Backup Documents 01/24/2012 Item #10FORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARII OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURF1 OF
ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and /or information needed. If the document is already complete with the
"f" 01, : a I :.,-t !, draw a s„P throt! h rnntina line, # 1 through 44- complete the checklist. and forward to Ian Mitchell (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1. Lisa Oien
Housing, Human & Veteran
Services Department
(Initial)
1/24/12
e
Original document has been signed/ initialed for legal sufficiency. (All documents to be
for ick u
Agenda Date Item was
1/24/2012
Agenda Item Number
4. Ian Mitchell, Executive Manager
Board of County Commissioners
%111-1
5. Minutes and Records
Clerk of Courts Office
Number of Original
3
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, including Ian Mitchell, needs 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 approve the
item.
Name of Primary Staff
Lisa Oien/Housing & Human Services
Phone Number
252 -6141
Contact
appropriate.
(Initial)
Please call or e-mail
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
for ick u
Agenda Date Item was
1/24/2012
Agenda Item Number
Approved by the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
%111-1
Type of Document
Disaster Recovery Enhancement Funds
Number of Original
3
Attached
(DREF) Agreement with ept of EFFonomic
'
Documents Attached
Opportunity CI R t 117a st n4) S
/,?Co,,/L -�e?d
INSTRUCTIONS & CHECKLIST
RECEIVED
JAN 2 3 2012
Board of (;aunty Comrnlssioners
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(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 Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
C
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's
Office and 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 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 initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
t
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on 1/24/2012 (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.
RECEIVED
JAN 2 3 2012
Board of (;aunty Comrnlssioners
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
1OF
MEMORANDUM
Date: January 26, 2012
To: Lisa Oien,
Housing and Human Services
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Disaster Recovery Enhancement Funds (DREF) Agreement
With Department of Economic Opportunity
Attached you will find three (3) originals of the document, as referenced above (Agenda
Item #10F) and approved by the Board of County Commissioners on Tuesday, January
24, 2012.
Please return a fully executed original back to the Minutes & Records Department
to be placed into the Board's Official Records.
If you should have any questions, please call me at 252 -8411.
Thank you.
lOF
DEPARTMENT OF ECONOMIC OPPORTUNITY - SMALL CITIES COMMUNITY
DEVELOPMENT BLOCK GRANT PROGRAM
(ATTACHMENT L - SIGNATURE AUTHORIZATION FORM)
Name: Kim Grant, Interim Director - l
Date 1/24/12
Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this � day of January,
2012, by Kim Grant, Interim Director.
�••••••••••••••
IAN ITCHELL
Signature of Notary Public
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Personally I'riowri ......................
OR Produced Identification (Type of Identification Produced)
Name: Kathleen Larsen, Accounting Technician
Date 1/24/12 —/t /; �- /. e_,_, -- �2��,-
Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this 29` day of January, `
2012, by Kathleen Larsen, Accounting Technician. zi /�
.............. ............................... •.
IAN MITCHELL
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Personally Known
OR Produced Identi >cation
Page 1 of 2
(Type of Identification Produced)
Name: Lisa Oien, Grants Coordinator
Date 1/24/12
Signature
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this 21- day of January,
2012, by Lisa Oien, Grants Coordinator.
.............. ...............................
IAN MITCHELL
Comm# DD0810028
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�` Expires 7/2912012
Florida Notary As Inc
4 ... ............................... .....0
Personally Known
OR Produced Identification
Vj V ignature of Notary Public
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Name of Notary Typed, Printed, or Stamped
Page 2 of 2
(Type of Identification Produced)
EXECUTIVE SUMMARY
1OF
Recommendation to approve an agreement and associated forms with the Florida Department of
Economic Opportunity (DEO) to accept funding for the Disaster Recovery Enhancement Funds
(DREF) in the amount of $3,335,131.91 and approve a budget amendment to allocate the funding.
OBJECTIVE: To accept DREF formula grant funds previously applied for and approved by the Board of
County Commissioners.
CONSIDERATIONS: Collier County submitted an application for DREF funding, including project
descriptions, to the Florida Department of Economic Opportunity pursuant to Board direction on July 26,
2011, Agenda Item No. 16 D. 1.
Application approval notice was received December 14, 2011 for Collier County's DREF allocation of
$3,335,131.91, which is $11,169.91 greater than the initial allocation of $3,323,962. The additional
$11,169.91 was added to the Immokalee CRA project award. The chart below shows the final grant
awards.
Organization
Project /Activity
Original Project
New Project
Amounts
Amount
Immokalee Area CRA
Flood and Drainage
$2,073,344
$2,084,513.91
Improvements
Collier County Housing Authority
Rehab, Multi -Unit
$832,519
$832,519
Residential
Bromelia Place Apartments
Rehab, Multi -Unit
$300,000
$300,000
Residential
Esperanza Place Apartments
Flood and Drainage
$35,000
$35,000
Improvements
Housing, Human and Veteran Services
Administration and
$83,099
$83,099
Planning
TOTAL
$3,323,962
$3,335,131.91
To facilitate the execution of the award, the County must sign the attached Agreement and complete the
required forms. The Agreement and form deadline is January 28, 2012 to the Florida Department of
Community Affairs.
Approval of this item will also provide for a budget amendment to allocate the funding as detailed in the
agreement.
FISCAL IMPACT: Approval of this item will result in an award of $3,335,131.91 in DREF funding.
Acceptance of this grant agreement will have no additional effects on ad valorem or general fund dollars.
LEGAL CONSIDERATIONS: This item is legally sufficient and requires a majority vote for Board
action. - JBW
10F
GROWTH MANAGEMENT IMPACT: Implementation of this Agreement will further the goals,
objectives and policies of the County's Growth Management Plan.
RECOMMENDATION: To approve and authorize the Chairman to sign an agreement and associated
forms with the Florida Department of Economic Opportunity to accept DREF funding in the amount of
$3,335,131.91 and approve a budget amendment to allocate the funding.
Prepared By: Lisa Oien
Grants Coordinator, Housing, Human and Veteran Services
a
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
Contract Number. 12DB- P5- 09- 21 -01 -K 39 CFDA Number: 14.228
Rule: Chapter 913-43, Florida Administrative Code
Community Development Block Grant Program
FFY 1008 Supplemental Disaster Recovery Emergency Funds (DREF) Program Agreement
THIS AGREEMENT is entered into by the State of Florida, Department of Economic Opportunity, with
headquarters in Tallahassee, Florida (hereinafter referred to as the "Department "), and Collier County 3301 E.
Tamiami Trail Naples, FL 34112 (hereinafter referred to as the "Recipient").
THIS AGREEMENT IS ENTERED INTO BASED ON THE FOLLOWING REPRESENTATIONS:
A. The Recipient represents that it is fully qualified and eligible to receive these grant funds to provide the
services identified herein; and
B. The Department has received these grant funds from the State of Florida, and has the authority to
subgrant these funds to the Recipient upon the teams and conditions below; and
C. The Department has statutory authority to disburse the funds under this Agreement.
THEREFORE, the Department and the Recipient agree to the following.
(1) SCOPE OF WORK
The Recipient shall perform the work in accordance with the Budget and Scope of Work, Attachment A,
the Activity Work Plan, Attachment I of this Agreement and the Florida Small Cities Community Development
Block Giant (CDBG) Application submitted by the Recipient on 6/28/2011. including future amendments to this
Subgrant Agreement that are agreed upon by both parties..
(2) INCORPORATION OF LAWS RULES REGULATIONS AND POLICIE
The Recipient and the Department shall be governed by applicable State and Federal laws, rules and
regulations, including those identified in Attachment B.
(3) PERIOD OF AGREEMENT
This Agreement shall begin upon execution by both parties, and shall end twenty -four (24) months after the
last signed date, unless terminated earlier in accordance with the provisions of Paragraph (12) of this Agreement
Contract extensions will not be granted unless Recipient is able to provide substantial justification and the Division
Director approves such extension.
(4) MODIFICATION OF CONTRACT
Either party may request modification of the provisions of this Agreement. Changes which are agreed upon
shall be valid only when in writing, signed by each of the patties, and attached to the original of this Agreement.
Contract Revised: 10/04/2011
IOF
I
(5) RECORDKEEPING
(a) As applicable, Recipient's performance under this Agreement shall be subject to the federal OMB
Circular No. A -102, "Common Rule: Uniform Administrative Requirements for Grants and Cooperative
Agreements to State and local Governments" (53 Federal Register 8034) or OMB Circular No. A -110, "Uniform
Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals, and
Other Nonprofit Organizations," and either OMB Circular No. A -87, "Cost Principles for State, Local and Indian
Tribal Governments" OMB Circular No. A -21, "Cost Principles for Educational Institutions," or OMB Circular No.
A -122, "Cost Principles for Nonprofit Organizations."
(b) The Recipient shall retain sufficient records to show its compliance with the terms of this
Agreement, and the compliance of all subcontractors or consultants paid from funds under this Agreement, for a
period of six years from the date the audit report is issued, and shall allow the Department or its designee, the State
Chief Financial Officer or the State Auditor General access to the records upon request. The Recipient shall ensure
that audit working papers are available to them upon request for a period of six years from the date the audit report
is issued, unless extended in writing by the Department. The six year period may be extended for the following
exceptions:
1. If any litigation, claim or audit is started before the six year period expires, and extends
beyond the six year period, the records shall be retained until all litigation, claims or. audit findings involving the
records have been resolved.
2. Records for the disposition of non - expendable personal property valued at $5,000 or more at
the time it is acquired shall be retained for six years after final disposition.
3. Records relating to real property acquired shall be retained for six years after the closing on
the transfer of title.
(c) The Recipient shall maintain all records for the Recipient and for all subcontractors or consultants
to be paid from funds provided under this Agreement, including documentation of all program costs, in a form
sufficient to determine compliance with the requirements and objectives of the Budget and Scope of Work -
Attachment A - and all other applicable laws and regulations.
(d) The Recipient, its employees or agents, including all subcontractors or consultants to be paid from
funds provided under this Agreement, shall allow access to its records at reasonable times to the Department, its
employees, and agents. "Reasonable" shall ordinarily mean during normal business hours of 8:00 a.m. to 5:00 p.m.,
local time, on Monday through Friday. "Agents" shall include, but not be limited to, auditors retained by the
Department.
(6) AUDIT REQUIREMENTS
(a) The Recipient agrees to maintain financial procedures and support documents, in accordance with
generally accepted accounting principles, to account for the receipt and expenditure of funds under this Agreement.
Contract Revised: 10/04/2011
2
10F
lOF
(b) These records shall be available at reasonable times for inspection, review, or audit by state
personnel and other personnel authorized by the Department "Reasonable" shall ordinarily mean normal business
hours of 8:00 a.m. to 5:00 p.m., local time, Monday through Friday.
(c) The Recipient shall provide the Department with the records, reports or financial statements upon
request for the purposes of auditing and monitoring the funds awarded under this Agreement
(d) If the Recipient is a State or local government or a non -profit organization as defined in OMB
Circular A -133, as revised, and in the event that the Recipient expends $500,000 or more in Federal awards in its
fiscal year, the Recipient must have a single or program- specific audit conducted in accordance with the provisions
of OMB Circular A -133, as revised. EXHIBIT 1 to this Agreement shows the Federal resources awarded through
the Department by this Agreement In determining the Federal awards expended in its fiscal year, the Recipient
shall consider all sources of Federal awards, including Federal resources received from the Department The
determination of amounts of Federal awards expended should be in accordance with the guidelines established by
OMB Circular A -133, as revised. An audit of the Recipient conducted by the Auditor General in accordance with
the provisions of OMB Circular A -133, as revised, will meet the requirements of this paragraph.
In connection with the audit requirements addressed in this Paragraph 6 (d) above, the Recipient shall fulfill
the requirements for auditee responsibilities as provided in Subpart C of OMB Circular A -133, as revised
If the Recipient expends less than $500,000 in Federal awards in its fiscal year, an audit conducted in
accordance with the provisions of OMB Circular A -133, as revised, is not required. In the event that the Recipient ,
expends less than $500,000 in Federal awards in its fiscal year and chooses to have an audit conducted in
accordance with the provisions of OMB Circular A -133, as revised, the cost of the audit must be paid from non-
Federal funds.
