Backup Documents 05/10/2011 Item #16D 4
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
" ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or infonnation needed. If the document is already complete with the
exce tioll of the Chainnan's signature, draw a line through routing lines #1 through #4, com lete the checklist, and forward to Ian Mitchell (line #5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Lisa Oien
2 Jennifer White
3. Ian Mitchell, Executive Manager
HHS
County Attorney's Office
Board of County Commissioners
4. Minutes and Records
Clerk of Courts Office
.:~.':/ij
5/10/2011
5/10/2011
5/10/2011
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. Nonnally the primary contact is the person who created/prepared the executive
summllI)'. Primary contact infonnation is needed in the event one of the addressees above, including Ian Mitchell needs to contact staff for additional or missing
infonnation. All original documents needing the Bee ehainnan's signature are to be delivered to the Bec office only after the Bee has acted to approve the
item.)
Name ()fPrimary Staff Lisa Oien 1 Housing & Human Services Phone Number
Contact
Agenda Date Item was
Approved by the BCC
Type of Document
Attached
5/10/2011
Agenda Item Number
3
Yes
(Initial)
LO
N/A(Not
Applicable)
One Modification to Grant Agreement in
Triplicate
All three need the Chairman's Original
Signature
Number of Oril!inal
Documents Attached
LO
LO
LO
LO
LO
l.
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "'N/A" in the Not Applicable column, whichever is
appropriate.
Original document has been signed! initialed for legal sufficiency. (All documents to be
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.)
All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board
The Chairman's signature line date has been entered as the date ofBCC approval of the
document or the fmal negotiated contract date whichever is applicable.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
IIi most cases (some contracts are an exception), the original document and this routing slip
should be provided to Ian Mitchell in the BCC office within 24 hours ofBCC approval.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
ti.i:ne frame or the BCC's actions are nullified. Be aware of your deadlines!
The document was approved by the BCC on 5/25/2010 (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.
I: Fonnsr~ounty Fonns! Bee Fonns! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
2.
3.
4.
5.
6.
1604
--....
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"
:MEMORANDUM
Date:
May 11, 2011
To:
Lisa Oien,
Housing and Human Services
From:
Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re:
. Modification to Grant Agreement/Contract #08DB-D3-09-21-01-A03
Attached you will find three (3) originals of the documents, as referenced above
(Agenda Item #16D4) and approved by the Board of County Commissioners on
Tuesday, May 10, 2011.
Forward a fully executed original to the Minutes & Records Department
to be kept as a part of the Board's Official Records.
If you should have any questions, please call me at 252'-7240.
g
Thank you.
,r..
16 D4
Donna Fiala
District 1
Board of Collier County Commissioners
. - .. -. - .
Georgia A. Hiller, Esq.
District2
Tom Henning
District 3
Fred W. Coyle
District 4
Jim Coletta
District 5
May 10, 2011
Department of Community Affairs
Division of Housing and Community Development
Florida Small Cities and Disaster Recovery CDBG. Programs
2555 Shumard Oak Boulevard
Tallahassee, Florida 32399-2100
To the Department of Community Affairs:
Please accept this. modification to a grant agreement between the Department of
Community Affairs and Collier County. The modification is for the Disaster Recovery
Initiative contract #08DB-DJ-09-21-01-A03, signed by the Collier County Board of
Commissioners on April 8, 2008, with an effective date of May 13, 2008.
This modification will accommodate the following activities:
Extend the grant agreement and Revise Activity Work plans.
The enclosed modification was approved by the Board of Collier County Commissioners
at a regularly scheduled public meeting on May 10, 2011 agenda item 16D4.
Cordially,
~w.~
Fred W.Coyle, Chairman
Commissioner, District 5
3299 Tamiami Trail East, Suite 303. Naples, Florida 34112-5746' 239-252-8097' FAX 239-252-3602
Department of Community Affairs - Disaster Recovery Community Development Block Grant Program 1 6 D 4
Modification to Subgrant Agre.ement
MODIFICATION NUMBER 1 TO SUBGRANT AGREEMENT BETWEEN
THE DEPARTMENT OF COMMUNITY AFFAIRS AND
COLLIER COUNTY
This Modification is made and entered into by and between the State of Florida, Department of
Community Affairs, ("the Department"), and Collier County. ("the Recipient"), to modify DCA Contract
Number 08DB-D3-09-2I-01-A03, award dated Mav 14.2008 (''the Agreement").
