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Backup Documents 05/08/2012 Item #16D10b 16a ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) 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 through routing lines #1 through #4, complete the checklist, and forward to Ian Mitchell (line #5). Route to Addressee(s) (List in routing order) Office Initials Date 1. Grant Support Specialist (Initial) Applicable) 2. May 8, 2012 Agenda Item Number 16D10 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed 4. HUD Emergency Solutions Grant Number of Original 1 5. Ian Mitchell, Executive Manager Board of County Commissioners JE, 5 6. Minutes and Records Clerk of Court's 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, need to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Elly Soto McKuen Phone Number 252 -2664 Contact Grant Support Specialist (Initial) Applicable) Agenda Date Item was May 8, 2012 Agenda Item Number 16D10 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document HUD Emergency Solutions Grant Number of Original 1 Attached Substantial Amendment Documents Attached 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 aDimoimiat e. (Initial) Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be esm 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 N/A 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 esm 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 esm signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip esm 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 05 -08 -12 and all changes made during esm 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 Martha S. Vergara ; 16010 From: Martha S. Vergara Sent: Monday, May 14, 2012 11:17 AM To: White, Jennifer Subject: Agenda Item #16D10 Hi Jennifer, You just brought down a document that is needed ASAP.. there are things wrong with it.. can you come down and take a look at it.. • Wrong address a few times • Missing program year(s) • Title and date (for chairman) so it wasn't signed Thanks, Martha Vergara, Deputy Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252 -7240 Fax: (239) 252 -8408 E -mail: martha .vergara(kcollierclerk.com Martha S. Vergara 16010 4 From: Martha S. Vergara Sent: Monday, May 14, 2012 11:31 AM To: White, Jennifer Subject: Scanned copy of #16D10 Attachments: Jen White - #16D10 stuff missing on doc (5_8_12).pdf Hi Jen, The doc is attached... Thanks, Martha Vergara, Deputy Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252 -7240 Fax: (239) 252 -8408 E -mail: martha.vergara&collierclerk.com 1 Martha S. Vergara ' 16010 From: WhiteJennifer <JenniferWhite @colliergov.net> Sent: Monday, May 14, 2012 11:32 AM To: Martha S. Vergara Subject: Read: Scanned copy of #16D10 Attachments: Read: Scanned copy of #16D10 Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. iboioW Martha S. Vergara From: WhiteJennifer <JenniferWhite @colliergov.net> Sent: Monday, May 14, 2012 11:32 AM To: Martha S. Vergara Cc: McKuenElly Subject: FW: Scanned copy of #16D10 Attachments: Jen White - #16D10 stuff missing on doc (5_8_12).pdf Martha, Thank you for your help! Jen From: Martha S. Vergara jmailto: Martha .Vergara(abcollierclerk.coml Sent: Monday, May 14, 2012 11:31 AM To: WhiteJennifer Subject: Scanned copy of #16D10 Hi Jen, The doc is attached... Thanks, Martha Vergara, Deputy Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252 -7240 Fax: (239) 252 -8408 E-mail: martha.vergarancollierclerk.com Please visit us on the web at www.colliercierk.com This electronic communication is confidential and may contain privileged information intended solely for the named addressee(s). It may not be used or disclosed except for the purpose for which it has been sent. If you are not the intended recipient, you must not copy, distribute or take any action induced by or in reliance on information contained in this message. Unless expressly stated, opinions in this message are those of the individual sender and not of the Office of the Clerk of the Circuit Court of Collier County. If you have received this communication in error, please notify the Clerk's Office by emailing helodesk @collierclerk.com quoting the sender and delete the message and any attached documents. The Collier County Clerk's Office accepts no liability or responsibility for any onward transmission or use of emails and attachments having left the CollierClerk.com domain. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law, e -mail addresses are public; records. If you do not want your e -mail address released in response to a public records request, do riot send electronic, mail to this entity. Instead, contact this office by telephone or in writing. 16910 Martha S. Vergara From: Martha S. Vergara Sent: Monday, May 14, 2012 11:48 AM To: White, Jennifer Subject: RE: Scanned copy of #16D10 No Problem!! From: WhiteJennifer [ mailto :JenniferWhite(�i)colliergov.netl Sent: Monday, May 14, 2012 11:32 AM To: Martha S. Vergara Cc: McKuenElly Subject: FW: Scanned copy of #16D10 Martha, Thank you for your help! Jen From: Martha S. Vergara Imai Ito: Martha .Vergara(dcolIierclerk.coml Sent: Monday, May 14, 2012 11:31 AM To: WhiteJennifer Subject: Scanned copy of #16D10 Hi Jen, The doc is attached... Thanks, Martha Vergara, Deputy Clerk Minutes and Records Dept. Cleric of the Circuit Court & Value Adjustment Board Office: (239) 252 -7240 Fax: (239) 252 -8408 E -mail: martha.vergaragcollierclerk.com Please visit us on the web at www.colliercierk.com This electronic communication is confidential and may contain privileged information intended solely for the named addressee(s). It may not be used or disclosed except for the purpose for which it has been sent. If you are not the intended recipient, you must not copy, distribute or take any action induced by or in reliance on information contained in this message. Unless expressly stated, opinions in this message are those of the individual sender and not of the Office of the Clerk of the Circuit Court of Collier County. If you have received this communication in error, please notify the Clerk's Office by emailing helodesk@collierclerk.com quoting the sender and delete the message and any attached documents. The Collier County Clerk's Office accepts no liability or responsibility for any onward transmission or use of emails and attachments having left the Coll ierClerk. com domain. Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to i 1601O a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. Under Florida Law.. e -mail addresses are public records. If you do not want your e -mail address released in response to a public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing. ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP'S ' D 1 t TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO •i• V THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) 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(line#5). Route to Addressee(s) Office Initials Date (List in routing order) 1. 2. 3. 4. 5. Ian Mitchell, Executive Manager Board of County Commissioners Q q .st.r•► 14( if 1. 6. Minutes and Records Clerk of Court's 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,need to contact staff for additional or missing information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Elly Soto McKuen Phone Number 252-2664 Contact Grant Support Specialist Agenda Date Item was May 8,2012 Agenda Item Number 16D10 Approved by the BCC Type of Document HUD Emergency Solutions Grant Number of Original 1 Attached Substantial Amendment Documents Attached 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 esm 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 N/A 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 esm 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 esm signature and initials are required. 5. In most cases(some contracts are an exception),the original document and this routing slip esm 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 05-08-12 and all changes made during esm the meeting have been incorporated in the attached document.The County Attorney's _ Office has reviewed the changes,if applicable. 1611 I:Forms/County Forms/BCC Forms!Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05 . • . , 16 010 it Pp APPLICATION'FOR OMB Approved No. 3076-0006 ` ersion 7/03 FEDERAL'ASSISTANCE 2.DATE SUBMITTED Applicant Identifier 1.TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE 'State Application Identifier Application Pre-application Construction Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier 17® Non-Construction Pli Non-Construction 5.APPLICANT INFORMATION , Legal Name: Organizational Unit: Collier County Board of County Commissioners Copartmout: tY tY Collier County Housing,Human and Veteran Services Organizational DUNS: ,, Division: C:I C.;: (CI ') "j C(C, Collier County Housing,Human and Veteran Services Address: _Name and telephone number of person to be contacted on matters Street: „t involving this application(give area code) 3301 E.Tamiami Trail,Administration Building \ P � Prefix: First Name: Ms. Kimberley i City: Middle Name I Naples iS County: ` �t� Last Name Collier f'�`✓': Grant -/ State: Zip Code CQ Suffix: Florida 34112 Country: Email: US Kimberley rant @colliergov.net 6.EMPLOYER IDENTIFICATION NUMBER(E/N): /61\(\ Phone tuber(give area code) Fax Number(give area code) 1-51 91_6,.9 0 0 -i 5 81 (239)252-4230 (239)252-2331 8.TYPE OF APPLICATION: 7.TYPE OF APPLICANT: (See back of form for Application Types) r New V. Continuation r Revision County If Revision,enter appropriate letter(s)in box(es) {See back of form for description of letters.) ❑ Other(specify) Other(specify) 9.NAME OF FEDERAL AGENCY: Housing and Urban Development 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11.DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: nn_r, 7 Second FY2011 Allocation for Emergency Solutions Project ,!u L J J TITLE(Name of Program): Labor Management Cooperation Program 12.AREAS AFFECTED BY PROJECT(Cities, Counties, States,etc.): Collier County,Florida 13.PROPOSED PROJECT 14.CONGRESSIONAL DISTRICTS OF: Start Date: Ending Date: a.Applicant b.Project 15.ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $ uu THIS PREAPPLICATION/APPLICATION WAS MADE 53,219 a.Yes. El AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 b.Applicant $ .00 PROCESS FOR REVIEW ON c.State $ j u” DATE: d.Local $ / ,uu b.No 67 PROGRAM IS NOT COVERED BY E.O. 12372 e.Other $ / suu r OR PROGRAM HAS NOT BEEN SELECTED BY STATE / FOR REVIEW f.Program Income / W 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? • g.TOTAL $ uo 53,219 Yes If"Yes"attach an explanation. No 18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a.Authorized Representative Prefix First Name Middle Name Fred W. Last Name Suffix Coyle b.Title c.Telephone Number(give area code) Chair,Collier County Board of County Co is ners (239)252-8097 d.Signature of Authorized Representative e.Date Signed M . $ Zo t�.. r'� v Ea6a,tJ. le Approved as to lm & le.,-.`� :• �1 424(rcular �litt�"ed p.adac.io :' "'; B Circular A-102 ' ATTEST: an DWIGHT E. BROCK, Clerk (1) ,: - ---- �aa' • AftAi Qua ?