Agenda 09/28/2010 Item #16D10
Agenda Item No. 16D10
September 28, 2010
Page 1 of 29
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to sign a subrecipient agreement with St,
Matthew's House for the Emergency Shelter Grant (ESG) project previously approved for United
States Department of Housing and Urban Development (HUD) funding in the 2010-2011 Action
Plan. The total amount of the federally funded grant is $95,097, There is no effect on ad valorem
or general fund dollars,
OBJECTIVE: To approve and authorize the Chairman to sign a subrecipient agreement with St.
Matthew's House for the ESG project previously approved in the HUD 2010-2011 Action Plan.
CONSIDERATIONS: On April 27, 20]0, the Board adopted Resolution No. 2010.85 (Item 16D15)
approving the 2010.2011 Action Plan and authorized its submission to HUD, On August 06,2010 HUD
notified Collier County Housing, Human and Veteran Services (HHVS) that it would receive federal
funding in the amount of $3,376,051, of which $95,097 was set aside for homeless shelters through the
Emergency Shelter Grant. On September 14, 20]0, the BCC accepted this federal funding from HUD
(Item 16D12), The Emergency Shelter Grant was a part of this Entitlement funding.
The HHVS Department operates its HUD programs on a July 1 through June 30 fiscal year. The total
amount of the grant is $95,097. HHVS will receive $2,377 f(lr administration of this grant and $92,720 to
pass through to St. Matthew's House.
On April 27, 2010 when the Board approved the Action Plan it approved a standard template agreement
for use with subrecepients. The entire agreement is included in this Agenda package.
FISCAL IMPACT: The approval of this subrecipient !,'fant a!,'feement will allow HHVS to administer,
implement, and monitor the project which is outlined in the annual Action Plan adopted and approved by
the Board. Acceptance of this !,'fant agreement will have no additional effect on ad valorem or general
fund dollars.
GROWTH MANAGEMENT IMPACT: This project will bmlefit low income residents in Collier
County which is consistent with the goals and objectives of the Housing Element of the County's Growth
Management Plan,
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney's office. It is
legally sufficient for Board Action. The Scope of Services, Attachment "A" to the A!,'feement, has been
closely coordinated with the Clerk of Court's staff in order to ensure payment upon proper presentation of
invoices. - JEW
RECOMMENDATION: To approve and authorize the Chairn1an to sign a subrecipient a!,'J'eement using
the standard template form with St. Matthew's House for the ESG project as previously approved in the
2010-20 II Action Plan.
Prepared by: Nick Green, Grants Coordinator, Housing, Human and Veteran Services Department
Agenda Item No. 16010
September 28,2010
Page 2 of 29
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
16010
Recommendation to approve and authorize the Chairman to sign a subrecipient agreement
with SI. Matthews House for the Emergency Shelter Grant (ESG) project previously approved
for United States Department of Housing and Urban Development (HUD) fundin9 In the
2010.2011 Action Pian. The total amount of the federally funded 9rant is $95,097. There IS
no effect on ad valorem or general fund dollars.
Meeting Date:
9/28/20109:00:00 AM
Prepa red By
Nick Green
Grants Coordinator
Date
Housing & Human Services
Housing & Human Services
9/10/20104:11:21 PM
Approved By
Marcy Krumbine
Director - Housing & Human Services
Date
Public Services Division
Human Services
9/13/201011:47 AM
Approved By
Marlene J. Foard
Grant Development & Mgmt Coordinator
Date
Administrative Services
Division
Administrative Services Division
9/14/2010 11:52AM
Approved By
Marla Ramsey
Administrator - Public Services
Date
Public Services Division
Public Services Division
91151201012:01 PM
Approved By
Kathy Carpenter
Executive Secretary
Date
Public Services
Public Services Admin.
9115/20102:05 PM
Approved By
Jennifer White
Assistant County Attorney
Date
County Attorney
County Attorney
9/17/2010 2:45 PM
Approved By
OMS Coord inator
Date
County Manager's Office
Office of Management & Budget
9/17/20103030 PM
Approved By
Jeff Klatzkow
County Attorney
Date
9/17120103031 PM
Approved By
Sherry Pryor
Managementl Budget Analyst, Senior
Date
Office of Management &
Budget
Aaenda Item No. 16D10
~ September 28, 2010
Page 3 of 29
Office of Management & Budget
9/20120109:45 AM
Approved By
Leo E. Ochs, Jr.
County Managers Office
County Manager
Date
County Managers Office
9/20/201010:48 AM
Agenda Item No. 16010
September 28, 2010
Page 4 of 29
AGREEMENT BETWEEN COLLIER COUNTY
AND
St. Matthew's House Inc.,
Catalog of Federal Domestic Assistance # 14,231
HUD Grant # S-10-UC-12-0024
THIS AGREEMENT, is entered into this day of 2010, by and
between Collier County, a political subdivision of the State of Florida, ("COUNTY") and the St.
Matthew's House, a private not-for-profit corporation existing under the laws of the State of
Florida, having its principal office at 201 Airport Rd, South, Naples, Florida 34112 and its
Federal Tax Identification number as 10# 65.111050
WHEREAS, Collier County has entered into an agreement with the United States Department of
Housing and Urban Development ("HUD") for a grant for the execution and implementation of a
Emergency Shelter Grant ("ESG") Program in certain areas of Collier County, pursuant the
Stewart B, McKinney Homeless Assistance Act (24 CFR 576); and
WHEREAS, pursuant to the aforesaid agreement, COUNTY is undertaking certain activities to
primarily benefit homeless individuals in Collier County with the use of ESG funds; to improve
the quality of life in Collicr County by providing assistance for emergency-transitional shelter
clients at-risk of becoming homeless as described in the Consolidated Plan submission; and
WHEREAS, the Board of County Commissioners of Collier County approved the Collier
County Consolidated Plan One-Year Action Plan for Federal Fiscal Year 2010-2011 for the ESG
Program by Resolution No, 2010-85, on April 27, 2010 Item 16015; and
WHEREAS, HDD approved the County's Consolidated Plan One-Year Action Plan for Federal
Fiscal Year 2010-2011 for the ESG Program and the use of the ESG funds for the activities
identified in the Plan; and
WHEREAS, COUNTY and the SUBRECIPIENT desire to provide the activities specified in
Part 11 of this Agreement, in accord with the approved Annual Consolidated Plan; and
WHEREAS, COUNTY desires to engage St. Matthew's House Inc, to implement such
undertakings of the ESG Program as valid and worthwhile County purposes,
NOW, THEREFORE, in consideration ofthe mutual promises and covenants herein contained,
it is agreed by the Parties as follows:
I. DEFINITIONS
(A) "COUNTY" is Collier County, and where applicable, it's authorized
representati ve( s),
(B) "ESG" is the Emergency Shelter Grant Program as defined in 24 CFR 576.
