 /sq foot x 196 sq feet x 3 years $ 7,056
(6) Cash $10,000 /year x 3 years $30,000
TOTAL VALUE $ 147,451
The above donation(s) is not currently included as a cost (either direct or matching) of any state or federal
contract or grant, nor has it/they been previously purchased from or used as match for any state or federal
contract.
ze'' �%� a 6/26/12
(Donor Signature) (Date)
(County Designee Signature) (Date)
The grant Review Committee will review the valuation of the donated item(s) and has, in the space
provided, indicated the valuation amount acceptable to the department for use in meeting a match
requirement for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant program.
Donated items are subject to disallowance should they be found to be a current or previous cost or
matching item of a state or federal grant or contract.
Packet Page -2438-
7/24/2012 Item 16.D.2.
COMMITMENT OF MATCFUDONATION FORMS
TO:(name of County) Collier County
FROM: NAMI of Collier County
ADDRESS: 6216 Trail Blvd, Bldg C. Naples. FL 34108
The following 2L—space, _ equipment, _ goods/supplies, and/or X services, are donated to the
County
permanently (title passes to the County)
X temporarily, for the period Jan 20l l to June 2014 (title is retained by the donor)
Description and Basis for Valuation
(1 a)-Personnel Services: Annual Salary (KH)
$75,000 x .10 FTE x 1 year
(lb) Personnel Services: Annual Salary (KH)
$86,000 x .15 FTE x 2 years
(2) Personnel Services: Volunteer CIT
$16.60 x 160 hours
(3) Building/Space
$12/so. ft. x 144 square feet x 3 years
(4) Cash $2.500 /Year x 3 years
TOTAL VALUE $ 6 2U ' J, —�
Value Corporation USE
$ 2MI5101
$25.80
5,280
$5.184
$7,500
The above donation(s) is not currently included as a cost (either direct or matching) of any state or federal
contract or grant, nor has it/they been previously purchased from or used as match for any state or federal
cont�t_,
(Donor Signature) (Date)
(County Designee Signature) (Date)
The grant Review Committee will review the valuation of the donated item(s) and has, in the space
provided, indicated the valuation amount acceptable to the department for use in meeting a match
requirement for the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant program.
Donated items are subject to disallowance should they be found to be a current or previous cost or
matching item of a state or federal grant or contract.
Packet Page -2439-