•':nc t rtt., Attnrrltatd FOR.' 1 i .Qion7/d3 ARPLICATION oMS Approved No. 3076 0006 FEDERAL ASSISTANCE 2.DATE SUBMITTED Applicant Identifier 1.TYPE OF SUBMISSION: 3.DATE RECEIVED BY STATE State Application Identifier Application Pre-application ✓ Construction Construction 4.DATE RECEIVED BY FEDERAL AGENCY Federal Identifier • Non-Construction Non-Construction 5.APPLICANT INFORMATION Legal Name: Organizational Unit: Department: Collier County Board of County Commissioners Collier County Housing,Human and Veteran Services Organizational DUNS: Division: Oi C qq- 19 n Collier County Housing,Human and Veteran Services Address: Name and telephone number of person to be contacted on matters Street: involving this application(give area code) 3301 E.Tamiami Trail,Administration Building Prefix: First Name: Ms. Kimberley City: Middle Name Naples County: Last Name Collier Grant State: Zip Code Suffix: Florida 34112 Country: Email: US KimberleyGrant @colliergov.net 6.EMPLOYER IDENTIFICATION NUMBER(EIN): Phone Number(give area code) Fax Number(give area code) 5 9 _6 0 0 0 5 5 8 (239)252-4230 (239)252-2331 8.TYPE OF APPLICATION: 7.TYPE OF APPLICANT: (See back of form for Application Types) IT New V1 Continuation IT Revision County If Revision,enter appropriate letter(s)in box(es) (See back of form for description of letters.) — — Other(specify) Other(specify) 9.NAME OF FEDERAL AGENCY: Housing and Urban Development 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11.DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: —— ——— Second FY2011 Allocation for Emergency Solutions Project TITLE(Name of Program): Labor Management Cooperation Program 12.AREAS AFFECTED BY PROJECT(Cities, Counties, States, etc.): Collier County,Florida 13.PROPOSED PROJECT 14.CONGRESSIONAL DISTRICTS OF: Start Date: Ending Date: a.Applicant b. Project 15.ESTIMATED FUNDING: 16.IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE ORDER 12372 PROCESS? a. Federal $ 53,219 00 a.Yes. (Q THIS PREAPPLICATION/APPLICATION WAS MADE AVAILABLE TO THE STATE EXECUTIVE ORDER 12372 b.Applicant $ .00 PROCESS FOR REVIEW ON c.State $ .00 DATE: d.Local $ b.No PROGRAM IS NOT COVERED BY E.O. 12372 e.Other $ .00 r OFR PROGRAM HAS NOT BEEN SELECTED BY STATE FOR REVIEW f. Program Income $ 00 17.IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g.TOTAL $ ou 53,219 ❑Yes If"Yes"attach an explanation. P271 No 18.TO THE BEST OF MY KNOWLEDGE AND BELIEF,ALL DATA IN THIS APPLICATION/PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT WILL COMPLY WITH THE ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. a.Authorized Representative Prefix First Name Middle Name Fred W. Last Name Suffix Coyle b.Title c.Telephone Number(give area code) Chair,Collier County Board of County Co is ners (2391252-8097 d.Signature of Authorized Representative e. Date Signed V ZO t Z. Previous Edition Usable Approved tt ' -r•. - •r 424(Rev.9-2003) Authorized for Local Reoroductio ��tom lea I.P 1.'%` %� �� B Circular A-102 ATTEST: DWIGHT E. BROCK, Clerk By: Assista County Attorney • INSTRUCTIONS FOR THE SF-424 16 10 I Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0043),Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET.SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as a required face sheet for pre-applications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entry: Item: Entry: 1. Select Type of Submission. 11. Enter a brief descriptive title of the project. If more than one program is involved,you should append an explanation on a separate sheet. If appropriate(e.g.,construction or real property projects),attach a map showing project location.For preapplications, use a separate sheet to provide a summary description of this project. 2. Date application submitted to Federal agency(or State if applicable) 12. List only the largest political entities affected(e.g.,State, and applicant's control number(if applicable). counties,cities). 3. State use only(if applicable). 13 Enter the proposed start date and end date of the project. 4. Enter Date Received by Federal Agency 14. List the applicant's Congressional District and any District(s) Federal identifier number: If this application is a continuation or affected by the program or project revision to an existing award,enter the present Federal Identifier number. If for a new project,leave blank. 5. Enter legal name of applicant, name of primary organizational unit 15 Amount requested or to be contributed during the first (including division,if applicable),which will undertake the funding/budget period by each contributor.Value of in kind assistance activity,enter the organization's DUNS number contributions should be included on appropriate lines as (received from Dun and Bradstreet),enter the complete address of applicable.If the action will result in a dollar change to an the applicant(including country),and name,telephone number,e- existing award, indicate only the amount of the change. For mail and fax of the person to contact on matters related to this decreases,enclose the amounts in parentheses. If both basic application. and supplemental amounts are included,show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 6. Enter Employer Identification Number(EIN)as assigned by the 16. Applicants should contact the State Single Point of Contact Internal Revenue Service. (SPOC)for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 7. Select the appropriate letter in 17. This question applies to the applicant organization,not the the space provided. I. State Controlled person who signs as the authorized representative.Categories A. State Institution of Higher of debt include delinquent audit disallowances, loans and B. County Learning taxes. C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual F. Intermunicipal M. Profit Organization G. Special District N. Other(Specify) H. Independent School O. Not for Profit District Organization 8. Select the type from the following list: 18 To be signed by the authorized representative of the applicant. • "New"means a new assistance award. A copy of the governing body's authorization for you to sign • "Continuation"means an extension for an additional this application as official representative must be on file in the funding/budget period for a project with a projected completion applicant's office.(Certain Federal agencies may require that date. this authorization be submitted as part of the application.) • "Revision"means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. If a revision enter the appropriate letter: A.Increase Award B.Decrease Award C. Increase Duration D. Decrease Duration 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. • SF-424(Rev.7-97)Back 16010 Specific CDBG Certifications The Entitlement Community certifies that: Citizen Participation-- It is in full compliance and following a detailed citizen participation plan that satisfies the requirements of 24 CFR 91.105. Community Development Plan— Its consolidated housing and community development plan identifies community development and housing needs and specifies both short-term and long-term community development objectives that provide decent housing,expand economic opportunities primarily for persons of low and moderate income.(See CFR 24 570.2 and CFR 24 part 570) Following a Plan—It is following a current consolidated plan(or Comprehensive Housing Affordability Strategy)that has been approved by HUD. Use of Funds-- It has complied with the following criteria: 1. Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG: 643$2_ --- \ it certifies that it has developed its Action Plan so as to give maximum feasible priority to l 4c activities which benefit low and moderate income families or aid in the prevention or elimir �Q of slums or blight.The Action Plan may also include activities which the grantee certifies ai ( designed to meet other community development needs having a particular urgency because {L � existing conditions pose a serious and immediate threat to the health or welfare of the \Q P4 community,and other financial resources are not available); (O 2. Overall Benefit. The aggregate use of CDBG funds including section 108 guaranteed loans during program year(s)2D 11 , 721 Z(a period specified by the grantee consisting of one two,or three specific consecutive program years),shall principally benefit persons of low and moderate income in a manner that ensures that at least 70 percent of the amount is expended for activities that benefit such persons during the designated period; 3. Special Assessments. It will not attempt to recover any capital costs of public improvements assisted with CDBG funds including Section 108 loan guaranteed funds by assessing any amount against properties owned and occupied by persons of low and moderate income,including any fee charged or assessment made as a condition of obtaining access to such public improvements. However,if CDBG funds are used to pay the proportion of a fee or assessment that relates to the capital costs of public improvements(assisted in part with CDBG funds)financed from other revenue sources,an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. The jurisdiction will not attempt to recover any capital costs of public improvements assisted with CDBG funds,including Section 108,unless CDBG funds are used to pay the proportion of fee or assessment attributable to the capital costs of public improvements financed from other revenue sources. In this case,an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds.Also,in the case of properties owned and occupied by moderate-income(not low-income)families,an assessment or charge may be made against the property for public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment. Excessive Force--It has adopted and is enforcing: 1. A policy prohibiting the use of excessive force by law enforcement agencies within its 16D101 1 jurisdiction against any individuals engaged in non-violent civil rights demonstrations;and 2. A policy of enforcing applicable State and local laws against physically barring entrance to or exit from a facility or location which is the subject of such non-violent civil rights demonstrations within its jurisdiction; Compliance With Anti-discrimination laws--The grant will be conducted and administered in conformity with title VI of the Civil Rights Act of 1964(42 USC 2000d),the Fair Housing Act(42 USC 3601-3619),and implementing regulations. Lead-Based Paint—Its activities concerning lead-based paint will comply with the requirements of 24 CFR Part 35,subparts A,B,J,K and R; Compliance with Laws--It will comply with applicable laws. w. ciVi . Signature/Authorized Official Date Title -1 pporOvte as to form} 6 iegai Su f!c}en . OWN PT E. BROCK Clem. . . _...... .._ . ?ssistant County : ttorna , 6 S • • • • 16010 6. Taking one of the following actions,within 30 calendar days of receiving notice under subparagraph 4(b),with respect to any employee who is so convicted- (a) Taking appropriate personnel action against such an employee,up to and including termination,consistent with the requirements of the Rehabilitation Act of 1973,as amended;or (b) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal,State,or local health, law enforcement,or other appropriate agency; 7. Making a good faith effort to continue to maintain a drug-free workplace through implementation of paragraphs 1,2,3,4,5 and 6. Anti-Lobbying—To the best of the jurisdiction's knowledge and belief: 1. No Federal appropriated funds have been paid or will be paid,by or on behalf of it,to any person for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement,and the extension, continuation,renewal,amendment,or modification of any Federal contract,grant,loan,or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal contract,grant,loan,or cooperative agreement,it will complete and submit Standard Form-LLL,"Disclosure Form to Report Lobbying,"in accordance with its instructions;and 3. It will require that the language of paragraph 1 and 2 of this anti-lobbying certification be included in the award documents for all subawards at all tiers(including subcontracts,subgrants, and contracts under grants,loans,and cooperative agreements)and that all subrecipients shall certify and disclose accordingly. Authority of Jurisdiction-- The consolidated plan is authorized under State and local law(as applicable)and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding,in accordance with applicable HUD regulations. Consistency with plan--The housing activities to be undertaken with CDBG,HOME,ESG,and HOPWA funds are consistent with the strategic plan. Section 3— It will comply with section 3 of the Housing and Urban Development Act of 1968,and i le nting regulations at 24 C R Part 135. tom r b/1v Signature/Authorized Official Date Approved as to Corm & legal Sufficiency Title Assistant County Attorney o ATTEST, S'2 N N 1 F E t2 3. vJ N-4 \'r•W • DWIGHT E. BROCK, Clerk on CC By: z 160 10 ` CERTIFICATIONS In accordance with the applicable statutes and the regulations governing the consolidated plan regulations,the jurisdiction certifies that: Affirmatively Further Fair Housing--The jurisdiction will affirmatively further fair housing,which means it will conduct an analysis of impediments to fair housing choice within the jurisdiction,take appropriate actions to overcome the effects of any impediments identified through that analysis,and maintain records reflecting that analysis and actions in this regard. Anti-displacement and Relocation Plan--It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended,and implementing regulations at 49 CFR 24;and it has in effect and is following a residential antidisplacement and relocation assistance plan required under section 104(d)of the Housing and Community Development Act of 1974,as amended,in connection with any activity assisted with funding under the CDBG or HOME programs. Drug Free Workplace--It will or will continue to provide a drug-free workplace by: 1. Publishing a statement notifying employees that the unlawful manufacture,distribution, dispensing,possession,or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; 2. Establishing an ongoing drug-free awareness program to inform employees about- (a) The dangers of drug abuse in the workplace; (b) The grantee's policy of maintaining a drug-free workplace; (c) Any available drug counseling,rehabilitation,and employee assistance programs;and (d) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; 3. Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph 1; 4. Notifying the employee in the statement required by paragraph 1 that,as a condition of employment under the grant,the employee will- (a) Abide by the terms of the statement;and (b) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; 5. Notifying the agency in writing,within ten calendar days after receiving notice under subparagraph 4(b)from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice,including position title,to every grant officer or other designee on whose grant activity the convicted employee was working,unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s)of each affected grant; 16 [iICHI ris Place of Performance(Street address,city,county,state,zip code) 151?Pc-P4z, pF CD 04.r i 'i 4 s►oaleRS . 5191 1 Al-Al Act-it —1g— k.1 t—f-s .y-I c2 i Check—if there are workplaces on file that are not identified here. This information with regard to the drug-free workplace is required by 24 CFR part 21. 7. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees'attention is called,in particular,to the following definitions from these rules: "Controlled substance"means a controlled substance in Schedules I through V of the Controlled Substances Act(21 U.S.C. 812)and as further defined by regulation(21 CFR 1308.11 through 1308.15); "Conviction"means a finding of guilt(including a plea of nolo contendere)or imposition of sentence,or both,by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; "Criminal drug statute"means a Federal or non-Federal criminal statute involving the manufacture,distribution,dispensing,use,or possession of any controlled substance; "Employee"means the employee of a grantee directly engaged in the performance of work under a grant,including:(i)All "direct charge" employees;(ii)all "indirect charge"employees unless their impact or involvement is insignificant to the performance of the grant;and(iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee(e.g.,volunteers,even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll;or employees of subrecipients or subcontractors in covered workplaces). iouiO OPTIONAL CERTIFICATION CDBG Submit the following certification only when one or more of the activities in the action plan are designed to meet other community development needs having a particular urgency as specified in 24 CFR 570.208(c): The grantee hereby certifies that the Annual Plan includes one or more specifically identified CDBG-assisted activities which are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community and other financial resources are not available to meet such needs. . S $ iz 11 Signature/Authorized Official to CNtriktL.v4A1J Title TT is eta as to form & legal Sufflclancy DWIGHT E. BROCK, Clerk Asls ant County Attorney Z W JR 1Z • 160101 Specific HOME Certifications The HOME participating jurisdiction certifies that: Tenant Based Rental Assistance—If the participating jurisdiction intends to provide tenant-based rental assistance: The use of HOME funds for tenant-based rental assistance is an essential element of the participating jurisdiction's consolidated plan for expanding the supply,affordability,and availability of decent,safe,sanitary,and affordable housing. Eligible Activities and Costs--it is using and will use HOME funds for eligible activities and costs,as described in 24 CFR§92.205 through 92.209 and that it is not using and will not use HOME funds for prohibited activities,as described in §92.214. Appropriate Financial Assistance—before committing any funds to a project,it will evaluate the project in accordance with the guidelines that it adopts for this purpose and will not invest any more HOME funds in combination with other Federal assistance than is necessary to provide affordable housing; tA). G-aL 5II IZ- Signature/Authorized Official Date A%4M Ptrl Title #`4, tiff tos iega OttitCy it DWIGHT E SHOCK, 3—f_n.1 rN.) C FL Q. 704$7** wAft fay 16 10 ll ESG Certifications The Emergency Solutions Grants Program Recipient certifies that: Major rehabilitation/conversion—If an emergency shelter's rehabilitation costs exceed 75 percent of the value of the building before rehabilitation,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed rehabilitation. If the cost to convert a building into an emergency shelter exceeds 75 percent of the value of the building after conversion,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed conversion. In all other cases where ESG funds are used for renovation,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 3 years after the date the building is first occupied by a homeless individual or family after the completed renovation. Essential Services and Operating Costs—In the case of assistance involving shelter operations or essential services related to street outreach or emergency shelter,the jurisdiction will provide services or shelter to homeless individuals and families for the period during which the ESG assistance is provided,without regard to a particular site or structure,so long the jurisdiction serves the same type of persons(e.g., families with children,unaccompanied youth,disabled individuals, or victims of domestic violence)or persons in the same geographic area. Renovation—Any renovation carried out with ESG assistance shall be sufficient to ensure that the building involved is safe and sanitary. Supportive Services—The jurisdiction will assist homeless individuals in obtaining permanent housing,appropriate supportive services (including medical and mental health treatment,victim services,counseling, supervision,and other services essential for achieving independent living), and other Federal State, local,and private assistance available for such individuals. Matching Funds—The jurisdiction will obtain matching amounts required under 24 CFR 576.201. Confidentiality—The jurisdiction has established and is implementing procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted under the ESG program, including protection against the release of the address or location of any family violence shelter project,except with the written authorization of the person responsible for the operation of that shelter. Homeless Persons Involvement—To the maximum extent practicable,the jurisdiction will involve,through employment,volunteer services,or otherwise,homeless individuals and families in constructing,renovating,maintaining,and operating facilities assisted under the ESG program, in providing services assisted under the ESG program,and in providing services for occupants of facilities assisted under the program. Consolidated Plan—All activities the jurisdiction undertakes with assistance under ESG are consistent with the jurisdiction's consolidated plan. Discharge Policy—The jurisdiction will establish and implement,to the maximum extent practicable and where appropriate policies and protocols for the discharge of persons from 1 6 0 1 0 4 SIGN HERE ....• u trimly funded institutions or systems of care(such as health care facilities,mental health a'lities, foster care or other youth facilities,or correction programs and institutions)in order to 4 vent this discharge from immediately resulting in homelessness for these persons. . . • . • • - . . . • . . . . • . . . • . . . . • „ . . . . • . Signature/Authorized Official Date •*A IA ( fir 4 Title ...- II a l 1Jivori, .E., i3HOCis„ ,' ie, - 4•' k., rot';, .,)? , 4 ,ewil Surticiatit., , (-. \-%••■•7■..sL- . . . • - • 3 t_',a r\J -.F.1_ t?......_ ----• . ...•. - - - . • - . . . . . . • - • . • . • . • • . . . . . - • - • • • . . _ .4_ 41# w.t. • — • . . . . . • - • • 6#A4* ••r- _ . 160101 HOPWA Certifications The HOPWA grantee certifies that: Activities—Activities funded under the program will meet urgent needs that are not being met by available public and private sources. Building--Any building or structure assisted under that program shall be operated for the purpose specified in the plan: 1. For at least 10 years in the case of assistance involving new construction,substantial rehabilitation,or acquisition of a facility, 2. For at least 3 years in the case of assistance involving non-substantial rehabilitation or repair of a building or structure. I ' /8 It Signature/Authorized Official �,Date Title Ss..,►..)iv % F rc..G2, Q . A l T iiitifi66 .:*:' ....;'I*"..: 3tiaN LAOIS 16010 i APPENDIX TO CERTIFICATIONS INSTRUCTIONS CONCERNING LOBBYING AND DRUG-FREE WORKPLACE REQUIREMENTS: A. Lobbying Certification 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. B. Drug-Free Workplace Certification 1. By signing and/or submitting this application or grant agreement,the grantee is providing the certification. 2. The certification is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification,or otherwise violates the requirements of the Drug-Free Workplace Act,HUD,in addition to any other remedies available to the Federal Government,may take action authorized under the Drug-Free Workplace Act. 3. Workplaces under grants,for grantees other than individuals,need not be identified on the certification. If known,they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application,or upon award,if there is no application,the grantee must keep the identity of the workplace(s)on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug-free workplace requirements. 4. Workplace identifications must include the actual address of buildings (or parts of buildings)or other sites where work under the grant takes place. Categorical descriptions may be used(e.g.,all vehicles of a mass transit authority or State highway department while in operation,State employees in each local unemployment office,performers in concert halls or radio stations). 5. If the workplace identified to the agency changes during the performance of the grant,the grantee shall inform the agency of the change(s),if it previously identified the workplaces in question(see paragraph three). 6. The grantee may insert in the space provided below the site(s)for the performance of work done in connection with the specific grant: 16010 1.a Place of Performance(Street address,city,county,state,zip code) t '`a. C• t-t i Act-4 i `Ig.. C 1 ARt S -L- �a-i-t t 2- (� 3t1/C‘ \ Check_if there are workplaces on file that are not identified here. This information with regard to the drug-free workplace is required by 24 CFR part 21. 7. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug-Free Workplace common rule apply to this certification. Grantees'attention is called, in particular,to the following definitions from these rules: "Controlled substance"means a controlled substance in Schedules I through V of the Controlled Substances Act(21 U.S.C. 812)and as further defined by regulation(21 CFR 1308.11 through 1308.15); "Conviction"means a finding of /ilt(including a plea of nolo contendere)or imposition of s fence,or both,by any judicial body charged with the responsibili to determine violations of the Federal or State criminal drug statutes;' , "Criminal drug statute"means a Federal or non-Federal criminal statute involving the manufacture,distribution,dispensing,use,or possession of any controlled substance; "Employee"means the employee of a grantee directly engaged in the performance of work under a grant,including:(i)All "direct charge" employees;(ii)all"indirect charge"employees unless their impact or involvement is insignificant to the performance of the grant;and(iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This defmition does not include workers not on the payroll of the grantee(e.g.,volunteers,even if used to meet a matching requirement;consultants or independent contractors not on the grantee's payroll;or employees of subrecipients or subcontractors in covered workplaces). / ‘ , 16010 A Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second FY2011 Allocation of the Emergency Solutions Grant (ESG) Grantees eligible to receive funds under the Emergency Solutions Grant (ESG) are required to complete a substantial amendment to their Consolidated Plan 2011 Action Plan. This form sets forth the required format for this substantial amendment. A completed form is due to HUD within 60 days of the publication of the HUD ESG notice. To aid grantees in meeting this submission deadline, the ESG Notice requires a 30-day public comment period. ESG grantees are required to follow their Consolidated Plan's citizen participation process, including consultation with the Continuum of Care(CoC) in the appropriate jurisdiction(s). Grantees are also required to coordinate ESG activities with the CoC's strategies for homeless prevention and ending homelessness. To maximize transparency, HUD strongly recommends that each grantee post its substantial amendment materials on the grantee's official website as the materials are developed. A complete submission contains the following three documents: 1) A signed and dated SF-424, 2) A completed form HUD-40119 (this form), and 3) Signed and dated General Consolidated Plan and ESG certifications. For additional information regarding the ESG program, visit the HUD Homelessness Resource Exchange (www.hudhre.info). This site is regularly updated to include ESG resources developed by HUD and its technical assistance providers. The information collection requirements contained in this application have been submitted to the Office of Management and Budget (OMB) for review under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501- 3520). This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. Information is submitted in accordance with the regulatory authority contained in each program rule. The information will be used to rate applications, determine eligibility, and establish grant amounts. Public reporting burden for this collection of information is estimated to be 16 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information is required to obtain benefits. To the extent that any information collected is of a confidential nature, there will be compliance with Privacy Act requirements. However,the substantial amendment to the Consolidated Plan 2011 Action Plan does not request the submission of such information. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties.(18 U.S.C. 1001, 1010, 1012;31 U.S.C. 3729,3802) 1 HUD-40119 am a iou1o4 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) General Information Grantee Name Collier County Name of Entity or Department Housing, Human and Veteran Services Administering Funds ESG Contact Person Kimberley Grant (person to answer questions about this amendment and ESG) Title Interim Director, Housing, Human and Veteran Services Address Line 1 3339 Tamiami Trail East Address Line 2 Building H, Suite 211 City, State, Zip Code Naples, Fl 34112-5361 Telephone 239-252-4230 Fax 239-252-2331 Email Address KimberleyGrant @colliergov.net Authorized Official Fred W. Coyle (if different from Contact Person) Title Chairman, Collier County Board of County Commissioners Address Line 1 3301 Tamiami Trail East Address Line 2 Admin Building City, State, Zip Code Naples, Fl 34112 Telephone 239-252-8097 Fax 239-252-3602 Email Address FredCoyle(a�colliergov.net Web Address where this Form is www.colliergov.net Posted Amount Grantee is Eligible to Receive* $ 53,219 Amount Grantee is Requesting $ 53,219 2 HUD-40119 16010 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant(ESG) General Information Grantee Name Collier County Name of Entity or Department Housing, Human and Veteran Servi s Administering Funds ESG Contact Person Kimberley Grant (person to answer questions about this amendment and ESG) Title Interim Director, Hop ng, Human and Veteran Services Address Line 1 3339 Tamiami Tr it East Address Line 2 Building H, S to 211 City,State, Zip Code Naples, Fl 4112-5361 Telephone 239-25 4230 Fax 239- 2-2331 Email Address Ki berleyGrant ri colliergov.net Authorized Official red W. Coyle (if different from Contact Person) / (.1)C0(N3 Chairman, Collier County Board of County Y Y / Commissioners Q � Address Line 1 // 3301 Tamiami Trail East T Address Line 2 Admin Building City, State, Zip Code /f Naples, Fl 34112 51616 Telephone 239-252-8097 Fax /' 239-252-3602 Email Address, FredCovlerd colliergov.net Web Address'where this Form is wwvk,•colliergov.net Posted ' AmounVGrantee is Eligible to Receive* $ 53,219 Amount Grantee is Requesting $ 53,219 2 HUD-40119 i6O1O Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant(ESG) A. Requirements for Preparation Consultation with the Continuum of Care 1. Briefly describe how the ESG funds will be allocated to eligible activities, development of performance standards and funding, policies and procedures for the operation and administration of the HMIS. Response: The FL606 (Collier County) Continuum of Care (CoC) held a meeting on April 5, 2012 to create a community plan to organize and deliver housing and supportive services to meet the needs of homeless Collier County residents as they move to a stable housing environment. At the meeting there was general discussion regarding the changes to the Emergency Solutions Grant (ESG) that is reflected with the addition of the homelessness prevention component and the rapid re-housing assistance component. Based on HUD's new guidance, a point system was developed to evaluate applications for the supplemental ESG funding in the amount of $53,219. The CoC was in agreement that rapid re-housing should have the highest priority for the supplemental funding. A point system was approved by the CoC to rank ESG applicants' Letter of Intent, however only one letter of Intent was received from the Collier County Housing Authority to provide housing vouchers and case management to assist in the rapid re-housing of the homeless. Based on the grading criteria, the application received a score of 26 points. Please see Attachment #1. All supplemental funds (minus administration funds) will be used for housing vouchers and the case management associated with this program. Policies and procedures for the administration of the ESG voucher program are based on the current Homelessness Prevention and Rapid Re-Housing (HPRP) housing voucher program. Currently, a CoC committee is drafting the ESG Rapid Re-Housing Voucher Program administrative policy handbook that will outline program selection criteria, forms, as well as policies and procedures for the new program. Citizen Participation 2. Briefly describe how the grantee followed its citizen participation plan regarding this proposed substantial amendment(limit 250 words). Response: The ESG Substantial Amendment was published in the Naples Daily News (NDN), a local newspaper of general circulation within Collier County on April 5, 2012. The advertisement was also posted on the Collier County Department of Housing, Human and Veteran Services' (HHVS) website. This 3 HUD-40119 16010 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant(ESG) notification was made to notify citizens of the proposed change to the Action Plan and ensure the widest dissemination of the substantial amendment (Attachment#2). The public comment period was from April 5 to May 5, 2012. A public hearing was held on May 8, 2012 by the local government entity, the Collier County Board of County Commissioners (Item 16D10-4876) to solicit public comments. This public meeting was advertised on the Collier County official website and placed in the main administration building where public notices are posted. In addition, local non-profit agencies were notified by email. 2a. Provide the appropriate response regarding this substantial amendment by checking one of the following options: ® Grantee did not receive public comments. ❑ Grantee received and accepted all public comments. ❑ Grantee received public comments and did not accept one or more of the comments. 2b. Provide a summary of the public comments regarding this substantial amendment. Include a summary of any comments or views not accepted and the reasons for non-acceptance. Response: No responses received. B. Required Contents of Substantial Amendments 1. Form-424 Response:Attachment 1. 2. Describe how sub-grantee consults with the Continuum of Care on how to allocate ESG funds for eligible activities. Response: In addition to the coordination cited in Section A (1) above, HHVS is the Lead Agency for the Collier County Continuum of Care (CoC) and actively participates in, and supports the priorities established by the CoC. HHVS is tied, not only by its active participation in the CoC with its partner social service agencies, but also electronically via the Homeless Management Information System (HMIS). The Collier County Sheriff's Office (CCSO) assists HHVS in this collaboration by assigning a deputy to work with the homeless population to improve their access to care and educating them on existing resources. In addition Collier County's two homeless shelters: St Matthew's House and The Shelter for Abused Women and Children are both active members of the CoC and work closely with HHVS to ensure the widest dissemination of information regarding available resources. 4 HUD-40119 iôtjiOs Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) The HPRP program, as well as the recent expansion of the HMIS system in Collier County has also served to strengthen the communication between the shelters and the non-profit providers to ensure a full complement of supportive services are available to those in need. Lastly, HHVS has established policy and procedures in place for the implementation of sub-recipients agreements. These policies and procedures mirror HUD requirements and are used to ensure ESG requirements and performance measures are met. A Grant Coordinator is assigned to each sub-recipient. The Grant Coordinator works with the sub-recipients to assist in the understanding of their agreement terms. The Grant Coordinator works with the Non-Profit to develop a concise description of the ESG activity. The scope includes the number and types of persons to be served, the corresponding standard objective category (decent housing, suitable living environment or economic opportunity) and the corresponding outcome category (availability/accessibility, affordability or sustainability) performance measures, match and reimbursement requirements, as well as any administrative and reporting requirements. The Grant Coordinator, along with the Grant Operations Manager, maintains active communication with the sub-recipient via desk monitoring, phone monitoring, monthly reports and site visits. HHVS, in conjunction with the Clerk of Courts and the Purchasing Department, provide technical assistance to sub-recipients to ensure their pay requests comply with the terms of their agreement as well as all applicable federal, state and local requirements. Eligibility requirements are monitored throughout the life of the agreement by means of on-site monitoring or participant files. 3. Describe the grantee's plan for ensuring the effective and match requirements for ESG grant matching funds on eligible activities, as outlined in the ESG Notice. Response: The proposed sub-recipient (The Collier County Housing Authority (CCHA)) is required to outline how the organization will meet the ESG requirement for the one-to-one match in order to receive funding from HHVS. CCHA has proposed a grant salary match that is in keeping with the ESG requirements as outlined in the NOFA, i.e. match required by the sub-recipient can be federal, state, local and local resources (cash or non-cash). 4. Proposed Activities and Overall Budget Response: The second FY2011 Allocation of ESG grant will be made by means of a grant agreement executed by HUD and the grantee (Collier County). The two- 5 HUD-40119 16010. Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant(ESG) year (24 months) deadline to expend funds is effective upon HUD's execution of the grant agreement. Grantees should ensure sufficient planning is in place to begin to expend funds shortly after grant agreement. HUD requires the grantee to complete the following table so that participants in the citizen participation process may see the grantee's preliminary estimated amounts for various ESG activities. Enter the estimated budget amounts for each activity in the appropriate column and row. The grantee will be required to report actual amounts in subsequent reporting. Activity Type Obligated Amount Rapid Re-Housing—Rental $ 39,227 Assistance' Rapid Re-Housing— $ 10,000 Stabilization/Case Management2 Administrative Activities— $ 3,992 Collier County HHVS3 Total Second FY2011 $ 53,219 Allocation Award ' Rapid Re-Housing — HUD strongly encourages the focus of funding as much as possible on rapidly re-housing individuals and families living on the streets or in emergency shelters. Effective rapid re-housing programs help people transition out of the homeless assistance system as quickly as possible, decreasing the number of persons homeless within the community (HUD Docket No. FR-5594-N-01). 2Stabilization/Case Management is a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's holistic needs through communication and available resources to promote quality cost effective outcomes. 3Administrative Activities as the term is defined in §583.135(b) of this part, except that the exclusion relates to the costs of carrying out eligible activities under §576.21(a). The Shelter for Abused Women and Children (SAWCC) and St. Matthews House (SMH) [both homeless shelters in Collier County] work to provide safe, secure environments while taking individuals and families off the streets. These organizations work with individuals and families to stabilize them and then refer them to the Collier County Housing Authority (CCHA) for permanent housing. The CCHA will income qualify applicants and educate them to maintain housing after the vouchers end. The CCHA will provide assistance for five vouchers. 6 HUD-40119 , • 16010 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant(ESG) C. Collaboration 1. Briefly describe how the grantee plans to collaborate with the local agencies that can serve similar target populations,which received funds under the American Recovery and Reinvestment Act of 2009 from other Federal agencies, including the U.S. Departments of Education, Health and Human Services, Homeland Security, and Labor(limit 250 words). Response: HHVS, as the Lead Agency for the Continuum of Care, already collaborates with a number of local agencies, who receive funding from a variety of federal sources. These agencies have implemented programs and services to assist the homeless and those at risk of becoming homeless. HHVS works closely with the Collier County Hunger and Homeless Coalition (HHC), which coordinates involvement of local agencies, as well as works with the Collier County Public Schools liaison for homeless children. Youth Haven, another Collier County non- profit organization receiving funding from the US Department of Health and Human Services currently oversees a program called "Caring for Families" which has previously been supported by the HHVS office. The David Lawrence Mental Health Center also receives state and federal funds and offers supportive housing for clientele with mental illness who are at risk of being homeless. In addition, HHVS works with the Collier County Housing Authority, the public housing authority that receives USDA funding, with tenant based rental assistance. 2. Briefly describe how ESG grant funds for financial assistance and housing relocation/stabilization services will be used in a manner that is consistent with the grantee's Consolidated Plan (limit 250 words). Response: The second allocation for funding will be used for rapid re-housing — rental assistance. Rapid re-housing assistance targets those individuals and families living on the streets or in emergency shelters. Effective rapid re-housing programs help people transition out of the homeless assistance system as quickly as possible, decreasing the number of persons who are homeless within the community. Collier County's FY2011-2016 Consolidated Plan states the county will utilize a Continuum of Care model in which homeless individuals move from homelessness to permanent housing via a spectrum of services which encompass outreach/intake/assessment to emergency sheltering then progress to transitional housing and finally to supportive and/or permanent housing. This Continuum of Care model utilizes an array of supportive services aimed at locating suitable housing, assists with rent and utility deposits, and finally, continues rental payments and utility assistance for a reasonable period until the individual is stabilized in permanent housing and is able to assume financial responsibility for their own housing. The eligible activities of the ESG will fit seamlessly in Collier County's Continuum of Care model to transition homeless individuals and families to permanent housing. 7 HUD-40119 16DIO Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) D. Authorized Signature By signing this application, I certify (1) to the statements contained in the list of certifications and (2) that the statements herein are true, complete, and accurate to the best of my knowledge. I also provide the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 1001) Q Signature /Authorized Official Chair Collier County Board of County Commissioners Title ATTEST: DWIGHT E. BROCK, Clerk By' r*1 3113H N01 5 $ (Z Date Approved as to torn & iegai Sufficiency A991s ant County Atiornev 8 HUD -40119 160104 MEMORANDUM Date: May 14, 2012 To: Elly Soto McKuen, Grant Support Specialist Housing, Human & Veterans Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: HUD Emergency Solutions Grant Substantial Amendment Enclosed, please find one (1) original of document as referenced above, (Agenda Item #16D10) which was approved by the Board of County Commissioners on Tuesday, May 8, 2012. Please return a fully executed original to the Minutes and Records Department, where it will be kept as part of the Board's Official Records. If you should have any questions, please call me at 252 -7240. Thank you APPLICATION FOR OMB Approved No. 3076 -0006 16010 Version 7103 FEDERAL ASSISTANCE 2. DATE SUBMITTED Applicant Identifier 1. TYPE OF SUBMISSION: 3. DATE RECEIVED BY STATE State Application Identifier Application Pre - application CC, Construction Construction 4. DATE RECEIVED BY FEDERAL AGENCY Federal Identifier Non-construction Non-constrvction 5. APPLICANT INFORMATION Legal Name: Organizational Unit: Collier County Board of County Commissioners Department: Collier County Housing, Human and Veteran Services Organizational DUNS: Division: 078997790 Collier County Housing, Human and Veteran Services Address: Name and telephone number of person to be contacted on matters involvin2 this application (give area code) Street: 3299 E. Tamiami Trail, Administration Building Prefix: First Name: Ms. Kimberley City: Naples Middle Name County: Collier Last Name Grant State: Florida Zi Code 34112 Suffix: Country: Email: KimbedeyGrant@colliergov.net 6. EMPLOYER IDENTIFICATION NUMBER (E/N): Phone Number (give area code) Fax Number (give area code) �0— ©oaoaaa (239) 252 -4230 (239) 252 -2331 8. TYPE OF APPLICATION: 7. TYPE OF APPLICANT: (See back of form for Application Types) F_ New V Continuation r Revision If Revision, enter appropriate letter(s) in box(es) County See back of form for description of letters.) ❑ ❑ Other (specify) Other (specify) 9. NAME OF FEDERAL AGENCY: Housing and Urban Development 10. CATALOG OF FEDERAL DOMESTIC ASSISTANCE NUMBER: 11. DESCRIPTIVE TITLE OF APPLICANT'S PROJECT: ❑ —❑❑F] Second FY2011 Allocation for Emergency Solutions Project TITLE (Name of Program): Labor management Cooperation Program 12. AREAS AFFECTED BY PROJECT (Cities, Counties, States, etc.): Collier County, Florida 13. PROPOSED PROJECT 14. CONGRESSIONAL DISTRICTS OF: Start Date: Ending Date: a. Applicant b. Project 15. ESTIMATED FUNDING: 16. IS APPLICATION SUBJECT TO REVIEW BY STATE EXECUTIVE a. Federal ORDER 12372 PROCESS? 53,219 THIS PREAPPLICATION /APPLICATION WAS MADE a. Yes. AVAILABLE TO b. Applicant THE STATE EXECUTIVE ORDER 12372 PROCESS FOR REVIEW ON c. State DATE: d. Local ' � b. No. PROGRAM IS NOT COVERED BY E. 0. 12372 e. Other OR PROGRAM HAS NOT BEEN SELECTED BY STATE f . Program Income R REVIEW 17. IS THE APPLICANT DELINQUENT ON ANY FEDERAL DEBT? g. TOTAL 53,219 n Yes If "Yes" attach an explanation. No 18. TO THE BEST OF MY KNOWLEDGE AND BELIEF, ALL DATA IN THIS APPLICATION / PREAPPLICATION ARE TRUE AND CORRECT. THE DOCUMENT HAS BEEN DULY AUTHORIZED BY THE GOVERNING BODY OF THE APPLICANT AND THE APPLICANT ATTACHED ASSURANCES IF THE ASSISTANCE IS AWARDED. WILL COMPLY WITH THE a. A oriz Re resentative Prefix F�: Name fiddle Name Name W. Coy Col uffix b. Title , " " .. Chair, Collier County Bo rd o County Commissioners . Telephone Number (give area code) Signature of Authorized a esent 'v r' i '• ! 239 252 -8097 Date Signed Previous Edition Usable A May 8, 2012 Authorized for Local Reoroductioncl T E. BR LERT'\ AtUnt a to Cho I r ud ./ lignitur"t OAr 4 ilPnutV Cledtt 17'1^%0ww as TO form & le=864 orm 424 (Rev.9 -2003) �{�i B Circular A -102 INSTRUCTIONS FOR THE SF-424 16010 Public reporting burden for this collection of information is estimated to average 45 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project (0348 - 0043), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. This is a standard form used by applicants as a required face sheet for pre - applications and applications submitted for Federal assistance. It will be used by Federal agencies to obtain applicant certification that States which have established a review and comment procedure in response to Executive Order 12372 and have selected the program to be included in their process, have been given an opportunity to review the applicant's submission. Item: Entry: Item: Entry: 1. Select Type of Submission. 11. Enter a brief descriptive title of the project. If more than one program is involved, you should append an explanation on a separate sheet. If appropriate (e.g., construction or real property projects), attach a map showing project location. For preapplications, use a separate sheet to provide a summary description of this project. 2. Date application submitted to Federal agency (or State if applicable) 12. List only the largest political entities affected (e.g., State, and applicant's control number (if applicable). counties, cities). 3. State use only (if applicable). 13 Enter the proposed start date and end date of the project. 4. Enter Date Received by Federal Agency 14. List the applicant's Congressional District and any District(s) Federal identifier number: If this application is a continuation or affected by the program or project revision to an existing award, enter the present Federal Identifier number. If for a new project, leave blank. 5. Enter legal name of applicant, name of primary organizational unit 15 Amount requested or to be contributed during the first (including division, if applicable), which will undertake the funding/budget period by each contributor. Value of in kind assistance activity, enter the organization's DUNS number contributions should be included on appropriate lines as (received from Dun and Bradstreet), enter the complete address of applicable. If the action will result in a dollar change to an the applicant (including country), and name, telephone number, e- existing award, indicate only the amount of the change. For mail and fax of the person to contact on matters related to this decreases, enclose the amounts in parentheses. If both basic application. and supplemental amounts are included, show breakdown on an attached sheet. For multiple program funding, use totals and show breakdown using same categories as item 15. 6. Enter Employer Identification Number (EIN) as assigned by the 16. Applicants should contact the State Single Point of Contact Internal Revenue Service. (SPOC) for Federal Executive Order 12372 to determine whether the application is subject to the State intergovernmental review process. 