(e) Send copies of reporting packages for audits conducted in accordance with OMB Circular A -133,
as revised, and required by subparagraph (d) above, when required by Section .320 (d), OMB Circular A -133, as
revised, by or on behalf of the Recipient to The Department of Economic Opportunity at each of the following
addresses:
Department of Economic Opportunity
Office of Inspector General
MSC 130
107 East Madison Street
Tallahassee, Florida 32399 -6508
and
Department of Economic Opportunity
Community Development Block Grant Disaster Recovery Program
MSC -400
107 East Madison Street
Tallahassee, Florida 32399 -6508
Contract Revised: 10/04/2011 3
OF I
Send the Single Audit reporting package and Form SF -SAC to the Federal Audit Clearinghouse by submission
online at:
h9aL -I harvester.census Gov /fac/collect/ddeindcx html
and to any other Federal agencies and pass - through entities in accordance with Sections .320 (e) and (f), OMB
Circular A -133, as revised.
(f) Pursuant to Section 320 (f), OMB Circular A -133, as revised, the Recipient shall send a copy of
the reporting package described in Section .320 (c), OMB Circular A -133, as revised, and any management letter
issued by the auditor, to the Department at the following addresses:
Department of Economic Opportunity
Office of Inspector General
MSC 130
107 East Madison Street
Tallahassee, Florida 32399 -6508
and
Department of Economic Opportunity
Community Development Block Grant Disaster Recovery Program
MSC -400
107 East Madison Street
Tallahassee, Florida 32399 -6508
(g) By the date due, send any reports, management letter, or other information required to be
submitted to the Department pursuant to this Agreement in accordance with OMB Circular A -133, Florida Statutes,
and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the
Auditor General, as applicable.
(h) Recipients should state the date that the reporting package was delivered to the Recipient when
submitting financial reporting packages to the Department for audits done in accordance with OMB Circular A -133
or Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for -profit organizations), Rules of the
Auditor General.
(i) If the audit shows that all or any portion of the funds disbursed were not spent in accordance with
the conditions of this Agreement, the Recipient shall be held Iiable for reimbursement to the Department of all funds
not spent in accordance with these applicable regulations and Agreement provisions within thirty days after the
Department has notified the Recipient of such non - compliance.
0) The Recipient shall have all audits completed by an independent certified public accountant (IPA),
either a certified public accountant or a public accountant licensed under Chapter 473, Fla. Stat. The IPA shall state
that the audit complied with the applicable provisions noted above. The audit must be received by the Department
no later than nine months from the end of the Recipient's fiscal year.
Contract Revised: 10/04/2011 4
10F
(7) REPORTS
(a) The Recipient shall provide the Department with monthly reports and a close -out report. These
reports shall include the current status and progress by the Recipient and all subrecipients and subcontractors in
completing the work described in the Scope of Work and the expenditure of funds under this Agreement, in addition
to any other information requested by the Department.
(b) Monthly reports are due to the Department on the last day of each month of the program year and
shall be sent each month until submission of the administrative close -out report.
(c) The close -out report is due 45 days after termination of this Agreement or 45 days after
completion of the activities contained in this Agreement, whichever first occurs.
(d) If all required reports and copies are not sent to the Department or are not completed in a manner
acceptable to the Department, the Department may withhold further payments until they are completed or may take
other action as stated in Paragraph (11) REMEDIES. "Acceptable to the Department" means that the work product
was completed in accordance with the Budget and Scope of Work-
(e) The Recipient shall provide additional program updates or information that may be required by the
Department.
(f) The Recipient shall provide additional reports and information identified in Attachment D.
(8) MONITORING
The Recipient shall monitor its performance under this Agreement, as well as that of its subrecipients,
subcontractors and/or consultants who are paid from funds provided under this Agreement, to ensure that time
schedules are being met, the Schedule of Deliverables and Scope of Work are being accomplished within the
specified time periods, and other performance goals are being achieved. A review shall be done for each function or
activity in Attachment A to this Agreement, and reported in the quarterly report.
In addition to reviews of audits conducted in accordance with paragraph (6) above, monitoring
procedures may include, but not be limited to, on -site visits by Department staff, limited scope audits, and/or other
procedures. The Recipient agrees to comply and cooperate with any monitoring procedures/processes deemed
appropriate by the Department. In the event that the Department determines that a limited scope audit of the
Recipient is appropriate, the Recipient agrees to comply with any additional instructions provided by the
Department to the Recipient regarding such audit. The Recipient further agrees to comply and cooperate with any
inspections, reviews, investigations or audits deemed necessary by the Florida Chief Financial Officer or Auditor
General. In addition, the Department will monitor the performance and financial management by the Recipient
throughout the contract term to ensure timely completion of all tasks.
(9) LIABILITY
(a) Unless Recipient is a State agency or subdivision, as defined in Section 768.28, Fla. Stat., the
Recipient is solely responsible to parties it deals with in carrying out the. terms of this Agreement, and shall hold the
Department harmless against all claims of whatever nature by third parties arising from the work performance under
Contract Revised: 10/04/2011 5
IOF
this Agreement. For purposes of this Agreement, Recipient agrees that it is not an employee or agent of the
Department, but is an independent contractor.
(b) Any Recipient which is a state agency or subdivision, as defined in Section 768.28, Fla. Stat.,
agrees to be fully responsible for its negligent or tortious acts or omissions which result in claims or suits against the
Department, and agrees to be liable for any damages proximately caused by the acts or omissions to the extent set
forth in Section 768.28, Fla. Stat. Nothing herein is intended to serve as a waiver of sovereign immunity by any
Recipient to which sovereign immunity applies. Nothing herein shall be construed as consent by a state agency or
subdivision of the State of Florida to be sued by third parties in any matter arising out of any contract.
(10) DEFAULT
If any of the following events occur ( "Events of Default "), all obligations on the part of the Department
to make further payment of funds shall, if the Department elects, terminate and the Department has the option to
exercise any of its remedies set forth in Paragraph (11). However, the Department may make payments or partial
payments after any Events of Default without waiving the right to exercise such remedies, and without becoming
liable to make any further payment:
(a) If any warranty or representation made by the Recipient in this Agreement or any previous
agreement with the Department is or becomes false or misleading in any respect, or if the Recipient fails to keep or
perform any of the obligations, terms or covenants in this Agreement or any previous agreement with the
Department and has not cured them in timely fashion, or is unable or unwilling to meet its obligations under this
Agreement;
(b) If material adverse changes occur in the financial condition of the Recipient at any time during the
term of this Agreement, and the Recipient fails to cure this adverse change within thirty days from the date written
notice is sent by the Department.
(c) If any reports required by this Agreement have not been submitted to the Department or have been
submitted with incorrect, incomplete or insufficient information;
(d) If the Recipient has failed to perform and complete in timely fashion any of its obligations under
this Agreement.
(11) REMEDIES
If an Event of Default occurs, then the Department may, upon thirty calendar days written notice to the
Recipient and upon the Recipient's failure to cure within those thirty days, exercise any one or more of the following
remedies, either concurrently or consecutively:
(a) Terminate this Agreement, provided that the Recipient is given at least thirty days prior written
notice of such termination. The notice shall be effective when placed in the United States, first class mail, postage
prepaid, by registered or certified mail return receipt requested, to the address set forth in paragraph (13) herein;
(b) Begin an appropriate legal or equitable action to enforce performance of this Agreement;
(c) Withhold or suspend payment of all or any part of a request for payment;
Contract Revised: 10 104 /2011 6
10F
(d) Require that the Recipient refund to the Department any monies used for ineligible purposes under
the laws, rules and regulations governing the use of these funds.
(e) Exercise any corrective or remedial actions, to include but not be limited to:
1. request additional information from the Recipient to determine the reasons for or the extent of
non- compliance or lack of performance,
2. issue a written warning to advise that more serious measures may be taken if the situation is
not convected,
3. advise the Recipient to suspend, discontinue, or refrain from incurring costs for any activities
in question, or
4. require the Recipient to reimburse the Department for the amount of costs incurred for any
items determined to be ineligible.
(f) Exercise any other rights or remedies which may be otherwise available under law.
(g) Pursuing any of the above remedies will not keep the Department from pursuing any other
remedies in this Agreement or provided at law or in equity. If the Department waives any right or remedy in this
Agreement or fails to insist on strict performance by the Recipient, it will not affect, extend or waive any other right
or remedy of the Department, or affect the later exercise of the same right or remedy by the Department for any
other default by the Recipient.
(12) TERMINATION
(a) The Department tray terminate this Agreement for cause with thirty days written notice. Cause
can include misuse of funds, fraud, lack of compliance with applicable rules, laws and regulations, failure to perform
in a timely manner, and refusal by the Recipient to permit public access to any document, paper, letter, or other
material subject to disclosure under Chapter 119, Fla. Stat., as amended.
(b) The Department may terminate this Agreement for convenience or when it determines, in its sole
discretion, that continuing the Agreement would not produce beneficial results in line with the firrther expenditure of
funds, by providing the Recipient with thirty calendar days prior written notice.
(c) The parties may agree to terminate this Agreement for their mutual convenience through a written
amendment of this Agreement. The amendment shall state the effective date of the termination and the procedures
for proper close-out of the Agreement.
(d) In the event that this Agreement is terminated, the Recipient will not incur new obligations for the
terminated portion of the Agreement after the Recipient has received the notification of termination. The Recipient
will cancel as many outstanding obligations as possible. Costs incurred after receipt of the termination notice will
be disallowed. The Recipient shall not be relieved of liability to the Department because of any breach of
Agreement by the Recipient. The Department may, to the extent authorized by law, withhold payments to the
Recipient for the purpose of set -off until the exact amount of damages due the Department from the Recipient is
determined.
Contract Revised: 10/0412011 7
lOF
(13) NOTICE AND CONTACT
(a) All notices provided under or pursuant to this Agreement shall be in writing, either by hand
delivery, or fast class, certified mail return receipt requested, to the representative identified below at the address
set forth below and said notification attached to the original of this Agreement.
(b) The name and address of the Division contract manager for this Agreement is:
Carlos B. Collins
Department of Economic Opportunity
Division of Housing and Community Development
MSC-400
107 East Madison Street
Tallahassee, Florida 32399 -6508
Telephone: (850) 717 -8438
Fax: (850) 488 -2488
Email: Carlos.Collins@deo.myflorida.com
(c) The name and address of the Representative of the Recipient responsible for the administration of
this Agreement is:
Lisa Oien
3301 E. Tamiami Trail Naples, FL 34112
Telephone: (239) 252 -8442
Fax: (239) 403 -2331
Email: lisaoien@colliergov.net
(d) In the event that different representatives or addresses are designated by either party after
execution of this Agreement, notice of the name, title and address of the new representative will be provided as
stated in (13)(a) above.
(14) SUBCONTRACTS
If the Recipient subcontracts any of the work required under this Agreement, a copy of the signed
subcontract must be forwarded to the Department for review and approval. The Recipient agrees to include in the
subcontract that (i) the subcontractor is bound by the terns of this Agreement, (ii) the subcontractor is bound by all
applicable state and federal laws and regulations, and (iii) the subcontractor shall hold the Department and Recipient
harmless against all claims of whatever nature arising out of the subcontractor's performance of work under this
Agreement, to the extent allowed and required by law. The Recipient shall document in the quarterly report the
subcontractor's progress in performing its work under this Agreement.
Contract Revised: 10/04/2011 8
lOF
For each subcontract, the Recipient shall provide a written statement to the Department as to whether
that subcontractor is a minority vendor, as defined in Section 288.703, Fla. Stat.
(15) TERMS AND CONDITIONS
This Agreement contains all the terms and conditions agreed upon by the parties.
(16) ATTACHIyIEIVTS
(a) All attachments to this Agreement are incorporated as if set out fully.
(b) In the event of any inconsistencies or conflict between the language of this Agreement and the
attachments, the language of the attachments shall control, but only to the extent of the conflict or inconsistency.
(17)
funds.
(c) This Agreement has the following attachments (check all that are applicable):
® Exhibit I - Funding Sources
® Attachment A — Budget and Scope of Work
® Attachment B — Program Statutes and Regulations
❑ Attachment C — Recordkeeping (N /A)
® Attachment D — Reports
❑ Attachment E — Justification of Advance (N /A)
® Attachment F — Warranties and Representations
® Attachment G — Certification Regarding Debarment
❑ Attachment H — Statement of Assurances (N /A)
® Attachment I — Activity Work Plan
® Attachment J — Program and Special Conditions
® Attachment K — Civil Rights Compliance Assurance
® Attachment L — Signature Authorization Form
(a) The funding for this Agreement shall not exceed $3,335,131.91, subject to the availability of
(b) The Recipient agrees to expend funds in accordance with the Budget and Scope of Work,
Attachment A of this Agreement, and the Subgrant Application.
