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Backup Documents 04/23/2019 Item #16D 7 Av 4\5° ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D 7 �" G� TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 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#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Dawn Whelan -Community and Human 4/12/19 Services 2. County Attorney Office County Attorney Office `+ I Ai. IIci 3. BCC Office Board of County W\--Vb<_\ Commissioners S/ t{kZ-91,1cl 4. Minutes and Records Clerk of Court's Office AT `i-N- 2-=07pm PRIMARY CONTACT INFORMATION 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,may need to contact staff for additional or missing information. Name of Primary Staff Rachel Brandhorst,Gr Coordinator, Phone Number 239-252-4230 Contact/ Department Community and Hum Services 239-398-8932 Agenda Date Item was April 23,2019 Agenda Item Number 16D Approved by the BCCN\ j Type of Document Amendment Number of Original 4 C—KC .S 0� Attached Documents Attached 3 P,�p1CJ.. PO number or account number if document is N/A to be recorded INSTRUCTIONS & C ECKLIST Initial the Yes column or mark"N/A"in the Not Applicable col mn,whichever is Yes N/A(Not appropriate. - (Initial) Applicable) 1. Does the document require the chairman's original signature. r'F-a. B1t Q,,,,iaMB 2. Does the document need to be sent to another agency for additional signatures? If yes, RMB provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be RMB signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the RMB document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's RMB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip RMB should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aw f your deadlines! 8. The document was approved by the BCC ohIlhanges made during the N/A is not meeting have been incorporated in the attached document. The County Attorney's an option for Office has reviewed the changes,if applicable. this line. ' 9. Initials of attorney verifying that the attached document is the version approved by the n � /A is no BCC,all changes directed by the BCC have been made,and the document is ready for th W' option;, ' Chairman's signature. Wjine. \C I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 Instructions 16D7 1) Please send 1 Chairman signed DCF agreement to: Jennifer Benghuzzi Contract Manager, Business Operations Unit Florida Department of Children and Families Office of Substance Abuse and Mental Health 1317 Winewood Blvd., Bldg. 6, Room 235 Tallahassee, FL 32399-0700 2) Please send 1 Chairman signed DCF agreement to: Rachel Brandhorst/Dawn Whelan Grant Coordinator Collier County Government 3339 Tamiami Trail East Building H, Suite 211 Naples, FL 34112 DLC: 1) Please send 1 Chairman signed DLC agreement to: Nancy Dauphinais, COO David Lawrence Center 6075 Bathey Ln Naples, FL 34116 2) Please send 1 Chairman signed DLC agreement to: Rachel Brandhorst/Dawn Whelan Grant Coordinator Collier County Government 3339 Tamiami Trail East • Building H, Suite 211 Naples, FL 34112 CCSO: 3) Please send 1 Chairman signed CCSO agreement to: Marien Ruiz Collier County Sheriff's Office 3319 Tamiami Trail E. Naples, FL 33112 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 4) Please send 1 Chairman signed CCSO agreement to: 16D7 Rachel Brandhorst/Dawn Whelan Grant Coordinator Collier County Government 3339 Tamiami Trail East Building H, Suite 211 Naples, FL 34112 NAMI: 5) Please send 1 Chairman signed NAMI agreement to: Pam Baker Executive Director/ CEO NAMI of Collier County, Inc. 6216 Trail Boulevard Naples, FL 34108 6) Please send 1 Chairman signed NAMI agreement to: Rachel Brandhorst/Dawn Whelan Grant Coordinator Collier County Government 3339 Tamiami Trail East Building H, Suite 211 Naples, FL 34112 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16 D7 MEMORANDUM Date: April 30, 2019 To: Rachel Brandhorst, Grant Coordinator Community & Human Services From: Teresa Cannon, Sr. Deputy Clerk Minutes & Records Department Re: Amendment #2 to Agreements: CJMHSA-001 (DLC) CJMHSA-002 (CCSO) CJMHSA-003 (NAMI) LHZ54 (DCF) Enclosed please find an original of each document referenced above (Agenda Item #16D7), approved by the Board of County Commissioners on Tuesday, April 23, 2019. The Minutes & Records Department has retained the original as part of the Board's Official Records. If you have any questions, please contact me at 239-252-8411. Thank you. Enclosure Enclosures (4) 16D7 MEMORANDUM Date: April 30, 2019 To: Dawn Whelan, Grants Coordinator Community & Human Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Amendment #2 to Agreements: CJMHSA-001 (DLC) CJMHSA-002 (CCSO) CJMHSA-003 (NAMI) LHZ54 (DCF) Attached are the one (1) original of each document referenced above, (Item #16D7) approved by the Board of County Commissioners on Tuesday, April 23, 2019. An original document has been held in the Minutes & Records Department as part of the Board's Official Records. If you have questions, please feel free to call me at 252-8411. Thank you Attachment Crystal K. Kinzel ��c �v,TCUURT4� Collier County 0 b4. Clerk of the Circuit Court and Comptroller 1 6 0 7 0 3315 Tamiami Trail East, Suite 102 b Naples, Florida 34112-5324 '4<4„. e route• �o�e April 30, 2019 Jennifer Benghuzzi, Contract Manager Florida Department of Children and Families Office of Substance Abuse and Mental Health 1317 Winewood Blvd., Bldg. 6, Room 235 Tallahassee, FL 32399-0700 Ms. Benghuzzi, Enclosed are three (3) original documents (Second Amendment to Contract #LHZ54) approved by the Board of County Commissioners at their April 23, 2019 BCC Meeting. Once processed with the additional signature, please return two (2) originals back to my office. Any questions, please contact me at 239-252-8411. Thank you, I ,Q,),K3 CcIAN ---- Teresa Cannon, Sr. BMR Clerk 3299 Tamiami Trail East Suite #401 Naples, FL 34112 Phone-(239) 252-2646 Fax-(239) 252-2755 Website-www.CollierClerk.com Email- CollierClerk@collierclerk.com 16 D7 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter referred to as the "Department", and Collier County Board of County Commissioners, hereinafter referred to as the "Grantee". Amendment#0001 corrected contact information in Part 1.; added a definition to Exhibit A.; task requirements in Exhibit C;and revised the performance measure language in Exhibit E. Amendment#0002 revises the contact person for Sections 1.2.2 and 1.2.3.,updates Sections 5.5.and 6.2.7.of the CF Standard Contract;replaces Exhibit E to reduce the targets in Sections E•1.3.through E-1.7.,and the associated methodologies in Sections E-2.3.through E-2.7; and adds clarifying language to Section E-1.9.and the associated methodology in Section E-2.9. 