7. Select the appropriate letter in 17. This question applies to the applicant organization, not the the space provided. I. State Controlled person who signs as the authorized representative. Categories A. State Institution of Higher of debt include delinquent audit disallowances, loans and B. County Learning taxes. C. Municipal J. Private University D. Township K. Indian Tribe E. Interstate L. Individual F. Intermunicipal M. Profit Organization G. Special District N. Other (Specify) H. Independent School O. Not for Profit District Organization 8. Select the type from the following list: 18 To be signed by the authorized representative of the applicant. • "Nevi' means a new assistance award. A copy of the governing body's authorization for you to sign • "Continuation" means an extension for an additional this application as official representative must be on file in the funding /budget period for a project with a projected completion applicant's office. (Certain Federal agencies may require that date. this authorization be submitted as part of the application.) • "Revision" means any change in the Federal Government's financial obligation or contingent liability from an existing obligation. If a revision enter the appropriate letter: A. Increase Award B. Decrease Award C. Increase Duration D. Decrease Duration 9. Name of Federal agency from which assistance is being requested with this application. 10. Use the Catalog of Federal Domestic Assistance number and title of the program under which assistance is requested. SF-424 (Rev. 7 -97) Back 16010-4 CERTIFICATIONS In accordance with the applicable statutes and the regulations governing the consolidated plan regulations, the jurisdiction certifies that: Affirmatively Further Fair Housing — The jurisdiction will affirmatively further fair housing, which means it will conduct an analysis of impediments to fair housing choice within the jurisdiction, take appropriate actions to overcome the effects of any impediments identified through that analysis, and maintain records reflecting that analysis and actions in this regard. Anti - displacement and Relocation Plan — It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended, and implementing regulations at 49 CFR 24; and it has in effect and is following a residential antidisplacement and relocation assistance plan required under section 104(d) of the Housing and Community Development Act of 1974, as amended, in connection with any activity assisted with funding under the CDBG or HOME programs. Drug Free Workplace -- It will or will continue to provide a drug -free workplace by: 1. Publishing a statement notifying employees that the unlawful manufacture, distribution, dispensing, possession, or use of a controlled substance is prohibited in the grantee's workplace and specifying the actions that will be taken against employees for violation of such prohibition; 2. Establishing an ongoing drug -free awareness program to inform employees about - (a) The dangers of drug abuse in the workplace; (b) The grantee's policy of maintaining a drug -free workplace; (c) Any available drug counseling, rehabilitation, and employee assistance programs; and (d) The penalties that may be imposed upon employees for drug abuse violations occurring in the workplace; Making it a requirement that each employee to be engaged in the performance of the grant be given a copy of the statement required by paragraph 1; 4. Notifying the employee in the statement required by paragraph 1 that, as a condition of employment under the grant, the employee will - (a) Abide by the terms of the statement; and (b) Notify the employer in writing of his or her conviction for a violation of a criminal drug statute occurring in the workplace no later than five calendar days after such conviction; 5. Notifying the agency in writing, within ten calendar days after receiving notice under subparagraph 4(b) from an employee or otherwise receiving actual notice of such conviction. Employers of convicted employees must provide notice, including position title, to every grant officer or other designee on whose grant activity the convicted employee was working, unless the Federal agency has designated a central point for the receipt of such notices. Notice shall include the identification number(s) of each affected grant; iboioi 6. Taking one of the following actions, within 30 calendar days of receiving notice under subparagraph 4(b), with respect to any employee who is so convicted - (a) Taking appropriate personnel action against such an employee, up to and including termination, consistent with the requirements of the Rehabilitation Act of 1973, as amended; or (b) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation program approved for such purposes by a Federal, State, or local health, law enforcement, or other appropriate agency; 7. Making a good faith effort to continue to maintain a drug -free workplace through implementation of paragraphs 1, 2, 3, 4, 5 and 6. Anti - Lobbying — To the best of the jurisdiction's knowledge and belief. No Federal appropriated funds have been paid or will be paid, by or on behalf of it, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement; 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan, or cooperative agreement, it will complete and submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions; and 3. It will require that the language of paragraph 1 and 2 of this anti - lobbying certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all subrecipients shall certify and disclose accordingly. Authority of Jurisdiction — The consolidated plan is authorized under State and local law (as applicable) and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding, in accordance with applicable HUD regulations. Consistency with plan — The housing activities to be undertaken with CDBG, HOME, ESG, and HOPWA funds are consistent with the strategic plan. Section 3 — It will comply with section 3 of the Housing and Urban Development Act of 1968, and i le nting regulations at 24 C R Part 135. W• ��lZ Signature /Authorized Officia Date AppfOved as to form & legal Suf 1cleney C N0tL>M44 Title Assistant County Attorney ATTE$24 ) � � E- By: l-� OPIUM, DOI it 160 10 t' Specific CDBG Certifications The Entitlement Community certifies that: Citizen Participation -- It is in full compliance and following a detailed citizen participation plan that satisfies the requirements of 24 CFR 91.105. Community Development Plan — Its consolidated housing and community development plan identifies community development and housing needs and specifies both short-term and long -term community development objectives that provide decent housing, expand economic opportunities primarily for persons of low and moderate income. (See CFR 24 570.2 and CFR 24 part 570) Following a Plan — It is following a current consolidated plan (or Comprehensive Housing Affordability Strategy) that has been approved by HUD. Use of Funds — It has complied with the following criteria: 1. Maximum Feasible Prioriix. With respect to activities expected to be assisted with CDBG funds, it certifies that it has developed its Action Plan so as to give maximum feasible priority to activities which benefit low and moderate income families or aid in the prevention or elimination of slums or blight. The Action Plan may also include activities which the grantee certifies are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available); 2. Overall Benefit. The aggregate use of CDBG funds including section 108 guaranteed loans during program year(s)2nj I , � _0/ Z (a period specified by the grantee consisting of one, two, or three specific consecutive program years), shall principally benefit persons of low and moderate income in a manner that ensures that at least 70 percent of the amount is expended for activities that benefit such persons during the designated period; 3. Special Assessments. It will not attempt to recover any capital costs of public improvements assisted with CDBG funds including Section 108 loan guaranteed funds by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements. However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the capital costs of public improvements (assisted in part with CDBG funds) financed from other revenue sources, an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. The jurisdiction will not attempt to recover any capital costs of public improvements assisted with CDBG funds, including Section 108, unless CDBG funds are used to pay the proportion of fee or assessment attributable to the capital costs of public improvements financed from other revenue sources. In this case, an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. Also, in the case of properties owned and occupied by moderate - income (not low- income) families, an assessment or charge may be made against the property for public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment. Excessive Force -- It has adopted and is enforcing: l . A policy prohibiting the use of excessive force by law enforcement agencies within its 160104 jurisdiction against any individuals engaged in non - violent civil rights demonstrations; and 2. A policy of enforcing applicable State and local laws against physically barring entrance to or exit from a facility or location which is the subject of such non - violent civil rights demonstrations within its jurisdiction; Compliance With Anti - discrimination laws -- The grant will be conducted and administered in conformity with title VI of the Civil Rights Act of 1964 (42 USC 2000d), the Fair Housing Act (42 USC 3601- 3619), and implementing regulations. Lead -Based Paint — Its activities concerning lead -based paint will comply with the requirements of 24 CFR Part 35, subparts A, B, J, K and R; Compliance with Laws — It will comply with applicable laws. ._� W S%8 %r Z Signature/Authorized Official Date C4A1trni4rat Title D T E B13c' K, Jerk By: ' Cw ~ MOW, Gitt i�P�!#ttrr� �Oilt•+t / Appfoved as to form & legal Sufficiency Assistant County Attorney SiNrv�VEV— 160 10" OPTIONAL CERTIFICATION CDBG Submit the following certification only when one or more of the activities in the action plan are designed to meet other community development needs having a particular urgency as specified in 24 CFR 570.208(c): The grantee hereby certifies that the Annual Plan includes one or more specifically identified CDBG - assisted activities which are designed to meet other community development needs having a particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community and other financial resources are not available to meet such needs. 11 Signature/Authorized Official ate C L4 A i t,rt•� A Title ATTW. DWWkHT E. f fork By: Atto n to..i*1r�" itp4t>ori Gat.t. AP"Od as to form & legal SufflotgrtCy Assls ant County Attorney cJ�F-f-2 e3 . �-� ` ,,Z'�_ 160101 Specific HOME Certifications The HOME participating jurisdiction certifies that: Tenant Based Rental Assistance — If the participating jurisdiction intends to provide tenant -based rental assistance: The use of HOME funds for tenant -based rental assistance is an essential element of the participating jurisdiction's consolidated plan for expanding the supply, affordability, and availability of decent, safe, sanitary, and affordable housing. Eligible Activities and Costs — it is using and will use HOME funds for eligible activities and costs, as described in 24 CFR § 92.205 through 92.209 and that it is not using and will not use HOME funds for prohibited activities, as described in § 92.214. Appropriate Financial Assistance — before committing any funds to a project, it will evaluate the project in accordance with the guidelines that it adopts for this purpose and will not invest any more HOME funds in combination with other Federal assistance than is necessary to provide affordable housing; ."