(c) All funds shall be requested in the manner prescribed by the Department. The authorized
signatory for the Recipient as set forth on the Signature Authorization Form, Attachment K to this Agreement, must
approve the submission of each Request for Funds (RFFs) on behalf of the Recipient.
(d) Pursuant to 24 C.F.R. Section 570.489(b), pre - agreement costs reflected in the Subgrant
Application as originally submitted that relate to preparation of the Subgrant Application are considered eligible
costs and may be reimbursed to the Recipient, if they are otherwise in compliance with all other requirements of the
Agreement.
Contract Revised: 10/04/2011 9
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(e) Funds expended for otherwise eligible activities prior to the effective date of the Agreement,
except for those provided for in this Agreement or prior to the effective date of the enabling amendment wherein the
Department agrees to their eligibility, fundability, or addition to the Agreement, or a separate letter authorizing such
costs, are ineligible for funding with CDBG funds.
If the necessary fiords are not available to fund this Agreement as a result of action by the United
States Congress, the federal Office of Management and Budgeting, the State Chief Financial Officer, or under
subparagraph (19)(h) of this Agreement, all obligations on the part of the Department to make any further payment
of funds shall terminate, and the Recipient shall submit its closeout report within thirty days of receiving notice
from the Department.
(18) REPAYMENTS
All refunds or repayments to be made to the Department under this Agreement are to be made payable
to the order of "Department of Economic Opportunity" and mailed directly to the Department at the following
address:
Department of Economic Opportunity
Community Development Block Grant Programs Cashier
MSC -400
107 East Madison Street
Tallahassee, Florida 32399 -6508
In accordance with Section 215.34(2), Fla. Stat.• if a check or other draft is retumed to the Department
for collection, Recipient shall pay to the Department a service fee of Fifteen Dollars ($15.00) or Five Percent (5 %)
of the face amount of the returned check or draft, whichever is greater.
(a) The validity of this Agreement is subject to the truth and accuracy of all the information,
representations, and materials submitted or provided by the Recipient in this Agreement, in any later submission or
response to a Department request, or in any submission or response to fulfill the requirements of this Agreement.
All of said information, representations, and materials are incorporated by reference. The inaccuracy of the
submissions or any material changes shall, at the option of the Department and with thirty days written notice to the
Recipient, cause the termination of this Agreement and the release of the Department from all its obligations to the
Recipient.
(b) This Agreement shall be construed under the laws of the State of Florida, and venue for any
actions arising out of this Agreement shall be in the Circuit Court of Leon County. If any provision of this
Agreement is in conflict with any applicable statute or rule, or is unenforceable, then the provision shall be null and
void to the extent of the conflict, and shall be severable, but shall not invalidate any other provision of this
Agreement.
(c) Any power of approval or disapproval granted to the Department under the terms of this
Agreement shall survive the term of this Agreement.
Contract Revised: 10/04/2011 10
(d) This Agreement may be executed in any number of counterparts, any one of which may be taken
as an original.
(e) The Recipient agrees to comply with the Americans With Disabilities Act (Public Law 101 -336,
42 U.S.C. Section 12101 et M. and the Florida Civil Rights and Fair Housing Acts (sections 760.01 — 760.37,
Florida Statutes), which prohibit discrimination by public and private entities on the basis of disability in
employment, public accommodations, transportation, state and local government services, and telecommunications.
(f) A person or organization who has been placed on the convicted vendor list following a conviction
for a public entity crime or on the discriminatory vendor list may not submit a bid on a contract to provide any
goods or services to a public entity, may not submit a bid on a contract with a public entity for the construction or
repair of a public building or public work, may not submit bids on leases of real property to a public entity, may not
be awarded or perform work as a contractor, supplier, subcontractor, or consultant under a contract with a public
entity, and may not transact business with any public entity in excess of $25,000.00 for a period of 36 months from
the date of being placed on the convicted vendor list or on the discriminatory vendor list.
(g) Any Recipient which is not a local government or state agency, and which receives funds under
this Agreement from the federal government, certifies, to the best of its knowledge and belicf, that it and its
principals:
1. are not presently debarred, suspended, proposed for debarment, declared ineligible, or
voluntarily excluded from covered transactions by a federal department or agency;
2. have not, within a 5 -year period preceding this proposal been convicted of or had a civil
judgment rendered against them for commission of fraud or a criminal offense in connection with obtaining,
attempting to obtain, or performing a public (federal, state or local) transaction or contract under public transaction;
violation of federal or state antitrust statutes or commission of embezzlement, theft, forgery, bribery, falsification or
destruction of records, making false statements, or receiving stolen property;
3. are not presently indicted or otherwise criminally or civilly charged by a governmental entity
(federal, state or local) with commission of any offenses enumerated in paragraph 19(g)2. of this certification; and
4. have not within a 5 -year period preceding this Agreement had one or more public transactions
(federal, state or local) terminated for cause or default.
If the Recipient is unable to certify to any of the statements in this certification, then the Recipient
shall attach an explanation to this Agreement.
In addition, the Recipient shall send to the Department (by email or by facsimile transmission) the
completed "Certification Regarding Debarment, Suspension, Ineligibility and Voluntary Exclusion"
(Attachment G) for each intended subcontractor which Recipient plans to fund under this Agreement. Such
form must be received by the Department before the Recipient enters into a contract with any subcontractor.
Contract Revised: 10/04/2011 1 I
lOF
(h) The State of Florida's performance and obligation to pay under this Agreement is contingent upon
an annual appropriation by the Legislature, and subject to any modification in accordance with Chapter 216, Fla.
t_l. or the Florida Constitution.
(i) All bills for fees or other compensation for services or expenses shall be submitted in detail
sufficient for a proper preaudit and postaudit thereof
0) Any bills for travel expenses shall be submitted in accordance with Section 112.061, Fla. Stet.
(k) The Department of Economic Opportunity reserves the right to unilaterally cancel this Agreement
if the Recipient refuses to allow public access to all documents, papers, letters, or other material subject to the
provisions of Chapter 119, Fla. Stat., which the Recipient created or received under this Agreement.
(1) If the Recipient is allowed to temporarily invest any advances of funds under this Agreement, any
interest income shall either be returned to the Department or be applied against the Department's obligation to pay
the contract amour.
(m) The State of Florida will not intentionally award publicly funded contracts to any contractor who
knowingly employs unauthorized alien workers, constituting a violation of the employment provisions contained in
8 U.S.C. Section 1324a(e) [Section 274A(e) of the Immigration and Nationality Act ( "INA ")). The Department
shall consider the employment by any contractor of unauthorized aliens a violation of Section 274A(e) of the INA.
Such violation by the Recipient of the employment provisions contained in Section 274A (e) of the INA shall be
grounds for unilateral cancellation of this Agreement by the Departmem.
(a) The Recipient is subject to Florida's Government in the Sunshine Law (Section 286.011, Fla.
Stat.) with respect to the meetings of the Recipient's governing board or the meetings of any subcommittee making
recommendations to the governing board. All of these meetings shall be publicly noticed, open to the public, and
the minutes of all the meetings shall be public records, available to the public in accordance with Chapter 119, ,Fla.
Stat.
(20) LOBBYING PROHIBITION
(a) No funds or other resources received from the Department under this Agreement may be used
directly or indirectly to influence legislation or any other official action by the Florida Legislature or any state
agency.
(b) The Recipient certifies, by its signature to this Agreement, that to the best of his or her knowledge
and belief:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the
Recipient, 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.
Contract Revised: 10/04/2011 12
IOF
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 Recipient shall complete and submit Standard Form -LLL, "Disclosure
Form to Report Lobbying."
3. The Recipient shall require that this certification be included in the award documents for all
subawards (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and
that all subrecipients shall certify and disclose.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into
this transaction imposed by Section 1352, Title 31, U.S. Code. Any person who fails to file the required
certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such
failure.
(21) COPYRIGHT. PATENT AND TRADEMARK
ANY AND ALL PATENT RIGHTS ACCRUING UNDER OR IN CONNECTION WITH THE
PERFORMANCE OF THIS AGREEMENT ARE HEREBY RESERVED TO THE STATE OF FLORIDA.
ANY AND ALL COPYRIGHTS ACCRUING UNDER OR IN CONNECTION WITH THE
PERFORMANCE OF THIS AGREEMENT ARE HEREBY TRANSFERRED BY THE RECIPIENT TO
THE STATE OF FLORIDA.
(a) If the Recipient has a pre- existing patent or copyright, the Recipient shall retain all rights and
entitlements to that pre - existing patent or copyright unless the Agreement provides otherwise.
(b) If any discovery or invention is developed in the course of or as a result of work or services
performed under this Agreement, or in any way connected with it, the Recipient shall refer the discovery or
invention to the Department for a determination whether the State of Florida will seek patent protection in its name.
Any patent rights accruing under or in connection with the performance of this Agreement are reserved to the State
of Florida. If any books, manuals, films, or other copyrightable material are produced, the Recipient shall notify the
Department. Any copyrights accruing under or in connection with the performance under this Agreement are
transferred by the Recipient to the State of Florida.
(c) Within thirty days of execution of this Agreement, the Recipient shall disclose all intellectual
properties relating to the performance of this Agreement which he or she knows or should know could give rise to a
patent or copyright. The Recipient shall retain all rights and entitlements to any pre - existing intellectual property
which is so disclosed. Failure to disclose will indicate that no such property exists. The Department shall then,
under Paragraph (b), have the right to all patents and copyrights which accrue during performance of the Agreement.
Contract Revised: 10/04/2011 13
10F
(22) LEGAL AUTHORIZATION.
The Recipient certifies that it has the legal authority to receive the funds under this Agreement and that its governing
body has authorized the execution and acceptance of this Agreement. The Recipient also certifies that the
undersigned person has the authority to legally execute and bind Recipient to the terms of this Agreement
(23) ASSURANCES.
The Recipient shall comply with any Statement of Assurances incorporated as Attachment H.
Contract Revised: 10/04/2011 14
STATE OF FLORIDA
DEPARTMENT OF ECONOMIC OPPORTUNITY
FEDERALLY FUNDED SUBGRANT AGREEMENT
SIGNATURE PAGE
Contract Number 12DB- P5-09- 21 -01 -K 39
IOF
IN WITNESS WHEREOF, the parties have executed this Agreement by their duly authorized officers on ;
the day, month and year set forth below.
RECIPIENT
By: Date: L l 201?,
(Authorized Signature)
FRE b w, e-o ��
(Print Name)
DEPARTMENT OF ECONOMIC OPPORTUNITY
By: Date:
(Authorized Signature)
Type Name: Ken Rem
Title: 6� A-%O- M AN, a o a e d o O, Title: Assistant Director. Division of Community
Cvvnky Cc,,Mmt-Sst0nQ0L3. Development
Federal Tax ID# 5 ej — (p 000 5 5-e'
DUNS# G —7 (0 9cf 7 790
-Al` P "�"
DW T, $Rte k
o
/ .. ";.,';'j tUr it
Appfoyyed as to form & ieg a
AsslstaV County Attornl ty
,j �,N r-1 -�LE Q�— Y3. W�'A tiZ
Contract Revised: 10/04/2011 15
IOF
EXIHBTT —1
THE FOLLOWING FEDERAL RESOURCES ARE AWARDED TO THE RECIPIENT UNDER THIS
AGREEMENT:
Separately list the following information for each federal program from which the resources awarded to the
Recipient originate.-
THE FOLLOWING COMPLIANCE REQUIREMENTS APPLY TO THE FEDERAL RESOURCES AWARDED
UNDER THIS AGREEMENT:
Separately list each applicable compliance requirement (eligible activities, service, or commodities; eligible
recipients; etc.) and specify to which federal program each requirement applies:
Compliance Requirement Program
1. The Recipient willfully perform the obligations in accordance with the Community Development
Budget and Scope of Work, Attachment A of this Agreement, the Block Grant Disaster
subgrant application incorporated herein by reference, and 24 C.F.R, Recovery Program
Subpart I, Sections 570.480 — 570.497.