1. Page 1,Section 1.2.2., is amended to read: 1.2.2. The name, address,telephone number, and e-mail of the Provider's contact person responsible for the Provider's financial and administrative records: Name: Kristi Sonntaq Address:3339 Tamiami Trail East Community and Human Services Division City: Naples State: FL Zip Code: 34112 Phone: 239-252-2486 Ext: E-mail: Kristi.Sonntag@colliercountyfl.gov 2. Page 1,Section 1.2.3., is amended to read: 1.2.3. The name, address,telephone number and e-mail of the Provider's representative responsible for administration of the program under this Contract(and primary Point of contact)are: Name: Kristi Sonntag Address:3339 Tamiami Trail East Community and Human Services Division City: Naples State: FL Zip Code: 34112 Phone: 239-252-2486 Ext: E-mail: Kristi.Sonntaq(colliercountyfl.gov 3. Page 9,Section 5.5,of the CF Standard Contract is replaced by the following: 5.5 Information Security The Provider shall comply with, and be responsible for ensuring subcontractor compliance as if they were the Provider with,the following information security requirements whenever the Provider or its subcontractors have access to Department information systems or maintain any client or other confidential information in electronic form: 5.5.1. An appropriately skilled individual shall be identified by the Provider to function as its Information Security Officer. The Information Security Officer shall act as the liaison to the Department's security staff and will maintain an appropriate level of information security for Department information systems or any client or other confidential information the Provider is collecting or using in the performance of this Contract. An appropriate level of security includes approving and tracking all who request or have access,through the Provider's access, to Department information systems or any client or other confidential information. The Information Security Officer will ensure that any access to Department information systems or any client or other confidential information is removed immediately upon such access no longer being required for Provider's performance under this contract. 5.5.2, The Provider shall provide the latest Departmental security awareness training to all who request or have access, through the Provider's access, to Department information systems or any client or other confidential information. CF 1127 Effective July 2015 (CF-1127-1516) 1 1607 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 5.5.3. All who request or have access,through the Provider's access,to Department information systems or any client or other confidential information shall comply with,and be provided a copy of CFOP 50-2,and shall sign the DCF Security Agreement form CF 0114 annually.A copy of CF 0114 may be obtained from the Contract Manager. 5.5.4. The Provider shall prevent unauthorized disclosure or access,from or to Department information systems or client or other confidential information. Client or other confidential information on systems and network capable devices shall be encrypted per CFOP 50-2. 5.5.5. The Provider agrees to notify the Contract Manager as soon as possible, but no later than five(5) business days following the determination of any potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 5.5.6. The Provider shall, at its own cost, comply with section 501.171, F.S. The Provider shall also, at its own cost, implement measures deemed appropriate by the Department to avoid or mitigate potential injury to any person due to potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 4. Page 11,Section 6.2.7., of the CF Standard Contract is amended to read: 6.2.7. If the Contract is for an amount of$1 Million or more,the Department may terminate this Contract at any time the Provider is found to have submitted a false certification under section 287.135, F.S., or has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Regardless of the amount of this Contract,the Department may terminate this Contract at any time the Provider is found to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel. 5. Pages 37-38,Exhibit E,are hereby deleted in their entirety and pages 37-38,Revised Exhibit E,are inserted in lieu thereof and attached hereto. This Amendment shall be effective on April 1, 2019, or the date on which the amendment has been signed by all parties hereto,whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall and are hereby changed to conform to this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made part of the grant agreement. IN WITNESS THEREOF,the parties hereto have caused this four(4)page amendment to be executed by their officials thereunto duly authorized • GRANTEE: COLLIER CO•NTY BOARD 6 r COUN STATE OF FLORIDA:DEPARTMENT OF CHILDREN& COMMISSIONER _ FAMILIES SIGNED BY: W���L=.nSIGNED BY: NAME: William L.AVIcDaniel,Jr. NAME: John N.Bryant . . TITLE: Chairman TITLE: Assistant Secretary, Substance Abuse and Mental Health DATE: 4/a311 9 DATE: FEID NUMBER:596000558 Approved as to form and legality ATTEST CRY AL K.I{INZE,j1 CLERK c - 2 it as Asci int County At�1e � • �-yxi wtr�. a'i co C t8±,rillail'6 �" � 16 D7 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 REVISED EXHIBIT E—MINIMUM PERFORMANCE MEASURES E-1. MINIMUM PERFORMANCE MEASURES The following minimum qualitative performance measures are established pursuant to Section 2.4.2. and shall be maintained during the term of this Grant Agreement. E-1.1. 50% reduction in the total number of arrests or re-arrests among Program participants while enrolled in the Program compared to the one year period prior to Program admission. E-1.2. 50% reduction in the total number of arrests or re-arrests among Program participants within the one year period following Program discharge compared to the one year period prior to Program admission. E-1.3. 40% of Program participants not residing in a stable housing environment at program admission will report living in a stable housing environment within 90 days of Program admission. E-1.4. 