Backup Documents 01/24/2012 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 160
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 2
ROUTING SLIP
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exception of the Chairman's signature, draw a line throu routing lines # 1 throu #4, complete the checklist, and forward to Ian Mitchell.
Route to Addressee(s)
List in routing order
Office
Initials
Date
Lisa Oien
HHVS
252 -6141
HHVS for pick up of
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LO
document for our
Ian Mitchell, Executive Manager
Board of County Commissioners
t /i
Minutes and Records
Clerk of Courts Office
Agenda Item Number
16D2
Approved by the BCC
resolutions, etc. signed by the County Attorney's Office and signature pages from
Type of Document
2 Amendments to subrecipient agreements
Number of Original
2
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
Phone Number
After recording call
Contact
a ro riate.
252 -6141
HHVS for pick up of
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LO
document for our
signed by the Chairman, with the exception of most letters, must be reviewed and signed
records
Agenda Date Item was
1/24/2012
Agenda Item Number
16D2
Approved by the BCC
resolutions, etc. signed by the County Attorney's Office and signature pages from
Type of Document
2 Amendments to subrecipient agreements
Number of Original
2
Attached
CRA Chairman Signature plus witness
Documents attached
signatures needed on each then BCC
All handwritten strike - through and revisions have been initialed by the County Attorney's
LO
Chairman si afore
INSTRUCTIONS & CHECKLIST
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
a ro riate.
(Initial )
Applicable)
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
LO
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
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
LO
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
LO
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
LO
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
LO
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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
LO
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
1602
MEMORANDUM
Date: March 19, 2012
To: Lisa Oien,
Housing and Human Services
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Amendment #2 to Contract #10DB- D4- 09- 21- 01 -K09
"Collier County Immokalee Area Community Redevelopment Agency
— Flood and Drainage Project"
Attached you will find one (1) original of the document, as referenced above (Agenda
Item #16D5) and approved by the Board of County Commissioners on Tuesday,
January 24, 2012.
The Original was kept by the Minutes and Records Department as part of the
Board's Official Record. If you require a certified copy just give our office a call.
If you should have any questions, please call me at 252 -8411.
Thank you.
16D2
EXHIBIT A -1 Contract Amendment #3
Collier County Immokalee Area Community Redevelopment Agency (CRA)
DRUCDBG 2008
This amendment, dated ^1AA1 • ;2`1 , 20 1 z- to the referenced agreement shall be by and
between the parties to the original Agreement, the Collier County Immokalee Area Community Redevelopment
Agency, (to be referred to as Subrecipient) and Collier County, Florida, (to be referred to as "COUNTY ").
RE: Contract # IODB- D4- 09- 21- O1 -K09 #14.228
Emergency Rule 9BER 09 -2
"Collier County Immokalee Area Community Redevelopment Agency (CRA)"
DRUCDBG- Flood and Drainage Project
EXHIBIT "A"
SCOPE OF SERVICES
Collier County Immokalee Area Community Redevelopment Agency (CRA)
Flood and Drainage Project
All references in the Subrecipient Agreement to "Department of Community Affairs" and "DCA" shall
be replaced with "Department of Economic Opportunity" and "DEO ", respectively.
Words r&uo are deleted; Words Underlined are added
Dollar amounts have original underlines
THE SUBRECIPIENT AGREES TO:
A. PROJECT SCOPE:
The Immokalee Area CRA project will purchase a minimum of five (5) acres of vacant land to
develop a storm water pond site. The land to be purchased may consist of a single site or
multiple sites. Additionally, the Immokalee Area CRA will undertake a flood and drainage
improvement project to result in the installation of a minimum of 13,625 linear feet of pipes,
swales, culverts, associated materials and related site restoration activities. The project will be
further defined in the construction agreement that will be subsequently approved by the Board
of County Commissioners. Project funds will also be used for Construction Engineering
Inspections as determined by the Florida Rural Utilities Service (RUS) bulletin.
B. BUDGET
CDBG/DRI 2008
Collier County Immokalee Area
Community Redevelopment Agency
Contract Amendment #3 Page 1 of 2
16p2
Collier County Housing, Human and Veteran Services is providing Three Million Five
Hundred Thirty Three Thousand One Hundred Twenty Four Dollars and 00 /100 ($3,533,124)
in CDBG -DRI funding for the project scope described above.
