Backup Documents 05/24/2011 Item #16D11ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16011
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 information needed. If the document is already complete with the
exception of the Chairman's signature, draw aline throng routing lines #1 through 44, complete the checklist, and forward to Ian Mitchell line #5 .
Route to Addressee(s)
List in routing order
Office
Initials
Date
1. Frank Ramsey
Housing, Human & Veteran
Services Department
--
Please call or e-mail
5/27/11
2.
for pick u
Agenda Date Item was
May 24, 2011
Agenda Item Number
16.D.11
Approved by the BCC
4. Ian Mitchell, Executive Manager
Board of County Commissioners
Type of Document
5. Minutes and Records
Clerk of Courts Office
l
Attached
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
Frank Ramsey, Housing, Human and
Phone Number
252 -6141
Contact
Veteran Services
(Initial )
Please call or e-mail
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
for pick u
Agenda Date Item was
May 24, 2011
Agenda Item Number
16.D.11
Approved by the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
Grantee Application for Advance Funding
Number of Original
l
Attached
for Criminal Justice Mental Health &
Documents Attached
Substance Abuse Program — LHZ25
INSTRUCTIONS & CHECKLIST
1: Forms / County Forms/ BCC Forms/ Original Documents (touting 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
appropriate.
(Initial )
Applicable)
1.
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.)
2.
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
3.
The Chairman's signature line date has been entered as the date of BCC. approval of the
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
signature and initials are required.
5.
In 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 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 5/24/2011 (enter date) and all changes
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
1: Forms / County Forms/ BCC Forms/ Original Documents (touting Slip W WS Original 9.03.04. Revised 1.26.05, Revised 2.24.05
160 11
MEMORANDUM
Date: May 27, 2011
To: Frank Ramsey, Housing Manager
Housing & Human Services Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Grantee Application for Advanced Funding for Criminal
Justice Mental Health & Substance Abuse Program —
LHZ25
Criminal Justice Mental Health and Substance Abuse
Reinvestment Grant Program — Grantee Application for
Advanced Funding
Enclosed please find one (1) original of the document, referenced
above (Agenda Item #16D1 I), which were approved by the Board of
County Commissioners on Tuesday, May 24, 2011.
The Minutes & Records Department has retained the original
agreement to be kept in the Board's Official Records.
If you should have any questions, please contact me at 252 -7240 .
Thank you
16D 1
CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE
REINVESTMENT GRANT PROGRAM
GRANTEE A_ PPLICATION FOR ADVANCE FUNDING
A. GRANTEE INFORMATION
Grantee Type- I Government Contact
Agency Person umne Phone (239 )
Marcy Krbi 252 -8442
_
Grantee Collier County Board of MOU
Name County Commissioners DCF MOU # LHZ25 Amt. E548,490.00
Attention: Marcy Krumbine
Collier County Housing,
j Human and Veteran
Address Services MOU Period 02/2412011 to ! 02/23/2014
Health Building, Suite 211
3339 Tamiami Trail East,
Naples, FL 34112
Grantee FEID 59- 6000558
B. ADVANCE REQUEST
Fiscal Year Amount Release Date Notes
2011 $182,830.00 To be This request.
determined.
Requested advance Subject to future
2012 reporting obligations,
schedule and payment availability of funds and
amount DCF approval.
Subject to future
2013 reporting obligations,
availability of funds and
DCF approval.
C. JUSTIFICATION
Provide DETAILED explanation of why advance funding is necessary
The Collier County Board of County Commissioners is entering the first year of a new 3 -year Criminal
Justice, Mental Health and Substance Abuse Implementation Expansion Grant. This project was
approved in compliance with the grant award process created in section 394.656, F.S. This project is a
county initiative to increase public safety, avert increased spending on criminal justice, and improve
the accessibility and effectiveness of treatment services for adults and juveniles who have a mental
illness, substance abuse disorder, or co- occurring mental health and substance abuse disorders and
who are in, or at risk of entering, the criminal orjuvenile justice systems.