10% of Program participants not residing in a stable housing environment at Program admission will report living in a stable housing environment one year following Program discharge. E-1.5. 40% of Program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission. E-1.6. 10%of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge. E-1.7. 60%of Program participants will be assisted in applying or be linked to Social Security or other benefits for which they may have been eligible but were not receiving at Program Admission. E-1.8. 50%of Program participants will be diverted from a State Mental Health Treatment Facility. E-1.9. 90% of successfully discharged individuals (i.e., not arrested while enrolled) participating in the Peer Specialist facilitated Quality of Life Assessment shall have an improvement score from admission to discharge. E.2. PERFORMANCE EVALUATION METHODOLOGY The Department will monitor the Grantee's performance in achieving the standards in Section E-1 according to the following methodology. E-2.1. For the measure in Section E-1.1., the total number of arrests among participants while enrolled in the Program DIVIDED BY the total number of arrests among Program participants one year prior to Program admission shall be LESS THAN OR EQUAL TO 50%. E-2.2. For the measure in Section E-1.2., the total number of arrests among participants within one year post Program admission DIVIDED BY the total number of arrests among Program participants one year prior to Program admission shall be LESS THAN OR EQUAL TO 50%. E-2.3. For the measure in Section E-1.3., the total number of Program participants not residing in a stable housing environment at program admission who live in a stable housing environment within 90 days of Program admission DIVIDED BY the total number of Program participants not residing in a stable housing environment at Program admission shall be GREATER THAN OR EQUAL TO 40%. E-2.4. For the measure in Section E-1.4., the total number of Program participants not residing in a stable housing environment at program admission who live in stable housing one year following Program discharge DIVIDED BY the total number of Program participants not residing in stable housing at Program admission shall be GREATER THAN OR EQUAL TO 10%. E-2.5. For the measure in Section E-1.5., the total number of program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission DIVIDED BY the total CF 1127 Effective July 2015 (CF-1127-1516) 37 16D7 March 25,2019 Contract#LHZ54 Collier County BOCC Amendment#0002 number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 40%. E-2.6. For the measure in Section E-1.6., the total number of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 10%. E-2.7. For the measure in Section E-1.7., the total number of program participants who were eligible for, but not receiving, social security or other benefits at program admission who are assisted with applying for such benefits within 180 days of admission DIVIDED BY the total number of program participants who were eligible for, but not receiving,those benefits at program admission shall be GREATER THAN OR EQUAL TO 60%. E•2.8. For the measure in Section E-1.8.,the total number of individuals screened and enrolled in the Program diverted from a State Mental Health Treatment Facility admission DIVIDED BY the total number of individuals screened for Program eligibility meeting the criteria for a State Mental Health Treatment Facility admission shall be GREATER THAN OR EQUAL TO 50%. E-2.9. For the measure in Section E-1.9., the total number of individuals successfully discharged (i.e., not rearrested while enrolled)from the Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at admission DIVIDED BY the total number of individuals successfully discharged from Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at discharge showing improved scores shall be GREATER THAN OR EQUAL TO 90%. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 38 pV� 1607 MEMORANDUM Date: April 30, 2019 To: Marien Ruiz, Collier County Sheriffs Office From: Teresa Cannon, Senior Deputy Clerk Board Minutes & Records Department Re: 2"d Amendment to Agreement CJMHSA-002 Attached for your reference is one (1) original asreferenced above, (Item #16D7) approved by the Collier County Board of County Commissioners on Tuesday, April 23, 2019. If our office can be of any further assistance, feel free to call 239-252-8411. Thank you. Attachment 1607 SECOND AMENDMENT TO AGREEMENT CJMHSA-002 BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND COLLIER COUNTY SHERIFF'S OFFICE This Amendment, is entered into this Z..3 r day of •\ , 2019, by and between the Collier County Sheriffs Office hereinafter referred to as ubrecipient and Collier County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on July 11, 2017, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, on June 26, 2018 the Board of County Commissioners approved the First Amendment to the agreement which defined a successful discharge, clarified the quarterly CIT training requirement, revised the Planning Council requirements, reflected staffing changes, and outlined subrecipient match obligation; and WHEREAS, the parties desire to modify the Agreement to update Section 16, revise contact information in Section 22, modify Exhibit C to add additional requirements and revise contact information and replace Exhibit H-1; and WHEREAS, the effective date of this amendment shall be April 1, 2019 NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words Struck ough are deleted; Words Underlined are added. 1. Section 16, Data Security is replaced by the following: The Subrecipient shall comply with the following information security requirements whenever the Subrecipient has access to Department data information systems or maintain any client or other confidential information in electronic form: 16.1 An appropriately skilled individual shall be identified by the Subrecipient to function as its Information Security Officer. The Information Security Officer shall act as the liaison to the County's security staff and will maintain an appropriate level of information security for Department's information systems or any client or other confidential information the Subrecipient is collecting or using in the performance of this Contract. An appropriate level of security includes approving and tracking all who request or have access, through the Subrecipient's access, to Department's information systems or any client or other confidential information. The Information Security Officer will ensure that any access to County or Department's information systems or any client or other confidential information is removed immediately upon such access no longer being required for Subrecipient's performance under this contract. 