Line Item Description
Amount of CDBG -DRI
Funds
Land Acquisition
$482,060.99
Flood and Drainage Improvement
,
$2,983,113.00
En ineerin
67,950.00___
TOTAL
$3,533,124.00
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this 2 V day of
�s►!v�rx ^�� ,20 iz
9
ATTF�ST
DWH BR , 'ERK
b
Dated: O�
BOARD OF COUNTY COMMISSIONERS OF
COLLIE COUNTY, FLORIDA
By: �.
fQEa i�% CoY /E MkIRMAN
Attest 4(fl]A tniw s \�,G�
First W1 a$0 '11P I Collier County Community
Redevelopment Agency —
3� Bayshore Gateway Triangle CRA
Type /print witness / me
Second Witness
Type /print witnes name
CDBG/DRI 2008
Collier County Immokalee Area
Community Redevelopment Agency
Contract Amendment #3
I
Subrecipie a� 2
14mE5 Co E A , Chairman
Collier County Community
Redevelopment Agency
Approved as to form and legal sufficiency:
Jennifer NJ White
Assistant County Attorney
Page 2 of 2
1602
EXHIBIT A -1 Contract Amendment #4
Collier County Bayshore Gateway Triangle Community Redevelopment Agency (CRA)
DRUCDBG 2008
This amendment, dated AN Z y , 20 /L to the referenced agreement shall be by and
between the parties to the original Agreement, the Collier County Bayshore Gateway Triangle Community
Redevelopment Agency, (to be referred to as Subrecipient) and Collier County, Florida, (to be referred to as
"COUNTY ").
RE: Contract # IODB- D4- 09- 21- 01 -KO9 #14.228
Emergency Rule 9BER 09 -2
"Collier County Bayshore Gateway Triangle Community Redevelopment Agency (CRA)"
DRI /CDBG- Flood and Drainage Project
All references in the Subrecipient Agreement to "Department of Community Affairs" and "DCA" shall
be replaced with "Department of Economic Opportunity" and "DEO ", respectively.
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this 22 day of
TRN- .20 17- .
ATTEST '. Y� , ' °4 M1 BOARD OF COUNTY COMMISSIONERS OF
DWI ' BA - - Ct ERK COLLIER COUNTY, FLORIDA
,e t By: W .
CHAIF@AN
Dated:"`-
First NM&A AS f Irmo Collier County Community
Atoatwo Gulf, -�-G1�1' Redevelopment Agency —
'' Bayshore Gateway Triangle CRA
3 By:
Sub c'
Type /print witness #me
Chairman
Second Witness g� `,(y Collier County Community
Redevelopment Agency
Type /print witne name Approved as to form and legal sufficiency:
Jennifer . White
Assistant County Attorney
CDBG/DRI 2008
Collier County Bayshore Gateway Triangle Community
Redevelopment Agency
Contract Amendment #4 Page 1 of 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE1 6 D 2
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
exception of the Chairman's signature,draw a line through routing lines#1 through#4,complete the checklist,and forward to Ian Mitchell
Route to Addressee(s) Office Initials Date
(List in routing order)
Lisa Oien HHVS
Jennifer White CAO
Ian Mitchell, Executive Manager Board of County Commissioners `f h.}((L
Minutes and Records Clerk of Courts Office
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 Phone Number After recording call
Contact 252-6141 HHVS for pick up of
document for our
records
Agenda Date Item was 1/24/2012 Agenda Item Number 16D2
Approved by the BCC
Type of Document 1 document in duplicate,subrecipient Number of Documents 2
Attached agreement amendment , attached
1 ple'T6
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Original document has been signed/initialed for legal sufficiency.(All documents to be LO
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
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 LO
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 LO
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 LO
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip LO
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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 4/10/2012(enter date)and all changes LO
made during the meeting have been incorporated in the attached document.The
County Attorney's Office has reviewed the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
161)
MEMORANDUM
Date: April 30, 2012
To: Lisa Oien, Grants Coordinator
Housing, Human & Veteran Services
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Agreement Amendment #3/Contract #10-DB-D4-09-21-01-K09
w/Goodlette Arms and the School District of Collier County
Attached is an original referenced above, (Item #16D2) approved by the Board of County
Commissioners on January 24, 2012.
The Minutes and Record's Department will retain an original application for the Board's
Official Record.
If you have any questions please call me at 252-8411.
Thank you.
Attachment
1602
EXHIBIT A-1 Contract Amendment#3
The School District of Collier County
DRUCDBG 2008
This amendment, dated , Zy , 20/4-- to the referenced agreement shall be by and
between the parties to the original Agreement, The School District of Collier County, (to be referred to as
Subrecipient)and Collier County, Florida,(to be referred to as"COUNTY"),
RE: Contract# 1 ODB-D4-09-21-01-K09 414.228
Emergency Rule 9BER 09-2
"The School District of Collier County"
DRI/CDBG-Flood and Drainage Project
All references in the Subrecipient Agreement to"Department of Community Affairs"and"DCA"shall
be replaced with"Department of Economic Opportunity"and"DEO", respectively.
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this 24 day of
.4•/ , 20 , Z .