This project is an expansion of activities and services by Collier County Board of County
Commissioners to the target populations and requires a 100% County match as provided by the
Collier Forensic Intensive Reintegration Support Team (FIRST). Under these circumstances, the
Grantee does not have the capacity to undertake the grant supported costs of this project out of its
own revenue. This advance request is equal to the first project year budget as stated on the
Memorandum of Understanding with the Florida Department of Children and Families and Collier
County, approved by the Collier County Board of County Commissioners on February 8, 2011 agenda
item 16D2. Advanced funding will give the Grantee the capacity to sustain all grant - related activities
without interruption.
1
16D 11
1) An initial financial summary for the Collier County project supported by these funds is attached.
(Please complete the Approved Budget section of the report shown on page 4 of this application.)
Explain how advanced funds are to be used
The Collier County Criminal Justice Advisory Council will implement the first phase of the Collier
Grant Memorandum of Understanding. Examples of service deliverables that Collier County plans to
accomplish with this grant are:
• Implement jail and community-based transitional supports for adults with serious mental
illnesses and co- occurring substance abuse disorders
• Establish the Forensic Intensive Reintegration Support Team (FIRST)
• Provide reintegration and transitional support through an interagency multidimensional team
• Prevent recidivism for this high risk group and promote public safety
• Provide an intensive case management model
• Activities of the program include, screenings, risk assessment, primary and psychiatric care,
competency restoration, housing guidance, counseling, peer support, transitional planning,
living and vocational skills evaluation and planning
Do you plan to make advance payments, using any portion of these funds, to subcontractors who are other
than not - for - profit corporations or governmental agencies?
Yes ❑ No ® _
If yes, please identify those corporations:
Will advanced funds be placed in interest bearing account(s) pending disbursement?
Yes ® No ❑
(Please confirm interest will be deposited as indicated) Interest accrued on advanced funds is to be
reported semi - annually to the Department. Interest earned on funds advanced in FY 2011 would be
used to partially offset the second advance disbursement of grant funds anticipated in FY 2012.
If no, please explain:
N/A
D. HISTORY OF ADVANCE PAYMENTS
CASH ADVANCES INTEREST
SFY DATE CONTRACT $AMOUNT $EARNED
g $RETURNED
2011 LHZ25 $182,830.00 This advance request.
2
160 11
Please explain each instance where interest returned to the department is less than the interest earned:
Interest accrued under this MOU would be used to offset the 2nd year fund release for this program.
Unspent funds and any unapplied interest will be returned to the State upon expiration of this MOU.
E. FUTURE ADVANCES
Please provide a brief summary of your plans showing what actions will be taken to minimize or eliminate the
need for future advances from the department:
Collier County Board of County Commissioners and the Department of Children and Families
anticipate second and third annual releases of funds for this program in Fiscal Years 2012 & 2013, in
compliance with the grant award period established in section 394.656, F.S., and the terms of MOU
LHZ25. Future funding is contingent on annual Legislative appropriations. Collier County is solely
responsible for securing any required funding for project sustainability after cebruary 23, 2014.
F. CERTIFICATION
I hereby certify that I have verified the information provided in this GRANTEE APPLICATION
FOR ADVANCE FUNDING to be accurate and complete and that it represents the minimum
amount(s) to meet the cash needs resulting from the DCF Memorandum of Understanding
for which this advance payment Is being requested. I further certify that all such funds
received In advance will only be used for approved purposes In accordance with applicable
federal and state laws, rules, regulations, policies and Memorandum of Understanding terms
and%pgaciltions.
:�. Chairman, Collier County Board of
County Commissioners
SIGNATURE TITLE
(When completed & reviewed, lease have the government official in Collier County DATE
( p p 9 my sign this
form.
FOR DEPARTMENT USE ONLY
THIS SECTION TO BE COMPLETED BY THE Date Application
GRANT MANAGER Received
PRIOR CONTRACT PERFORMANCE: Does the GRANTEE have a history of contracting with the
department?
Yes ❑ No ❑
If "yes ", have there been any instances of unsatisfactory performance?
Yes ❑ No ❑
If "yes ", please explain
RECOMMENDATIONS
Do Not Approve For Advance Funding, Recommend For Advance Funding
Please provide rationale supporting your disapproval/recommendation.