16.2 The Subrecipient shall complete the latest Department of Children and Families security 1 1607 awareness training to all who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information. 16.3 All who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information shall comply with, and be provided a copy of the Department's CFOP 50-2, and shall sign the DCF Security Agreement form CF 0114 annually. A copy of CF 0114 may be obtained from the County Grant Coordinator. 16.4 The Subrecipient shall prevent unauthorized disclosure or access, from or to information systems or client or other confidential information. Client or other confidential information on systems and network capable devices shall be encrypted per the Department's CFOP 50-2. 16.5 The Subrecipient agrees to notify the Grant Coordinator as soon as possible, but no later than five (5) business days following the determination of any potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 16.6 The Subrecipient shall, at its own cost, comply with section 501.171, F.S. The Subrecipient shall also, at its own cost, implement measures deemed appropriate by the County or the Department to avoid or mitigate potential injury to any person due to potential or actual unauthorized disclosure or access to Department's information systems or to any client or other confidential information. 2. Section 22, Notices All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Community and Human Services Division 3339 Tamiami Trail, East Suite 211 Naples, Florida 34112 Attention: Dawn Dawn-Whetan,Rachel Brandhorst Grant Coordinator Telephone: 2284,524230-2 39-398-8 9 32 Facsimile: 239-252-6571 3. Exhibit C- Task List, C-1 Service Tasks C-1.2.3 All clients are to be entered into the Homeless Management Information System (HMIS) 4. Exhibit C- Task List, C-2.6 Reporting Schedule 2 1607 Table 1 -Reporting Schedule Report Title Report Due Date(s) Submit Report to: Quarterly Program Status 5th day of the quarter following the quarter i Community 8 Report of program services or activities Human Services Attention: Dawn { Whelan, Rachel Final Program Status Report No later than 30 days following the ending E Brandhorst, Grant date of the Contract Coordinator 5. Exhibit H-1, Request for Payment is hereby replaced as attached. SIGNATURE PAGE TO FOLLOW 3 16 a7 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Contract on the date and year first written above. ATTEST: Collier County Sheriffs Office CRYSTAL K. KINZ L, CLERK irt,,R.0,3310 ',CA-CZ By: 4----- , DEPUTY CLERK � Cr'�� Attest as to Chairman's Title: signature only, l-f _ __ Date: Approval for form and legality: COLLIER C ` -�-- ' ).- ' A, By � , 040 c :�_ Jennifer A. Belpez ,V Wo'iam L. McDaniel, Jr., CHA -MAN Assistant County Attorney " \,A Date. , g 4 1 6 D 7 EXHIBIT H PAYMENT/MATCH REQUEST COLLIER COUNTY CO1�/1MUNITX:AND:.HUMAN SECTION i REQUEST FOR PAYMENT Q i '7 t -�'. -.mr�r - _-t u-e er s a z -/a-r� r y' ..47--. ,-=� '�'.�;�tlh�eaiple�i'�1�'�me�G�P�I�I��sr�,q�l'�ty�f�e�,.� i�.r����.F ,,� S.ub recipient Address 3319 E.Tamiarri Trail, Na' •fes rL, 34x,19.- `: V Pro�ect'No IHZb4 = ,-..; Pa Rerio.d of Availability `F���``_s�9�..��-�.��s-est=��` -�V}�.n�-- ---- -?--_,',41!--;--.._ ��� - SECTIOiV I:•STATUS OF BUNDS _ 1 a Fid h 1 2 Stint of last•Claims Paid.on this A.ccount `=` I.1'. t 'tea. °_3.L`c-sE�_ee -` -Tt.,r �- ' ',... 4 moui-2:.-,1-1.1, 3.1-,oious• J•np ud Reques#sl(Insert any unpaid recd z▪ es' C 10% Retaidage 1�mou,nt Wlthhelcl ,.e 1▪ , g �. . 7 Total Amou t ofRetainage Withheld - '' " r-75.,_.,..-7-;.:-- `Y- -t - ��� ° •_ --s-?7-_ r„,),-,...- � --'—s '� L ...Tis z � "tea -7 °_ -;•-•_;,-%'=7-.0.:51V- `, _1S s fit9 '"- .i3 '.•'Y'� h��"}� -. _� .. . t, '+, t _c&'4ti .� J z�--`i.-i▪ 1 I oertifyythat this request,poi pbymn nt 1u s been anade ui rice atice witlh the fei s ii GOLJTTI'Yr"ai�yd-U5 zssEheiSL7BR.FC IPIENT .To'he_best:_ofin lctaowlcclt dudbehef, CLQ 17 ri 14r• ~ 1 '247 _=-.2'-k-:. 1. #7. e'z�'-.1. fir, c 4• mss �..fXS F s- , .,y i. "., r 4 �..• �. `T- '�� .moi=•'= '.�^' . ' irr� .:s~'-- : ,- .�.. sj^ lbr-+u �'( .:.,r �cS 3 '.y , 'ja". -�,,IF.3'u z,cc s } v • �•. P J am E. € . -4 �s , iit�l� 1 � ,g r r� Supex'Vi oI ..'7,;-.--1-0--..i,--91,54:00-$,0_ a D©An i tment, -u e r R � .,.-..,i--...ti-.1.01 .41,; e s S 0Q1-s a. �d nh0-$, y---- :40,--E.-,- -_,L,-_-1:.,.-_--- --- a �� X16 • I 16 D7 MEMORANDUM Date: April 30, 2019 To: Nancy Dauphinais, COO David Lawrence Center From: Teresa Cannon, Sr. Deputy Clerk Minutes & Records Department Re: Second Amendment to Agreement CJMHSA-001 Enclosed please find an original of the document referenced above (Agenda Item #16D7), approved by the Board of County Commissioners on Tuesday, April 23, 2019. The Minutes & Records Department has retained the original as part of the Board's Official Records. If you have any questions, please contact me at 239-252-8411. Thank you. Enclosure Enclosure 16 D7 SECOND AMENDMENT TO AGREEMENT CJMHSA-001 BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND DAVID LAWRENCE MENTAL HEALTH CENTER, INC. This Amendment, is entered into this Z3 Y-G. day of - ,2019, by and between David Lawrence Mental Health Center, Inc. hereinafter referred to as Subrecipient and Collier County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY," collectively stated as the"Parties." WHEREAS, on July 11, 2017, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services"to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, on June 26, 2018 the Board of County Commissioners approved the First Amendment to the agreement 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; and WHEREAS, the parties desire to modify the Agreement to update Section 16, revise contact information in Section 22, modify Exhibit C to add additional requirements and revise contact information, modify Exhibit E to reduce the targets and corresponding performance evaluation methodologies, modify Exhibit G to reflect the requirement of a monthly client tracking report, replace Exhibit H-1 and add Exhibit L, Monthly Client Tracking Report; and WHEREAS, the effective date of this amendment shall be April 1, 2019. