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Backup Documents 12/13-14/2011 Item #16D 1 J. D ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 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 a line through routing lines#1 through#4,complete the checklist,and forward to Ian Mitchell. Route to Addressee(s) Office Initials Date (List in routing order) Lisa Oien HHVS ,2/(i/2c Jennifer White County Attorney's Office �) I �slap l r Ian Mitchell, Executive Manager Board of County Commissioners 115/ it. Minutes and Records Clerk of Courts Office 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 Lisa Oien Phone Number After recording call Contact 252-6141 HHVS for pick up of document for our records Agenda Date Item was 12/13/2011 Agenda Item Number ,G D Approved by the BCC Type of Document Three Amendments to agreements Number of Original 3 Attached Stamped signature acceptable Documents attached INSTRUCTIONS & CHECKLIST 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 LO 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 LO 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 LO 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 LO signature and initials are required. 5. In most cases(some contracts are an exception),the original document and this routing slip LO should be provided to lan 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 12/13/2011(enter date)and all changes LO 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 WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05 16D I MEMORANDUM Date: January 6, 2012 To: Lisa Oien, Housing and Human Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #1 to Agreement Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Attached you will find one (1) copy and memo to each participant of the documents, as referenced above (Agenda Item #16D1) and approved by the Board of County Commissioners on Tuesday, December 13, 2011. The Original was kept by the Minutes and Records Department as part of the Board's Official Record. If you require a certified copy just give our office a call. If you should have any questions, please call me at 252-7240. Thank you. 1601 MEMORANDUM Date: January 6, 2012 To: Kevin Rambosk, Sheriff Collier County Sheriffs Department From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #1 to Agreement Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Attached is one (1) copy of the document referenced above (Agenda Item #16D1), adopted by the Collier County Board of County Commissioners at their meeting held on Tuesday, December 13, 2011. The Original was kept by the Minutes and Records Department as part of the Board's Official Record. If you require a certified copy just give our office a call. If you have any questions, please call me at 252-7240. Thank you. 160 1 AMENDMENT NO. 1 AGREEMENT FOR CRIMINAL JUSTICE, MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT THIS AMENDMENT, to the May 10, 2011, Agreement is made and entered into this l day of Lr 2011, by and between the Collier County Sheriff's Office, whose business address is 3319 Tamiami Trail E., Naples, Florida 34112, (hereinafter "Subrecipient") and Collier County, a political subdivision of the State of Florida, (hereinafter called the "County"), and states as follows: RE: Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant LHZ-25 All references in the original Agreement to "Contractor" and "Consultant" shall be replaced by "Subrecipient". In order to continue the services provided for in the original Agreement document referenced above, the Subrecipient agrees to amend the Agreement as follows: Words Struck4hr-eugh are deleted;Words Underlined are added Dollar amounts have original underlines WITNESSETH: 1. COMMENCEMENT. The contract shall . . . - commence on May 10, 2011, and terminating on May 9, 2012 terminate on February 23, 2014. The County may, at its discretion and with the consent of the Contractor, renew written notice of the County's intention to extend the Agreement term not less than ten (10) days prior to the end of the Agreement term then in effect. 3. THE CONTRACT SUM. The County shall pay the Contractor for the performance of this Agreement a total amount of One Hundred Fourteen Thousand Eight Hundred One and 00/100 Dollars ($114,801.00) over three (3) years the term of the Agreement with Thirty Eight Thousand Two Hundred Sixty Seven and 00/100 Dollars ($38,267.00) of that total amount being awarded beginning with state fiscal year 2010-2011, subject to Change Orders as approved in advance by the County. Payment will be made upon receipt of a proper Page 1 of 3 160 1 invoice and upon approval by Housing, Human and Veteran Services, or its designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". EXHIBIT "A" SCOPE OF SERVICES * * * C. PROJECT WORK PLAN The following Project Work Plan is in effect for program monitoring requirements only and, as such, is not intended to be used as a payment schedule. Date Date End YEAR ONE THROUGH THREE Work Plan Start 05/2011 05 02/2014 Collier County provide administrative