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DW E. BROCK, CLERK COLLIER C UNTY,FLORIDA
. k ACS By •
I)3t)11,
F467',0. W, ecy/Z ,C I IRMAN //�y/��2.
Dated: `4
At MAi4 CO C1141reass i
First Witnefigailtlire pa t A School District of Collier County
I 1
By:
Subrecipie- Signature
N6 Al• US%W /
Type/print witness name 4,
Roy M. Terry
Second Witness Board ( :i er on
I ; r -
Type/print witness name Approved as to form and legal sufficiency:
Jennife . White
Assistant County Attorney
CDBG/DRI 2008
The School District of Collier County
Contract Amendment# Page 1 of 1
16D2
EXHIBIT A-1 Contract Amendment#3
Goodlette Arms, LLC
DRUCDBG 2008
This amendment, dated rl,etN• .2-r. , 20 1 Z to the referenced agreement shall be by and
between the parties to the original Agreement, Goodlette Arms, LLC., (to be referred to as Subrecipient) and
Collier County,Florida,(to be referred to as"COUNTY").
RE: Contract# 10DB-D4-09-21-01-K09#14.228
Emergency Rule 9BER 09-2
"Goodlette Arms,LLC"
DRUCDBG-Flood and Drainage Project
All references in the Subrecipient Agreement to"Department of Community Affairs" and"DCA" shall
be replaced with"Department of Economic Opportunity" and "DEO", respectively.
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this Zy day of
PrrJ , 20 /Z •
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK '\/ COLLIER COUNTY, FLORIDA
Ilk) • � & By: '`7" to W.
FnEO. W CCy/� , C N //2 y/2d/'Z •
Dated: ,Z`
(S AL)
First Witn � Si tO _,CIS.°t Good - - Arms LLC.
a 'nature ne► •
By (41 _ ��
Subrecip en ignatu e
Type/print witness name
David Gottlieb, Executive Director
Second Witness
NI? ■ A=.1\
Type/print witness name Approved as to form and legal sufficiency:
Jennifer B. hite
Assistant County Attorney
CDBG/DRI 2008
Goodlette Arms LLC.
Contract Amendment#3 Page 1 of 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
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
exception of the Chairman's signature, draw a line through routing lines #I 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
HHVS
Agenda Item Number
/12 %Z
2. Jennifer B. White
County Attorney's Office
LZ
1 a_S l a
Type of Document
Modification to grant agreement
Number of
4
Attached
4 copies of the modification each one needs
Documents Attached
3. Ian Mitchell, Executive Manager
Board of County Commissioners
3. Minutes and Records
I Clerk of Courts Office
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
Contact
Lisa Oien / Housing, Human and Veteran
Services
Phone Number
252 -6141
Please call or e-mail
for pick u
Agenda Date Item was
Zabphap 2012
Agenda Item Number
16132
Approved by the BCC
QL
LO
Type of Document
Modification to grant agreement
Number of
4
Attached
4 copies of the modification each one needs
Documents Attached
an original signature from the
Chairman
INSTRUCTIONS & CHECKLIST
l: 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
LO
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
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
LO
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
LO
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
LO
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
LO
should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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 4/27/2010 (enter date) and all changes
LO
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
l: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
1602
MEMORANDUM
Date: January 26, 2012
To: Lisa Oien,
Housing and Human Services
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Modification #3 to Subgrant Agreement
DEO/DCA Contract #IODB- D4- 09- 21- 01 -K09
Attached you will find four (4) originals of the document, as referenced above (Agenda
Item #16D2) 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.
Department of Economic Opportunity — Small Cities Community Development Block Grant Program 6 D 2
Modification to Subgrant Agreement ,011120„
MODIFICATION NUMBER 3 TO SUBGRANT AGREEMENT BETWEEN
THE DEPARTMENT OF ECONOMIC OPPORTUNITY AND
COLLIER COUNTY
This Modification is made and entered into by and between the State of Florida, Department of
Economic Opportunity, ( "the Department "), and Collier County, ("the Recipient "), to modify DEO/DCA
Contract Number I ODB-D4-09-2 1 -01 -K09), award dated May 22, 2010 ( "the Agreement ").
WHEREAS, the Department and the Recipient entered into the Agreement, pursuant to which the
Department provided a subgrant of $9,963,208.00 to Recipient under the Small Cities Community
Development Block Grant ( "CDBG ") Program as set forth in the Agreement;
WHEREAS, the Department and the Recipient desire to modify the Agreement;
WHEREAS, pursuant to the provisions of Chapter 2011 -142, Laws of Florida, the DCA Division
of Housing and Community Development was transferred to the Department of Economic Opportunity
effective October 1, 2011; and the parties wish to reflect the new name.
NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein,
the parties agree as follows:
❑ Reinstate Agreement
1. The Agreement is hereby reinstated as though it had not expired.
❑ Extend Agreement
2. Paragraph 3, Period of Agreement is hereby revised to reflect an ending date of (Type in date,
if applicable).
❑ Revise Activity Work Plan
3. The Attachment , Activity Work Plan section of the Agreement is hereby deleted and is
replaced by the revised Attachment , Activity Work Plan section, which is attached hereto
and incorporated herein by reference.
® Revise Program Budget and Scope of Work
4. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced
by the revised Attachment A, the Program Budget, which is attached hereto and incorporated
herein by reference.
Modification Number: 3
DEO/DCA Contract Number: I ODB- D4- 09- 21- 01 -KO9
Recipient: Collier County
Page 2
❑ Change in Participating Parties
5. The Attachment A, Program Budget section, is hereby modified to delete all references to
"(Type in name, if applicable.)," as the Participating Party, and replace them with "(Type in
name, if applicable.)" as the Participating Party with the understanding that the Recipient and
the new Participating Party will enter into a Participating Party Agreement containing
provisions and caveats that meet or exceed the conditions agreed to in the Participating Party
Agreement between the Recipient and the original Participating Party.
❑ Inclusion of an Unmet Need as Addressed in the Original Application
6. The Attachment A, Program Budget section of the Agreement is hereby deleted and is
replaced by the revised Attachment A, the Program Budget, which is attached hereto and
incorporated herein by reference.
7. The Attachment , Activity Work Plan section of the Agreement is hereby deleted and is
replaced by the revised Attachment , Activity Work Plan section, which is attached hereto
and incorporated herein by reference.
❑ Change in Number of Accomplishments and /or Beneficiaries
8. The Attachment A, Program Budget section of the Agreement is hereby deleted and is
replaced by the revised Attachment A, the Program Budget, which is attached hereto and
incorporated herein by reference.
Reflect Change in Agency from DCA to DEO
9. This modification to the Subgrant Agreement hereby replaces "Department of Community
Affairs" with "Department of Economic Opportunity" where appropriate in context.
❑ Other: (Type in the reason for the modification.)
1602
Department of Economic Opportunity — Small Cities Community Development Block Grant Program
Modification to Subgrant Agreement
,01,120„
Modification Number: 3
DEO/DCA Contract Number: I ODB- D4- 09- 21- 01 -KO9
Recipient: Collier County
Page 2
❑ Change in Participating Parties
5. The Attachment A, Program Budget section, is hereby modified to delete all references to
"(Type in name, if applicable.)," as the Participating Party, and replace them with "(Type in
name, if applicable.)" as the Participating Party with the understanding that the Recipient and
the new Participating Party will enter into a Participating Party Agreement containing
provisions and caveats that meet or exceed the conditions agreed to in the Participating Party
Agreement between the Recipient and the original Participating Party.
❑ Inclusion of an Unmet Need as Addressed in the Original Application
6. The Attachment A, Program Budget section of the Agreement is hereby deleted and is
replaced by the revised Attachment A, the Program Budget, which is attached hereto and
incorporated herein by reference.
7. The Attachment , Activity Work Plan section of the Agreement is hereby deleted and is
replaced by the revised Attachment , Activity Work Plan section, which is attached hereto
and incorporated herein by reference.
❑ Change in Number of Accomplishments and /or Beneficiaries
8. The Attachment A, Program Budget section of the Agreement is hereby deleted and is
replaced by the revised Attachment A, the Program Budget, which is attached hereto and
incorporated herein by reference.
Reflect Change in Agency from DCA to DEO
9. This modification to the Subgrant Agreement hereby replaces "Department of Community
Affairs" with "Department of Economic Opportunity" where appropriate in context.
❑ Other: (Type in the reason for the modification.)
1602
Department of Economic Opportunity — Small Cities Community Development Block Grant Program
Modification to Subgrant Agreement 10/1/2011
Modification Number: 3
DEO /DCA Contract Number: 1 ODB- D4- 09- 21- 01 -KO9
Recipient: Collier County
Page 3
All provisions of the Agreement and any attachments thereto in conflict with this Modification
shall be and are hereby changed to conform to this Modification, effective as of the date of the execution
of this Modification by both parties.
All provisions not in conflict with this Modification remain in full force and effect, and are to be
performed at the level specified in the Agreement.
IN WITNESS WHEREOF, the parties hereto have executed this document as of the dates set
herein.
Department of Economic Opportunity
•Maine
Date:
Ken Reecy
Assistant Director
Division of Community Development
t oatrud
t1atur a 46 t
Recipient: Collier County
Name: Fred W. Coyle
Title: Chairman, BCC Commissioners
Date: — X0tA0 .0 ay c�� off•
App ored as; to form x,. re981! Suiflclency
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