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words Strusk-Through are Deleted; Words Underlined are added 1. Section 16, Data Security is replaced with the following: The Subrecipient shall comply with the following information security requirements whenever the Subrecipient has access to Department data information systems or maintain any client or other confidential information in electronic form: 16.1 An appropriately skilled individual shall be identified by the Subrecipient to function as its Information Security Officer. The Information Security Officer shall act as the liaison to the County's security staff and will maintain an appropriate level of information security for Department's information systems or any client or other confidential information the Subrecipient is collecting or using in the performance of this Contract. An appropriate level of security includes approving and tracking all who request or have access, through the Subrecipient's access, to Department's information systems or any client or other confidential information. The Information Security Officer will ensure that any access to County or Department's information systems or any client or other confidential information is removed immediately upon such access no longer 1 6 D7 being required for Subrecipient's performance under this contract. 16.2 The Subrecipient shall complete the latest Department of Children and Families security awareness training to all who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information. 16.3 All who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information shall comply with, and be provided a copy of the Department's CFOP 50-2, and shall sign the DCF Security Agreement form CF 0114 annually. A copy of CF 0114 may be obtained from the County Grant Coordinator. 16.4 The Subrecipient shall prevent unauthorized disclosure or access, from or to information systems or client or other confidential information. Client or other confidential information on systems and network capable devices shall be encrypted per the Department's CFOP 50-2. 16.5 The Subrecipient agrees to notify the Grant Coordinator as soon as possible, but no later than five (5) business days following the determination of any potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 16.6 The Subrecipient shall, at its own cost, comply with section 501.171, F.S. The Subrecipient shall also, at its own cost, implement measures deemed appropriate by the County or the Department to avoid or mitigate potential injury to any person due to potential or actual unauthorized disclosure or access to Department's information systems or to any client or other confidential information. 2. Section 22, Notices * * All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Community and Human Services Division 3339 Tamiami Trail, East Suite 211 Naples, Florida 34112 Attention: Rachel Brandhorst Grant Coordinator Telephone: 230 252 X230 239-398-8932 Facsimile: 239-252-6571 * * * 3. Exhibit C-Task List, C-1 Service Tasks is amended to add the following: C-1.2.3 A Monthly Client Tracking Report shall be used to record the efforts made to contact individuals that have been discharged from the program. The information shall include but is not limited to, client ID, date entered into HMIS, date of discharge, telephone number, date of call, 2 16 D7 contact status, housing status, current address, employment status, employer information, staff comments, and staff ID. C-1.2.4 All clients are to be entered into the Homeless Management Information System (HMIS) C-1.2.5 Subrecipient will provide a voucher for one(1)gift card provided by NAMI to be distributed to clients at the time of discharge to encourage clients to participate in follow-up activities one- year post discharge. 4. Exhibit C-Task List, C-7 Reports is amended to add the following: C.7.1.3 Monthly Client Tracking Report A monthly tracking report to record the efforts made to contact clients that have been discharged from the program. The form shall include: client ID, date entered into HMIS,date of discharge, telephone number, date of call, contact status, housing status, current address, employment status, employer information, staff comments, staff ID. * * 5. Exhibit C-Task List, C-7.2 Reporting Schedule * * * Table 1 - Reporting Schedule Submit Report to: Report Title Report Due Date(s) Community & Human Quarterly Program Status 5th day of the quarter following the quarter Services, Report of program services or activities Attention: Dawn —1 Whelan, Rachel • i Brandhorst, Grant Final ProgramtStatus Report No later than 30 days following the ending , date of the Contract Coordinator Community & Human Monthly Client Tracking Report 5th day of each month Services, Attention: � Rachel Brandhorst, Grant Coordinator Community & Human Monthly Expenditure Report The 30th day after prior month end Services, Attention: Blanca Aquino-Luque 6. Exhibit E, Performance Measures is amended as follows: Subrecipient shall submit quarterly performance reports for the following measures: 3 1607 E-1. PERFORMANCE MEASURES. The following qualitative performance measures are established pursuant to the contract and shall be maintained during the term of this Contract and reported quarterly. E-1.3-60% 40% of Program participants not residing in a stable housing environment at program admission will report living in a stable housing environment within 90 days of Program admission. E-1.4 60% 60% of Program participants will be assisted in applying or be linked to Social Security or other benefits for which they may have been eligible but were not receiving at Program Admission. * * * E-1.6 60% 40% of Program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission. E-2. PERFORMANCE EVALUATION METHODOLOGY. The County will monitor the Subrecipients performance in achieving the standards in Section E-1 according to the following methodology. * * * E-2.3. For the measure in Section E-1.3.,the total number of Program participants not residing in a stable housing environment at program admission who live in a stable housing environment within 90 days of Program admission DIVIDED BY the total number of Program participants not residing in a stable housing environment at Program admission shall be GREATER THAN OR EQUAL TO x.40% E-2.4. For the measure in Section E-1.4., the total number of program participants who were eligible for, but not receiving, social security or other benefits at program admission who are assisted with applying for such benefits within 180 days of admission DIVIDED BY the total number of program participants who were eligible for, but not receiving, those benefits at program admission shall be GREATER THAN OR EQUAL TO 804!