� W �1 5 a 1'L Signature /Authorized Official Date (f4 A„4 M P1rl Title ATIFEST::.. DWIGHT ROCK, Clerk sy. �tt+Kt s# M WNf �ftllln oa A pMed as to form & legal s ufHCllitCy A4sl Count y Attorney --'V- *_ nJ rJ � i6oio9 ESG Certifications The Emergency Solutions Grants Program Recipient certifies that: Major rehabilitation/conversion — If an emergency shelter's rehabilitation costs exceed 75 percent of the value of the building before rehabilitation, the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed rehabilitation. If the cost to convert a building into an emergency shelter exceeds 75 percent of the value of the building after conversion, the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed conversion. In all other cases where ESG funds are used for renovation, the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 3 years after the date the building is first occupied by a homeless individual or family after the completed renovation. Essential Services and Operating Costs — In the case of assistance involving shelter operations or essential services related to street outreach or emergency shelter, the jurisdiction will provide services or shelter to homeless individuals and families for the period during which the ESG assistance is provided, without regard to a particular site or structure, so long the jurisdiction serves the same type of persons (e.g., families with children, unaccompanied youth, disabled individuals, or victims of domestic violence) or persons in the same geographic area. Renovation — Any renovation carried out with ESG assistance shall be sufficient to ensure that the building involved is safe and sanitary. Supportive Services — The jurisdiction will assist homeless individuals in obtaining permanent housing, appropriate supportive services ( including medical and mental health treatment, victim services, counseling, supervision, and other services essential for achieving independent living), and other Federal State, local, and private assistance available for such individuals. Matching Funds — The jurisdiction will obtain matching amounts required under 24 CFR 576.201. Confidentiality — The jurisdiction has established and is implementing procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted under the ESG program, including protection against the release of the address or location of any family violence shelter project, except with the written authorization of the person responsible for the operation of that shelter. Homeless Persons Involvement — To the maximum extent practicable, the jurisdiction will involve, through employment, volunteer services, or otherwise, homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG program, in providing services assisted under the ESG program, and in providing services for occupants of facilities assisted under the program. Consolidated Plan — All activities the jurisdiction undertakes with assistance under ESG are consistent with the jurisdiction's consolidated plan. Discharge Policy — The jurisdiction will establish and implement, to the maximum extent practicable and where appropriate policies and protocols for the discharge of persons from 160101 publicly funded institutions or systems of care (such as health care facilities, mental health facilities, foster care or other youth facilities, or correction programs and institutions) in order to prevent this discharge from immediately resulting in homelessness for these persons. "IL4 W. C"�V4 - Signature/Authorized Official Title ATTEST,` .. PWI`1�11T,E_ BR(n Ey_: 'Attu � III � N" &Z— Date terk. Approved as to form & legal Sufficiency nt unty�� HOPWA Certifications The HOPWA grantee certifies that: 160104 Activities — Activities funded under the program will meet urgent needs that are not being met by available public and private sources. Building -- Any building or, structure assisted under that program shall be operated for the purpose specified in the plan: 1. For at least 10 years in the case of assistance involving new construction, substantial rehabilitation, or acquisition of a facility, 2. For at least 3 years in the case of assistance involving non - substantial rehabilitation or repair of a building or structure. "'11� W. 5 /s %Iz Signature /Authorized Official Date CI�A��l.rh�4r( Title ; "is to firm &legal Sufficiency E. K, Clem 4: 7. Caunty ttrrnp' -- -t- Q_ Q.LztA -T� � alht�l 160 lo*4 APPENDIX TO CERTIFICATIONS INSTRUCTIONS CONCERNING LOBBYING AND DRUG -FREE WORKPLACE REQUIREMENTS: A. Lobbing Certification 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. B. Drug -Free Workplace Certification I . By signing and/or submitting this application or grant agreement, the grantee is providing the certification. 2. The certification is a material representation of fact upon which reliance is placed when the agency awards the grant. If it is later determined that the grantee knowingly rendered a false certification, or otherwise violates the requirements of the Drug -Free Workplace Act, HUD, in addition to any other remedies available to the Federal Government, may take action authorized under the Drug -Free Workplace Act. Workplaces under grants, for grantees other than individuals, need not be identified on the certification. If known, they may be identified in the grant application. If the grantee does not identify the workplaces at the time of application, or upon award, if there is no application, the grantee must keep the identity of the workplace(s) on file in its office and make the information available for Federal inspection. Failure to identify all known workplaces constitutes a violation of the grantee's drug -free workplace requirements. 4. Workplace identifications must include the actual address of buildings (or parts of buildings) or other sites where work under the grant takes place. Categorical descriptions may be used (e.g., all vehicles of a mass transit authority or State highway department while in operation, State employees in each local unemployment office, performers in concert halls or radio stations). If the workplace identified to the agency changes during the performance of the grant, the grantee shall inform the agency of the change(s), if it previously identified the workplaces in question (see paragraph three). 6. The grantee may insert in the space provided below the site(s) for the performance of work done in connection with the specific grant: 16010 Place of Performance (Street address, city, county, state, zap code) Check _ if there are workplaces on file that are not identified here. This information with regard to the drug -free workplace is required by 24 CFR part 21. 7. Definitions of terms in the Nonprocurement Suspension and Debarment common rule and Drug -Free Workplace common rule apply to this certification. Grantees' attention is called, in particular, to the following definitions from these rules: "Controlled substance" means a controlled substance in Schedules I through V of the Controlled Substances Act (21 U.S.C. 812) and as further defined by regulation (21 CFR 1308.11 through 1308.15); "Conviction" means a finding of guilt (including a plea of nolo contendere) or imposition of sentence, or both, by any judicial body charged with the responsibility to determine violations of the Federal or State criminal drug statutes; "Criminal drug statute" means a Federal or non - Federal criminal statute involving the manufacture, distribution, dispensing, use, or possession of any controlled substance; "Employee" means the employee of a grantee directly engaged in the performance of work under a grant, including: (i) All "direct charge" employees; (ii) all "indirect charge" employees unless their impact or involvement is insignificant to the performance of the grant; and (iii) temporary personnel and consultants who are directly engaged in the performance of work under the grant and who are on the grantee's payroll. This definition does not include workers not on the payroll of the grantee (e.g., volunteers, even if used to meet a matching requirement; consultants or independent contractors not on the grantee's payroll; or employees of subrecipients or subcontractors in covered workplaces). 160101 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second FY2011 Allocation of the Emergency Solutions Grant (ESG) Grantees eligible to receive funds under the Emergency Solutions Grant (ESG) are required to complete a substantial amendment to their Consolidated Plan 2011 Action Plan. This form sets forth the required format for this substantial amendment. A completed form is due to HUD within 60 days of the publication of the HUD ESG notice. To aid grantees in meeting this submission deadline, the ESG Notice requires a 30 -day public comment period. ESG grantees are required to follow their Consolidated Plan's citizen participation process, including consultation with the Continuum of Care (CoQ in the appropriate jurisdiction(s). Grantees are also required to coordinate ESG activities with the CoC's strategies for homeless prevention and ending homelessness. To maximize transparency, HUD strongly recommends that each grantee post its substantial amendment materials on the grantee's official website as the materials are developed. A complete submission contains the following three documents: 1) A signed and dated SF -424, 2) A completed form HUD -40119 (this form), and 3) Signed and dated General Consolidated Plan and ESG certifications. For additional information regarding the ESG program, visit the HUD Homelessness Resource Exchange (www.hudhre.info). This site is regularly updated to include ESG resources developed by HUD and its technical assistance providers. The information collection requirements contained in this application have been submitted to the Office of Management and Budget (OMB) for review under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501- 3520). This agency may not collect this information, and you are not required to complete this form, unless it displays a currently valid OMB control number. Information is submitted in accordance with the regulatory authority contained in each program rule. The information will be used to rate applications, determine eligibility, and establish grant amounts. Public reporting burden for this collection of information is estimated to be 16 hours, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. This information is required to obtain benefits. To the extent that any information collected is of a confidential nature, there will be compliance with Privacy Act requirements. However, the substantial amendment to the Consolidated Plan 2011 Action Plan does not request the submission of such information. Warning: HUD will prosecute false claims and statements. Conviction may result in criminal and/or civil penalties. (18 U.S.C. 1001, 1010, 1012; 31 U.S.C. 3729, 3802) HUD -40119 16010"A Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) General Information Grantee Name Collier County Name of Entity or Department Administering Funds Housing, Human and Veteran Services ESG Contact Person (person to answer questions about this amendment and ESG) Kimberley Grant Title Interim Director, Housing, Human and Veteran Services Address Line 1 3339Tamiami Trail East Address Line 2 Building H, Suite 211 City, State, Zip Code Naples, F134112 -5361 Telephone 239- 252 -4230 Fax 239 - 252 -2331 Email Address Kimberley Gy rantgcolIiergov.net Authorized Official (if different from Contact Person) Fred W. Coyle Title Chairman, Collier County Board of County Commissioners Address Line 1 3299 Tamiami Trail East Address Line 2 Admin Building City, State, Zip Code Naples, Fl 34112 Telephone 239- 252 -8097 Fax 239- 252 -3602 Email Address FredCoyle(ikollier og v.net Web Address where this Form is Posted www.colliergov.net Amount Grantee is Eligible to Receive* $ 53,219 Amount Grantee is Requesting $ 53,219 2 HUD -40119 t 16010 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) A. Requirements for Preparation Consultation with the Continuum of Care 1. Briefly describe how the ESG funds will be allocated to eligible activities, development of performance standards and funding, policies and procedures for the operation and administration of the HMIS. Response: The FL606 (Collier County) Continuum of Care (CoQ held a meeting on April 5, 2012 to create a community plan to organize and deliver housing and supportive services to meet the needs of homeless Collier County residents as they move to a stable housing environment. At the meeting there was general discussion regarding the changes to the Emergency Solutions Grant (ESG) that is reflected with the addition of the homelessness prevention component and the rapid re- housing assistance component. Based on HUD's new guidance, a point system was developed to evaluate applications for the supplemental ESG funding in the amount of $53,219. The CoC was in agreement that rapid re- housing should have the highest priority for the supplemental funding. A point system