(C) "HHVS" is the Department of Housing, Human and Veteran Services of Collier
County,
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Agenda Item No. 16010
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(D) "SUBRECIPIENT" is "St. Matthew's House Inc,,"
(E) "HHVS's Approval" is the written approval of the Department of Housing,
Human and Veteran Services or designee,
(F) "HUD" is the U,S, Department of Housing and Urban Development or a person
authorized to act on its behalf
(G) "Homeless" is the term as defined in 42 USC 11302,
(H) "Eme~gency Shelter" means any facility, the primary purpose of which is to
provide temporary or transitional shelter for the homeless in general or for
specific populations of the homeless, (24 CFR 576.3)
(I) "Project" is the work to be performed as set forth in Exhibit "A",
(J) "Essential services" includes services concerned with employment, health, drug
abuse and education, (24 CFR 576,3)
II. SCOPE OF SERVICES
The SUBRECIPIENT shall, in a satisfactory and proper manner, as determined by HHVS,
perform the tasks necessary to conduct the program outlined in Exhibit "A," and shall submit
each request for reimbursement using Exhibit "B" along with the submission of monthly
progress reports, Exhibit "D," all of which are attached hereto and made a part hereof
III, TIME OF PERFORMANCE
The effective date of the Agreement between HUD and Collier County shall be July I, 2010,
The services of the SUB RECIPIENT shall be undertaken and completed in light of the purposes
of this Agreement. Subrecipients are authorized to incur eligible expenses after that date and
prior to execution of this Agreement subject to HHVS prior written approval. In any event, all
services required hereunder shall be completed by the SUBRECIPIENT prior to June 30, 2011.
Any funds not obligated by the expiration date of this Agreement shall automatically revert to
the COUNTY.
IV, CONSIDERATION AND LIMITATION OF COSTS
The SUBRECIPIENT shall bc reimbursed by the COUNTY using HLJD funding for allowable
costs, determined by HHVS, in an amount not to exceed NINETY-TWO THOUSAND SEVEN
HUNDRED AND TWENTY DOLLARS ($92,720) for the serviees described in Exhibit "A."
All improvements specified in Exhibit "A" shall be performed by SLJBRECIPIENT employees,
or shall be put out to competitive bidding undcr a procedure acceptable to the COUNTY and
Federal requirements, The SUBRECIPIENT shall enter into contract for improvements with the
lowest responsive and qualified bidder. Contract administration shall be handled by the
SUBRECIPIENT and monitored by HHVS, which shall have access to all records and
documents related to the project.
The County shall reimburse the SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks as accepted and approved by HHVS pursuant
to the submittal of monthly progress reports, Payments shall be made to the SUBRECIPIENT
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Agenda Item No. 16D10
September 28,2010
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when requested as work progresses but not more frequently than once per month, Payment will
be made upon receipt of a proper invoice and in compliance with S 218.70, Fla. Stat., otherwise
known as the "Local Government Prompt Payment Act." No payment will be made until
approved by HHVS,
V. NOTICES
All notices required to be given under this Agreement shall be sufficient when delivered to
HHVS at its office, presently located at 3301 E Tamiami Trail, Bldg. H Suite 211 Naples, FL
34112, and to the SUB RECIPIENT when delivered to its office at the address listed on page one
(l) of this Agreement,
VI. GENERAL CONDITIONS
A, IMPLEMENTATION OF PROJECT
The SUBRECIPIENT shall implement this Agreement in accordance with applicable Federal,
State, and County laws, ordinances and codes and with the procedures outlined in HHVS'
Policies and Procedures memoranda,
Should a project receive additional funding after the commencement of this Agreement, the
SUBRECIPIENT shall notify HHVS in writing within thirty (30) days ofreceiving notification
from the funding source and submit a cost allocation plan for approval by HHVS or its designee
within forty-five (45) days of said official notification,
B. DEBARMENT
The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this
transaction by any Federal Department or agency; and, that the SUBRECIPIENT shall not
knowingly enter into any lower tier contract, or other covered transaction, with a person who is
similarly debarred or suspended from participating in this covered transaction,
C, LOCAL AND FEDERAL RULES. REGULATIONS AND LAWS
The SUB RECIPIENT agrees to comply with any applicable laws, ordinances, regulations and
orders of the State, local and Federal governments, including, but not limited to:
I. 24 CFR Part 576, as amended - The regulations governing the expenditure of
Emergency Shelter Grant funds,
2, 24 CFR 58 . The regulations prescribing the Environmental Review procedure,
3, Title VI of the 1984 Civil Rights Act, 42 USC S 2000d, et. seq.
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4. 24 CFR 107 - The regulations issued pursuant to Executive Order 11063 which
prohibits discrimination and promotes equal opportunity in housing,
5. Executive Order 11246 ("Equal Employment Opportunity"), as amended by
Executive Orders 113 75 and 12086 . which establishes hiring goals for minorities
and women on projects assisted with federal funds,
6, Title VII of the 1968 Civil Rights Act as amended by the Equal Employment
Opportunity Act of 1972, 42 USC ~ 2000e, et. seq.
7. 24 CFR 135 - Regulations outlining requirements of Section 3 of the Housing and
Urban Development Act of 1968, as amended,
8, Age Discrimination Act of 1975.
9, Contract Work Hours and Safety Standards Act, 40 USC 327-332.
10. Section504 of the Rehabilitation Act ofl973, 29 use 776(b)(5),
II. Uniform Relocation Assistance and Real Property Acquisition Policies Act of
1970, as amended.
12, 29 eFR Parts 3 and 5 . Regulations which prescribe the payment of prevailing
wages and the use of apprentices and trainees on federally assisted projects as
mandated by the Davis-Bacon Act. HUD Form 4010 must be included in all
construction contracts funded by CDBG, (See 42 use 276a and 24 CFR
135.1 I (c)),
13, Executive Order 11914 . Prohibits discrimination with respect to the handicapped
in federally assisted projects.