SIGNATURE TITLE DATE
THIS SEC fit f4",K C"PLETED BY CONTRACT ADMINISTRATION AND BUDGET
Ci� AUMINITRpN BUDGET MANAGER
APPfOwd u to form & legal Sufficiency
ATTEST': - 3
WIGHT E. VOROC Clerk
Assista county Attorney
Based on the information presented in the above
application, advance payments are ❑, are not ❑
allowable pursuant to section 216.181, F. S..
Signed Date
4
16 D 11
The subject budget appropriation is ❑, is not ❑
authorized (GRANTS AND AIDS) for advance payment
and sufficient funds are /are not available.
Signed
Date
16011
CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE
REINVESTMENT GRANT PROGRAM
SUMMARY FINANCIAL REPORT
County
Collier
MOU#
LHZ25
MOU Begin Date
02/24/2011
End Date
02/23/2014
County Grant
Manager
Marcy Krumbine
Title and Agency
Director,
Collier County
Housing, Human and
Veteran Services
County Lead Agency
Collier County
Grant Type
Implementation
Report Prepared By
Marcy Krumbine
Report Date
Initial Report
Report Period: From
Initial Report
To:
Initial Report
CJMHSA Expense
Category
Total CJMHSA Approved Budget
Grant Award
Coun Match Total
DIRECT EXPENSES
Salaries:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$99,300.00
$0.00
$0.00
SUBTOTAL DIRECT
$99,300.00
$0.00
$0.00
CONTRACTUAL EXPENSES
Consultant Fees:
$319,200.00
$0.00
$0.00
Fringe Benefits:
$66,933.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$7,692.00
$0.00
$0.00
Supplies:
$1,365.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00
$0.00
$0.00
SUBTOTAL
CONTRACTUAL
$395,190
$0.00
$0.00
ADMINISTRATIVE $
$54,000
$0.00
$0.00
ADMINISTRATIVE %
0.0%
0.0%
0.0%
TOTAL ALL COSTS
$548,490.00
$548,547.00
$1,097,037.00
STATE ADVANCES AND INTEREST
CJMHSA Funds
Advanced
$182,830.00
Date Funds
Advanced
This request.
Accrued Interest on
Advances
$0.00
Interest Accrued
As Of Date
' As approved in the county CJMHSA Memorandum of Understanding on file with the Department of
Children and Families.
16D 11
CJMHSA Expense Category
CJMHSA Expenses
This Period
CJMHSA Expenses
Prior Periods
CJMHSA Total
Expenses to Date
DIRECT EXPENSES
Salaries:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00
$0.00
$0.00
SUBTOTAL DIRECT
$0.00
$0.00
'0.00
CONTRACTUAL EXPENSES
Consultant Fees:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00 1
$0.00
$0.00
SUBTOTAL CONTRACTUAL
$0.00
$0.00
$0.00
ADMINISTRATIVE'
$0.00
$0.00
$0.00
ADMINISTRATIVE %
0.0%
0.0%
0.0%
TOTAL ALL COSTS
$0.00
'0.00
to no
STATE
ADVANCES AND INTEREST
CJMHSA Funds Advanced
$0.00
Available Fund Balance
$0.00
' Grant funded expenses only as reported to the Department of Children and Families.
3 Grant funded expenses only as reported to the Department of Children and Families.
(The expense amounts on this page can remain as zeros at this time.)
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
16D 11
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines # I 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 # I through #4, complete the checklist, and forward to Ian Mitchell (line #5).
Route to Addressee(s)
(List in routing order
Office
Initials
Date
1. Frank Ramsey
Housing, Human & Veteran
Services Department
FR
6/8/11
2. Jennifer White
OCA
FR
Agenda Date Item was
May 24, 2011
Agenda Item Number
16.D.11
4. Ian Mitchell, Executive Manager
Board of County Commissioners
5. Minutes and Records
Clerk of Courts Office
Number of Original
1
PRIMARY CONTACT INFORMATION
( "Fhe 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
Frank Ramsey, Housing, Human and
Phone Number
252 -5326
Contact
Veteran Services
(Initial)
Please call or e-mail
for ick u
Original document has been signed/ initialed for legal sufficiency. (All documents to be
FR
Agenda Date Item was
May 24, 2011
Agenda Item Number
16.D.11
Approved b y the BCC
by the Office of the County Attorney. This includes signature pages from ordinances,
Type of Document
Duplicate Grantee Application for Advance
Number of Original
1
Attached
Funding for Criminal Justice Mental Health
Documents Attached
& Substance Abuse Program — LHZ25
2.
