Backup Documents 07/24/2012 Item #16D 2TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNl� 2
ROUTING SLIP i
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 routine lines #1 through #4 comnlete the checklist and forward to Tan Mitn.hen !line A';)
Route to Addressee(s)
(List in routing order
Office
Initials
Date
1. Ian Mitchell, Executive Manager
Board of County Commissioners
�
/.4 01
2. Minutes and Records
Clerk of Courts Office
GM
for pick u
3. Jennifer Benghuzzi
State of Florida Department of
Children & Families
Agenda Item Number
16.D.2
*'L%. I 1"l-
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. Normally the primary contact is the person who created/prepared the executive
summary. Primary contact information is needed in the event one of the addressees above, including Ian Mitchell, needs to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Geoffrey Magon Housing, Human and
Phone Number
252 -2336
Contact
Veteran Services
(Initial)
Please call or e-mail
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
GM
for pick u
Agenda Date Item was
^-. 4 ,4" -3 u Ly Q,+ 'Zio 1 t
Agenda Item Number
16.D.2
Approved by the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
Amendments with DCF
Number of Original
3
Attached
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Documents Attached
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS 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
aviDroDriate.
(Initial)
Applicable)
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
GM
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
NA
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
GM
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
GM
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
GM
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 7/24/12 (enter date) and all changes
GM
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
co ter COUnty
Public Services Division
August 9, 2012 Housing, Human & Veteran Services
Jennifer Benghuzzi
Department of Children and Families
1317 Winewood Boulevard
Building 6, Room 255
Tallahassee, Florida 23299 -0700
Jennifer,
1602
Included are three copies of the amendment to the agreement between the State of Florida Department
of Children and Families and Collier County for the CJMHSA Grant.
One is for your records and the other two are for Collier County. Please send back two executed copies
with the original signatures to me at the county so that I may have them filed with the appropriate
department.
Please let me know if you have any questions. Feel free to call me at 239 - 252 -2336 or send me an email.
Thanks
Sincerely,
Geoffrey Magon
Grants Coordinator
Housing, Human, and Veteran Services
Collier County Government
239.252.2336
Housing,
Human and
Vet�n ,Ser_
3339 Tamiami Trail East, Suite 211 • Naples, FL 34112 -5361
239 - 252 -CARE (2273) • 239 252 -HOME (4663) • 239 - 252 -CAFE (2233) • 239 - 252 -RSVP (7787) • 239 - 252 -VETS (8387) • www .colliergov.net /humanservices
[GHT E. BROCK
OF THE CIRCUIT COURT
UNTY COURTHOUSE COMPLEX
TAMIAMI TRAIL EAST
P.O. BOX 413044
ES, FLORIDA 34101 -3044
Department of Children & Families
.„ Attn: Jennifer Benghuzzi
1317 Winewood Boulevard
Building 6, Room 225
Tallahassee, FL 23299 -0700
16D2
LHZ25
160?
Amendment #0001
July 1, 2012
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "department" and Collier County Board of County
Commissioners hereinafter referred to as the "County," amends Memorandum of
Understanding (MOU) # LHZ25.
1. Page 3, MOU, Item 10, is hereby amended to read:
10. County agrees to provide data and other information requested by the Criminal
Justice Mental Health Substance Abuse (CJMHSA) Grant Technical Assistance
Center (TAC) at the Louis de la Parte Florida Mental Health Institute of the
University of South Florida to enable TAC to perform statutory duties established
in the authorizing legislation. County agrees to submit a semi - annual program
report and a semi - annual financial report, signed by the County Administrator, on
or before May 1 and November 1, to the Florida Department of Children and
Families. County agrees to submit a final program report and a final fiscal
report, signed by the County Administrator, on or before the next regular semi-
annual reporting date (May 1 or November 1) following the ending date of the
program, to the Florida Department of Children and Families. The Department
will provide County with templates and forms needed to file all required reports.