14. Executive Order 11625 and U.S. Department of Housing and Urban Development
Circular Letter 79-45 - which prescribes goal percentages for participation of
minority businesses in Community Development Block Grant Contracts.
15, Public Law 100-430 - the Fair Housing Amendments Act of 1988,
] 6. OMB Circular A.133 . concerning annual audits.
17.0MB Circular A-122. which identifies cost principles.
18. 24 CFR 84 - Uniform Administrative Requirements for Grants and Agreements
with Institutions of Higher Education, Hospitals and Other Non-Profit
Organizations,
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Agenda Item No. 16D10
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19, 24 CFR 85- Uniform Administrative Requirements for Grants and Agreements to
State and Local Governments,
20, Immigration Reform and Control Act of 1986 as located at 8 USC 1324, et seq,
and regulations relating thereto, Failure by the SUBRECIPIENT to comply with
the laws referenced herein shall constitute a breach of this agreement, and the
County shall have the discretion to unilaterally terminate this agreement
immediately,
21. Chapter 112, Florida Statutes,
22, Prohibition Of Gifts To County Employees - No organization or individual shall
offer or give, either directly or indirectly, any favor, gift, loan, fee, service or
other item of value to any County employee, as set forth in Chapter 112, Part III,
Florida Statutes, Collier County Ethics Ordinance No. 2004-05, as amended, and
County Administrative Procedure 5311,
23, Order of Precedence - In the event of any conflict between or among the terms of
any of the Contract Documents, the terms ofthe Agreement shall take precedence
over the terms of all other Contract Docwnents, except the terms of any
Supplemental Conditions shall take precedence over the Agreement. To the extent
any conflict in the terms of the Contract Documents cannot be resolved by
application of the Supplemental Conditions, if any, or the Agreement, the conflict
shall be resolved by imposing the more strict or costly obligation under the
Contract Documents upon the Contractor at Owner's discretion,
24, Venue - Any suit or action brought by either party to this Agreement against the
other party relating to or arising out of this Agreement must be brought in the
appropriate federal or state courts in Collier County, Florida, which courts have
sole and exclusive jurisdiction on all such matters.
25, Dispute Resolution. Prior to the initiation of any action or proceeding permitted
by this Agreement to resolve disputes between the parties, the parties shall make a
good faith effort to resolve any such disputes by negotiation, The negotiation
shall be attended by representatives of SUB RECIPIENT with full decision-
making authority and by COUNTY'S staff person who would make the
prcsentation of any settlement reached during negotiations to COUNTY for
approval. Failing resolution, and prior to the commencement of depositions in
any litigation between the parties arising out of this Agreement, the parties shall
attempt to resolve the dispute through Mediation before an agreed-upon Circuit
Court Mediator certified by the State of Florida, The mediation shall be attended
by representatives of SUBRECIPIENT with full decision-making authority and
by COUNTY'S staff person who would make the presentation of any settlement
reached at mediation to COUNTY'S board for approval. Should either party fail
to submit to mediation as required hereunder, the other party may obtain a court
order requiring mediation under S 44,102, Fla. Stat,
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D, SUBCONTRACTS
Any work or services subcontracted by the SUBRECIPIENT shall be specifically by written
contract or agreement, and such subcontracts shall be subject to each provision of this
Agreement and applicable County, State, and Federal guidelines and regulations, Prior to
execution by thc SUBRECIPIENT of any subcontract hereunder, such subcontracts must be
submitted by the SUBRECIPIENT to HHVS for its review and approval, which will specifically
include a determination of compliance with the terms of the attached Scope of Services set forth
in Exhibit "A,"
This review also includes ensuring that all consultant contracts and fee schedules meet the
minimum standards as established by the Collier County Purchasing Department, Florida
Statutes and HUD, Reimbursements for such services will be made at SUBRECIPIENT cost.
None of the work or services covered by this Agreement, including but not limited to consultant
work or services, shall be subcontracted by the SUBRECIPIENT or reimbursed by the COUNTY
without prior written approval of the HHVS or its designee,
E. AMENDMENTS
This Agreement, and any exhibit or attachment, may be amended only by written agreement
executed by the governing boards of both parties, except that County representative(s) may
approve adjustments between line item amounts, scope clarifications, or an extension of time and
schedule that do not change the project, or exceed the amount funded by the County, as stated
herein, Any modifications to this contract shall be in compliance with the County Purchasing
Policy and Administrative Procedurcs in effect at the time such modifications are authorized,
F. INDEMNIFICATION
To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold
harmless Collier County, its officers and employees from any and all liabilities, damages, losses
and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the
extent caused by the negligence, recklessness, or intentionally wrongful conduct of the
SUB RECIPIENT or anyone employed or utilized by the SUBRECIPIENT in the performance of
this Agreement. This indemnification obligation shall not be construed to negate, abridge or
reduce any other rights or remedies which otherwise may be available to an indemnified party or
person described in this paragraph. This section does not pertain to any incident arising from the
sole negligence of Collier County, The foregoing indemnification shall not constitute a waiver
of sovereign immunity beyond the limits set forth in Section 768.28, Florida Statutes,
G. GRANTEE RECOGNITION
All facilities purchased or constructed pursuant to this Agreement shall be clearly identified as to
funding source. The SUBRECIPIENT will include a reference to the financial support herein
provided by HHVS in all publications and publicity, In addition, the SUBRECIPIENT will make
a good faith effort to recognize HHVS' support for all activities made possible with funds made
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available under this Agreement, The SUBRECIPIENT will mount a temporary construction sign
for projects funded by HHVS, This design concept is intended to disseminate key information
regarding the development team as well as Equal Housing Opportunity to the general public.