The Recipient shall be governed by 290.401 -409, F.S, Rule 9 B-43, F.A.C.
and Federal Laws, rules and regulations, including but not limited to those
identified in Attachments B and J
Contract Revised: 10/04/2011 16
Community
Development
Block Grant
Program
Federal agency
U.S. Department of
Housing and Urban
Development
Catalog of Federal Domestic Assistance title:
Community
Development
Block
Grants/State's
Program and
Nonentitlemem
Grants
Catalog of Federal Domestic Assistance #:
14.228
Award amount:
$3,335,131.91
THE FOLLOWING COMPLIANCE REQUIREMENTS APPLY TO THE FEDERAL RESOURCES AWARDED
UNDER THIS AGREEMENT:
Separately list each applicable compliance requirement (eligible activities, service, or commodities; eligible
recipients; etc.) and specify to which federal program each requirement applies:
Compliance Requirement Program
1. The Recipient willfully perform the obligations in accordance with the Community Development
Budget and Scope of Work, Attachment A of this Agreement, the Block Grant Disaster
subgrant application incorporated herein by reference, and 24 C.F.R, Recovery Program
Subpart I, Sections 570.480 — 570.497.
The Recipient shall be governed by 290.401 -409, F.S, Rule 9 B-43, F.A.C.
and Federal Laws, rules and regulations, including but not limited to those
identified in Attachments B and J
Contract Revised: 10/04/2011 16
10F
NOTE: Instead of listing the sped compliance requirements as shown above, the State awarding agency may elect
to use language that requires the Recipient to comply with the requirements of applicable provisions of specific
laws, rules, regulations, etc. For example, for Federal Program 1, the language may state that the Recipient must
comply with speck laws, rules, or regulations that pertain to how the awarded resources must be used or how
eligibility determinations are to be made. The State awarding agency, ifpractical, may want to attach a copy of the
sped law, rule, or regulation referred to.
NOTE: For federal programs included in Exhibit 1, Section .400(d) of OMB Circular A -133, as revised requires,
and for state projects included in Exhibit 1, Section 213.97(5)(a), Florida Statute, requires the information in
Exhibit I to be provided to the Recipient.
Contract Revised: 10/04/2011 17
IOF
ATTACHMENT A
SCOPE OF WORK AND BUDGET
Contract Revised: 10/04/2011
18
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ATTACHMENT B
STATE AND FEDERAL STATUTES AND REGULATIONS
By signature of this Agreement, the local government hereby certifies that it will comply with the
following applicable federal and state requirements:
State and Federal Statutes and Regulations
2.
3.
4.
5.
6.
7.
8.
9.
10.
11
12.
13.
14.
15.
16.
17.
18.
19.
20.
91
22.
23.
24.
25.
26.
27.
28.
29.
30.
31
Community Development Block Grant Disaster Recovery
Emergency Ruk 9BER09 -2;
Florida Small and Minority Business Act, s. 288.702-
288.714, F.S.;
Florida Coastal Zone Protection Act, a. 16152- 161.58, F.S.;
Local Government Comprehensive Planning and Land
Development Regulation Act, Ch. 163, F.S.;
Title I of the Housing and Community Development Act of
1974, as amended
Treasury Circular 1075 regarding dnawdown of CDBG
funds
Sections 290.0401- 290.049, F.S.;
Rule Chapter 9B43, Fla. Admin. Code.;
Department of Economic Opportunity Technical
Memorandums;
HUD Circular Memorandums applicable to the Stroll Cities
CDBG Program;
Single Audit Act or 1984;
National Environmental Policy Act of 1969 and other
provisions of law which furdu r the purpose of this Act;
National Historic Preservation Act of 1966 (Public Law89-
665) as amended and Protection of Historic Properties (24
C.F.R. Pan 800);
Preservation of Archaeological and Historical Data Act of
1%6;
Executive Order 1 1593 - Protection and Enhancement of
Cultural Environment;
Reservoir Salvage Act;
Safe Drinking Water Act of 1974, as amended;
Endangered Species Act of 1958, as amended;
Executive Order 12898 - Environmental Justice
Executive Order 11988 and 24 C.F.R. Part 55 - Floodplain
Management;
The Federal Water Pollution Control Act of 1972, as
amended (33 U.S.C., a. 1251 eLseq.);
Executive Order 11990 - Protection of Wetlands;
Coastal Zone Management Act of 1968, as amended;
Wild and Scenic Rivera Act of 1968, as amended,
Clean Air Act of 1977;
HUD Environmental Standards (24 C.F.R. Part 58);
Farmland Protection Policy Act of 1981;
Clean Water Act of 1977;
Davis- Bacon Wage Rate Acr,
Contract Work Home and Safety Standards Act of 1962.40
U.S.C. s. 327 et. seq.;
The Wildlife Coordination Act of 1958, as amended;
32. The Solid Waste Disposal Act, as amended by the Resource
Conservation and Recovery Act of 1975 (42 U.S.C., a. 6901
et. seq.);
33. Noise Abatement and Control: Departmental Policy
Implementation, Regmusibilities, and Standards, 24 C.F.R.
Part 51, Subpart B;
34. Flood Disaster Protection Act of 1973, P.L 92 -234;
35. Protection of Historic and Cultural Properties under HUD
Programs, 24 C.F.R. Part 59;
36. Costal Zone Management Act of 1972, P.L. 92 -583;
37. Architectural and Construction Standards;
38. Architectural Barriers Act of t%8, 42 U.S.C. 4151;
39. Executive Order 11296, relating to evaluation of flood
hazards;
40. Executive Order 11288, relating to prevention, control and
abatement of water pollution;
41. Coot-Effective Energy Conservation Standards, 24 C.Fit
Part 39;
42. Section 8 Existing Housing Quality Standards, 24 C.F.R.
Pan 882;
43. Coastal Barrier Resource Act of 1982;
44. Federal Fair Labor Standards Act, 29 U.S.C., s. 201 et. seq.;
45. Title VI of the Civil Rights Act of 1964 - Non-
discrimination;
46. Title V111 of the Civil Rights Act of 1968 - Non-
discrimination in housing;
47. Age Discrimination Act of 1975;
48. Executive Order 12892- Fair Housing
49. Section 109 of the Housing and Community Development
Act of 1974, Non-discrimination;
50. Section 504 of the Rehabilitation Act of 1973 and 24 C.F.R.
Part 8;
51. Executive Order 11063 - Equal Opportunity in Housing;
52. Executive Order 11246 - Non-diserinnination;
53. Section 3 of the Housing and Urban Development Act of
1968, as amended - Employmentfrraining of lower income
Residents and local Business Contracting;
54. Uniform Relocation Assistance and Real Property
Acquisition Policies Act of 1970, P.L., 100 -17, and 49
C.F.R. Part 24;
55. Copeland Anti- Kickback Act of 1934;
56. Hatch Act;
57. Title fV Lead -Based Paint Poisoning Prevention Act
(42 U.S.C., s. 1251 ct. seq.);
58. OMB Circulars A -87, A -102, A -122, and A -133, as revised;
59. Administrative Requirements for Grants, 24 C.F.R. Pan 85;
60. Section 102 of the Department of Housing and Urban
Development Reform Act of 1989 and 24 C.F.R. Part 12.
Contract Revised: 10/4/2011 19
lOF
ATTACHMENT C
RECORDKEEPING
N/A
Contract Revised: 10/4/2011 20
10
ATTACHMENT D
REPORTS
The following reports must be completed and submitted to the Department in the time frame indicated. Failure to
timely file these reports constitutes an event of default, as defined in Paragraph (10) of this Agreement.
1. The Contractual Obligation and MBE Report must be submitted to the Department by April 15 and October
15 annually. The form must reflect all contractual activity for the period. If no activity has taken place during the
reporting period, the form must indicate "no activity".
2. A Monthly Quarterly Progress Report must be submitted to the Department on the last day of the month on
the report form provided by the Department.
3. The Administrative Closeout Package must be submitted to the Department forty -five (45) days after the
Agreement termination date.
4 In accordance with OMB Circular A -133, revised, should the Recipient meet the threshold for submission
of a single or program specific audit, the audit must be conducted in accordance with OMB Circular A -133 and
submitted to the Department no later than nine (9) months from the end of the Recipient's fiscal year. If the
Recipient did not meet the audit threshold, a certification must be provided to the Department no later than nine (9)
months from the end of the Recipient's fiscal year.
5. The Section 3 Summary Report must be completed and submitted to the Department by July 31 annually.
The form must be used to report annual accomplishments regarding employment and other economic opportunities
provided to persons and businesses that meet Section 3 requirements.
6. Request for Funds must be completed on the Department's Request for Funds form and submitted in a pdf
format via email by an authorized signatory. Requests for Funds received via email will only be accepted from an
email address that is reflected on the Signature Authority form (Attachment L). The Request for Funds must be
submitted to the following departmental email address: Disaster. Recovery@deo.mytlorlda.com. In addition, a
copy of the request shall be e- mailed to your grant manager with the department.
Contract Revised: 10/42011 21
Contract Revised
10F
ATTACHMENT E
JUSTIFICATION OF ADVANCE PAYMENT
N/A
10F
ATTACHMENT F
WARRANTIES AND REPRESENTATIONS
Financial Management
Recipient's financial management system must include the following:
(1) Accurate, current and complete disclosure of the financial results of this project or program.
(2) Records that identify the source and use of funds for all activities. These records shall contain
information pertaining to grant awards, authorizations, obligations, unobligated balances, assets,
outlays, income and interest.
(3) Effective control over and accountability for all funds, property and other assets. Recipient shall
safeguard all assets and assure that they are used solely for authorized purposes.
(4) Comparison of expenditures with budget amounts for each Request For Payment. Whenever
appropriate, financial information should be related to performance and unit cost data
(5) Written procedures to determine whether costs are allowed and reasonable under the provisions of the
applicable OMB cost principles and the terms and conditions of this Agreement.
(6) Cost accounting records that are supported by backup documentation.
Competition
All procurement transactions shall be done in a manner to provide open and free competition. The Recipient shall be
alert to conflicts of interest as well as noncompetitive practices among contractors that may restrict or eliminate
competition or otherwise restrain trade. In order to ensure excellent contractor performance and eliminate unfair
competitive advantage, contractors that develop or draft specifications, requirements, statements of work, invitations
for bids and/or requests for proposals shall be excluded from competing for such procurements. Awards shall be
made to the bidder or offeror whose bid or offer is responsive to the solicitation and is most advantageous to the
Recipient, considering the price, quality and other factors. Solicitations shall clearly set forth all requirements that
the bidder or offeror must fulfill in order for the bid or offer to be evaluated by the Recipient. Any and all bids or
offers may be rejected when it is in the Recipient's interest to do so.
Contract Revised: 10/4/2011 23
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Codes of Conduct
The Recipient shall maintain written standards of conduct governing the performance of its employees engaged in
the award and administration of contracts. No employee, officer, or agent shall participate in the selection, award, or
administration of a contract supported by public grant funds if a real or apparent conflict of interest would be
involved. Such a conflict would arise when the employee, officer, or agent, any member of his or her immediate
family, his or her partner, or an organization which employs or is about to employ any of the parties indicated, has a
financial or other interest in the firm selected for an award. The officers, employees, and agents of the Recipient
shall neither solicit nor accept gratuities, favors, or anything of monetary value from contractors or parties to
subcontracts. The standards of conduct shall provide for disciplinary actions to be applied for violations of the
standards by officers, employees, or agents of the Recipient.
Business Hours
The Recipient shall have its offices open for business, with the entrance door open to the public, and at least one
employee on site at all reasonable times for business. "Reasonable" shall be construed according to circumstances,
but ordinarily shall mean normal business hours of 8:00 a.m. to 5:00 p.m., local time, Monday through Friday.
Licensing and Permitting
All subcontractors or employees hired by the Recipient shall have all current licenses and permits required for all of
the particular work for which they are hired by the Recipient.
Contract Revised: 10/4/2011 24
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ATTACHMENT G
Subcontractor Covered Transactions
(1) The prospective subcontractor of the Recipient, , certifies, by submission of this
document, 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.
(2) Where the Contractor's subcontractor is unable to certify to the above statement, the prospective contractor
shall attach an explanation to this form.