%.60% * * * E-2.6. For the measure in Section E.1.6.,the total number of program participants not enrolled at Program admission who are employed full or part-time within 180 days of Program admission DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 60%,40% E-3. For the following measures the Subrecipient shall provide client data for tracking to NAMI on a quarterly basis as evidence by the Outcome Tracking Log (to be submitted with each request for payment); E.3.1. 60% 10% of Program participants not resident in a stable housing environment at Program admission will report living in a stable housing environment one year following Program discharge. E.3.2. 60% 10% of Program participants not employed at Program admission who are employed full or part-time within one year following Program discharge. 4 1607 E-4. The County will monitor through the annual monitoring process conducted by the CHS Grants Compliance Unit the Subrecipients performance in providing data to NAMI and participation in achieving the standards in Section E-3, according to the following methodology. E.4.1. For the measure in Section E.3.1. the total number of Program participants not residing in a stable housing environment at program admission who live in stable housing one year following Program discharge DIVIDED BY the total number of Program participants not residing in stable housing at Program admission shall be GREATER THAN OR EQUAL TO 6044-1 0% E.4.2 For the measure in Section E.3.2. the total number of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 60%. 10% 7. Exhibit G, Deliverable and Report Table is amended as follows: Report/Deliverable Name Supporting Document Due Date Quarterly Payment As detailed in Exhibit F.1.4 5th day of the month Request and Exhibit H following the end of the quarter Match Match documentation, Annually Exhibit H-1 Monthly Financial Report Exhibit J The 30th day after prior month end Reconciliation of Exhibit K 1St day of August Expenditures following the end of each fiscal year Quarterly Program Quarterly Service Report 5th day of the month Services Report following the end of the quarter Final Program Report Final Program Report 30 days following the Template ending date of the agreement Incident Report Incident Report Per Occurrence Employment Screening Certification from each July 31 and per Certification employee working on grant occurrence for each new hire 5 1607 Security Awareness Certificate for those staff At contract execution Training entering data into State and annually thereafter. System Insurance (Director& Insurance Within 30 days of Officer, Workmen's Comp, Certificate/Deceleration expiration Liability) Favorable Conditions Attestation Form July 31 and annually thereafter. Financial and Compliance Exhibit I Annually within 9 months Audit of Fiscal Year End Disaster Plan Plan Within 30 days of contract execution and within 30 days of any changes to the plan. Deaf-and-Hard of Hearing Single Point of Contact and 5th day of the month ADA Report following the end of the quarter CHS Conflict of Interest Conflict of Interest Form Within 30 day of hire for each new employee working on the grant. Monthly Client Tracking Exhibit L 5th day of the month Report following the end of the quarter 8. Exhibit H-1, Match Submission is hereby replaced in its entirety as attached. 9. Exhibit L, Monthly Client Tracking Report is hereby added in its entirety as attached. SIGNATURE PAGE TO FOLLOW 6 1607 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Contract on the date and year first written above. ATTEST: David Lawrence Mental Health Center, Inc. Crystal K. Kinzel, CL RK 16Axe,. Lk_ By: 11111. / Of V Attest as tocafeirdilLERK ,signature only. Title: G�� Date: 10/1 7 Approval for form and legality: COLLIER CO46- ' C) /A yCe): . t , ' ' Jennifer A. Belpedio .‘,...3 -.,. .) Wil/-m L. McDaniel, Jr., CHAIRMAN Assistant County Attorney i \\ O Date: 4 / \i q 7 1607 EXHIBIT"H-1" COLLIER COUNTY COMMUNITY AND HUMAN SERVICES MATCH SUBMISSION SECTION I:MATCH SUBMISSION Sub recipient Name: Sub recipient Address: Project Name: - Project No: Match Request# 1 Total Match: $0.00 Period of Availability: SECTION I:STATUS OF FUNDS 1. Grant Match Amount 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 4. Amount of Previous Unpaid Requests(Insert any unpaid request) 5. Amount of Today's Request 8. Current Grant Balance (Initial Match Less Sum of all requests) 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. Signature Date Title Authorizing Grant Accountant Authorizing Grant Coordinator Supervisor Department Director (approval required$15,000 and above) (approval required$15,000 and above) 1607 Exhibit L Monthly Client Tracking Report Discharge Client ID HMIS Date Date Phone Number Date(s)of Calls Contact? Housing Status Address Employed?FT/PT? Employer Staff Comments Staff ID 16 D7 MEMORANDUM Date: April 30, 2019 To: Pam Baker, CEO NAMI of Collier County, Inc. From: Teresa Cannon, Sr. Deputy Clerk Minutes & Records Department Re: Second Amendment to Agreement CJMHSA-003 Enclosed please find an original of the document referenced above (Agenda Item #16D7), approved by the Board of County Commissioners on Tuesday, April 23, 2019. The Minutes & Records Department has retained the original as part of the Board's Official Records. If you have any questions, please contact me at 239-252-8411. Thank you. Enclosure Enclosure 16D7 SECOND AMENDMENT TO AGREEMENT CJMHSA-003 BETWEEN COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS AND NAMI COLLIER COUNTY, INC. This Amendment, is entered into this 3�-c. day of A , 2019, by and between the NAMI Collier County Inc., hereinafter referred to as Stibrecipient and Collier County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on July 11, 2017, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services"to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, on June 26, 2018 the