The construction sign shall comply with applicable County codes,
H, TERMINATION
In event of termination for any of the reasons identified in sub.sections 1-3 as follows, all
finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs,
reports prepared, and capital equipment secured by the SUBRECIPIENT with funds under this
Agreement shall be returned to HHVS or the COUNTY, In the event of termination, the
SUB RECIPIENT shall not be relieved of liability to the COUNTY for damages sustained by the
COUNTY by virtue of any breach of the Contract by the SUBRECIPIENT, and the COUNTY
may withhold any payment to the SUBRECIPIENT for set-off purposes until such time as the
exact amount of damages due to the COUNTY from the SUBRECIPIENT is determined,
1, TERMINA TlON:.FOR CAUSE
If through any cause either party shall fail to fulfill in timely and proper manner its
obligations under this Agreement, or if either party shall violate any of the covenants,
agreements, or stipulations of this Agreement, either party shall thereupon have the right to
terminate this Agreement in whole or part by giving written notice of such termination to the
other party and specifying therein the effective date of termination, (See 24 CFR 85.43,)
2, TERMINATION FOR CONVENIENCE
At any time during the term ofthis Agreement, either party may, at its option and for any
reason, terminate this Agreement upon ten (10) working days written notice to the other party,
Upon termination, the COUNTY shall pay the SUBRECIPIENT for services rendered pursuant
to this Agreement through and including the date oftermination, (See 24 CFR 85.44,)
3, TERMINATION DUE TO CESSATION
In the event the grant to the COUNTY under Title I of the Housing and Community
Development Act of 1974 (as amended) is suspended or terminated, this Agreement shall be
suspended or terminated effective on the date that HUD specifies,
1. INSURANCE
SUBRECIPIENT shall obtain and carry, at all times during its performance under the Contract
Documents, insurance of the types and in the amounts described herein and further set forth in
Exhibit "C" to this Agreement.
], SUBRECIPIENT LIABILITY OBLIGATION
Compliance with the insurance requirements in Exhibit C shall not relieve the SUB RECIPIENT
of its liability and obI igation under this subsection or under any subsection of this contract. The
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Agenda Item No. 16D10
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contract is contingent upon receipt of the insurance documents within fifteen (15) calendar days
after the Board of County Commissioners' approval. If the Insurance certificate is received
within the specified period, but not in the manner prescribed in these requirements, the
SUBRECIPlENT shall be verbally notified of the deficiency and shall have an additional five (5)
calendar days to submit a corrected Certificate to the County,
If the SUB RECIPIENT fails to submit the required insurance documents in the manner
prescribed in these requirements within twenty (20) calendar days after the Board of County
Commissioners' approval, the SUB RECIPIENT shall be in default of the terms and conditions of
the contract.
K, INDEPENDENT AGENT AND EMPLOYEES
The SUBRECIPIENT agrees that, in all matters relating to this Agreement, it will be acting as an
independent agent and that its employees are not Collier County employees and are not subject
to the County provisions of the law applicable to County employees relative to employment,
hours of work, rates of compensation, leave, unemployment compensation and employee
benefits,
L. MATCH REQUIRED
Subrecipient must match ESG grant funds dollar for dollar pursuant to 24 CFR 576,51. The
match funds can come from the grantee or recipient agency or organization; other federal, state,
and local grants; and from in.kind contributions.
VII.
ADMINISTRATIVE REOUlREMENTS
FINANCIAL MANAGEMENT
A,
The SUBRECIPlENT agrees to comply with OMB Circular A -110 (Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and other
Non-Profit Organizations) and agrees to adhere to the accounting principles and procedures required
therein, utilize adequate internal controls, and maintain necessary source documentation for all costs
incurred,
B. DOCUMENTATION AND RECORDKEEPING
I. The SUBRECIPlENT shall maintain all records as required by ESG,
2, All reports, plans, surveys, information, documents, maps, and other data
procedures developed, prepared, assembled, or completed by the SUBRECIPIENT for the
purpose of this Agreement shall be made available to the COUNTY by the SUBRECIPIENT at
any time upon request by the COUNTY or HHVS. Upon completion of all work contemplated
under this Agreement copies of all documents and records relating to this Agreement shall be
surrendered to HHVS if requested, In any event, the SUB RECIPIENT shall keep all documents
and records for four (4) years after expiration of this Agreement.
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3. The SUBRECIPIENT shall submit reports as required to assist the COUNTY in
the preparation of HUD Labor Relations, WBE/MBE, Equal Opportunity Employment, and
HUD Section 3 reports,
4. The SUBRECIPIENT shall submit detailed monthly progress reports to HHVS
outlining the status of specific activities under the project. Each report must account for the total
activity for which the SUBRECIPIENT is paid with ESG funds, in part or in whole, and which is
required in fulfillment of their obligations regarding the Project. The progress reports shall be
submitted on the form Exhibit "D,
5, The SUBRECIPIENT shall maintain records showing compliance with the Davis-
Bacon Law, including files containing contractor payrolls, employee interviews, Davis-Bacon
wage rates, and administrative cross-referencing, SUBRECIPIENT shall maintain records
showing contractor compliance with the Contract Work Hours and Work Safety Law, Similarly,
the SUBRECIPIENT shall maintain records showing compliance with federal purchasing
requirements and with other federal requirements for grant implementation,
6, If indirect costs are charged, the SUB RECIPIENT will develop an indirect cost
allocation plan for determining the appropriate SUBRECIPIENT'S share of administrative costs
and shall submit such plan to the COUNTY for approval, in a form specified by the COUNTY.
7. Failure to adequately maintain any former ESG funded project may result in the
delay of processing reimbursement requests for ongoing activities or in the forfeiture of future
ESG funds,
8. The SUBRECIPIENT will be responsible for the creation and maintenance of
income eligible files on clients served and documentation that all households are eligible under
HUD Income Guidelines. The SUB RECIPIENT must ensure confidentiality of records
pertaining to provision of family violence prevention or treatment services as set forth in 42 USC
11375(c)(5),
9, The SUBRECIPIENT further agrees that HHVS shall be the final arbiter on the
SUBRECIPlENT's compliance with the above,
C, REPORTS. AUDITS, AND EV ALUA TIONS
Reimbursement will be contingent on the timely receipt of complete and accurate reports
required by this Agreement, and on the resolution of monitoring or audit findings identified
pursuant to this Agreement.