(Sub - Contractor's Name)
Daw:
(Authorized Signature)
(Print Name and Title)
(Street Address)
(City, State, Zip)
(Recipient's Name)
120515- 09- 21 -01 -K 39
(DEO Contract Number)
Contract Revised: 10/42011 25
IOF
ATTACHMENT H
STATEMENT OF ASSURANCES
NIA
Contract Revised: 10/4/2011 26
IOF
ATTACHMENT I
ACTIVITY WORK PLANS
Contract Revised: 10/4/2011 27
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ATTACHMENT J: PROGRAM AND SPECIAL CONDITIONS
1. Prior to the obligation or disbursement of any funds, except for administrative expenses not to exceed
Fifteen Thousand Dollars ($15,000), but in any case, no later than ninety-days (90) from the effective date
of this Agreement, the Recipient shall complete the following:
a. Comply with prooedures set forth in 24 C.F.R. Part 58, Environmental Review Procedure for Title
I Community Development Block Grant Programs and 40 C.F.R. Section 1500 -1508, National
Environmental Policy Act Regulations. When this condition has been fulfilled to the satisfaction
of the Department, the Department will issue a Release of Funds.
b. Submit to the Department copies of all required policies and procedures that have been adopted by
the local government but were not provided at the time of original Application. Also, unless
submitted with the grant application, submit an executed copy of the required inter -local
Agreement if more than one local goverment will receive funding under this contract.
C. The documentation requited in paragraph 2 below for any professional services contract
associated with activities funded under this grant
2. For each procured and executed professional services contract for which Disaster funding will be
requested, or within five (5) days of the execution of any yet to be procured professional services for
which Disaster funding will be requested, submit a gM of the procurement documents listed below. The
recipient proceeds at its own risk if it incurs or expends any funds for a professional services contract
before the Department reviews and approves the procurement.
a. Public notice of the terms of the request for proposals in a newspaper of regional circulation,
including affidavit of publication;
b. List of entities to whom a notification of the request for proposals was provided by email, U.S
mail or by fax;
C. List of firms that submitted a proposal (only if short- listing procedure was used);
d. Completed short- listing evaluation / ranking forms, including any ranking summary document,
and document transmitting the short- listed firms to the commission (only if short - listing procedure
used);
Contract Revised: 10/4/2011 28
ioF
e. Completed final evaluation / ranking forms;
f. Portion of commission minutes dealing with contract award;
g. Cost breakout from selected firm used for completion of the cost analysis (if pricing information
was not submitted with proposals);
h. Contract (signed or proposed);
i. Truth -in- Negotiation certification (if not in the contract) for engineering contracts over $150,000;
j. If a protest was filed, a copy of the protest and documentation of resolution;
k A request for the Department's approval of a single source procurement if only one firm was
considered and the contract exceeds $25,000;
1. If a regional planning council or local government is performing the services, submit only a copy
of the contract and cost analysis information
3 The Recipient shall not enter into a contract to be paid with Disaster fiords based on a sole source or single
proposal procurement action without prior written approval from the Department. Failure to secure the
prior written approval shall relieve the Department of any obligation to fund the said procurement contract,
including any payments previously made. If professional services procurement will not be undertaken,
advise the Department.
4. For any activity that requires construction plans and specifications prepared by an engineer or architect
a. Provide to the Department a copy of all engineering specifications and construction plans. The
Recipient shall also furnish the Department, prior to soliciting bids or proposals, a copy of all bid
documents for all services and/or materials to provide those services and/or materials for all
construction activities when the bids are expected to exceed $25,000. These submissions are for
the limited purpose of identifying the extent of the activities to be accomplished with Disaster
funds under this Agreement, and inclusion of program requirements, and in no way does it
indicate that the Department has conducted a technical review of, or approved the plans or other
bidding documents;
Contract Revised: 10/4/2011 29
IoF
b. The Recipient shall not publicize any request for bids for construction purposes or distribute bid
packages until the Department has provided to the Recipient, written acceptance of the
engineering specifications, construction plans, and bid documents; and
C. In any service area which requires construction plans and specifications prepared by an engineer
or architect, no more than twenty -five percent (25 %) of . the grant activity delivery amount
allocable to that service area may be requested until the construction plans and specifications for
that service area have been received for review by the Department. For the purpose of this
condition, the allocable grant activity delivery amount for each service area is calculated by first
determining each service area's percentage of total project costs, excluding administrative costs,
and then multiplying the service area's percentage of total project costs by the total administrative
budget. This calculation results in a percentage of total activity delivery costs per service area
based on each service areas percentage of the grants total project costs, excluding administrative
costs.
5. Any procurement which requires public notice in a newspaper (except as otherwise provided for in this
contract) shall be published in a daily newspaper of general circulation in a nearby Office of Management
and Budget (OMB) designated metropolitan statistical area (MSA). Alternatively, a local government may
substitute such notice with a combination of local newspaper publication and mailed announcements to
potential bidders, which generates at least three responsible and responsive bids or proposals. Such
publication and/or mailing shall allow at least 12 days for receipt of the proposals or bids.
a. The Department must provide written permission prior to the local government awarding any
contract exceeding $25,000 procured as a result of inadequate competition, a sole source or
noncompetitive procurement. For contracts below 525,000, the local government's files must
document the justification for such noncompetitive procurement which complies with 24 C.F.R.
85.36(b)(4).
No Request of Proposals or bid advertisement shall include a "minimum experience" clause in
order to submit a proposal or bid.
b. All contracts for professional services shalt conform to the following:
i. Any Request for Proposals which includes more than one service shall provide that:
Proposals may be submitted for one or more of the services; qualifications and proposals
shall be separately stated for each service; The evaluation of the proposals shall be
separate for each service.
Contract Revised: 10/4/2011 30
IOF
ii. A written evaluation, such as a ranking sheet or narrative, shall be prepared for each
proposal, ranking or comparing each proposal to the criteria in the published Request for
Proposals. Based on those criteria, the written evaluation will document why the
successful proposal was selected.
iii. A separate professional services contract must be procured and executed between the
local government and any professional services consultant for each particular CDBG
subgrant and each service. Each advertisement for procurement of CDBG professional
services, except for subgrant application preparation, must identify or the CDBG
subgrant agreement to which it is applicable.
iv. Each professional services contract must reference the CDBG subgrant agreement to
which it is applicable.
C. If CDBG and other sources of funding are being jointly used to fund activities under a single
contract, the activities to be paid for with CDBG funds must be shown separately in the bid
proposal so that the CDBG activities and the amount of the contract to be paid from CDBG funds
are identifiable.
d. I> after applying any specified deductive alternates, construction bids exceed available funds, the
local government shall not negotiate with the low bidder unless there is only one bidder or all
bidders are allowed to submit revised bids for the revised project.
C. If the construction cost can be reduced by deleting entire line items or reducing quantities based on
unit prices identified in the bid, the effect of such deletions or reductions on all bidders' prices
shall be determined. Contract award shall be made to the low, responsive and responsible bidder
for the revised project.
f. All contracts in excess of $100,000 covered by Section 3 regulations shall contain the language
required in 24 C.F.R. 135.38.
6. Should the Recipient be undertaking any activity subject to the Uniform Relocation Assistance and
Real Property Acquisition Policies Act of 1970 (URA), as amended, and:
a. Disaster funds will not be used for the cost of acquisition, the Recipient shall document
completion of the acquisition by submitting all documentation required for a desk monitoring of
the acquisition, including notice to the property owner of their rights under URA, invitation to
accompany the appraiser, all appraisals, offer to the owner, acceptance, contract for sale,
statement of settlement costs, copy of deed, waiver of rights (for donations), as applicable.
Contract Revised: 10/4/2011 31
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The documentation shall be submitted within 45 days of acquiring the property and prior to
advertising for construction bids for any activity that required the acquisition.
b. Disaster funds ydn be used for the cost of acquisition, the Recipient shall document completion of
all pre- acquisition activities by submitting all documentation required for a desk monitoring of
those activities, including notice to the property owner of their rights under URA, invitation to
accompany the appraiser, all appraisals, offer to the owner, acceptance, contract for sale, waiver
of rights (for donations), and estimated settlement costs, as applicable. The documentation
shall be submitted to the Department for review prior to closing on the property. A copy of
the final statement of settlement costs and a copy of recorded deed, with any required deed
restrictions, shall be submitted within 45 days of the acquisition.
7. Payment for the acquisition of property, right -of -way, or easement must be approved in writing by the
Department prior to distribution of funds. Should the Recipient fail to obtain Department approval, any
portion of the cost of the acquisition exceeding Fair Market Value as established in the Housing and
Urban Development (HUD) Handbook 1378 shall not be paid with Disaster funds. Furthermore, if grant
funds are used for acquisition, the requirements of 24 CFR 570.83 (e) (2) regarding final use or
disposition shall be met.
8. If grant funds are used for acquisition of property for, or infrastructure in support of, LMI housing
construction, construction of the housing must be completed and LMI benefit documented during the sub-
grant period.
9. No payment from the Department shall be for an amount less than $5,000, unless it is a local government's
final request for funds. Additionally, all funds requested from the department must be expended within 3
days of receipt.
10. If the project involves installation of new sewer lines, or a new sewer treatment plant funded (partially
or wholly) from Disaster funds and new sewer lines funded by another source, the Recipient shall
document notification to appropriate households of the requirement in Section 381.00655(1), Fla. Stat.
(1995) to hookup to the sewer system within 365 days of its availability. (Note that the notification is to be
provided at least one year prior to the anticipated availability of the system.) Special assessments or impact
fees cannot be charged to households that are to be hooked-up to a water or sewage system.
11. The maximum percentage of CDBG funds that may be spent on design architectural and engineering costs,
excluding additional engineering services, shall be based on the total initial construction budget for eligible
subgrant activities which require architecture and engineering design and shall not exceed the Rural
Contract Revised: 10/4/2011 32
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Development (RD) Rural Utility Service (RUS) fee schedule in Florida RUS Bulletin 1780 -9 (rev.
10/2009), incorporated herein by reference. Engineering and architectural services during construction
shall not exceed the Rural Development (RD) Rural Utility Services (RUS) fee schedule in Florida RUS
Bulletin 1780 -9 (rev. 6/2007), incorporated herein by reference.
a. If more than one design professional is needed for an activity or activities (e.g., a landscape
architect in addition to an engineer for sidewalk construction in a Commercial Revitalization
project), the local government shall not exceed the appropriate RD/RUS fee curve for each
activity covered by each design professional negotiated separately. For projects involving both
Table I and H activities, engineering costs shall be pro -rated appropriately. The Department will
not fund or reimburse costs of engineering activities that are not eligible under the Rural Utilities
Service (RUS) fee schedule or those costs that exceed the RUS rates.
12. The Recipient, by executing this Agreement, certifies that program income received and retained by the
local government before closeout of the grant will be used to continue grant activities in compliance with
all applicable requirements of 25 C.F.R. Section 570.489(e). The amount of program income earned and
expended must be reported to the Department on a quarterly basis.
13. The Recipient shall undertake quarterly activities to affirmatively further fair housing pursuant to 24 C.F.R.
Section 570.487(b)(4). Quarterly shall be defined as an activity every three months for each year from the
effective date of the contract to the date of submission of the administrative closeout The same fair
housing activity cannot be repeated within the four quarterly periods for the 12 month period.
14. A deed restriction shall be recorded on any real property or facility acquired with Disaster funds. This
restriction shall limit the use of that real property or facility to the use stated in the Application and that title
shall remain in the name of the Recipient Such deed shall be made a part of the public records in the
Clerk of Court of the County in which the Recipient is located. Any future disposition of that real property
shall be in accordance with 24 C.F.R. Section 85.31. Any future change of use shall be in accordance
with 24 C.F.R. Section 570.4890).
15. The Recipient shall conduct all public hearings relating to this Agreement and performance hereunder in
a location that is accessible to physically handicapped persons or make such accommodations as
necessary to provide for active participation of handicapped persons desirous of attending such public
hearings.
16. All amendments to the activities contained in the application, including proposed new activities must be
approved by the Department in writing prior to the date of initiation of that activity or the execution of any
Contract Revised: 10/4/2011 33
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contract with any third party relating to such activity. The Department reserves the right to require that
an activity meeting the Low to Moderate Income (LMI) national objective be replaced with another activity
meeting the LMI national objective if the original activity cannot be completed.
17. All requests for subgrant amendments shall include the following written documentation for review by the
Department:
R. A cover letter signed by the Chief Elected Official or his or her designee which describes the need
for the proposed changes and their effect upon the approved project
b. All application forms that would be changed by the proposed amendment.