Board of County Commissioners approved the First Amendment to the agreement 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; and WHEREAS,the parties desire to modify the Agreement to change the Subrecipient's legal name, update Section 16, revise contact information in Section 22, modify Exhibit C to add additional requirements and revise contact information, modify Exhibit E to reduce the targets and corresponding performance evaluation methodologies, modify Exhibit G to reflect the requirement of a monthly client tracking report, replace Exhibit H-1 and add Exhibit L, Monthly Client Tracking Report; and WHEREAS, the effective date of this amendment shall be April 1, 2019 NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to modify the Agreement as follows: Words ; Words Underlined are added * * 1. NAMI of Collier County is hereinafter referred to as NAMI Collier County 2. Section 16, Data Security is replaced by the following: The Subrecipient shall comply with the following information security requirements whenever the Subrecipient has access to Department data information systems or maintain any client or other confidential information in electronic form: 16.1 An appropriately skilled individual shall be identified by the Subrecipient to function as its Information Security Officer. The Information Security Officer shall act as the liaison to the County's security staff and will maintain an appropriate level of information security for Department's information systems or any client or other confidential information the Subrecipient is collecting or using in the performance of this Contract. An appropriate level of security includes approving and tracking all who request or have access, through the Subrecipient's access, to Department's information systems or any client or other confidential information. The Information 1 16 Security Officer will ensure that any access to County or Department's information systems or any client or other confidential information is removed immediately upon such access no longer being required for Subrecipient's performance under this contract. 16.2 The Subrecipient shall complete the latest Department of Children and Families security awareness training to all who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information. 16.3 All who request or have access, through the Subrecipient's access, to information systems or any client or other confidential information shall comply with, and be provided a copy of the Department's CFOP 50-2, and shall sign the DCF Security Agreement form CF 0114 annually. A copy of CF 0114 may be obtained from the County Grant Coordinator. 16.4 The Subrecipient shall prevent unauthorized disclosure or access, from or to information systems or client or other confidential information. Client or other confidential information on systems and network capable devices shall be encrypted per the Department's CFOP 50-2. 16.5 The Subrecipient agrees to notify the Grant Coordinator as soon as possible, but no later than five (5) business days following the determination of any potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 16.6 The Subrecipient shall, at its own cost, comply with section 501.171, F.S. The Subrecipient shall also, at its own cost, implement measures deemed appropriate by the County or the Department to avoid or mitigate potential injury to any person due to potential or actual unauthorized disclosure or access to Department's information systems or to any client or other confidential information. 3. Section 22, Notices All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Community and Human Services Division 3339 Tamiami Trail, East Suite 211 Naples, Florida 34112 Attention: Dawn ,Rachel Brandhorst Grant Coordinator Telephone: 239-252-4230 239-398-8932 Facsimile: 239-252-6571 * * * 4. Exhibit C-Task List, C-1 Service Tasks C-1.2.3 A Monthly Client Tracking Report shall be used to record the efforts made to contact individuals that have been discharged from the program. The information shall include but is not limited to, client ID, date entered into HMIS, date of discharge, telephone number, date of call, 2 16 Q7 contact status, housing status, current address, employment status, employer information, staff comments, and staff ID. C-1.2.4 All clients are to be entered into the Homeless Management Information System (HMIS) C-1.2.5 Subrecipient will provide a voucher for one (1) gift card to be distributed to clients at the time of discharge to encourage clients to participate in follow-up activities one-year post discharge. The Subrecipient shall be responsible for the purchase of all gift cards to be distributed to DLC. 5. Exhibit C-Task List, C-2.5, Reports C.2.5.1.3 Monthly Client Tracking Report: A monthly tracking report to record the efforts made to contact clients that have been discharged from the program. The form shall include: client ID, date entered into HMIS,date of discharge, telephone number, date of call, contact status, housing status, current address, employment status, employer information, staff comments, staff ID. 6. Exhibit C-Task List, C-2.5.2 Reporting Schedule Table 1 - Reporting Schedule Report Title Report Due Date(s) Submit Report to: i Community & Human Quarterly Program Status ! 5th day of the quarter following the quarter Services, Report of program services or activities Attention: Dawn Whelan, Rachel No later than 30 days following the ending Brandhorst, Grant Final Program Status Report date of the Contract Coordinator I Community & Human Services, Attention: Monthly Client Tracking Report ! 5th day of each month Rachel Brandhorst, Grant Coordinator 10th day of the month following the end of , Community & Human Quarterly Expenditure Reportthe quarter Services, Attention: Blanca Aquino-Luque * * * 7. Exhibit E, Performance Measures Subrecipient shall submit quarterly performance reports for the following measures: 3 1607 E.1. MINIMUM PERFORMANCE MEASURES. The following qualitative performance measures are established pursuant to the contract and shall be maintained during the term of this Contract and reported quarterly. E-1.1. 