D. ADDITIONAL HOUSING & HUMAN SERVICES, COUNTY, AND HUD
REQUIREMENTS
The SUBRECIPIENT agrees to utilize funds available under this Agreement to
supplement rather than supplant funds otherwise available for specified activities,
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E, WRITTEN APPROVALS
(1) All subcontracts and agreements proposed to be entered into by the
SUB RECIPIENT pursuant to this Agreement;
(2) All capital equipment expenditures of $1,000 or more;
(3) All change orders; and
(4) All requests to utilize uncommitted funds after the expiration of this agreement
for programs described in Exhibit A, and
(5) All rates of pay and pay increases paid out ofESG funds, whether for merit or
cost ofliving,
F, PURCHASING
All purchasing for services and goods, including capital equipment, shall be made by purchase
order or by a written contract and in conformity with the procedures prescribed by the Federal
Management Circulars A-llO, A.122, 24 CFR Part 84, and 24 CFR Part 85, which are
incorporated herein by reference,
G, AUDITS AND INSPECTIONS
I. Non-profit organizations that expend $500,000 or more annually in federal
awards shall have a single or program-specific audit conducted for that year in accordance with
OMB A-133, Non-profit organizations expending federal awards of $500,000 or more under
only one federal program may elect to have a program-specific audit performed in accordance
with OMB A-l33,
2. Non.profit organizations that expend less than $500,000 annually in federal
awards shall be exempt from an audit conducted in accordance with OMB A-133, although their
records must be available for review (e,g" inspections, evaluations), These agencies are required
by HHVS to submit "Reduced Scope" audits (e,g" financial audit, performance audits). They
may choose, instead of a Reduced Scope Audit, to have a program audit conducted for each
federal award in accordance with federal laws and regulations governing the program in which
they participate.
3, When the requirements of OMB A.l33 apply, or when the SUBRECIPIENT
elects to comply with OMB A.133, an audit shall be conducted for each fiscal year for which
federal awards attributable to this contract have been received by the SUB RECIPIENT, A copy
of the audit report must be received by HHVS no later than six months following the end of the
SUBRECIPIENT's fiscal year,
4. If an audit is required by Scction G of this contract, but the requirements of OMB
A-133 do not apply or are not elected, the SUBRECIPIENT may choose to have an audit
performed either on the basis of the SUBRECIPIENT's fiscal year or on the basis of the period
during which HHVS-federal assistance has been received. In either case, each audit shall cover a
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time period of not more than twelve months and an audit shall be submitted covering each
assisted period until all the assistance received from this contract has been reported, Each audit
shall adhere to all other audit standards of OMB A-B3, as these may be limited to cover only
those services undertaken pursuant to the terms of this contract. A copy of the audit report must
be received by HHVS no later than six months following each audit period,
5, The SUBRECIPIENT shall maintain all contract records in accordance with
generally accepted accounting principles, procedures, and practices which shall sufficiently and
properly reflect all revenues and expenditures of funds provided directly or indirectly by the
County pursuant to the terms of this Agreement.
6, The SUBRECIPIENT shall include in all HHVS approved subcontracts each of
the record-keeping and audit requirements detailed in this contract.
H, PROGRAM-GENERATED INCOME
All income earned by the SUBRECIPlENT from activities financed in whole or in part by funds
provided hereunder must be reported to HHVS, Such income would include, but not be limited
to, income from service fees, sale of commodities, and rental or usage fees, The
SUBRECIPlENT shall report its plan to utilize such income to HHVS, and said plan shall
require the prior written approval of the HHVS Department or designee, Accounting and
disbursement of such income shall comply with OMB Circular A-II 0 (Uniform Administrative
Requirement for Federal Grants) and other applicable regulations incorporated herein by
reference.
Program Income, as defined by 24 CFR 570,500(a) for ESG funds may be retained by the
Agency, Program Income shall be utilized to undertake activities specified in "Exhibit A" ofthis
Agreement, and all provisions of this Agreement shall apply to stated activities. Any Program
Income on hand at or received by the SUBRECIPlENT or its sub-contractors after the expiration
of this Agreement shall be returned to the County no later than thirty (30) days after such
expiration, subject to any SUBRECIPlENT requests to utilize uncommitted funds.
H. GRANT CLOSEOUT PROCEDURES
SUBRECIPIENT obligation to the COUNTY shall not end until all closeout requirements are
completed, Activities during this closeout period shall include, but not limited to; making final
payments, disposing of program assets (including the return of all unused materials, equipment,
unspent cash advances, program income balances, and receivable accounts to the COUNTY),
and determining the custodianship of records,
VllI,
OTHER PROGRAM REQUIREMENTS
A.
OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE
The SUBRECIPlENT agrees that no person shall on the ground of race, color, disability,
national origin, religion, age, familial status, or sex be excluded from the benefits of, or be
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81. Matthew's House, Inc.
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Agenda Item r~o. 16010
September 28,2010
Page 15 of 29
subjected to, discrimination under any activity carried out by the performance of this Agreement.
Upon receipt of evidence of such discrimination, the County shall have the right to terminate this
Agreement.
To the greatest extent feasible, lower-income residents of the project areas shall be given
opportunities for training and employment; and to the greatest feasible extent eligible business
concerns located in or owned in substantial part by persons residing in the project areas shall be
awarded contracts in connection with the project. The SUBRECIPIENT shall comply with the
Section 3 Clause of the Housing and Community Development Act of 1968,
B. OPPORTUNITIES FOR SMALL AND MINORITYIWOMEN-OWNED
BUSINESS ENTERPRISES
In the procurement of supplies, equipment, construction, or services to implement this
Agreement, the SUBRECIPIENT shall make a positive effort to utilize small business and
minority/women-ovmed business enterprises of supplies and services, and provide these sources
the maximum feasible opportunity to compete for contracts to be performed pursuant to this
Agreement. To the maximum extent feasible these small business and minority/women- owned
business enterprises shall be located in or owned by residents of the ESG areas designated by
Collier County in the Annual Consolidated Plan approved by HUD,
C, PROGRAM BENEFICIARIES
Those persons who are homeless or who are at risk of becoming homeless as defined in 42 USC
11302,
D, CONFLICT OF INTEREST
The SUBRECIPIENT covenants that no person who presently exercises any functions or
responsibilities in connection with the Project, has any personal financial interest, direct or
indirect, in the target areas or any parcels therein, which would conflict in any manner or degree
with the performance of this Agreement and that no person having any conflict of interest shall
be employed by or subcontracted by the SUBRECIPIENT, Any possible conflict of interest on
the part of the SUB RECIPIENT or its employees shall be disclosed in writing to HHVS
provided, however, that this paragraph shall be interpreted in such a manner so as not to
unreasonably impede the statutory requirement that maximum opportunity be provided for
employment of and participation oflow and moderate.income residents of the project target area,
E, PUBLIC ENTITY CRIMES
As provided in S 287,133, Fla, Stat., by entering into this Agreement or performing any work in
furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers, subcontractors
and consultants who will perform hereunder, have not been placed on the convicted vendor list
maintained by the State of Florida Department of Management Services within the 36 months
immediately preceding the date hereof. This notice is required by S 287. I 33(3)(a), Fla, Stat.