services 05/2011 05 02/2014 Provide reintegration services 05/2011 05 02/2014 Supervise reintegration specialist 05/2011 05 02/2014 Conduct grant coordination 05/2011 05 02/2014 _ Order and receive supplies for program planning 05/2011 05 02/2014 Conduct Crisis Intervention Team Training 05/2011 05 02/2014 Collect data and prepare reports The above Project Work Plan details items to be completed and submitted by "Date End". Modifications to the above Work Plan require the prior written approval of the County. A Work Plan modification will be required if the listed activity exceeds the assigned end date by 90 days or greater. Any modification(s) will be made an integral component of this Agreement. D. PAYMENT SCHEDULE The following table details the project deliverables and payment schedule. Deliverable Payment Schedule Reintegration specialist Signed timcshect and evidence of payment Invoice, evidence of payment and documentation of hours worked Supplies Invoice/bill and evidence of payment * * * IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. Page 2 of 3 160 1 SUBRECIPIENT: I\ s -- 4k COLLIER COUNTY SHERIFF'S First Witn s OFFICE S'' L\4'k-t- IA Type/print witness name By: ��! Kevin R bosk LLA Sheriff Tr Second Witness Approved for legal o :nd sufficiency. IA. Type/print witness name Irti ii al /11 COUNTY: Dated: I.a 1�? 1 l ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight 1 Broek,,clerk of Courts COLLIER COUNTY, FLORIDA By: r, �� By: _ Cl Attest as to icit+l'W,Iipp uty Cl.rk -'' Fred W. Coyle, Chairman 4 ictlatlire on I1 12- f3-Zot/ Approved as to form and legal sufficiency: Jennifer . White Assistant County Attorney Page 3 of 3 16D1 MEMORANDUM Date: January 6, 2012 To: David Schimmel, Chief Executive Officer David Lawrence Mental Health Center (d/b/a David Lawrence Center) From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #1 to Agreement Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Attached is one (1) copy of the document referenced above (Agenda Item #16D1), adopted by the Collier County Board of County Commissioners at their meeting held on Tuesday, December 13, 2011. The Original was kept by the Minutes and Records Department as part of the Board's Official Record. If you require a certified copy just give our office a call. If you have any questions, please call me at 252-7240. Thank you. 160 1 AMENDMENT NO. 1 AGREEMENT FOR CRIMINAL JUSTICE, MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT THIS AMENDMENT, to the April 12, 2011, Agreement is made and entered into this 13,4"`" day of Z,ecev 642011, by and between the David Lawrence Mental Health Center, Inc., EIN 59-2206025, (d/b/a David Lawrence Center), authorized to do business in the State of Florida, whose business address is 6075 Bathey Lane, Naples, Florida, 34116, (hereinafter "Subrecipient") and Collier County, a political. subdivision of the State of Florida, (hereinafter called the "County"), and states as follows: RE: Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant LHZ-25 All references in the original Agreement to "Contractor" and "Consultant" shall be replaced by "Subrecipient". In order to continue the services provided for in the original Agreement document referenced above, the Subrecipient agrees to amend the Agreement as follows: Words Struck ugh are deleted;Words Underlined are added Dollar amounts have original underlines WITNESSETH: 1. COMMENCEMENT. The contract shall b ) year period, commencing commence on April 12, 2011, and terminating on April 11, 2012 terminate on February 23, 2014. The County may, at its discretion and with the consent of the Contractor, renew than ten (10) days prior to the end of the Agreement term then in effect. 3. THE CONTRACT SUM. The County shall pay the Contractor for the performance of this Agreement a total amount of Two Hundred Eighty Three Thousand Four Hundred Eight Five and 00/100 Dollars ($283,485.00) over twee Page 1 of 3 160 1 (3) year,:, the term of the Agreement with Ninety Four Thousand Four Hundred Ninety Five and 001100 Dollars ($94,495.00) of that total amount being awarded beginning with state fiscal year 2010-2011, subject to Change Orders as approved in advance by the County. Payment will be made upon receipt of a proper invoice and upon approval by Housing, Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". EXHIBIT "A" SCOPE OF SERVICES * * * C. PROJECT WORK PLAN The following Project Work Plan is in effect for program monitoring requirements only and, as such, is not intended to be used as a payment schedule. Date Start Date End YEAR ONE THROUGH THREE Work Plan _ 03/2011 0302/2014 Collier County provide administrative services 03/2011 0302/2014 Provide case management services 03/2011 0302/2014 Provide mental health counseling services 03/2011 0302/2014 Supervise forensic and clinical activities 03/2011 0302/2014 Coordinate and evaluate program 03/2011 0302/2014 Coordinate Enhancement expenditures 03/2011 0302/2014 Collect data and prepare reports The above Project Work Plan details items to be completed and submitted by "Date