C. If applicable, a revised activity work plan; a revised budget showing the current and amended
budget If there is a change in activity location, a legible map which indicates the proposed
change.
d. If applicable, a copy of the minutes of the meeting of the Citizen's Advisory Task Force (CATF)
when the proposed amendment was reviewed.
e. If applicable, a copy of the public notice of the public notice for the public hearing at which the
amendment was approved.
f. Signature of the Chief Elected Official on Modification Form DCA 07.02.
g. The amendment must be received by the Department at least 45 days prior to the end of the
subgrant agreement. If the amendment is extending the subgrant agreement period, it must be
received by the Department at least 90 days prior to the end of the subgrant agreement.
h. If the local government requests administrative closeout prior to the termination date of the
subgrant agreement, any amendment affecting closeout and requiring Department approval must
be included with the closeout
i. Any proposed amendment extending the termination date of the subgrant agreement must be
approved by the Department. The local government must explain any delay affecting project
completion and must justify the need for the extension.
18. The Recipient shall comply with the historic preservation requirements of 24 C.F.R. 58.17 and the
Secretary of the Interior's Standards for Rehabilitation and Guidelines for Rehabilitating Historic Buildings
and with all other environmental regulatory requirements.
19. Conflicts of interest relating to procurement shall be addressed pursuant to 24 C.F.R. Section 570.489(8).
Conflicts of interest relating to acquisition or disposition of real property, Disaster financial assistance to
beneficiaries, businesses, or other third parties; or any other financial interest, whether real or perceived,
shall be addressed pursuant to 24 C.F.R. Section 570.489(h).
Contract Revised: 10/4/2011 34
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20. The Recipient shall maintain records of its expenditure of funds from all sources that will allow accurate
and ready comparison between the expenditures and the contracted budget line items by service area
contracted activity as defined on Attachment A, Budget and Scope of Work, and on Attachment I, Activity
Work Plans.
21. If an activity is designed by an engineer, architect, or other licensed professional, it shall be certified upon
completion by a licensed professional as meeting the specifications of the design, as may have been
amended by change orders. The date of completion of construction shall be noted as part of the
certification. This certification shall be accomplished prior to submission of an administrative closeout
package, and a copy of the certification shall be submitted with the administrative closeout package.
22. If, as a result of a site visit, the Department identifies any issues affecting the eligibility for funding any
activity in the application, the local government shall provide information necessary to establish eligibility
for the activity under the Disaster Recovery initiative program requirements or replace the activity with a
new activity meeting program requirements.
23. Following demolition of a structure on private property, the local government shall place a Lien against the
real property for the cost of demolition. If the lien is not recorded against the real property, then the
demolition cost is not an eligible cost under the grant. A lien is not required when the demolition is
needed for residential reconstruction completed during the sub -grant period. A copy of the lien shall be
maintained in the project files. When the lien is paid, the funds shall be treated as program income in
accordance with CDBG regulations in 24 CFR 570.
24. For any activity performed as an "urgent need," the project files shall document that the activity meets the
requirements of 24 CFR 570.483 (d) to qualify under the "urgent need" national objective. For these
disaster recovery funds, the "threat to health or welfare" portion of the requirements may be established in
the context of the 2008 hurricane season damage. The Recipient must submit an appropriate and properly
completed National Objective Form, including attachments; to the Department for review and approval
before funds may be drawn down to implement those activities. A copy of the approved National
Objective Form must be maintained in the sub -grant file.
25. If grant funds are used for the "slum and blight" national objective, the Recipient must submit a National
Objective Form, including attachments, to the Department for review and approval before funds may be
drawn down to implement those activities. Before approval, the project files must document that the
activity took place in an area officially designated as "slum" or "blighted" and meets HUD requirements
for "slum and blight" on an area basis, or "slum and blight" on a "spot blight" basis. A copy of the
approved National Objective form must be maintained in the sub -grant file.
Contract Revised: 10/4/2011 35
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26. For activities where hookups or connections are required as a condition for beneficiary access to a Disaster
Recovery funded public improvement, no hookup or connection fees shall be charged to very- low, low
or moderate- income beneficiaries.
27. For any construction contract that requires payment of prevailing wages under the Davis -Bacon and
Related Acts (DBRA), the Recipient shall take the following actions so that the Department may meet its
DBRA tracking and reporting requirements to HUD for these funds:
a. Obtain a wage decision from the Department using its Wage Decision Request form or a
similar document with the same information; and
b. Prior to awarding the construction contract, submit the Bidding Information and
Contractor Eligibility form, or document with the same information, and obtain the
Department's confirmation that the contractor is not excluded from participation in
federally funded projects.
28. Pursuant to the Robert T. Stafford Disaster Assistance and Emergency Relief Act (42 U.S.C. 5155), no
activity may receive assisaance from time funds with respect to any cost that is reimbursable by FEMA,
eligible for Small Business Administration assistance, insurance, or any other program or sources. The
Recipient's project files shall document how compliance with this prohibition on duplication of benefits
was determined for each activity, including sub - recipients and, for housing or other direct benefit activity,
individual beneficiaries. Duplication of benefits identified during monitoring, by an audit, or other means
may require repayment of duplication of benefit fiends.
29. Before expending disaster recovery funds for housing rehabilitation projects, the recipient must receive
prior written approval of release of funds and the file shall document damage by the applicable 2008
storm.
30. Recipients of these Disaster Recovery funds are responsible for management of all subrecipients vendors
and contractors that will receive funding from this grant or will assist the Recipient in carrying out the
activities funded under this grant. Recipients must take steps to ensure compliance with applicable Federal
and State rules and regulations. The Recipient's monitoring must cover each program, function or activity.
Site visits and any necessary review of files should be undertaken on a regular basis to ensure that projects
are being carried out in a timely manner and that they comply with required rules and regulations.
Recipients must report on the subrecipient, vendor and contractor progress on a quarterly basis using the
Department's Quarterly Status Report developed specifically for this Disaster Recovery funding.
Contract Revised: 10/42011 36
Recipients are encouraged to develop written procedures and checklists for accomplishing such monitoring.
During on -site visits, the Department may request documentation that reviews of subrecipients or
contracted work has been monitored on a regular basis.
31. Definitions:
a. Administrative Costs - Administrative cost means the payment of all reasonable costs of
management, coordination, monitoring, and evaluation, and similar costs and carrying charges,
related to the planning and execution of community development activities, which are fimded in
whole or in part under the Florida Community Development Block Grant Disaster Recovery
Program. Administrative costs for the 2008 Disaster Action Plan are 2.5% of the total grant
award. Activity delivery cost means a cost, except engineering, that can be directly associated
with, and is required for, performing a specific activity. Activity delivery costs are charged to the
activity line item. Engineering costs shall be charged to the engineering line item and has a
separate limit. Activity delivery cost is a maximum of 5% for infrastructure and a maximum of
12% for housing activities.
b. Architectural and Engineering Services - Basic services required to be performed by an
architect or engineer licensed by the State of Florida including preliminary engineering, design
services and services during construction except for the following:
i. Site surveys for water treatment plants, sewage treatment works, dams, reservoirs, and
other similar special surveys as may be required, such as route surveys.
ii. Laboratory test, well tests, borings, specialized geological soils, hydraulic or other studies
recommended by the engineer.
iii. Property surveys, detailed description of sites, maps, drawings, or estimates related to
them, assistance in negotiating for land and easement rights.
iv. Necessary data and filing maps for water rights.
v. Redesigns ordered by the owner after final plans have been accepted by the owner and
the local government, except redesigns to reduce the project cost to within the funds
available.
vi. Appearance before courts or boards on matters of litigation or hearings related to the
project.
vii. Preparation of environment assessments or environmental impact statements
viii. Performance of detailed staking necessary for construction of the project in excess of the
control skating.
ix. Provision of the operation and maintenance manual for facilities.
x. Activities required for obtaining state and federal regulatory agency construction permits.
Contract Revised: 10/4/2011 37
lOF
xi. Design of hookups.
x"- Cost of engineering specialties such as electrical; hydro geological services; biologists;
and heating, ventilation, and air conditioning (HVAC).
C. Authorized Signature - the original signature of the Chief Elected Official or the signature of
a person who is designated by charter, resolution, code, ordinance or other official action of the
local government to sign Disaster Recovery related documents. If a signature other than the Chief
Elected Official is submitted, a copy of that designation must accompany that signature.
d. Direct Benefit - CDBG assistance that promotes or enhances individual well -being inchuding
housing rehabilitation, sewer and water hookups, or job creation by a Participating Party.
Activities taking place on private property provide direct benefit. Activities that only meet a
national objective through an area -wide determination and/or on public property (including
easements) do not confer direct benefit.
e• Job Creation Location — is the geographic location within the project area where job creation
activities of the Participating Party and expenditure of non - public funds will occur. This excludes
any locations where public funds from any source are being expended for local government -owed
infrastructure, local government owned public facilities or within public easements or rights -of-
way.
f. Jobs Created — means permanent jobs which were not in existence in the State of Florida prior to
the provision of the disaster assistance and which would not be created without CDBG
Disaster Recovery assistance. In cases where an employer both creates and eliminates jobs, "jobs —
created" means the difference between the new jobs — created and the old jobs eliminated.
g. Jobs Permanent — a full -time position or a full -time equivalent position (2,000 hours annually) as
set forth in the application which is necessary to the overall goals and objectives of a business and
which has no known end, and which will be maintained by the Participating Party for a minimum
of one year from natural conditions or as otherwise clarified in 24 C.F.R. 570.483(bx4).
h. Jobs Retained — a permanent position which, without CDBG Disaster Recovery assistance,
would be abolished by layoffs, plant closing, or other severe economic or natural conditions or as
otherwise clarified in 24 C.F.R. 570.483(b)(4).
i. Jurisdiction — is the corporate limits of a local government.
Contract Revised: 10/4/2011 38
10
j Liquidated Damages - funds paid to a local government by a contractor, vendor, or any other
party pursuant to a pursuant to a CDBG - funded contract when such payment is triggered by
nonperformance or failure to perform on their part. This definition is applicable whether such
funds are withheld by the local government or repaid or rebated to the local government by the
contractor, vendor or third party.
k. Public Notice - defined as an advertisement published in a local newspaper of general circulation
at least five days, and no more than 20 days, prior to the event for which the notice was placed.
The time period shall not include the date of publication of the notice.
1. Section 3 — refers to Section 3 of the Housing and Community Development Act of 1968, as
amended, as effective on 5- 23 -06, and 24 C.F.R. Piri 135, as effective on 5 -23 -06, relating to
employment and other economic opportunities for lower income persons.
m. Service Area - total geographic area to be served by a sugbrant- funded activity. A service area
will encompass all beneficiaries who are reasonably served or would be reasonably served by an
activity.
32. An applicant may propose activities in other eligible jurisdictions as long as the applicant includes an
executed Interlocal Agreement with their application which:
i. Includes as parties all local governments whose jurisdictions are included in the project
and/or service area(s);
ii. Authorizes the applicant to undertake the activities in all jurisdictions included in the
interlocal agreement; and
iii. Atiirms that all activities are consistent with each local government's comprehensive
plan and provides documentation which includes applicable excerpts of each local
government's comprehensive plan in the supporting documentation section of the
application
33. Documenting LMI Benefit and National Objective:
a. HUD Census Data — I.MI benefit may be documented by using HUD- provided Census Data
where the service area geographically corresponds with block groups, census tracts, or local
government geographical limits. A sample -based survey of the beneficiaries must utilize the
"Income Verification Form," Form 28.06, which must correspond with the random sampling
requirements established by HUD in Notice CPD- 05 -06, as effective on 5- 23-06.
Contract Revised: 10/4/2011 39
10F
L The survey process must verify eligibility of any proposed direct benefit activities; certify
the number of projected very low, Iow and moderate income households and
beneficiaries, and the total number of beneficiaries.
ii. Where the sample -based survey results substantially overstate the proportion of persons
with low or moderate income in a service area, the Department will require the local
government to provide supporting evidence which substantiates the survey data. If the
survey results are found to be inaccurate, the application shall be rejected.
iii. For surveys of service areas under 50 households, all households must be surveyed. Any
non - responding household must be assumed to be above low and moderate income. The
number of household members for non - responding households may be verified through
third parties.
iv. For activities where hookups or connections are required for beneficiary access to the
public improvement, low and moderate income benefit shall be determined by the
number of low and moderate income persons in households connected to and able to use
the water, sewer or there infrastructure at the time of administrative closeout.
