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Backup Documents 02/22/2011 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 0 4 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pinK paper A:tach III nriginal dowtllull Uriginal dmlllliCII(:. ',ho.i1d I,,~ I;,"ld ddivl:n:d '() tht B(,aru Ollie,. [he comrleted muting slip and original J'.lcumenls an; to be for.....arded 10 the r~l)arJ (Jmc.: (~llh' aft,:! lh~' Board Ius [nk~1I :I;.;{ldll on 111(' Iklll. i ROUTING SLIP Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or infonnation needed. lflhe document is already complete with the excention of the Chairman's silrnature, draw a line throu2l' routin2 lines # I throu2h #4, comDlete the checklist, and forward to Sue Filson line#S). Route to Addressee(s) Office Initials Date (List in routinp: order) l.Jennifer B. White County Attorney SleW ~\.)J,I\\ 2. Ian Mitchell, Supervisor Board of County Commissioners ,&- 2-lz,1 " 3. Minutes and Records Clerk of Court's Office 4. 5. 6. PRIMARY CONT ACT INFORMATION (The primary contact is the holder of the original document pending Bee approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed in the event one oflhe addressees above, including Ian Mitchell, need to contact staff for additional or missing information. All original documents needing the Bce Chairman's signature arc to be delivered to the Bee ofiice only after the BCC has acted to approve the item) Name of Primary Staff Rosa Munoz, Grants Coordinator Phone N urn ber 252-5713 Contact Agenda Date Item was February 22. 20 II Agenda Item Number 1604 Aooroved bv the BCC Type of Document Habitat for Humanity of Collier County Number of Original 2 Attached HOME Amendment Documents Attached 1. INSTRUCTIONS & CHECKLIST Initial the Ves column or mark "N/A" in the Not Applicable column. whichever is a ro nate. Original docwnent has been signed/initialed for legal sufficiency. (All documents to be signed by the Chainnan. 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 ossibl State Officials.) All handwritten strike-through and revisions have been initialed by the County Attorney's Omce and all other arties exce t the BCC Chainnan and the Clerk to the Board The Chairman's signature line date has been entered as the date ofBCe approval of the document or the final ne otiated contract date whichever is a Iicable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si ature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided ran 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 BCe's actions are nullified. Be aware of our deadlines! The document was approved by the BCC on Februarv 22. 2011 (enter date) and all changes made during the meeting have been incorporated in the attached document. The Coun Attorne's Office has reviewed the chan es, if a licable. Ves (Initial) RM N/A(Not A Iicable) 2. 3. 4. 5. 6. NA RM RM NA RM I: FormsJ County Forms! Bce Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 160 4 MEMORANDUM Date: February 23, 2011 To: Rosa Munoz, Grants Mgmt. Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Habitat for Humanity of Collier County HOME Amendment Housing Development Corp. of SW Florida/M-l 0- UC-12-0017 #14.239 HOME Rehabilitation Project Attached please find an original copy of the agreement referenced above, (Item #16D4) approved by the Board of County Commissioners on February 22, 2011. The Minutes & Records Department will hold the second original agreement in the Official Records of the Board. If you have any questions, please feel free to contact me at 252-7240. Thank you. 16D 4 EXHIBIT A-I Contract Amendment #1 "Habitat for Humanity of Collier County HOME Rehabilitation Project" This amendment, dated J.J,......~ 2.2.... ,2011 to the referenced agreement shall be by and between the parties to the original Agreement, Habitat for Humanity of Collier County, (to be referred to as Sponsor) and Collier County, Florida, (to be referred to as "Owner"). Statement of Understanding RE: Contract # M-I 0-UC-12-0017 #14.239 "Habitat for Humanity of Collier County, HOME Rehabilitation Project" 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: This revision will not change the original total budgeted amount of $132,907.00 for this Home Investment Partnership Program (HOME) project. AMEND: Exhibit A-Scope of Services Note: Words underlined have been added. Words struck thrslIgn have been deleted. EXHIBIT "A" SCOPE OF SERVICES HABITAT FOR HUMANITY OF COLLIER COUNTY REHABILITATION A. PROJECT SCOPE: On April 27, 2010, the BCC approved the HUD Action Plan allocating funding for this initiative. Home Investment Partnerships Program (HOME) funding will be used to rehabilitate a minimum of four (4) foreclosed properties within Collier County, with no cap on the maximum number of houses, as funding allows. In the Action Plan for this program the intended outcome of this funding is for the rehabilitation of four (4) foreclosed homes. To clarify the use of the words "home", "house" "properties" or "units" are all intended to represent a "unit". Any unexpended funds that may be available after four (4) homes have been rehabilitated, may be used toward rehabilitation of additional homes not to exceed $30,000 per anyone unit. Rehabilitation activities/items may include but not be limited to, repair and/or replacement of the following: roofs, floors, ceiling, walls, structural items, doors, windows, HV AC, electrical, plumbing systems, fixtures, appliances, landscaping, irrigation systems, painting, driveways, pest control, termite treatments and other related items. M-IO-UC-12-0017#14.239 Habitat Contract Amendment # 1 Page I of3 16.D 4 AlJ---fiHousing rehabilitation will be performed by Habitat stan: volunteers, awarded contractors, and tuture homeowners working sweat equity hours. The contractor's rehabilitation contract will include details sutlicient to document the number, amount, and costs associated with all activities. The project activities will meet the U.S. Department of Housing and Urban Development's national objective to increase the availability of affordable owner housing and improve access to atlordable owner occupied housing. C. PROJECT WORK PLAN: The following Project Work Plan is in etlect for program monitoring requirements only and as such, is not intended to be used as a payment schedule. Date Start Date End Work Plan !-- 7/2010 03/2011 Prepare bid documents and initiate procurement process 12/2010 04/20 II Award Contract(s) 7/2010 02/2011 Begin Rehabilitation 03/2011 08/2011 Completion of all rehabilitation of minimum of tour units - M-IO-UC-12-00 17# 14.239 Habitat Contract Amendment # 1 Page 2 0 f 3 16D 4 IN WITNESS WHEREOF, the Subrccipient and thc County, have each, resp!=ctively, tl~. an authorized pL'l'son or agent, hereunder set their hands and seals on this ~ il. ., 01" day of ~ .Mw.o""-'{ , 2oll. ATlEST: DWIGHT E. BROCK, CLERK By: Dated: , /&4U~ c~ ;2. ~~,il~ First Witcess } / :J}q(J/1t: 12, rac/u./L Type/print witness nome V...t~C' Q.. Vrlofn hlre-J :fu'nd Witces~ -~EU.&. A-R-ffi~F TypeIprint witness name M-10-UC-12"00l7#14.239 BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FWRIDA 1, I i, By: FREDW:C~~~,~'~~l!.1< Habitat for H~~' '. c. ..): /~..-c.~ .' By:~/. ""~Z~ sUbreci~ture Sam Durso. M.D.. President Type/print Subrecipient name and title Approved as to form and legal sufficiency: ~,-~M'1\J~ -"C~::\ Jenni ct B White (.-s:' Assistant County AttorneY Item # \ tor& Agenda ,J-/~.J( III Date ~ ga:d ~