Backup Documents 01/22/2013 Item #16D1 160
11
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action en the item.)
ROUTING SLIP
Complete routing lines#1 through#3 as appropriate for additional signatures,dates,.and/or information needed.If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#3,complete the checklist,and forward to the BCC Office(line#4).
Route to Addressee(s) Office Initials Date
(List in routing order
"� Yg Housing,Human,Veterans Services BH 1/24/13
Department
2. Jennifer B.White,ACA Office located within Housing,Human,
Veterans Services Department 8 tki N\zcl 1�
3. County Attorney's Office County Attorney's Office
4. BCC Office Board of County Commissioners Vk S`11
5. Minutes and Records Clerk ofCoure Of a° , A$E
SEND CERTIFIED COPY TO 2(5((3
DAMIETTA
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.Normally the primary contact is the person who created/prepared the executive
summary.Primary contact information is needed in the event one of the addressees above,need to contact staff for additional or missing information.All original
documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to ap,rove the item.)
Name of Primary Staff Barbetta H chinsonys rz Phone Number 22
Contact c�ri-c� ar-�eccstcloc,.
Agenda Date Item was Agenda Item Number
Approved by the BCC
Type of Document a, g:. it', . .
Attached
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Original document has been signed/initialed for legal sufficiency.(All documents to be signed by the
Chairman,with the exception of most letters,must be reviewed and signed by the Office of the
County Attprney..This includes signature pages from ordinances,resolutions,etc.signed by the BH
County Attorney's Office and signature pages from contracts,agreements,etc.that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.) 0
2. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and BH
all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the document or BH
the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and BH
initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip should be BH
provided to the BCC office within 24 hours of BCC approval.Some documents are time sensitive and
require forwarding to Tallahassee within a certain timee or the BCC's actions are nullified.Be
aware of your deadlines!
6. The document was approved by the BCC on 1/22/13 and all changes made during the meeting BH
have been incorporated in the attached document.The County Attorney's Office has reviewed
the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
«matter numben>/edocument number»
16D i
MEMORANDUM
Date: February 6, 2013
To: Barbetta Hutchinson, Operations Coordinator
Housing, Human & Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to Adult Drug Discretionary Grant Program
Agreement
Attached for your records is a copy of the Agreement referenced above,
(Item #16D1) adopted by the Board of County Commissioners on Tuesday,
January 22, 2013.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
160
AMENDMENT NO. 3 TO AGREEMENT FOR
ADULT DRUG COURT DISCRETIONARY GRANT PROGRAM
2010-DC-BX-0016
CFDA: 16.585
THIS AMENDMENT, made and entered into on this - day of January 2013, to the subject
agreement shall be by and between the parties to the original Agreement, 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 Bathly Lane, Naples,
Florida, 34116, (hereinafter called the "sub-recipient") and Collier County, a political
subdivision of the State of Florida, Collier County, Naples (hereinafter called the "County").
Statement of Understanding
RE: Adult Drug Court Discretionary Grant Program 2010-DC-BX-0016
In order to continue the services provided for in the original Contract document referenced
above, the sub-recipient agrees to amend the Contract as follows:
Words Struck Through are deleted;Words Underlined are added:
(Dollar amounts have original underlines)
WITNESSETH:
* * *
EXHIBIT "A"
SCOPE OF SERVICES
* * *
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
e - - . . • _ _ . . - . _ •
01877404M) One Hundred Eighty One Thousand One Hundred Sixty-Four and 00/100
Dollars ($181,164.00) for funding the project scope described above for 2010-2013. The
sub recipient shall provide a match of Eighty Four Thousand Eight Hundred Four and
00/100 Dollars ($84,804.00) for the entire grant period 2010-2013. 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 table below, as approved by the grantor agency, provides line items budgeted by
Federal Funds, Local Match and Total Line Budget.
Reimbursement payments will be made on activities as described within the scope of
work. Funds may be used over the entire grant period.
Page 1 of 2
1613 1
Modifications to the "Budget Detail Worksheet and Narrative" may only be made if
approved in advance using the Department of Justice Grant Adjustment Notice process.
Budgeted fund shifts between cost categories and activities shall not be more than 10%. Fund
shifts that exceed 10% of a cost category and activity as defined by the Department of Justice
Program Office, shall only be made with board approval.
BUDGET DETAIL 2010-2013
Line Item Description Grant funds Match from Total Budget
From HHVS DLC
Contractual $157,060$462820 $0.00 $157,060$160
Other $13,364 $13,844 $0.00 $13,364$,
Travel $10,740 $0.00 $10,740
TOTAL $181,164$187,404 $84,804.00* $265,968$208
*Match is allowed to be from any category.
IN WITNESS WHEREOF, the Sub-recipient 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: . 4 _, BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock,t.Iork of Courts COLL COUNTY, F ORIDA
B ►Il r Imo! By I A L
Dated: , 1 �� Geo Ty. . Hiller, Esq.
Attest ak Chairwoman
$1011140i -
L-4 DAVID LAWRENCE MENTAL
First Witness til2.-SP HEALTH CENTER(D/B/A DAVID
�B��QCR LAWRENCE CENTER
A By: 4i ,_ _
TType/print witness nameT David C. Schimmel
J Chief Executive Officer
Second Witness
/V tet
Approved as to form and legal sufficiency:
TType/print witness nameT
Jennifer B. White cL�
Assistant County Attorney
.�J
Page 2 of 2