34. The applicant shall adopt and implement procedures to fulfill regulatory and statutory requirements
relating to Lead -Based Paint pursuant to 24 C.F.R. 570.487, 24 C.F.R. Part 35, and Section 302 of the
Lead -Based Paint Poisoning Prevention Act (42 U.S.C. Section 4822 et seq.). The applicant is required
to:
a. Prohibit use of load -based paint;
b. Notify potential beneficiaries of the hazards of lead -based paint;
c. Inspect properties prior to initiating rehabilitation to determine if lead -based paint is present;
d. Take any necessary actions to ensure the protection of workers and occupants during abatement;
e. Ensure that proper cleanup and disposal procedures are used; and
f. Retain records of enforcement and monitoring for at least three years.
35. At the time of submission of the closeout report, the local government must have available documentation
which verifies its certification that all construction has been completed, inspected and approved by all
parties prior to the subgrant agreement end date and submission of the administrative closeout. Upon
completion of the activities contained in the local government's CDBG Disaster Recovery subgrant
agreement, including any amendments, the local government shall submit to the Department a closeout
which, at a minimum, gives the final statement of costs, certifies that the project and all non - administrative
activities arc completed and accepted, that all costs except those reflected on the closeout, and reflected
on an enclosed final request for funds, and reports demographics of the program's beneficiaries.
Contract Revised: 10/4/2011 40
36. Liquidated damages, rebates, refunds, or any other "non- program income" funds received shall be used
to conduct additional eligible CDBG activities or returned to the Department. Additional direct and
quantifiable costs (i.e., legal fees, court costs, engineering fees or administrative fees) generated by the
incident creating the liquidated dames may be deducted from the total liquidated damages prior to
undertaking additional activities or returning funds to the Department. Use of the funds for additional
eligible CDBG Disaster Recovery activities must be preceded by an amendment to the contract detailing
their use.
Contract
ATTACHMENT J
GRANT SPECIFIC SPECIAL CONDITIONS (IF APPLICABLE)
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ATTACHMENT K
CIVIL RIGHTS COMPLIANCE ASSURANCE
Fair Housing
As a condition for the receipt of Small Cities Community Development Block Grant funds, each recipient must
certify that it will "affirmatively further fair housing" in its community. A recipient shall demonstrate its
commitment to affirmatively further fair housing by implementing the actions listed below.
Each recipient shall do the following:
1) Have in place a fair housing resolution or ordinance that covers all federally protected classes [race, color,
familial status, handicap, national origin, religion, and sex];
2) Publish quarterly a phone number that people can call to ask fair housing questions or register a complaint;
3) Designate an employee who is available Monday through Friday during regular business hours to receive
fair housing calls;
4) Establish a system to record the following:
a) The nature of the calls,
b) The actions taken in response to the calls,
c) The results of the actions taken, and
d) The end results of referrals to other agencies, when applicable;
5) Conduct at least one fair housing activity each quarter (See examples below.), and
6) Display a fair housing poster in the CDBG Office.
The fair housing contact person is expected to have received training so that they can handle fair housing phone
inquires or to refer the inquiries to the appropriate peoplelageneies. Records maintained by the contact will help the
community do the following:
1) Define where discriminatory practices are occurring,
2) Help the community measure the effectiveness of its outreach efforts, and
3) Provide the community with a means to gain information that can be used to design and implement
strategies that will eliminate fair housing impediments.
Examples of fair housing activities include the following:
• Presentations at schools, civic clubs, and neighborhood associations,
• Distributing fair housing materials at libraries, fairs, and businesses,
• Print a fair housing notice on utility bills mailed to residents, and
• Conducting fair housing workshops for city/county employees, realtors, bank and mortgage company
employees, insurance agents, and apartment complex owners.
Contract Revised: 10/4/2011 43
Recipients shall document the fair housing activities and include information about the activities in the comment
section of their quarterly report.
Equal Employment Opportunity
As a condition for the receipt of Small Cities Community Development Block Grant funds, each recipient must
certify that it and the contractors that it hires with CDBG funds will abide by the Equal Employment Opportunity
Laws of the United States. A recipient shall demonstrate its commitment to abide by the laws through the actions
listed below.
Each recipient shall do the following:
1) Have in place an equal employment opportunity resolution or ordinance that protects its applicants and
employees and the applicants and employees of its contractors from discrimination in hiring, promotion,
discharge, pay, fringe benefits, job training, classification, referral, and other aspects of employment, on the
basis of race, color, religion, sex, national origin, disability, age, or genetics;
2) Publish quarterly a phone number that residents can call to ask equal employment opportunity questions or
register a complaint;
3) Designate an employee who is available Monday through Friday during regular business hours to receive
equal employment opportunity calls; and
4) Establish a system to record the following:
a) The nature of the calls,
b) The actions taken in response to the calls, and
c) The results of the actions taken;
Each recipient shall maintain a list of certified minority- and women -owned businesses that operate in its region.
The recipient shall use this list to solicit businesses to bid on CDBG - funded activities and shall provide a copy of the
list to prime contractors to use when they hire subcontractors. The Department of Management Services maintains a
list of certified minority- and women -owned businesses that can be used for this purpose at the following website:
httos:// vendorstrator .dms.myflorid&com/directorv.
Section 504 and the Americans with Disabilities Act (ADA)
As a condition for the receipt of Small Cities Community Development Block Grant funds, each recipient must
certify that it provides access to all Federally funded activities to all individuals, regardless of handicap. A recipient
shall demonstrate its commitment to abide by the laws through the actions listed below.
Each recipient shall do the following:
1) Have in place a resolution or ordinance that is designed to eliminate discrimination against any person who
a) Has a physical or mental impairment which substantially limits one or more major life activities,
b) Has a record of such an impairment, or
c) Is regarded as having such an impairment;
Contract Revised: 10/4/2011 44
IOF
2) Publish a phone number that residents can call to ask questions or register a complaint related to Section
504 or the Americans with Disabilities Act;
3) Designate an employee who is available Monday through Friday during regular business hours to receive
calls; and
4) Establish a system to record the following:
a) The nature of the calls,
b) The actions taken in response to the calls, and
c) The results of the actions taken.
The Section 504 prohibitions against discrimination (See 45 CFR Part 84.) apply to service availability,
accessibility, delivery, employment, and the administrative activities and responsibilities of organizations receiving
Federal financial assistance. A recipient of Federal financial assistance may not, on the basis of disability.
• Deny qualified individuals the opportunity to participate in or benefit from federally funded programs,
services, or other benefits,
• Deny access to programs, services, benefits or opportunities to participate as a result of physical barriers, or
• Deny employment opportunities, including hiring, promotion, training, and fringe benefits, for which they
are otherwise entitled or qualified.
The ADA (Title II, 28 CFR Part 35, and Title 111, 28 CFR Part 36) prohibits discrimination on the basis of disability
in employment, State and local government, public accommodations, commercial facilities, transportation, and
telecommunications. To be protected by the ADA, one must have a disability or have a relationship or association
with an individual with a disability.
Title II covers all activities of State and local governments regardless of the government entity's size or receipt of
Federal funding. Title 11 requires that State and local governments give people with disabilities an equal opportunity
to benefit from all of their programs, services, and activities (e.g. public education, employment, transportation,
recreation, health care, social services, courts, voting, and town meetings). State and local governments are required
to follow specific architectural standards in the new construction and alteration of their buildings. They also must
relocate programs or otherwise provide access in inaccessible older buildings, and communicate effectively with
people who have hearing, vision, or speech disabilities.
Title III covers businesses and nonprofit service providers that are public acconunodations, privately operated
entities offering certain types of courses and examinations, privately operated transportation, and commercial
facilities. Public accommodations are private entities who own, lease, lease to, or operate facilities such as
restaurants, retail stores, hotels, movie theaters, private schools, convention centers, doctors' offices, homeless
shelters, transportation depots, zoos, funeral homes, day care centers, and recreation facilities including sports
stadiums and fitness clubs. Transportation services provided by private entities are also covered by Title M.
Contract Revised: 10/4/2011 45
lOF
Section 3 - Economic Opportunities for Low- and Very Low - Income Persons
Each recipient shall encourage its contractors to hire qualified low and moderate income residents for any job
openings that exist on CDBG - funded projects in the community. The recipient and its contractors shall keep records
to document the number of low and moderate income people who are hired to work on CDBG - funded projects. The
number of low and moderate income residents who are hired to work of the project shall be reported in the comment
section of the quarterly report.
The following clause from 24 CFR Part 135.38 is required to be included in CDBG- funded contracts of $100,000 or
more.
A. The work to be performed under this contract is subject to the requirements of Section 3 of the Housing and
Urban Development Act of 1968, as amended, 12 USC §1701u (Section 3). The purpose of Section 3 is to
ensure that employment and other economic opportunities generated by HUD assistance or HUD- assisted
projects covered by Section 3, shall, to the greatest extent feasible, be directed to low- and very low - income
persons, particularly persons who are recipients of HUD assistance for housing.
B. The parties to this contract agree to comply with HUD's regulations in 24 CFR Part 135, which implement
Section 3. As evidenced by their execution of this contract, the parties to this contract certify that they are
under no contractual or other impediment that would prevent them from complying with the Part 135
regulations.
C. The contractor agrees to send to each labor organization or representative of workers with which the contractor
has a collective bargaining agreement or other understanding, if any, a notice advising the Iabor organization or
workers' representative of the contractor's commitments under this Section 3 clause, and will post copies of the
notice in conspicuous places at the work site where both employees and applicants for training and employment
positions can see the notice. The notice shall describe the Section 3 preference, shall set forth minimum number
and job titles subject to hire, availability of apprenticeship and training positions, the qualifications for each;
and the name and location of the person(s) taking applications for each of the positions; and the anticipated date
the work shall begin.
D. The contractor agrees to include this Section 3 clause in every subcontract subject to compliance with
regulations in 24 CFR Part 135, and agrees to take appropriate action, as provided in an applicable provision of
the subcontract or in this Section 3 clause, upon a finding that the subcontractor is in violation of the regulations
in 24 CFR part 135. The contractor will not subcontract with any subcontractor where the contractor has notice
or knowledge that the subcontractor has been found in violation of the regulations in 24 CFR Part 135.
E. The contractor will certify that any vacant employment positions, including training positions, that are filled (1)
after the contractor is selected but before the contract is executed, and (2) with persons other than those to
whom the regulations of 24 CFR part 135 require employment opportunities to be directed, were not filled to
circumvent the contractor's obligations under 24 CFR Part 135.
Contract Revised: 10/4/2011 46
10
F. Noncompliance with HUD's regulations in 24 CFR Part 135 may result in sanctions, termination of this contract
for default, and debarment or suspension from future HUD assisted contracts.
G. With respect to work performed in connection with Section 3 covered Indian housing assistance, section 7(b) of the
Indian Self - Determination and Education Assistance Act (25 U.S.C. 450e) also applies to the work to be performed
under this contract. Section 7(b) requires that to the greatest extent feasible (i) preference and opportunities for
training and employment shall be given to Indians, and (it) preference in the award of contracts and subcontracts
shall be given to Indian organizations and Indian -owned Economic Enterprises. Parties to this contract that are
subject to the provisions of Section 3 and Section 7(b) agree to comply with Section 3 to the maximum extent
feasible, but not in derogation of compliance with Section 7(b).
Civil Rights Statutes
As a condition for the receipt of Small Cities Community Development Block Grant funds, each recipient must
certify that it will abide by the following Federal laws and regulations:
1. Title VI of the Civil Rights Act of 1964 — Prohibits discrimination by government agencies that receive Federal
funding;
2. Title VII of the Civil Rights Act of 1964 — prohibits employment discrimination on the basis of race, color,
religion, sex, or national origin.;
3. Title VIII of the Civil Rights Act of 1968 — as amended (the Fair Housing Act of 1988);
4. 24 CFR §570.487(6) — Affirmatively Furthering Fair Housing;
5. 24 CFR §570.606(b) — Relocation assistance for displaced persons at URA levels;
6. Age Discrimination Act of 1975;
7. Executive Order 12892 —Fair Housing;
8. Section 109 of the Housing and Community Development Act of 1974 — No person shall be excluded from
participation in, denied benefits of, or subjected to discrimination under any program or activity receiving CDBG
funds because of race, color, religion, sex or national origin;
9. Section 504 of the Rehabilitation Act of 1973 and 24 CFR Part 8, which prohibits discrimination against people
with disabilities;
10. Executive Order 11063 — Equal Opportunity in Housing;
11. Executive Order 11246 — Non - discrimination; and
Contract Revised: 10/4/2011 47
IOF
12. Section 3 of the Housing and Urban Development Act of 1968, as amended — Employment/Training of Lower
Income Residents and Local Business Contracting.