(original lost in mail)
FR
INSTRUCTIONS & CHECKLIST
I. Forms / Counq Fortes/ 13CC Forms/ Original tkmcuments 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
appropriate.
(Initial)
Applica ble)
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
FR
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
FR
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
FR
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
FR
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
FR
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 5/24/2011 (enter date) and all changes
FR
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
I. Forms / Counq Fortes/ 13CC Forms/ Original tkmcuments Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16D 11
CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE
REINVESTMENT GRANT PROGRAM
GRANTEE APPLICATION FOR ADVANCE FUNDING
A. GRANTEE INFORMATION
Grantee T
Type.
Agency Contact
Agenc i Person
Marcy Krumbine I Phone
(239) 252 8442
Grantee
Collier County Board of
DCF MOU #
LHZ25 I MOU
,;548,490.00
Name
County Commissioners
Amt.
Subject to future
Attention: Marcy Krumbine
2012
reporting obligations,
availability of funds and
amount
Collier County Housing,
_
DCF approval.
Human and Veteran
Subject to future
2013
Address
Services
MOU Period
02/2412011
to
02/23/2014
Health Building, Suite 211
DCF approval.
3339 Tamiami Trail East,
Naples, FL 34112
Grantee FEID
59- 6000558
B. ADVANCE
C. JUSTIFICATION
Provide DETAILED explanation of why advance funding is necessary
The Collier County Board of County Commissioners is entering the first year of a new 3 -year Criminal
Justice, Mental Health and Substance Abuse Implementation Expansion Grant. This project was
approved in compliance with the grant award process created in section 394.656, F.S. This project is a
county initiative to increase public safety, avert increased spending on criminal justice, and improve
the accessibility and effectiveness of treatment services for adults and juveniles who have a mental
illness, substance abuse disorder, or co- occurring mental health and substance abuse disorders and
who are in, or at risk of entering, the criminal or juvenile justice systems.
This project is an expansion of activities and services by Collier County Board of County
Commissioners to the target populations and requires a 100% County match as provided by the
Collier Forensic Intensive Reintegration Support Team (FIRST). Under these circumstances, the
Grantee does not have the capacity to undertake the grant supported costs of this project out of its
own revenue. This advance request is equal to the first project year budget as stated on the
Memorandum of Understanding with the Florida Department of Children and Families and Collier
County, approved by the Collier County Board of County Commissioners on February 8, 2011 agenda
item 16132. Advanced funding will give the Grantee the capacity to sustain all grant - related activities
without interruption.__ _
Fiscal Year
Amount
Release Date
Notes
2011
I 5182,830.00
To be
determined.
This request.
_
Subject to future
Requested advance
schedule and payment
2012
reporting obligations,
availability of funds and
amount
_
DCF approval.
Subject to future
2013
(
reporting obligations,
availability of funds and
DCF approval.
C. JUSTIFICATION
Provide DETAILED explanation of why advance funding is necessary
The Collier County Board of County Commissioners is entering the first year of a new 3 -year Criminal
Justice, Mental Health and Substance Abuse Implementation Expansion Grant. This project was
approved in compliance with the grant award process created in section 394.656, F.S. This project is a
county initiative to increase public safety, avert increased spending on criminal justice, and improve
the accessibility and effectiveness of treatment services for adults and juveniles who have a mental
illness, substance abuse disorder, or co- occurring mental health and substance abuse disorders and
who are in, or at risk of entering, the criminal or juvenile justice systems.
This project is an expansion of activities and services by Collier County Board of County
Commissioners to the target populations and requires a 100% County match as provided by the
Collier Forensic Intensive Reintegration Support Team (FIRST). Under these circumstances, the
Grantee does not have the capacity to undertake the grant supported costs of this project out of its
own revenue. This advance request is equal to the first project year budget as stated on the
Memorandum of Understanding with the Florida Department of Children and Families and Collier
County, approved by the Collier County Board of County Commissioners on February 8, 2011 agenda
item 16132. Advanced funding will give the Grantee the capacity to sustain all grant - related activities
without interruption.__ _
16D 11
1) An initial financial summary for the Collier County project supported by these funds is attached.