was approved by the CoC to rank ESG applicants' Letter of Intent, however only one letter of Intent was received from the Collier County Housing Authority to provide housing vouchers and case management to assist in the rapid re- housing of the homeless. Based on the grading criteria, the application received a score of 26 points. Please see Attachment #1. All supplemental funds (minus administration funds) will be used for housing vouchers and the case management associated with this program. Policies and procedures for the administration of the ESG voucher program are based on the current Homelessness Prevention and Rapid Re- Housing (HPRP) housing voucher program. Currently, a CoC committee is drafting the ESG Rapid Re- Housing Voucher Program administrative policy handbook that will outline program selection criteria, forms, as well as policies and procedures for the new program. Citizen Participation 2. Briefly describe how the grantee followed its citizen participation plan regarding this proposed substantial amendment (limit 250 words). Response: The ESG Substantial Amendment was published in the Naples Daily News (NDN), a local newspaper of general circulation within Collier County on April 5, 2012. The advertisement was also posted on the Collier County Department of Housing, Human and Veteran Services' (HHVS) website. This 3 HUD -40119 Substantial Amendment to the Consolidated Plan 2011 Action Plan fojh econ Allocation of Emergency Solutions Grant (ESG) notification was made to notify citizens of the proposed change to the Action Plan and ensure the widest dissemination of the substantial amendment (Attachment #2). The public comment period was from April 5 to May 5, 2012. A public hearing was held on May 8, 2012 by the local government entity, the Collier County Board of County Commissioners (Item 161310 -4876) to solicit public comments. This public meeting was advertised on the Collier County official website and placed in the main administration building where public notices are posted. In addition, local non - profit agencies were notified by email. 2a. Provide the appropriate response regarding this substantial amendment by checking one of the following options: ® Grantee did not receive public comments. ❑ Grantee received and accepted all public comments. ❑ Grantee received public comments and did not accept one or more of the comments. 2b. Provide a summary of the public comments regarding this substantial amendment. Include a summary of any comments or views not accepted and the reasons for non - acceptance. Response: No responses received. B. Required Contents of Substantial Amendments 1. Form- 424 Response: Attachment 1. 2. Describe how sub - grantee consults with the Continuum of Care on how to allocate ESG funds for eligible activities. Response: In addition to the coordination cited in Section A (1) above, HHVS is the Lead Agency for the Collier County Continuum of Care (CoC) and actively participates in, and supports the priorities established by the CoC. HHVS is tied, not only by its active participation in the CoC with its partner social service agencies, but also electronically via the Homeless Management Information System (HMIS). The Collier County Sheriff's Office (CCSO) assists HHVS in this collaboration by assigning a deputy to work with the homeless population to improve their access to care and educating them on existing resources. In addition Collier County's two homeless shelters: St Matthew's House and The Shelter for Abused Women and Children are both active members of the CoC and work closely with HHVS to ensure the widest dissemination of information regarding available resources. 4 HUD -40119 5 16010 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) The HPRP program, as well as the recent expansion of the HMIS system in Collier County has also served to strengthen the communication between the shelters and the non - profit providers to ensure a full complement of supportive services are available to those in need. Lastly, HHVS has established policy and procedures in place for the implementation of sub - recipients agreements. These policies and procedures mirror HUD requirements and are used to ensure ESG requirements and performance measures are met. A Grant Coordinator is assigned to each sub - recipient. The Grant Coordinator works with the sub - recipients to assist in the understanding of their agreement terms. The Grant Coordinator works with the Non - Profit to develop a concise description of the ESG activity. The scope includes the number and types of persons to be served, the corresponding standard objective category (decent housing, suitable living environment or economic opportunity) and the corresponding outcome category (availability /accessibility, affordability or sustainability) performance measures, match and reimbursement requirements, as well as any administrative and reporting requirements. The Grant Coordinator, along with the Grant Operations Manager, maintains active communication with the sub - recipient via desk monitoring, phone monitoring, monthly reports and site visits. HHVS, in conjunction with the Clerk of Courts and the Purchasing Department, provide technical assistance to sub - recipients to ensure their pay requests comply with the terms of their agreement as well as all applicable federal, state and local requirements. Eligibility requirements are monitored throughout the life of the agreement by means of on -site monitoring or participant files. 3. Describe the grantee's plan for ensuring the effective and match requirements for ESG grant matching funds on eligible activities, as outlined in the ESG Notice. Response: The proposed sub - recipient (The Collier County Housing Authority (CCHA)) is required to outline how the organization will meet the ESG requirement for the one -to -one match in order to receive funding from HHVS. CCHA has proposed a grant salary match that is in keeping with the ESG requirements as outlined in the NOFA, i.e. match required by the sub - recipient can be federal, state, local and local resources (cash or non -cash). 4. Proposed Activities and Overall Budget Response: The second FY2011 Allocation of ESG grant will be made by means of a grant agreement executed by HUD and the grantee (Collier County). The two- HUD -40119 I 7 160104 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) year (24 months) deadline to expend funds is effective upon HUD's execution of the grant agreement. Grantees should ensure sufficient planning is in place to begin to expend funds shortly after grant agreement. HUD requires the grantee to complete the following table so that participants in the citizen participation process may see the grantee's preliminary estimated amounts for various ESG activities. Enter the estimated budget amounts for each activity in the appropriate column and row. The grantee will be required to report actual amounts in subsequent reporting. Activity Type Obligated Amount Rapid Re- Housing — Rental $ 39,227 Assistance) Rapid Re- Housing — $ 10,000 Stabilization/Case Management 2 Administrative Activities — $ 3,992 Collier County HHVS3 Total Second FY2011 $ 53,219 Allocation Award 1 Rapid Re- Housing — HUD strongly encourages the focus of funding as much as possible on rapidly re- housing individuals and families living on the streets or in emergency shelters. Effective rapid re- housing programs help people transition out of the homeless assistance system as quickly as possible, decreasing the number of persons homeless within the community (HUD Docket No. FR- 5594- N -01). 2Stabilization/Case Management is a collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual's holistic needs through communication and available resources to promote quality cost effective outcomes. 3Administrative Activities as the term is defined in §583.135(b) of this part, except that the exclusion relates to the costs of carrying out eligible activities under §576.21(a). The Shelter for Abused Women and Children (SAWCC) and St. Matthews House (SMH) [both homeless shelters in Collier County] work to provide safe, secure environments while taking individuals and families off the streets. These organizations work with individuals and families to stabilize them and then refer them to the Collier County Housing Authority (CCHA) for permanent housing. The CCHA will income qualify applicants and educate them to maintain housing after the vouchers end. The CCHA will provide assistance for five vouchers. HUD -40119 160104 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) C. Collaboration 1. Briefly describe how the grantee plans to collaborate with the local agencies that can serve similar target populations, which received funds under the American Recovery and Reinvestment Act of 2009 from other Federal agencies, including the U.S. Departments of Education, Health and Human Services, Homeland Security, and Labor (limit 250 words). Response: HHVS, as the Lead Agency for the Continuum of Care, already collaborates with a number of local agencies, who receive funding from a variety of federal sources. These agencies have implemented programs and services to assist the homeless and those at risk of becoming homeless. HHVS works closely with the Collier County Hunger and Homeless Coalition (HHC), which coordinates involvement of local agencies, as well as works with the Collier County Public Schools liaison for homeless children. Youth Haven, another Collier County non- profit organization receiving funding from the US Department of Health and Human Services currently oversees a program called "Caring for Families" which has previously been supported by the HHVS office. The David Lawrence Mental Health Center also receives state and federal funds and offers supportive housing for clientele with mental illness who are at risk of being homeless. In addition, HHVS works with the Collier County Housing Authority, the public housing authority that receives USDA funding, with tenant based rental assistance. 2. Briefly describe how ESG grant funds for financial assistance and housing relocation /stabilization services will be used in a manner that is consistent with the grantee's Consolidated Plan (limit 250 words). Response: The second allocation for funding will be used for rapid re- housing — rental assistance. Rapid re- housing assistance targets those individuals and families living on the streets or in emergency shelters. Effective rapid re- housing programs help people transition out of the homeless assistance system as quickly as possible, decreasing the number of persons who are homeless within the community. Collier County's FY2011 -2016 Consolidated Plan states the county will utilize a Continuum of Care model in which homeless individuals move from homelessness to permanent housing via a spectrum of services which encompass outreach/intake /assessment to emergency sheltering then progress to transitional housing and finally to supportive and/or permanent housing. This Continuum of Care model utilizes an array of supportive services aimed at locating suitable housing, assists with rent and utility deposits, and finally, continues rental payments and utility assistance for a reasonable period until the individual is stabilized in permanent housing and is able to assume financial responsibility for their own housing. The eligible activities of the ESG will fit seamlessly in Collier County's Continuum of Care model to transition homeless individuals and families to permanent housing. 7 HUD -40119 160 Substantial Amendment to the Consolidated Plan 2011 Action Plan for the Second Allocation of Emergency Solutions Grant (ESG) D. Authorized Signature By signing this application, I certify (1) to the statements contained in the list of certifications and (2) that the statements herein are true, complete, and accurate to the best of my knowledge. I also provide the required assurances and agree to comply with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject me to criminal, civil, or administrative penalties. (U.S. Code, Title 218, Section 100 1) W. Signature /Authorized Official Chair, Collier County Board of County Commissioners Title ATTEST:. R}' }, Clerk f� By,, At atasbpNt. � 5 lsirz- Date Approved as to form & le0al SuMclency Assis ant County Attorney '37L N N 1 vf. e- (3 - LAj � HUD -40119 101