Backup Documents 10/23/2012 Item #16D 5 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#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 Sue Filson(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Ian Mitchell, Supervisor Board of County Commissioners
2.Minutes and Records Clerk of Court's Office
1-VYN (01 42-
3.
4.
5.
6.
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 Sandra Marrero,Grants Coordinator Phone Number 252-2399
Contact
Agenda Date Item was October 23,2012 Agenda Item Number 16D5
Approved by the BCC
Type of Document David Lawrence Center-Amendment#2 Number of Original 1
Attached 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 SM
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 SM
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 SM
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided 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 October 23,2012(enter date)and all SM
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05,Revised 9.18.09
1605
MEMORANDUM
Date: October 30, 2012
To: Sandra Marrero, Grants Coordinator
Housing, Human & Veteran Services Department
From: Teresa Cannon, Deputy Clerk
Minutes and Records Department
Re: Amendment #2 to Agreement w/David Lawrence Center for
Emergency Backup Generator
HUD Grant #B-11-UC-12-0016
Attached is a copy of the amendment referenced above, (Item #16D5) approved
by the Board of County Commissioners on Tuesday, October 23, 2012.
The original is being kept by the Minutes and Records Department and will
be kept as a part of the Board's Official Records.
If you have any questions, please contact me at 252-8411.
Thank you
Second Amendment to Agreement between Collier County
16Q5
and
David Lawrence Mental Health Center, Inc.
d/b/a David Lawrence Center
Emergency Back-Up Generator
Catalog of Federal Domestic Assistance# 14.218
HUD Grant B-11-UC-12-0016
This Second Amendment, is entered into this 03 day of OG d , 2012, by and
between David Lawrence Mental Health Center, Inc. d/b/a/ David Lawrence Center, a private not-for-
profit corporation existing under the laws of the State of Florida, herein after referred to as
SUBRECIPIENT and Collier County, Florida, herein after to be referred to as "COUNTY,"
collectively stated as the "Parties."
RECITALS
Whereas, on October 25, 2011, the County entered into an Agreement with David Lawrence
Center for Community Development Block Grant Program funds to be used for the purchase and
installation of an emergency back-up generator (hereinafter referred to as the "Agreement"); and
- Whereas, on April 24, 2012, the Parties amended the Agreement to add compliance language,
and to modify the Scope of Services and work plan;
Whereas, the Parties desire to further amend the Agreement to extend the time of performance
and modify the Project Work Plan.
NOW THEREFORE, in consideration of the foregoing Recitals, and other good and valuable
consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree
to amend the Agreement as follows:
Words Struck-Through are deleted; Words Underlined are added
* * *
III. TIME OF PERFORMANCE
The effective date of the this Agreement between DLC and Collier County shall be October 25,
2011. The services of the SUBRECIPIENT shall comply with all terms and conditions of HUD Grant•B-11-UC-12-0016 . . . - - . . - •_ - -- - - - -• -- --- - . All
services required hereunder shall be completed by the SUBRECIPIENT prior to October 25, 2012
April 1, 2013. Any funds not obligated by the expiration date of this Agreement shall automatically
revert to the COUNTY.
* * *
David Lawrence Mental Health Center,Inc.d/b/a/David Lawrence Center
Emergency Back-Up Generator
Contract Amendment#2 Page 1 of 3
161J5
EXHIBIT"A"
SCOPE OF SERVICES
David Lawrence Center
Auxiliary Power/Emergency Back-up Generator
* *
C. PROJECT WORK PLAN,
The following Project Work Plan is in effect for program monitoring requirements only and as
such, is not intended to be used as a payment schedule.
Date Start Date End Work Plan
11/2011 03/2012 Prepare bid documents
04/2012 05/2012 Procure eligible contractor(s) &conduct preconstruction
conference
06/2012 07/2012 Obtain permits
07/2012 09/2012 Begin improvements and associated activities
09/2012 10/24/2012 Delivery and Installation of new generator.
02/2013 02/28/2013 Install new transformer.
09/2012 10/2'l/2012 Complete final inspections and project close out
03/2013 03/2013
David Lawrence Mental Health Center,Inc.d/b/a/David Lawrence Center
Emergency Back-Up Generator
Contract Amendment#2 Page 2 of 3
1605
IN WITNESS WHEREOF, the Parties and have executed this Second Amendment on the date and
year first written above.
Attest: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk OF COLLIER COUNTY, FLORIDA
.•
14,
--7tk-crL .Low
I !, By:
, P TY CLERK FRED W. COYLE, CHAIRMA
tec
as' T.O., criers& it
1$7114tUre
.•. DAVID LAWRENCE MEDICAI, HEALTH CENTER
d/b/a DAVID LAWRENCE CENTER.
a private not-for-profit corporation
WITNESSES:
By:
rint,..' c‘ix/i Signature
troff 2)/9 ViO C- ../(6,44//111
Print Name: . 'cc 6-/e Lamle% Printed/Typed Name
°
Printed/Typed Title
Approved as for form (corporate seal)
and legal sufficiency
VeSV3CAA..t4.,
JennVer B. White
Assistant County Attorney
\O\
David Lawrence Mental Health Center,Inc.dibia/David Lawrence Center
Emergency Back-Up Generator
Contract Amendment#2 Page 3 of 3