Backup Documents 09/24/2013 Item #16D18ORIGINAL DOCUMENTS CHECKLIST & ROUTIN S
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SEN
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR S
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forviarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents most be received in the County Attorney Office no later
than Nlonday preceding the Board meeting.
* *NEW ** ROUTING SLIP
Complete routing lines #1 through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
excention of the Chairman's sienature. draw a line through routine lines #1 through #2, complete the checklist, and forward to the County Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Geoffrey Magon
HHVS
(Initial)
9/24/13
2. Jennifer B. White, ACA
County Attorney Office
Office located in HHVS
Department
Agenda Item Number
16D18
3. BCC Office
Board of County
Commissioners
G b
S
'
4. Minutes and Records
Clerk of Court's Office
.�
PRIMARY CONTACT INFORMATION
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. may need to contact staff for additional or missing information.
Name of Primary Staff
Geoffrey M gon �s�� �M
Phone Number
252 -2336
Contact / Department
�e5cev�v
(Initial)
Applicable)
Agenda Date Item was
9/24/13 V
Agenda Item Number
16D18
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
N O
Type of Document
Amendment to Agreement
Number of Original
1
Attached
�r t, c�R,cs�
Documents Attached
PO number or account
signed by the Chairman, with the exception of most letters, must be reviewed and signed
YES
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
-YES—
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate
(Initial)
Applicable)
1.
Does the document require the chairman's original signature?
YES
2.
Does the document need to be sent to another agency for additional signatures? If yes,
N O
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
3.
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
YES
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
-YES—
Office and all other parties except the BCC Chairman and the Clerk to the Board
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
YES
document or the final negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
YES
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware o our deadlines!
8.
The document was approved by the BCC on 9/24/13 (enter date) and all changes
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
Ann P. Jennejohn 16D18
From: Ann P. Jennejohn
Sent: Thursday, October 03, 2013 10:51 AM
To: MagonGeoffrey (GeoffreyMagon @colliergov.net)
Subject: Item #16D18 David Lawrence Agreement Amendment #4
Attachments: #16D18 9- 24- 2013.pdf
Hi again,
Another (signed) Subrecipient Agreement Amendment for you;
Amendment #4 between the County and DLC to operate the
Drug Court Program under Grant #2010 -DC -BX -0016.
Again, please let me know if you'd also like a paper copy.
Thank you.
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk of the Value Adjustment Board
Collier County Minutes & Records Dept.
239 - 252 -8406
239 - 252 -8408 (Fax)
16D18
AMENDMENT NO.4 TO AGREEMENT FOR
ADULT DRUG COURT DISCRETIONARY GRANT PROGRAM
2010 -DC -BX -0016
CFDA: 16.585
4-h
THIS AMENDMENT, made and entered into on this 'tIy day of September 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 k Through are deleted; Words Underlined are added:
(Dollar amounts have original underlines)
WITNESSETH:
3. THE CONTRACT SUM. The County shall pay the Ce r SUBRECIPIENT for the
performance of this Agreement an estimated maximum amount of
One Hundred Eight-
Seven Four- - Hundred Four and 00/400 Poll cfs ($487-,404.00) One Hundred
Eighty One Thousand One Hundred Sixty Four 00/100 Dollars ($181,164.00), subject to
Change Orders as approved in advance by the County. SUBRECIPIENT may expend
funds only for allowable costs resulting from obligations incurred during the term of this
agreement. Reimbursement will not occur if SUBRECIPIENT fails to perform the
minimum level of service required by this Agreement. Payment will be made upon
receipt of a proper invoice 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 ".
23. DOCUMENTATION AND RECORDKEEPING
A. SUBRECIPIENT must maintain all records that ordinarily and necessarily would
be required by the COUNTY to perform the service.
B. SUBRECIPIENT must meet all requirements for retaining public records and
transfer, at no cost, to COUNTY all public records in possession of the
SUBRECIPIENT upon termination of the contract and destroy any duplicate public
Pagel of 3 op
16 [118
t are exempt or confidential and exempt from public records disc osure
requirements All records stored electronically must be provided to the COUNTY
in a format that is compatible with the information technology systems of the
COUNTY.
C. SUBRECIPIENT must provide the public with access to public records on the same
terms and conditions that the public agency would provide the records and at a
cost that does not exceed the cost provided in this chapter or as otherwise provided
by law. Ensure that public records that are exempt or confidential and exempt from
public records disclosure requirements are not disclosed except as authorized by
law.
D. The SUBRECIPIENT shall comply with Florida Statutes, 119.021 Records Retention
and Florida Statutes 119.0701, Contracts and Public Records.
24 GRANT CLOSEOUT PROCEDURES. SUBRECIPIENT's obligation to the COUNTY
shall not end until all closeout requirements are completed. Activities during this closeout
period shall include, but not be 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. Any balance of unobligated funds which have been advanced or
paid must be returned to the COUNTY. Any funds paid in excess of the amount to which
the Subrecipient is entitled under the terms and conditions of this Agreement must be
refunded to the COUNTY. The SUBRECIPIENT shall comply with SECTION 119.021
Florida Statutes regarding records maintenance, preservation and retention.
SUBRECIPIENT shall also produce records and information that complies with SECTION
215.97, Florida Single Audit Act.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
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.
Page 2 of 3 ?)
Reimbursement payments will be made on activities as described
work. Funds may be used over the entire grant period.
16018
within the scope of
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.
RT TT)(—,PT T)FT A TT. ?nl n - ?(11
Line Item Description
Grant funds
From HHVS
Match from
Total Budget
DLC
Contractual
$157,4)60- $162,060
$0.00
$157,060 $1§1060
Other
$13,364
0.00
$13,364
Travel
$4040 $5,740
0.00
$1040 5 740
TOTAL
$181,164
$84,804.00*
$265,968
*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 t date and year first above
written.
ATTEST: BOARD OF COUNTY C MMISSIONERS
Dwight E. Brgck VlieAwf Courts COLLIER CO Y, F RIDA
By: (C
Dated:
(��to �airm�n's
sigrt�`tt�r� psi% /
First Witness
'ype /print
Second Witness
U8.2
A. Wler, Esq.
DAVID LAWRENCE MENTAL
HEALTH CENTER (D /B /A DAVID
LAWRENCE CENTER)
By:
T David C. Schimmel
Chief Executive Officer
TTyp /print witness nameT
Approved as to form and legality:
Jennifer A. Belpedi -O
Assistant County Attorney
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