Backup Documents 01/11/2011 Item #16D13ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16D 13
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 halt delivered to the Board Office. The completed routing slip mid original
documents are to be forwarded to the Board Office only after the Board has taken aalion 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
_.._,._.:.,....ra . e r w..:.,,,.,a....:.... r,.— A -- � 1;— 11 ....... 1, rn,efno Iml, N 1 ihrnu„h 44_ complete the checklist. and forward to Sue Filson (line 45).
Route to Addressee(s)
Office
Initials
Date
(List in routing order)
1. Jennifer B. White, Assistant
_
CAO of /lc - bn i d iecl )C
(Initial)
o`
County Attorney
January 11, 2011
Agenda Item Number
16D13
2.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
3.
Amendment Agreement
Number of Original
1
4.
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
5. Ian Mitchell, BCC Office
Board of County Commissioners
0
Supervisor
-
2.
6. Minutes and Records
Clerk of Court's Office
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
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, includi,ig Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chaimtan's signature are to be delivered to the BCC office only after the BCC has acted to approve the
Name of Primary Staff
Sandra Marrero, Grants Coordinator
Phone Number
252 -2399
Contact
_
(Initial)
Applicable)
Agenda Date Item was
January 11, 2011
Agenda Item Number
16D13
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Amendment Agreement
Number of Original
1
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & CHECKLIST
C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W W S Original 9.03.04. Revised 1.26.05, Revised 2.24.05, Revised 9.18.09
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
I.
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
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
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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
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signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
SM
should be to Ian Mitchell in the BCC office within 24 hours of BCC approval.
provided
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on 1 -1 -11 (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.
C Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W W S Original 9.03.04. Revised 1.26.05, Revised 2.24.05, Revised 9.18.09
16D 13
MEMORANDUM
Date: January 24, 2011
To: Sandra Marrero, Grants Coordinator
Human Services Department
From: Martha Vergara, Deputy Clerk
Minutes and Records Department
Re: Contract Amendment #1
"Shelter for Abused Women and Children, Inc. — CDBG-
Legal Services"
Contract /Amendment #B- 09 -UC -12 -0016
Attached is a copy of the original, referenced above (Agenda Item #161313)
approved by the Board of County Commissioners on January 11, 2010.
The Minutes and Records Department has kept the original as part of
the Board's Official Records.
If you should have any questions, you may contact me at 252 -7240.
Thank you.
Attachment (1)
16D 13
EXHIBIT A -1 Contract Amendment #1
"Shelter for Abused Women and Children, Inc.
CDBG 09 -10 Legal Services "
This amendment, dated hr)tJal-_14 to 20" to the referenced agreement shall be by and
between the parties to the original Agreement, Shelter for Abused Women & Children, Inc., (to be referred to as
Subrecipient) and Collier County, Florida, (to be referred to as "COUNTY ").
Statement of Understanding
RE: Contract # B- 09 -UC -12 -0016 #14.218 "Shelter for Abused Women & Children, Inc.,
CD13G- Legal Services"
In order to continue the services provided for in the original Contract document referenced above, the Sub -
Recipient agrees to amend the Contract as follows:
EXHIBIT "A"
SCOPE OF SERVICES
SHELTER FOR ABUSED WOMEN & CHILDREN (SAWCC)
LEGAL SERVICES
THE SUBRECIPIENT AGREES TO:
A. PROJECT SCOPE:
The Shelter for Abused Women and Children proposes to create a new onsite legal services
program at the domestic violence center. Legal services will be provided by a part -time
contract attomey. This grant will also pay the salary of a shelter advocate who will be trained
to provide assistance for victims, act as liaison to the attorney, and provide clerical support.
The Shelter will serve low to moderate income level victims of domestic violence who need
assistance in securing, modifying, and enforcing protection orders, handling immigration
issues, obtaining a divorce or separation, obtaining child support and resolving parental
custodial issues.
Collier County Department of Housing and Human Services is funding NINETY THREE
THOUSAND DOLLARS ($93,000.00) in CDBG funds for this Public Service project.
Words Stpuek-T4w-eugh are deleted; Words Underlined are added
B. BUDGET - Legal Services
Line Item:
Attorney fees
B- 09 -UC -12 -0016 414.218
Shelter for Abused Women & Children, Inc.
Contract Amendment #I
C: A,QC-
, 0* .. ,
Page 1 of 3
Undated CDBG Funds
$49,875.00
16013
Training for attorney $ 2,400.00 $ 0.00
F/T Shelter Advocate $39;240.00 $39.362.91
Salary and Benefits
Filing fees and $ 2,160.00 $ 274.81
other costs for legal actions
Staff Training X00 $ 3,487.28
TOTAL $93,000.00 $93,000.00
Clarifications to the quantity and types of work to he conducted under Exhibit A will be processed by a
Change by Letter, Exhibit A -1, and made an integral component of this Agreement.
C.
L7
PROJECT MILESTONE SCHEDULE
The time frame for completion of the outlined activities shall be:
MILESTONE /TASK
START DATE
END DATE
Contract and retain attorney
July 1, 2009
September, 2009
Shelter Advocate training
July 1, 2009
December, 2009
Attorney training
July 1, 2009
December, 2009
Provide legal services
July 1, 2009
June 15, 2010
NOTE. Performance milestones are in effect for program monitoring requirements only,
and as such, are used by HUD and other grantor agencies as general target goals rather
than strict performance requirements.
This agreement shall allow reimbursement of expenses for all eligible costs associated with
the agreement and does not require the completion of all agreement milestones for
reimbursement to be paid.
Please note that if any of these activities exceed the timelines by two months a revised work
schedule must be submitted to HHS.
OUTCOME PERFORMANCE MEASUREMENTS:
OBJECTIVE
OUTCOMES
ACTIVITY
INDICATORS
SUITABLE
Improve the services for
Provide legal services
Assist up to 100
LIVING
low and moderate income
at the Shelter on
victims with services
ENVIRONMENT
persons. Create a safer
behalf of victims of
community by ensuring
domestic violence.
justice for victims of
domestic violence with
legal services
B- 09 -UC -12 -0016 # 14.218
Shelter for Abused Women & Children, Inc.
Contract Amendment #1
G D 43c-
Page 2 of 3
160 13
IN WITNESS WHEREOF, the SUBRECIPIENT and the County, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on this day of
` Ian -- - - - - -'
20�_ .
ATTEST:
Dwight E. Brock, Clerk of Courts
q ,Del
Dated: 2 2D
(SEAL)
Attest Wte dltltw i
stostwo woil*
First Witness
Type /print witness n me /�
d rtness
Cun weds
pe /print witness name
Approved as to form and
legal sufficiency:
Jennife .White
Assistant County Attorney
B- 09 -UC -12 -0016 #14.218
Shelter for Abused Women & Children, Inc.
Contract Amendment # 1
C34?(-
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Chairman
SHELTER FOR ABUSED WOMEN & CHILDREN,
INC.
Subrecipient Signature
Linda Oberhaus, Executive Director
(Print Name)
Page 3 of 3
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