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St. Matthew's House, Inc.
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Agenda Item No. 16010
September 28, 2010
Page 16 of 29
F, DRUG-FREE WORKPLACE REQUIREMENTS
The SUBRECIPlENT, as a condition of being awarded, must certify that they will provide drug-
free workplaces in accordance with the Drug-Free Workplace Act of 1988 (41 USC 701),
G, CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an officer or employee
of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress in connection with the awarding of any Federal contract, the making of any
Federal grant, the making of any Federal loan, the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement.
2, If any funds other than Federal appropriated funds have been paid or will be paid
to any person for influencing or attempting to influence an officer or employee of any agency, a
Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with this Federal contract, grant, loan, or cooperative agreement, the
undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report
Lobbying", in accordance with its instructions,
3, The undersigned shall require that the language ofthis certification be included in
the award documents for all subawards at all tiers (including subcontracts, sub grants, and
contracts under grants, loans, and cooperative agreements) and that all SUBRECIPlENTS shall
certify and disclose accordingly,
H, REAL PROPERTY
Any real property acquired by the SUBRECIPlENT for the purpose of carrying on the projects
stated herein, and approved by the COUNTY in accordance with the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR 24.101, shall be
subject to the provisions of the ESG Regulations including, but not limited to, the provisions on
use and disposition of property, Any real property within the SUBRECIPlENT control, which is
acquired or improved in whole or part with ESG funds in excess of $25,000, must adhere to the
ESG Regulations at 24 CFR 570,505,
IX, ENVIRONMENTAL CONDITIONS
The SUBRECIPIENT agrees to comply with the following requirements:
A, AIR AND WATER
1. Clean Air Act, 41 USC 7401, et seq,
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St. Matthew's House, Inc.
Agenda Item No. 16010
September 28,2010
Page 17 of 29
2, Federal Water Pollution Control Act, 33 USC 1251, et seq" as amended,
B. FLOOD DISASTER PROTECTlON
In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42
USC 4002), the SUBRECIPlENT shall assure that for activities located in an area identified by
FEMA as having special flood hazards, flood insurance under the National Flood Insurance
Program is obtained and maintained, If appropriate, a letter of map amendment (LOMA) may be
obtained from FEMA, which would satisfy this requirement and/or reduce the cost of said flood
insurance,
C. LEAD-BASED PAINT
The Subrecipient agrees that any construction or rehabilitation of residential structures with
assistance provided under this contract shall be subject to HUD Lead-Based Paint Poisoning
Prevention Act found in 24 CFR 576,57(c).
D, HISTORIC PRESERVATION
The Subrecipient agrees to comply with the Historic Preservation requirements set forth in the
National Historic Preservation Act of 1966, as amended (16 U ,S,C, 470) and the procedures set
forth in 36 CFR, Part 800, Advisory Council on Historic Preservation Procedures for Protection
of Historical Properties.
X. CONDITIONS FOR RELIGIOUS ORGANIZATIONS
ESG funds may not be used for religious activities or provided to primarily religious
organizations, 24 CFR 576,23 specifies the limitations on ESG funds for faith based activities,
and is herein incorporated by reference,
XI. REVERSION OF ASSETS
Upon expiration of the Agreement, the SUBRECIPIENT shall transfer to the COUNTY any ESG
funds on hand at the time of expiration, any accounts receivable attributable to the use of ESG
funds, and any non. expendable personal property that was purchased with ESG funds, Any real
property under SUBRECIPIENT control that was acquired or improved in whole or in part with
ESG funds in excess of Twenty-five Thousand Dollars ($25,000) will be covered by the
regulations 24 CFR Part 570,503(B)(8).
XII. SEVERABILITY OF PROVISIONS
If any provision of this Agreement is held invalid, the remainder of this Agreement shall not be
affected thereby if such remainder would then continue to conform to the terms and requirements
of applicable law,
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Agenda Item No. 16D10
September 28, 2010
Page 18 of 29
XlII. COUNTERPARTS OF THE AGREEMENT
This Agreement, consisting of twenty-six (26) enumerated pages, which include the exhibits
referenced herein, shall be executed in two (2) counterparts, each of which shall be deemed to be
an original, and such counterparts will constitute one and the same instrument.
XlV. ENTIRE UNDERSTANDING
This Agreement and its provisions merge any prior agreements, if any, between the parties hereto
and constitutes the entire understanding, The parties hereby acknowledge that there have been
and are no representations, warranties, covenants, or undertakings other than those expressly set
forth herein,
IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this
ATTEST:
DWIGHT E, BROCK, CLERK
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
By:
FRED W, COYLE, CHAIRMAN
Dated:
(SEAL)
First Witness
b$
;Vro<- 012Ct911
Type/print witness name
St. Matthew's House, Inc,
BY:~'
Subrecipient Signature
f:llh t. C/(,;cl^ ,!fep~1 /C(7()
Type/print Subrecipient name and title
~~
L- ~.>
Second Witness --:.:::::::::----
- -
- -----.
# de. C; P~.o
Type/print witness name
Approved as to form and legal sufficiency:
~~/"0 ~
Jennifer White
Assistant County Attorney
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St. Manhew's House, Inc.
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Agenda Item No. 16D1 0
September 28, 2010
Page 19 of 29
EXHIBIT "A"
SCOPE OF SERVICES
ST. MATTHEW'S HOUSE, INC.
EMERGENCY SHELTER GRANT (ESG)
THE SUBRECIPIENT AGREES TO:
A, PROJECT SCOPE:
The Emergency Shelter Grant funding in the amount of $92,720,00 to St. Matthew's House, Inc, will
provide for general operating expenses and supportive services,
The project activities will meet the U,S, Department of Housing and Human Development's national
objective to benefit low and moderate income areas,
B.