I hereby certify that Collier County shall comply with all of the provisions and Federal regulations listed in this
attachment.
By: C-"� A �� \
(Authorized Signature)
Name: Fred W. Coyle
Title: Chairman, Board of Collier County
Commissioners
ATTEST:
k'L2,t a to Cha ircatt s
jftotur`@ oil 14
Contract Revised: 10/412011
Date: 1/24/2012
APPfOved as to form & legal Sufficiency
ASS'Nant County At--to
Contract Revise
lOF
ATTACHMENT L
SIGNATURE AUTHORIZATION FORM
Department of Economic Opportunity — Small Cities Community Development Block Grant Program
ATTACHMENT L - Signature Authorization Form
Submit an original Signature Authorization Form with each conv of the contract.
10/1/2011
Recipient:
Contract Number:
Funding Source:
Board of Collier County Commissioners
12DB- P5- 09- 21 -01 -K 39
❑ Small Cities CDBG
® Disaster ❑ NSP
Mailing Address (Street or P.O. Box): 3339 Tamiami Trail East, Suite 211
Local Government DUNS #:
076997790
City, State, and Zip Code: Naples, Florida 34112
Project Contact Person:
Telephone Number:
E -mail Address:
Kim Grant, Interim Director
(239) 252 -8442 Ext:
kimberleygrant @colliergov.net
Financial Contact Person:
Telephone Number:
E -mail Address:
Ashlee Franco, Accounting
Supervisor
(239) 252 -2689 Ext:
ashleefranco @colliergov.net
Other Local Government Contact:
Telephone Number:
E -mail Address:
Lisa Oien, Grants Coordinator
(239) 252 -6141 Ext:
lisaoien @colliergov.net
Requests for Funds (RFFs) require (check one): ❑ one signature ® two signatures of individuals authorized
below. RFFs must be submitted via the Department's website at hftp://ecdbq.doe.myflorida.com/ (or by an
alternative means specified by the Department.
Name Typed: Kim Grant, Interim Director
Date:
12.
1
Si nature
® Check here if above person is authorized
to submit RFFs.
E -mail Address: 1
v✓
Name Typed: Ashlee Franco, Accounting
Date:
*iflif
IL
Supervisor
nature
® Check here if above person is authorized
E -mail Address:
to submit RFFs.
Name Typed: Kathleen Larsen, Accounting
�i"�"Z
Teachnician
Date:
Signature
® Check here if above person is authorized
to submit RFFs.
E -mail Address:
Name Typed: Lisa Oien, Grants Coordinator
Date: &14z
w
Signature
❑ Check here if above person is authorized
E -mail Address:
to submit RFFs.
I certify, as the recipient's Chief Elected Official, that the above signatures are of the individuap authorized
to sign Requests for Funds and to submit RFF's electronically.
Typed Name: Fred W. Coyle, Chairman
/
Date:`/ �Z
Board of Collier County Commissioners
Si nature _
® Check here if your local government utilizes Electronic Funds Transfer (EFT) from the State of lorida.
® Check here if your local government will be working on a reimbursement basis.
❑ If this signature authority form pertains to a housing grant, check here if your local government will use an
escrow account for housing activities.
CDBG payments to local governments using EFT are automatically deposited in the local government's general
account. If the account is interest bearing, the CDBG funds must be transferred to a non - interest bearing account.
Please call the CDBG Program at 850/922 -1878 or 487 -3644 if you have questions. You can check the status of
your deposit at the Comptroller's website: http: / /flair.dbf.state.fl.us /.
Local govemments not receiving EFT, and not working on a reimbursement basis, must establish a non - interest bearing account.
Provi*ab information for the financial institution (insured by FDIC) below. All signatures on the account must be bonded.
Name of FinanAl,lnstitution: Fifth Third Bank
Account Number: 113 -8577
Address: 999 Vanderbilt Beach Road
Telephone Number: (239) 591 -6397
City; State ahcPZip;i ✓ ode: Naples, Florida 34108
an to farm ft Innmt
r1't`TEST: _
WT E. BR K, CI * 71\ - V�
yv
IOF
Community Development Block Grant Disaster Recovery Program Information Form
Federal Fiscal Year 2008 /State Fiscal Year 2011/2012 Funding Cycle
Contract Number: 12DB- P5- 09- 21 -01 -K 39 CFDA Number: 14.228
Names and Addresses
1. Contract Recipient
Name of Chief Elected Official: Fred W. Coyle
Title: Chairman. Board of Collier County Commissioners
Address: 3299 E.Tamiami Trail Suite 303
City, State, Zip Code: Naples, Florida 34112
Area Code/Telephone No: Suncom No: Area Code /Fax Number
(239) 252 -8097 (239) 252 -3602
E -Mail Address: fredcovleCc-)colliergov.net
2. Chief Financial Officer
Name of Chief Financial Officer: Ashlee Franco
Title: Accountina Supervisor
Address: 3339 E. Tamiami Trail Building H room 211
City, State, Zip Code: Naples, Florida 34112
Area Code/Telephone No: Suncom No: Area Code /Fax Number
(239) 252 -2689 ( 239) 252 -2638
E -Mail Address: ashleefranco @colliergov.net
3. Local Contact Person
Name of Local Contact Person: Kim Grant
Title: Interim Director, Housina and Human Services
Address: 3339 E. Tamiami Trail Building H room 211
City, State, Zip Code: Naples, Florida 34112
Area Code/Telephone No: Suncom No: Area Code /Fax Number
( 239) 252 - 8442 ( 239)252 -2638
E -Mail Address: kimberlevQrantCa)colliergov.net
IOF
4. Private Consultant (If Applicable)
Name of Consultant:
Firm:
Address:
City, State, Zip Code:
Area Code/Telephone No:
E -Mail Address:
Administrative Data
1. Local Government FID Number: 59- 63000558
2. Districts: United States Congress 14, 25
Florida Senate 37, 39
Area Code /Fax Number
Florida House 75, 76, 101,
112
3. If the local government is not receiving Electronic Funds Transfer (EFT) from the State of Florida,
please provide an address for transmittal of the reimbursement warrant:
Local Government:
Street Address:
City, State, Zip:
4. Please provide a brief Project Description:
Projects funded with the Disaster Recovery Enhancement funds are within four
service areas. Activities within three of the service areas include hurricane
hardening at three different multifamily affordable rental housing communities.
Generators will be installed at one of these communities. The fourth project is a
continuation of the Disaster Recovery Initiative 2008 funded project. This project
continues improvements to the stormwater system in the Immokalee area.
CIVIL RIGHTS PROFILE 07.02 10
RECIPIENT NAME Collier County
CONTRACT NUMBER 10- DB- D4- 09- 21- 01 -K09 DATE: Mav 2010
DEMOGRAPHIC DATA
1. Total Number of Local Government Employees: 1612 (Do NOT include constitutional officers)
2. Number of Employees who work on CDBG funded activities: 15
3. Total Number of Local Government Minority Employees: 366 (Do NOT include constitutional
officers)
4. Number of Minority Employees who work on CDBG funded activities: 8
5. Local Government Population # 292,932 (Counties do NOT include populations of incorporated cities)
6. Local Government Minority Population: (Counties do NOT include populations of incorporated cities) 40,717
7. Local Government Minority Population Percentage: (Counties do NOT include populations of incorporated
cities) 13.9%
8. Percentage of Persons of Low and Moderate Income in the Local Government: 22.5 (Counties
do NOT include populations of incorporated cities)
For Neighborhood Revitalization and Commercial Revitalization Only
9. Service Area Population:
10. Percentage of Persons of Low and Moderate Income in the Service Area:
To document civil rights compliance, this profile should be completed and returned to:
CDBG, Disaster Recovery Section
Florida Department of Economic Opportunity
107 E. Madison Street, MSC 400
Tallahassee, FL 32399 -6508
Retain a file copy in the event that a CDBG grants monitor wishes to review it during a monitoring visit.
CIVIL RIGHTS PROFILE (07.02)
lOF
Use application survey data or census data, as appropriate, to determine beneficiary information. Complete a form
for each activity, except Administration and Engineering. Submit civil rights information with executed contract and
update upon completion of grant.
Total Beneficiaries in Service Area:
Using project data on eligible individuals, enter number of individual beneficiaries in each population group
to be assisted.
2. LMI Beneficiaries in Service Area:
Using project data regarding individuals, enter number of individual LMI beneficiaries in each population
group to be assisted.
FOR ECONOMIC DEVELOPMENT GRANTS ONLY (should be provided at the time of grant completion)
Job Applicants:
Use job applicant information provided by the employer and enter number of individual job applicants in
each population group to complete.
4. Job Hires:
Use job applicant and hiring information provided by the employer and enter number of job hires
(employees) holding jobs when final job creation requirements have been met.
5. FOR HOUSING GRANTS ONLY:
(Complete column 2 below at closeout using data provided by assisted households.)
ACTIVITY NAME:
Population
1.
2.
3.
4.
5.
Group
Total
LMI
Job
Employees
Housing
Beneficiaries
Beneficiaries
Applicants
Hired
Beneficiaries
White /non
Hispanic
Black /non
Hispanic
Hispanic
Asian /Pacific
Islander
American Indian
/Alaskan Native
Hasidic Jews
Female Head of
Household
Elderly Head
of Household
Handicapped
Applicant/Reciplent U.S. Department of Housing
Disclosure /Update Report and urban Development
OMB Approval No. 2510 -0011 (exp. 11/30/2014)
Instructions. (See Public Reporting Statement and Privacy Act Statement and detailed instructions on page 2.)
Indicate whether this Is an Initial Re
. ApplicantlRecipient Name, Address, and Phone (include area cock):
Collier County 3299 E. Tamiami Tr. Suite 303 Naples, Fl. 34112
3. HUD Program Name
CDBG /DRI /DREF #12DB- P5 -09- 21 -01 -K 39
5. State the name and location (street address, City and State) of the project or activity:
or an update Report I
Social Security Number or
Employer ID Number.
59- 63000558
Requested/Received
$3,335,131.91
Part I Threshold Determinations
1. Are you applying for assistance for a specific project or activity? These 2. Have you received or do you expect to receive assistance within the
terms do not include formula grards, such as public housing operating jurisdiction of the Department (HUD) , involving the project or activity in
subsidy or CDBG block grants. (For further information see 24 CFR Sec. this application, in excess of $200,000 during this fiscal year (Oct. 1 -
4.3). Sep. 30)? For further information, see 24 CFR Sec. 4.9
❑ Yes ❑ No Q Yes ❑ No.
If you answered "No' to either question 1 or 2, Stopl You do not need to complete the remainder of this form.
However, you must sign the certification at the end of the report.
Part II Other Government Assistance Provided or Requested / Expected Sources and Use of Funds.
Such assistance includes, but is not limited to, any grant, loan, subsidy, guarantee, insurance, payment, credit, or tax benefit.
Depadment/Statell-ocal Agency Name and Address
Type of Assistance
Amount
Requested/Provided
Expected Uses of the Funds
(Note: Use Additional pages if necessary.)
Part 111 Interested Parties. You must disclose:
1. All developers, contractors, or consultants involved in the application for the assistance or in the planning, development, or implementation of the
project or activity and
2. any other person who has a financial interest in the project or activity for which the assistance Is sought that exceeds $50,000 or 10 percent of the
assistance (whichever is lower).
Alphabetical list of all persons with a reportable financial interest
in the project or activity For Individuals give the last name first
Social Security No.
or Employee ID No.
Type of Participation in
Pro ectlActivi
Financial Interest in
Project/Activity $ and %
(Note: Use Additional pages if necessary.)
Certification
Warning: If you knowingly make a false statement on this form, you maybe subject to civil or criminal penalties under Section 1001 of Title 18 of the
United States Code. In addition, any person who knowingly and materially violates any required disclosures of information, including Intentional non-
disclosure, is subject to civil money penalty not to exoeed 6� 0,000 for each violation.
1 certify that this information is true and complete.
X
(mm/dd/yyyy)
1/24/2012
ChainrWrt,10acd of Collier County Commissioners
ATTEST: ~� ` %'
M k -> .' Approved as to form & legal Sufficiency
r ,,
DWI T E. 131Ftf1 F4 ,
tt6--t aS` t0 Cho irc,A,1 t Asils ant County Attorn
t I _ ,'
S�� +-.)n Form HUD -2880 (3/90)