2. Page 3, MOU, Item 11, is hereby amended to read:
11. County agrees to be liable, to the extent provided by law, for all claims, suits,
judgments, or damages, including court costs and attorney's fees, arising out of
the negligent or intentional acts or omissions of the County, and its agents, sub -
recipients and employees, during performance of the contracts authorized by
this Grant Memorandum of Understanding.
3. Page 5, MOU, Item 24., a), is hereby amended to read:
a) Official name of payee and address where payment is to be sent:
Collier County Board of County Commissioners
Attention: Clerk's Finance Office
3299 Tamiami Trail East, Suite 700
Naples, FL 34112
4. Page 5, MOU, Item 24., b), is hereby amended to read:
b) The name, address, telephone number, and email address of the Grant Manager
for the County under this Grant Memorandum of Understanding is:
Kristi Sonntag, Manager, State and Federal Grants
Housing, Human and Veteran Services
3339 Tamiami Trail East, Suite 211
Naples, FL 34112
Phone: 239- 252 -2486
KristiSonntaal'aacolliergov.net
LHZ25 16D2
Amendment #0001
July 1, 2012
5. Page 5, MOU, Item 24., c), is hereby amended to read:
c) The name, address, telephone number, and email address of the
Procurement/Program Manager for the Department of Children and Families
under this Grant Memorandum of Understanding is:
Cynthia Holland
Florida Department of Children and Families
Substance Abuse and Mental Health
1317 Winewood Boulevard
Bldg 6, Room 209
Tallahassee, FL 32399 -0700
Phone: (850) 717 -4622
cvnthia holland(&dcf.state.fl.us
6. Page 5, MOU, Item 24., d), is hereby amended to read:
d) The name, address, telephone number, and email address of the Grant
Manager for the Department of Children and Families under this Grant
Memorandum of Understanding is:
Jennifer Benghuzzi
Florida Department of Children and Families
Substance Abuse and Mental Health Program Office
Contract Management Unit
1317 Winewood Boulevard
Building 6, Room 256
Tallahassee, Florida 32399 -0700
Phone: (860) 717 -4348
Jennifer BenohuzziO- dcf.state.fl.us
7. Page 6, MOU, a new Item #28 is added to read:
28. Annual advanced payments shall be reduced by the amount of interest earned
and reported to the Department on previous advanced funds. County agrees to
return to the Department any unmatched grant funds, unused advance grant
funds, and any unapplied interest accrued on advance grant funds following the
ending date of the program.
8. Page 6, MOU, a new Item #29 is added to read:
29.The established total amount of match must be adhered to but may be
reallocated among the subrecipients upon submittal of updated match
commitment forms /letters.
This amendment shall begin on July 1, 2012 or the date on which the amendment has been
signed by both parties, whichever is later.
All provisions in the MOU and any attachments thereto in conflict with this amendment shall be
and are hereby changed to conform with this amendment.
2
LHZ25
16D2
Amendment #0001
July 1, 2012
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the contract.
This amendment and all its attachments are hereby made a part of the contract.
[SIGNATURES CONTAINED ON NEXT PAGE]
LHZ25
Amendment #0001
July 1, 21 / G2
IN WITNESS THEREOF, the parties hereto have caused this four (4) page amendment to be
executed by their officials thereunto duly authorized.
PROVIDER:
COLLIER COUNTY BOARD OF COUNTY
COMMISSIONERS
SIGNED
BY: W
NAME: FRETS W. CO-1 t_ E
TITLE: C (i A. i V, wtvi A >k
DATE:
FEDERAL WD NUMBER: 59- 6000558
HT QpCJ, Clerk
aw
i0c .
S
STATE OF FLORIDA
DEPARTMENT OF CHILDREN AND
FAMILIES
SIGNED
BY:
NAME: Rob Siedlecki
TITLE: Assistant Secretary for Substance
Abuse and Mental Health
DATE:
AyTpro"nd is to form & legal SufMahncy
Awls snt County Attorney