BUDGET:
ESG Funds
Match from
S1. Matthew's House
Supportive Services
Salary/Benefits
Resident Coordinator
$21,720
Operating Expenses
Utilities
$50,000
Repair/Maintenance/Upkeep of
the Emergency Shelter
$21,000
TOTAL GRANT AMOUNT
$92,720
$92,720
Further clarifications to the quantity and types of work to be conducted under Exhibit "A" will be processed
by a Change by Letter, Exhibit A-I and made an integral component of this Agreement, if necessary,
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Agenda Item No. 16010
September 28, 2010
Page 20 of 29
PROJECT 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 Work Plan
July 1,2010 June 30, 2011 Not applicable due to
nature of grant
requirements
PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule,
DELIVERABLE PAYMENT SCHEDULE
Demonstration of completion of an Upon invoicing of allowable expenses showing
operating or supportive service expenditures by month
expense
End of Exhibit "A"
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Agenda Item No. 16010
September 28,2010
Page 21 of 29
EXHIBIT "8"
COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST
Subrecipient Name: St. Matthew's House Inc.
Subrecipient Address: 2001 Airoort Road South, Naples, FL. 34112
Project Name: Emergency Services Grant (ESG)
Project No: ESIO-OI
Payment Request #
Dollar Amount Requested: $
SECTION II: STATUS OF FUNDS
I, Grant Amount Awarded
5, Amount of Today's Request
$ 92,720,00
$
$
$
$
$
$
2. Sum of Past Claims Paid on this Account
3. Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account
4. Amount of Previous Unpaid Requests
6, Current Grant Balance (Initial Grant Amount Awarded
Less Sum of all requests)
7. If applicable amount held as retainage to date
by the County, ifnot retained by the sub-recipient
I certify that this request for payment has been drawn in accordance with the terms and conditions of the
Agreement between the County and us as the Sub.recipient. I also certify that the amount ofthe Request for
Payment is not in excess of current needs,
Signature
Date
Title
Authorizing Grant Coordinator
Supervisor
Dept Director
(approval authority under $14,999)
(approval required $15,000 and above)
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Agenda Item No. 16010
September 28,2010
Page 22 of 29
EXHIBIT "C"
INSURANCE REQUIREMENTS
The DEVELOPER/SPONSOR shall furnish to Collier County, c/o Housing, Human and Veteran
Services Department, 3301 E Tamiami Trail Building H Suite 211, Naples, Florida 34112,
Certificate(s) of Insurance evidencing insurance coverage that meets the requirements as
outlined below:
(a.) Workers' Compensation as required by Chapter 440, Florida Statutes,
(b,) Public Liability Insurance on a comprehensive basis in an amount no less than $300,000
per occurrence for combined Bodily Injury and Property Damage, Collier County must be
shown as an additional insured with respect to this coverage,
(c) Automobile Liability Insurance covering all owned, non-owned and hired vehicles used
in connection with this contract in an amount hot less than $300,000 per occurrence for
combined Bodily Injury and Property Damage,
DESIGN STAGE (IF APPLICABLE)
In addition to the insurance required in (1) - (3) above, a Certificate oflnsurance must be provided
as follows:
(d,) Professional Liability Insurance in the name of the DEVELOPER/SPONSOR or the
licensed design professional employed by the DEVELOPER/SPONSOR in an amount not
less than $300,000 per occurrence providing for all sums which the
DEVELOPER/SPONSOR and/or the design professional shall become legally obligated to
pay as damages for claims arising out of the services performed by the
DEVELOPER/SPONSOR or any person employed by the DEVELOPER/SPONSOR in
connection with this contract. This insurance shall be maintained for a period of two (2)
years after the certificate of Occupancy is issued.
CONSTRUCTION PHASE (IF APPLICABLE)
In addition to the insurance required in (1) - (4) above, the DEVELOPER/SPONSOR shall provide
or cause its Subcontractors to provide original policies indicating the following types of insurance
coverage prior to any construction:
(e,)
Completed Value Builder's Risk Insurance on an "All Risk" basis in an amount not less
than one hundred (100%) percent of the insurable value of the building(s) or structure(s),
The policy shall be in the name of Collier County and the DEVELOPER/SPONSOR,
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Agenda Item No. 16010
September 28,2010
Page 23 of 29
Exhibit C, Continued
(f.) Flood Insurance shall be provided for those properties found to be within a flood hazard
zone, in an amount not less than the full replace values of the completed structure(s) or
the maximum amount of coverage available through the National Flood Insurance
Program (NFIP), whichever is greater, The policy will show Collier County as a Loss
Payee A,T,I.M,A. This policy will be provided as such time that he buildings' walls and
roof exist.
OPERA TION/MANAGEMENT PHASE (iF APPLICABLE)
After the Construction Phase is completed and occupancy begins, the following insurance must be
kept in force throughout the duration ofthe loan and/or Conttact:
(g,) Public Liability coverage in an amount not less than $1,000,000 per occurrence for
combined Bodily Injury and Property damage, Collier County must be shown as an
additional insured with respect to this coverage,
(h,) Property Insurance coverage on an "All Risk" basis in an amount not less than one
hundred (100%) of the replacement cost of the property, Collier County must be shown
as a Loss payee with respect to this coverage A.T,I.M,A.
(i.) Flood Insurance coverage for those properties found to be within a flood hazard zone for
the full replacement values of the structure( s) or the maximum amount of coverage
available through the National Flood Insurance Program (NFIP). The policy must sho,,",
Collier County as a Loss Payee A,T,I.M,A,
End of Exhibit C
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Agenda Item No. 16D10
September 28,2010
Page 24 of 29
EXHIBIT "D"
COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
2010 ESG MONTHLY PROGRESS REPORT
Complete form for past month and submit to Housing & Human Services staff by the Hj' of the following month.
Status Report for Month of
Submittal Date:
Project Name
Supportive Services and Operating Expenses
Project Nwnber ES 10-01
Activity Nwnber
Subrecipient:
S1. Matthew's House
Contact Person Lou Hoegsted
Telephone:
239-298-5023
Fax: 239-774-7146
E-mail:
louia2stmatthewshouse,org
1. Activity Status/Milestones (describe any action taken, relating to this project, during the past month):
2. What events/actions are scheduled for the next two months?
3. Describe any affirmative marketing you have implemented regarding this project. Please list
and attach any recent media coverage of your organization relating to this project,
4. List any additional data relevant to the outcome measures listed on the application for this
project.