(Please complete the Approved Budget section of the report shown on page 4 of this application.)
Explain how advanced funds are to be used
The Collier County Criminal Justice Advisory Council will implement the first phase of the Collier
Grant Memorandum of Understanding. Examples of service deliverables that Collier County plans to
accomplish with this grant are:
• Implement jail and community-based transitional supports for adults with serious mental
illnesses and co- occurring substance abuse disorders
• Establish the Forensic Intensive Reintegration Support Team (FIRST)
• Provide reintegration and transitional support through an interagency multidimensional team
• Prevent recidivism for this high risk group and promote public safety
• Provide an intensive case management model
• Activities of the program include, screenings, risk assessment, primary and psychiatric care,
competency restoration, housing guidance, counseling, peer support, transitional planning,
living and vocational skills evaluation and planning
Do you plan to make advance payments, using any portion of these funds, to subcontractors who are other
than not - for -profit corporations or governmental agencies?
Yes ❑ No Z _
If yes, please identify those corporations:
Will advanced funds be placed in interest bearing account(s) pending disbursement?
Yes ® No ❑
(Please confirm interest will be deposited as indicated) Interest accrued on advanced funds is to be
reported semi - annually to the Department. Interest earned on funds advanced in FY 2011 would be
used to partially offset the second_ advance d_ isbursement of grant funds anticipated in FY 2012.
If no please explain:
N/A
D. HISTORY OF ADVANCE PAYMENTS
CASH ADVANCES_ _ INTEREST
SFY DATE
CONTRACT $ AMOUNT $ EARNED $ RETURNED
2011 ! LHZ25 $182,830.00 __ This advance request.
160 11
Please explain each instance where interest returned to the department is less than the interest earned:
Interest accrued under this MOU would be used to offset the 2nd year fund release for this program.
Unsoent funds and any unaoDlied interest will be returned to the State upon expiration of this MOU.
E. FUTURE
Please provide a brief summary of your plans showing what actions will be taken to minimize or eliminate the
need for future advances from the department: _
Collier County Board of County Commissioners and the Department of Children and Families
anticipate second and third annual releases of funds for this program in Fiscal Years 2012 & 2013, in
compliance with the grant award period established in section 394.656, F.S., and the terms of MOU
LHZ25. Future funding is contingent on annual Legislative appropriations. Collier County is solely
resnonsible for securing anv required funding for Droiect sustainability after February 23, 2014.
F.
I hereby certify that I have verified the information provided in this GRANTEE APPLICATION
FOR ADVANCE FUNDING to be accurate and complete and that it represents the minimum
amount(s) to meet the cash needs resulting from the DCF Memorandum of Understanding
for which this advance payment is being requested. I further certfy that all such funds
received in advance will only be used for approved purposes in accordance with applicable
federal and state laws, rules, regulations, policies and Memorandum of Understanding terms
f1 W Chairman, Collier County Board of
�L County Commissioners �' ��
SIGNATURE I _ TITLE DATE
(When completed & reviewed, please have the government official in Collier County sign this
THIS SECTION T_R BE COMPLETED BY THE Date
Received Application
GRANT
PRIOR CONTRACT PERFORMANCE: Does the GRANTEE have a history of contracting with the
Yes ❑ No
instances of unsa
Yes I I No
If "yes" please explain
RECOMMENDATIONS
Do Not Approve For Advance Funding. _ Recommend For Advance Funding
Please provide rationale supporting your disapproval /recommendation.
SIGNATURE TITLE I';" 01t r ATE
THIS SECTION TO BE COMPLETED BY CONTRACT AD!#4 /t�BUDGET
CONTRACT ADMINISTRATION
ApprOwd as to form & leg-al Su-f�ficiency
VW
AsAdant P.nnnh, a «.,....,..
160 11
Based on the information presented in the above
The subject budget appropriation is ❑ is not ❑
application, advance payments are ❑, are not ❑
authorized (GRANTS AND AIDS) for advance payment
allowable pursuant to section 216.181, F.S.
and sufficient funds are /are not available.
