Backup Documents 11/08/2011 Item #16D 301`,
AF-
1603
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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
eXCentlOn of the Chan'D18[I's signature _ draw a line thmuoh rrertino knee yl r6.......6 alA ..,......t -a- as,_ _t._a -ca — __ .__ ..•.. .. ,.. .. _.
--
Route to Addressee(s)
List in routing order
- aa,vtua�y tuau
Office
aw waiu W lial 1v1lU:nel1
Initials
Ime iFJ .
Date
1. Lisa Oien
HHS
Initial
10/09/2011
2.
11/08/2011
Agenda Item Number
Approved by the BCC
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
4. Ian Mitchell, Executive Manager
Board of County Commissioners
3
Attached
5. Minutes and Records
Clerk of Courts Office
,Zl2 �
rMMAKY CUNTACT 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
Kathy Larsen / Housing & Human Services
Phone Number
252 -5326
Contact
appropriate.
Initial
]or!!!
16D3
Agenda Date Item was
11/08/2011
Agenda Item Number
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
One modification to grant agreement, three
Number of Original
3
Attached
originals with the Chairman's original
Documents Attached
signature needed.
contracts, agreements, etc. that have been fully executed by all patties except the BCC
INSTRUCTIONC & VHFVW -F .icT
I: Forms/ County Forms/ BCC Forms/ Original Documents 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
Applicable)
1.
Original document has been signed/ initialed for legal sufficiency. (All documents to be
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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 patties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2.
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3.
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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
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should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval.
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time frame or the BCC's actions are nullified. Be aware of your deadlines!
6.
The document was approved by the BCC on 5/25/2010 (enter date) and all changes
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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 W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16D3
MEMORANDUM
Date: December 5, 2011
To: Kathy Larsen
Housing & Human Services
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Modification #2 to Grant Agreement w/DCA
Contract #10DB- D4- 09- 21- 01 -K09
Enclosed please find three (3) originals of the document as referenced above,
(Item #16D3) approved by the Board of County Commissioners on November 8,
2011.
Please forward for additional signatures and return a fully
executed original back to the Minutes & Records
Department to be kept in the Board's Official Records.
If you should have any questions, please contact the Minutes and Records
Department at 252 -8411.
Thank you.
1603
MODIFICATION NUMBER 2 TO GRANT 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 l ODB- D4- 09- 21- 01 -KO9, award dated
June 22, 2010, ('`the Agreement ").
WHEREAS, the Department and the Recipient entered into the Agreement,
pursuant to which the Department provided a grant of $9,963,208 to Recipient under the
Community Development Block Grant/Disaster Recovery Program ( "CDBG /DRI ")
Program as set forth in the Agreement;
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:
o Reinstate Agreement
1. The Agreement is hereby reinstated as though it had not expired.
X Extend Agreement
2. Paragraph 3, Period of Agreement is hereby revised to reflect an ending date
of December 21, 2012.
X 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 B, 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.
16D3
Modification #2
DCA Contract Number: IODB- D4- 09- 21- 01 -K09
Recipient: Collier County
Page 2
o Change in Participating Parties
5. The Attachment G, Special Conditions section, is hereby modified to delete
all references to " ," as the Participating
Party, and replace them with " " 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.
o Inclusion of an Unmet Need 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.
o 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.
o 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 be performed at the level specified in the Agreement.
Modification #2 1603
DCA Contract Number: IODB- D4- 09- 21- 01 -KO9
Recipient: Collier County
Page 3
IN WITNESS WHEREOF, the parties hereto have executed this document as of
the dates set herein.
Department of Community Affairs
Recipient Name:
By: By: A
Name: Michael Richardson Name: Fred W. Coyle
Title: Assistant Secretary and Acting Director Title: Chairman, Board of
of the Division of Housing and County Commissioners
Community Development
Date:
Approved as to form
and legal sufficiency:
By: V--
Jennifer Ir White
Assistant County Attorney
Date: 11- 8-2011
Attest:
DWIGHT E. BROCK2.
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