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Agenda 04/23/2019 Item #16D 7 (2nd Amendment to Grant)04/23/2019 EXECUTIVE SUMMARY Recommendation to approve and authorize the Chairman to sign the Second Amendment to the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Agreement between Collier County and the Department of Children and Families and the corresponding Subrecipient Agreements between Collier County and David Lawrence Mental Health Center, Inc., Collier County Sheriff’s Office and NAMI Collier County. OBJECTIVE: To maintain compliance with Department of Children and Families (DCF) grant requirements and implement substance abuse and mental health services for persons in Collier County involved with the criminal justice system. CONSIDERATIONS: The Criminal Justice Mental Health Substance Abuse (CJMHSA) Program was established by the State to provide funding to communities. These funds can be used to plan, implement, or expand initiatives that increase public safety, avert increased spending on criminal justice, and improve the accessibility and effectiveness of treatment services for adults 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 justice system. On June 13, 2017, Agenda Item #16D4, the Board of County Commissioners (Board) approved Collier’s agreement with the DCF, and on July 11, 2017, Agenda Item #16D8, the Board approved the associated subrecipient agreements with David Lawrence Mental Health Center, Inc. (DLC), Collier County Sheriff’s Office (CCSO), and NAMI of Collier County to implement a three-year Criminal Justice Mental Health Substance Abuse Reinvestment Grant Program. The agreements became effective July 1, 2017 and expire June 30, 2020. On June 26, 2018, Agenda Item #16D4, the Board approved the First Amendment to the master agreement and corresponding subrecipient agreements, which defined a successful discharge, added staff to participant ratio, provided clarification to the Planning Council requirements, outlined subrecipient match obligation, modified Exhibit G, added Exhibit J, and added Exhibit K. Under the current grant, Collier County expanded the population served to not only those with severe and persistent mental illness (SPMI), but those with substance abuse and co-occurring disorders. With the expansion, many clients that were referred had Opioid Use Disorder and severe polysubstance use disorders. As we worked throughout the year to collect data for the performance measures it became increasingly evident that the population being served was not responsive to the approach, and, in fact many failed to participate in the peer specialist program, absconded quickly after entering the program, and were reluctant to participate in any form of treatment. Because of the failed engagement by the clients, it was determined that it would be necessary to revise the population being served and move back toward those primarily with SPMI, as well as reduce the performance measures so that positive and successful outcomes could be achieved. On January 25, 2019, Collier County and our subrecipients requested revisions to the performance measures. On March 7, 2019, Community and Human Services Division (CHS) received Amendment #0002 from DCF. In addition to the revisions to the performance measures, DCF h as updated the Information Security and Termination sections. Revisions to the master agreement and corresponding subrecipient agreements are outlined below. The master agreement between DCF and Collier County is amended to reflect the following changes: 16.D.7 Packet Pg. 1858 04/23/2019 1. Updates Section 5.5, Information Security 2. Updates Section 6.27, Termination 3. Replaces Exhibit E to reduce performance measure targets and associated methodologies 4. Adds clarifying language to Exhibit E and associated methodology The agreement between Collier County and DLC is amended to reflect the following changes: 1. Section 16, Data Security is replaced 2. Section 22, Notices revises contact information 3. Modifies Exhibit C to add additional requirements and revise contact information 4. Modifies Exhibit E to reduce performance measure targets and associated methodologies 5. Adds clarifying language to Exhibit E and associated methodology 6. Modifies Exhibit G to add additional deliverable 7. Replaces Exhibit H-1, Request for Payment 8. Adds Exhibit L, Monthly Client Tracking Report The agreement between Collier County and CCSO is amended to reflect the following changes: 1. Section 16, Data Security is replaced 2. Section 22, Notices revises contact information 3. Modifies Exhibit C to add additional requirements 4. Replaces Exhibit H-1, Request for Payment The agreement between Collier County and NAMI is amended to reflect the following changes: 1. Subrecipient legal name change 2. Section 16, Data Security is replaced 3. Section 22, Notices revises contact information 4. Modifies Exhibit C to add additional requirements and revise contact information 5. Modifies Exhibit E to reduce performance measure targets and associated methodologies 6. Adds clarifying language to Exhibit E and associated methodology 7. Modifies Exhibit G to add additional deliverable 8. Replaces Exhibit H-1, Request for Payment 9. Adds Exhibit L, Monthly Client Tracking Report FISCAL IMPACT: The proposed action has no new Fiscal impact. Funds are budgeted within Human Services Grant Fund (707), and Human Services Match Fund (708), Project 33513. GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this Executive Summary. LEGAL CONSIDERATIONS: This item is approved for form and legality and requires a majority vote for Board