Signed
Date
Signed
Date
4
160 11
CRIMINAL JUSTICE MENTAL HEALTH AND SUBSTANCE ABUSE
REINVESTMENT GRANT PROGRAM
SUMMARY FINANCIAL REPORT
County
Collier
MOU#
LHZ25
MOU Begin Date
02/24/2011
End Date
02/23/2014
County Grant
Manager
Marcy Krumbine
Title and Agency
Director,
Collier County
Housing, Human and
Veteran Services
County Lead Agency
Collier County
Grant Type
Implementation
Report Prepared By
Marcy Krumbine
Report Date
Initial Report
Report Period: From
Initial Report
To:
Initial Report
CJMHSA Expense
Category
Total CJMHSA Approved Bud et
Grant Award
T County Match Total
DIRECT EXPENSES
Salaries:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$99,300.00
$0.00
$0.00
SUBTOTAL DIRECT
$99,300.00
$0.00
1 $0.00
CONTRACTUAL EXPENSES
Consultant Fees:
$319,200.00
$0.00
$0.00
Fringe Benefits:
$66,933.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$7,692.00
$0.00
$0.00
Supplies:
$1,365.00
$0.00
$0.00
Rent/Utilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00
$0.00
$0.00
SUBTOTAL
CONTRACTUAL
$395,190
$0.00
$0.00
ADMINISTRATIVE $
$54,000
$0.00
$0.00
ADMINISTRATIVE %
0.0%
0.0%
0.0%
TOTAL ALL COSTS
$540,490.00
$548,547.00
$1,09-7,037.00
STATE ADVANCES AND INTEREST
CJMHSA Funds
Advanced
$182,830.00
Date Funds
Advanced
This request.
Accrued Interest on
Advances
$0.00
Interest Accrued
As Of Date
' As approved in the county CJMHSA Memorandum of Understanding on file with the Department of
Children and Families.
16D 11
CJMHSA Expense Category
CJMHSA Expenses
This Period
CJMHSA Expenses
Prior Periods'
CJMHSA Total
Expenses to Date
DIRECT EXPENSES
Salaries:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
RenUUtilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00
$0.00
$0.00
SUBTOTAL DIRECT
$0.00
$0.00
1 $0.00
CONTRACTUAL EXPENSES
Consultant Fees:
$0.00
$0.00
$0.00
Fringe Benefits:
$0.00
$0.00
$0.00
Equipment:
$0.00
$0.00
$0.00
Travel:
$0.00
$0.00
$0.00
Supplies:
$0.00
$0.00
$0.00
RenUUtilities:
$0.00
$0.00
$0.00
Other Expenses:
$0.00
$0.00
$0.00
SUBTOTAL CONTRACTUAL
$0.00
$0.00
1 $0.00
ADMINISTRATIVE $
$0.00
$0.00
$0.00
ADMINISTRATIVE %
0.0%
0.0%
0.0%
TOTAL ALL COSTS
$0.00
$0.00
$0.00
STATE ADVANCES AND INTEREST
CJMHSA Funds Advanced
$0.00
Available Fund Balance
$0.00
' Grant funded expenses only as reported to the Department of Children and Families.
' Grant funded expenses only as reported to the Department of Children and Families.
(The expense amounts on this page can remain as zeros at this time.)
Martha S Vergara
From:
Sent:
To:
Cc:
Subject:
Tracking:
Hi Jeff,
Martha S. Vergara
Wednesday, June 08, 20114:46 PM
Klatzkow, Jeff
Patricia L. Morgan
Agenda Item #161311 from the 5/24111 BCC Meeting
Recipient
Klatzkow, Jeff
Patricia L. Morgan
Read
Read: 6/812011 4:47 PM
16o ii
Just a follow -up regarding the signature requirements for the Criminal Justice Mental Health & Substance
Abuse Reinvestment Grant Application (DCF MOU #LHZ25). It was sent to the state with the chairmen's
stamped signature.
Thanks for your help,
Martha Vergara, Deputy Clerk
Minutes and Records Dc;:pt.
Clerk of the Circuit Court
and Value Adjustment Board
Office: (239)252-724:',,
Fax: (239) 252 -8400
E -mail: martha.vergara@)colliercierk.com