End". Modifications to the above Work Plan require the prior written approval of the County. A Work Plan modification will be required if the listed activity exceeds the assigned end date by 90 days or greater. Any modification(s) will be made an integral component of this Agreement. * * * IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. Page 2 of 3 16131 SUBRECIPIENT: DAVID LAWRENCE MENTAL HEALTH A:__.. _. _, L __ L , CENTER (D/B/A DAVID LAWRENCE First itness r CENTER) k:nbei'1 y Acck.f.ekt.. Type/print witness name`4a.A____ i2,,,,,,i a „,,I, ., , Second Wine David C. Schimmel ?A 416_4.y- .J ,B" E7'- Chief Executive Officer COUNTY: Dated: I g 1 3 I ATTEST: BOARD OF COUNTY COMMISSIONERS Dwight 1E .Brock,Clerk of Courts COLLIER COUNTY, FLORIDA . s�;Q „s.i..`J . ,,.. 'WS,J67 ' Attest Is to ,Irm ;.t-, D.Outy Cl Fred W. Coyle, Chairman 4Ignitor` ott l/y l° u s. ' /2- /3- z e®/ Approved as to form and legal sufficiency:. Jennifer B. White PC))\) Assistant County Attorney Page 3 of 3 16E1 1 MEMORANDUM Date: January 6, 2012 To: Kathryn Leib-Hunter, Executive Director NAMI of Collier County, Inc. From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #1 to Agreement Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Attached is one (1) copy of the document referenced above (Agenda Item #16D1), adopted by the Collier County Board of County Commissioners at their meeting held on Tuesday, December 13, 2011. The Original was kept by the Minutes and Records Department as part of the Board's Official Record. If you require a certified copy just give our office a call. If you have any questions, please call me at 252-7240. Thank you. 1o131 AMENDMENT NO. 1 AGREEMENT FOR CRIMINAL JUSTICE, MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT THIS AMENDMENT, to the April 12, 2011, Agreement is made and entered into this /3 iv"- day of Dr -erp. 2011, by and between National Alliance on Mental Illness of Collier County, Inc., EIN 65-0047747, (d/b/a NAMI), authorized to do business in the State of Florida, whose business address is 6216 Trail Boulevard, Building C, Naples, Florida 34108, (hereinafter "Subrecipient") and Collier County, a political subdivision of the State of Florida, (hereinafter called the "County"), and states as follows: RE: Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant LHZ-25 All references in the original Agreement to "Contractor" and "Consultant" shall be replaced by "Subrecipient". In order to continue the services provided for in the original Agreement document referenced above, the Subrecipient agrees to amend the Agreement as follows: Words Struck ough are deleted;Words Underlined are added Dollar amounts have original underlines WITNESSETH: 1. COMMENCEMENT. The contract shall _ _ . _ - commence on March 22, 2011, and - -- . - . - . - ! terminate on February 23, 2014. for two (2) additional one (1) year perieds. The County shall give the Contractor written notice of the County's intention to extend the Agreement term not less Page 1 of 3 160 3. THE CONTRACT SUM. The County shall pay the Contractor for the performance of this Agreement a total amount of Ninety Six Thousand Two Hundred Four and 00/100 Dollars ($96,204.00) over three (3) years the term of the Agreement with Thirty Two Thousand Sixty Eight and 00/100 Dollars ($32,068.00) of that total amount being awarded beginning with state fiscal year 2010-2011, subject to Change Orders as approved in advance by the County. Payment will be made upon receipt of a proper invoice and upon approval by Housing, Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". EXHIBIT "A" SCOPE OF SERVICES * * * C. PROJECT WORK PLAN The following Project Work Plan is in effect for program monitoring requirements only and, as such, is not intended to be used as a payment schedule. Date Start Date End YEAR ONE THROUGH THREE Work Plan 03/2011 0302/2014 Collier County provide administrative services 03/2011 0302/2014 Provide Peer Specialist services 03/2011 0302/2014 Provide Peer Specialist supervision 03/2011 0302/2014 Training to Peer Specialist in SSI Outreach Access Recovery (SOAR) The above Project Work Plan details items to be completed and submitted by "Date End". Modifications to the above Work Plan require the prior written approval of the County. A Work Plan modification will be required if the listed activity exceeds the assigned end date by 90 days or greater. Any modification(s) will be made an integral component of this Agreement. * * * IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. Page 2 of 3 160 1 SUBRECIPIENT: NAMI OF COLLIER COUNTY, INC. `R424a�12 �y B y. /(4/ / 444, / M''�— First Witness Kathryn Leib-Hunter I / Executive Director Type/print witness name ,a1L- . Second Witness tai Q0L.- 91 Type/print witness name COUNTY: Dated: a 3 l i ATTEST: '' -- , BOARD OF COUNTY COMMISSIONERS Dwigtt E,'Bro.ck„Clerk of Courts COLLIER COUNTY, FLORIDA Ants! It y: � By: Chl1 rOpei JI)eputy Clef Fred W. Coyle, Chairman 41948 80 . A Approved as to form and 12-/3 - 2c// legal sufficiency: Jennifer B. White Assistant County Attorney Page 3 of 3