action. - JAB RECOMMENDATION: To approve and authorize the Chairman to sign the Second Amendment to the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Agreement between Collier County and the Department of Children and Families and the corresponding Subrecipient Agreements between Collier County and David Lawrence Mental Health Center, Inc., Collier County Sheriff’s Office and NAMI of Collier County. Prepared By: Rachel Brandhorst, Grant Coordinator, Community and Human Services Division 16.D.7 Packet Pg. 1859 04/23/2019 ATTACHMENT(S) 1. DCF LHZ54_Collier Executed Grant Agreement (PDF) 2. DCF LHZ54 Amendment No.1 (PDF) 3. DLC CJMHSA Executed Grant 2017-2020 (PDF) 4. DLC Amendment No. 1 (PDF) 5. CCSO Executed CJMHSA Grant 2017-2020 (PDF) 6. CCSO Amendment No. 1 (PDF) 7. NAMI executed CJMHSA Grant 2017-2020 (PDF) 8. NAMI Amendment No. 1 (PDF) 9. DCF LHZ54 Amendment No. 2 (2019) (PDF) 10. DLC Amendment No. 2 (2019) (PDF) 11. CCSO Amendment No. 2 (2019) (PDF) 12. NAMI Amendment No. 2 (2019) (PDF) 16.D.7 Packet Pg. 1860 04/23/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.7 Doc ID: 8516 Item Summary: Recommendation to approve and authorize the Chairman to sign the Second Amendment to the Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Agreement between Collier County and the Department of Children and Families and the corresponding Subrecipient Agreements between Collier County and David Lawrence Mental Health Center, Inc., Collier County Sheriff’s Office and NAMI Collier County. Meeting Date: 04/23/2019 Prepared by: Title: Grants Coordinator – Community & Human Services Name: Rachel Brandhorst 04/01/2019 4:59 PM Submitted by: Title: Manager - Federal/State Grants Operation – Community & Human Services Name: Kristi Sonntag 04/01/2019 4:59 PM Approved By: Review: Community & Human Services Cormac Giblin Additional Reviewer Completed 04/02/2019 10:12 AM Community & Human Services Blanca Aquino Luque Additional Reviewer Completed 04/03/2019 10:26 AM Community & Human Services Kristi Sonntag CHS Review Completed 04/03/2019 5:23 PM Community & Human Services Maggie Lopez Additional Reviewer Completed 04/03/2019 6:16 PM Public Services Department Kimberley Grant Additional Reviewer Completed 04/04/2019 11:56 AM Public Services Department Todd Henry Level 1 Division Reviewer Completed 04/04/2019 12:49 PM Grants Erica Robinson Level 2 Grants Review Completed 04/04/2019 1:31 PM Public Services Department Steve Carnell Level 2 Division Administrator Review Completed 04/09/2019 11:23 AM County Attorney's Office Jennifer Belpedio Level 2 Attorney of Record Review Completed 04/15/2019 2:50 PM Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Completed 04/15/2019 2:56 PM County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Completed 04/15/2019 4:01 PM Grants Therese Stanley Additional Reviewer Completed 04/15/2019 5:58 PM County Manager's Office Geoffrey Willig Level 4 County Manager Review Completed 04/16/2019 9:13 AM Board of County Commissioners MaryJo Brock Meeting Pending 04/23/2019 9:00 AM 16.D.7 Packet Pg. 1861 16.D.7.a Packet Pg. 1862 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1863 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1864 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1865 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1866 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1867 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1868 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1869 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1870 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1871 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1872 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1873 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1874 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1875 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA Amendment No.2) 16.D.7.a Packet Pg. 1876 Attachment: DCF LHZ54_Collier Executed Grant Agreement (8516 : CJMHSA 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Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1914Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1915Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1916Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1917Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1918Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1919Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1920Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1921Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 1922Attachment: DLC CJMHSA Executed Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.cPacket Pg. 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Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.ePacket Pg. 1993Attachment: CCSO Executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.ePacket Pg. 1994Attachment: CCSO Executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.ePacket Pg. 1995Attachment: CCSO Executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.ePacket Pg. 1996Attachment: CCSO Executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.fPacket Pg. 1997Attachment: CCSO Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.fPacket Pg. 1998Attachment: CCSO Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.fPacket Pg. 1999Attachment: CCSO Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.fPacket Pg. 2000Attachment: CCSO Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2001Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2002Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2003Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2004Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2005Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2006Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2007Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2008Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2009Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2010Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2011Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2012Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2013Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2014Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2015Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2016Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2017Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2018Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2019Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2020Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2021Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2022Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2023Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2024Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2025Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2026Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2027Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2028Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2029Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2030Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2031Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2032Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2033Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2034Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.gPacket Pg. 2035Attachment: NAMI executed CJMHSA Grant 2017-2020 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2036Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2037Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2038Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2039Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2040Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.hPacket Pg. 2041Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.h Packet Pg. 2042 Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.h Packet Pg. 2043 Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.h Packet Pg. 2044 Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.h Packet Pg. 2045 Attachment: NAMI Amendment No. 1 (8516 : CJMHSA Amendment No.2) 16.D.7.iPacket Pg. 2046Attachment: DCF LHZ54 Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.iPacket Pg. 2047Attachment: DCF LHZ54 Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.iPacket Pg. 2048Attachment: DCF LHZ54 Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.iPacket Pg. 2049Attachment: DCF LHZ54 Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2050 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2051 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2052 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2053 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2054 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2055 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2056 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2057 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.j Packet Pg. 2058 Attachment: DLC Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.k Packet Pg. 2059 Attachment: CCSO Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.k Packet Pg. 2060 Attachment: CCSO Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.k Packet Pg. 2061 Attachment: CCSO Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.k Packet Pg. 2062 Attachment: CCSO Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) Project No: Match Request # 1 Total Match: $0.00 Signature Date Title I certify that this match submission has been made in accordance with the terms and conditions of the Agreement between the COUNTY and us as the SUBRECIPIENT. To the best of my knowledge and belief, all grant requirements have been followed. Authorizing Grant Coordinator ______________________________ Authorizing Grant Accountant _________________________________ Supervisor _______________________________________________Department Director __________________________ (approval required $15,000 and above)(approval required $15,000 and above) 8.Current Grant Balance (Initial Match Less Sum of all requests) 4.Amount of Previous Unpaid Requests (Insert any unpaid request) 5.Amount of Today’s Request 2.Sum of Past Claims Paid on this Account 3.Total Match Amount Awarded Less Sum Of Past Claims Paid on this Account $0.00 Project Name: Period of Availability: SECTION I: STATUS OF FUNDS 1.Grant Match Amount Sub recipient Address: EXHIBIT “H-1” COLLIER COUNTY COMMUNITY AND HUMAN SERVICES MATCH SUBMISSION SECTION I: MATCH SUBMISSION Sub recipient Name: 16.D.7.k Packet Pg. 2063 Attachment: CCSO Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2064 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2065 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2066 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2067 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2068 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2069 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2070 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2071 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2) 16.D.7.l Packet Pg. 2072 Attachment: NAMI Amendment No. 2 (2019) (8516 : CJMHSA Amendment No.2)