WHEREAS, the Department and the Recipient entered into the Agreement, pursuant to which the
Department provided a subgrant of $2.814.698.15 to Recipient under the Disaster Recovery Community
Development Block Grant ("CDBG") Program as set forth in the Agreement;
I, WHEREAS, the Department and the Recipient desire to modify the Agreement;
NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein,
the parties agree as follows:
D Reinstate Agreement
I. The Agreement is hereby reinstated as though it had not expired.
~ Extend Agreement
2. Paragraph 3, Period of Agreement is hereby revised to reflect an ending date of November 13.
2011.
[gI Revise Activity Work Plan.
3. The Attachment B, Activity Work Plan section of the Agreement is hereby deleted and is
replaced by the revised Attachment n, Activity Work Plan section, which is attached hereto
and incorporated herein by reference.
o Revise Program Budget and Scope of Work
4, The Attachment A, Program Budget and Scope of Work section of the Agreement is hereby
deleted and is replaced by the revised Attachment A, the Program Budget and Scope of Work,
which is attached hereto and incorporated herein by reference,
Department of Community Affairs - Disaster Recovery Community Development Block Grant Program
Modification to Subgrant Agreement
1604
Modification Number: 1
DCA Contract Number: 08DB-D3-09-21-01-A03
Recipient: Collier County
Page 2
D Change in ParticipatIng Parties
5. The Attachment A, Program Budget and Scope of Work section, is hereby modified to delete
all references to"(Tvue in name. if applicable.)," as the Participating Party, and replace them
with "(Type in name. if applicable.)" as the Participating Party with the understanding that the
Recipient and the new Participating Party will enter into a Participating Party Agreement
containing provisions and caveats that meet or exceed the conditions agreed to in the
Participating Party Agreement between the Recipient and the original Participating Party.
D Inclusion of an UnmefNeed as Addressed in the Original Application
6. The Attachment A, Program Budget and Scope of Work section of the Agreement is hereby
deleted and is replaced by the revised Attachment A, the Program Budget and Scope of Work,
which is attached hereto and incorporated herein by reference.
7. The Attachment B, Activity Work Plan section of the Agreement is hereby deleted and is
replaced by the revised Attachment B, Activity Work Plan section, which is attached hereto
and incorporated herein by reference,
LJ Change in Number of Accomplishments and/or Beneficiaries
. 8. The Attachment A, Program Budget and Scope of Work section of the Agreement is hereby
deleted and is replaced by the revised Attachment A, the Program Budget and Scope of Work,
which is attached hereto and incorporated herein by reference.
D.Modify Additional Special Conditions in Original Contract
9. The Attachment J, Special Conditions section of the Agreement. is hereby amended to include
additional grant requirements, and is attached hereto and incorporated herein by reference,
.,
'. All provisions of the Agreement and any attachments thereto in conflict with this Modification
shall be and are hereby changed to conform to this Modification, effective as of the date of the execution
of this Modification by both partIes.
All provisions not in conflict with this Modification remain in full force and effect, and are to b~
performed at the level specified in the Agreement.
16 04
Department of Community Affairs - Disaster Recovery Community Development Block Grant Program
Modification to Subgrant Agreement
Modification Number: 1
,DCA Contract Number: 08DB-D3-09-21-01-A03
Itecipient: ColJier County
Page 3
IN WITNESS WHEREOF, the parties hereto have executed this document as of the dates set
herein. '.
Department of Community Affairs
Recipient: Collier County
By: '1uLW. C+
Name: Fred W. Covle
By:
Name: Ken Reecy
Title: Director. Division of Housing
and Community Development
Title: Chainnan. Board of Collier CounfJ!
Commissioners
Date:
Date:
S- /Id /2.0/1
Approved as to form
and legal sufficiency:
Attest: .. ,
DW, I GHT E.BROCK, Clerk', ';/~~~r&,~..:rr,_1I'9,' '", .
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