5, List additional issues that may cause delay.
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Agenda Item No. 16D1 0
September 28, 2010
Page 25 of 29
6. New contracts executed this month (if applicable):
Name of Contractor or Amount of Contractor Race Ethnicity
Subcontractor, Address & Phone Contract Federal ID (see definitions on (see definitions on
Number Number following page) following page)
7. For projects that serve a particular clientele, please complete the following information by entering the
appropriate number in the blank spaces and in the chart below, Complete the below chart for NEW clients
served this month, DO NOT DUPLICATE clients served in previous months. You may provide data by
either households or persons served. However, if one person received TWO services this counts as TWO
SERVICE UNITS:
TOTAL BENEFICIARIES
This project benefits households or persons, Please circle one category (either "households" or
"persons"), Enter the number of beneficiaries in the blank space and in box "1. ..
INCOME
Of the households or persons assisted, are extremely low.income income (0.30%) of the current
Median Family Income (MFI), Enter this number in box "2. ..
Of the households or persons assisted, _ ___ are very low.income (31-50%) of the current Median
Family Income (MFI), Enter this number in box "3. ..
Of these households or persons assisted,
Income (MFI), Enter this number in box "4."
are low income (51.80%) of the current Median Family
NOTE: The total of boxes 2, 3 and -I should equal the number in box 1.
FEMALE HEAD OF HOUSEHOLD
This project assisted
in box "5" below.
Female Head of Households REGARDLESS of income. Enter this number
BOX I BOX 2 BOX) BOX 4 BOX 5
Total Number of Extremely Vcry Low Income Female Head of
Households or Persons Low Income Low Income (51-80%) Household
Assisted (0-30%.) (11-50%)
I .. I
i ]
2010_ ESe; Template
St. Matthew's House, Inc.
Page 22 of 26
Agenda Item No. 16010
September 28, 2010
Page 26 of 29
ESG Proeram Services
HOUSING AND SERVICES THIS ACIVITY PROVIDES:
:(U.o, .
Emergency Shelter Facilities
Vouchers For Shelters
Drop in Center
Food Pantry
Mental Health
Alcohol/Drug Program
Child Care
Transitional Housing
Outreach
Soup KitchenlMeal Distribution
Health Care
HIV / AIDS Services
Employment
Homeless Prevention
Other ·
*Ifvou chose OTHER. type a description of the services (25 Characters)
BENEFICIARY COUNT ESTIMATES:
"-!lI1l111~'!J;'
,~",' ,pr",UQ:"'-~'~J~I"
AVERAGE NUMBER SERVED DAILY ADULTS -If shelter
provides overnight accommodations type in an estimate of the
average number of adults served daily.
AVERAGE NUMBER SERVED DAILY CIDLDREN. If shelter
provides overnight accommodations type in an estimate of the
average number of children served daily.
AVERAGE NUMBER SERVED YEARLY .If shelter provides
overnight accommodations type the average number of persons
served yearly, Base number on the persons served, not number of
visits,
AVERAGE NUMBER SERVED DAILY ADULTS -If your shelter
does not have overnight accommodations, type the average count of
non-resident persons served daily, If a person is served more than
once dail ,include each visit in the count.
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Agenda Item No. 16010
September 28, 2010
Page 27 of 29
Subrecipient must indicate total beneficiaries for Race AND Ethnicitv
Definitions of Race:
I, White: A person having origins in any of the original peoples of Europe, the Middle East, or North
Africa,
2, . Black or African.American: A person having origins in any of the black racial groups of Africa,
3, Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or
the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam,
4, American Indian or Alaska Native: A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community
attachment,
5. Native Hawaiian or Other Pacific Islander: A person having origins in any of the original people of
Hawaii, Guam, Samoa, or other Pacific Islands,
Definitions of Ethnicity:
I, Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or
other Spanish culture or origin, regardless of race,
Tabulation Table of Race and Ethnicitv Beneficiaries
RACIAL/ETHNIC CHARACTERISTICS:
On this table you approximate the racial and ethnic background of residential persons only that are served by
your facility, You must enter racial and ethnic characteristics for the same "Average Number Served
yearly" that you entered on the previous table.
J"~iDi~i;~i:i:i,
White
Black or African American
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
American Indian/Alaska Native and White
Asian and Whitc
Black/African American and White
American Indian/Alaskan Native and Black/African American
Other Multi.Racial
TOTAL:
2010_ ESG T emplatc
51. Matthe\',"s House, Inc.
Pagc 24 of 26
Agenda Item No. 16D10
September 28, 2010
Page 28 of 29
ESG DEMOGRAPHIC FOR BENEFICIARIES:
Unaccompanied 18 and over?
Unaccompanied Under 18?
Single 18 and Over- Single parent families with children headed by
an adult 18 and over?
""~"i!i~,!",,,,'i,,,,
i5lJ ',,_. ,.,_'~ ,_ '::;f;1fii~t~
Youth 18 and under-Single parent families with children headed by a
outh 18 and under.
Two Parents 18 and over.Two parent families with children headed
b adults over 18 ears.
Two parents under 18-Two parent families with children headed by
ouths under the a e of 18
What is your estimate nercental!e of the population served bv vour
residential shelter on an averal!e day. which are families with no
children?
Tvpe in the followina data the percentaQe of persons served on an averaae day
who fall into certain cateaories:
Battered Spouse
Runaway/Throwaway Youth
Chronically Mentally III
Developmentally Disabled
HlV/AIDS
Alcohol Dependent Individuals
Drug Dependent Individuals
Elderly
Veterans
Physically/ Disabled
other
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St Matthew's House, Inc.
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Agenda Item No. 16D10
September 28, 2010
Page 29 of 29
Where appropriate identify the various types of shelters used by your proaram
and the number of persons housed in each:
:".,,;"'1. n ,,;., ':i';",,",";;~'
'g:~fl~Mi~~~~I~_;";;"'"
Barracks
GrouplLarge House
Scattered Site Apartment
Single Family Detached House
Single Room Occupancy
Mobile Homerrrailer
Hotel/Motel
Other
Type what the description of OTHER shelter types this activity provides (~
Characters)1.
Identifyina the Fundina sources for the Shelter:
Other Federal
Local Government
Private
Fees
Other
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St. Matthcv.i's House, Inc.
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