60% of Program participants will be assisted in applying or be linked to Social Security or other benefits for which they may have been eligible but were not receiving at Program Admission. E-1.2.90% of successfully discharged individuals (i.e. not arrested while enrolled) participating in the Quality of Life Assessment facilitated by the Peer Specialist shall have an improvement score from admission to discharge. * * E•2. PERFORMANCE EVALUATION METHODOLOGY. The County will monitor the Subrecipients performance in achieving the standards in Section E-1 according to the following methodology and the Subrecipient shall use this methodology in determining overall compliance when submitting the outcome report quarterly to the County. E-2.1 For the measure in Section E-1.1., the total number of program participants who were eligible for, but not receiving, social security or other benefits at program admission who are assisted with applying for such benefits within 180 days of admission DIVIDED BY the total number of program participants who were eligible for, but not receiving, those benefits at program admission shall be GREATER THAN OR EQUAL TO 80°4,-60% E-2.2 For the measure in Section E.1.2., the total number of individuals successfully discharged (i.e., not rearrested while enrolled) from the Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at admission DIVIDED BY the total number of individuals successfully discharged from Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at discharge showing improved scores shall be GREATER THAN OR EQUAL TO 90%. * * * E-3. For the following measures the Subrecipient shall receive client data for tracking from David Lawrence Mental Health Center, Inc. and the Collier County Sherriff Office on a quarterly basis evidenced by the Outcome Tracking Log (to be submitted with each request for payment): E-3.1. 66%40% of Program participants not residing in a stable housing environment at program admission will report living in a stable housing environment within 90 days of Program admission. E.3.2. 60%40% of Program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission. E.3.3 60°4- 10% of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge. E.3.4. 60%10% of Program participants not residing in a stable housing environment at program admission will report living in a stable housing environment one year following Program discharge. * * * E-4. The County through the annual monitoring process conducted by the CHS Grants 4 1607 Compliance Unit shall evaluate the Subrecipients performance with receiving performance data from David Lawrence Mental Health Center, Inc. and participation in achieving the standards in Section E-3, according to the following methodology: E.4.1. For the measure in Section E-3.1., the total number of Program participants not residing in a stable housing environment at program admission who live in a stable housing environment within 90 days of Program admission DIVIDED BY the total number of Program participants not residing in a stable housing environment at Program admission shall be GREATER THAN OR EQUAL TO 60%. 40% E-4.2. For the measure in Section E-3.2, the total number of program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 60%. 40% E-4.3. For the measure in Section E-3.3., the total number of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 60%. 10% E.-4.4. For the measure in Section E-3.4., the total number of Program participants not residing in a stable housing environment at program admission who live in stable housing one year following Program discharge DIVIDED BY the total number of Program participants not residing in stable housing at Program admission shall be GREATER THAN OR EQUAL TO 60%. 10% 8. Exhibit G, Deliverable and Report Table Report/Deliverable Name Supporting Document Due Date Quarterly Payment As detailed in Exhibit F.1.4 5th day of the month Request and Exhibit H following the end of the quarter Match Match documentation, Annually Exhibit H-1 Quarterly Financial Report Exhibit J 10th day of the month following the end of the quarter Reconciliation of Exhibit K 1st day of August following Expenditures the end of each fiscal year Quarterly Program Quarterly Service Report 5th day of the month Services Report following the end of the quarter Final Program Report Final Program Report 30 days following the Template ending date of the agreement Incident Report Incident Report Per Occurrence 5 16 D7 Employment Screening Certification from each July 31 and per Certification employee working on grant occurrence for each new hire Security Awareness Certificate for those staff At contract execution and Training entering data into State annually thereafter. System Insurance (Director& Insurance Within 30 days of Officer, Workmen's Comp, Certificate/Deceleration expiration Liability) Favorable Conditions Attestation Form July 31 and annually thereafter. Financial and Compliance Exhibit I Annually within 9 months Audit of Fiscal Year End Disaster Plan Plan Within 30 days of contract execution and within 30 days of any changes to the plan. Deaf-and-Hard of Hearing Single Point of Contact and 5th day of the month ADA Report following the end of the quarter CHS Conflict of Interest Conflict of Interest Form Within 30 day of hire for each new employee working on the grant. Monthly Client Tracking Exhibit L 5th day of each month Report 9. Exhibit H-1, Match Submission is hereby replaced in its entirety as attached. 10. Exhibit L, Monthly Client Tracking Report is hereby added in its entirety as attached. SIGNATURE PAGE TO FOLLOW 6 16D7 IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person or agent, have executed this Contract on the date and year first written above. ATTEST: NAMI Collier County, Inc. CRYSTAL K. KINZ L CLERK 4410 By: PA...0.3,,e_cfaki_, mast as toLTitai-h`SCLERK Title: ea) signatt ` rtly Date: //e 7 ©/ Approval for form and legality: COLLIER C04 IL CUALIPO ,, By: maw Jennifer A. Belpedi 0-) � ,' Ilam L. McDaniel, Jr., CH 7 RMAN Assistant County Attorney cC Date: � - 11 7 7 1607 EXHIBIT"H-1" COLLIER COUNTY COMMUNITY AND HUMAN SERVICES MATCH SUBMISSION SECTION I:MATCH SUBMISSION Sub recipient Name: Sub recipient Address: Project Name: Project No: Match Request# Total Match: $0.00 Period of Availability: SECTION I:STATUS OF FUNDS 1. Grant Match Amount 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 4. Amount of Previous Unpaid Requests(Insert any unpaid request) 5. Amount of Today's Request 8. Current Grant Balance (Initial Match Less Sum of all requests) 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. Signature Date Title Authorizing Grant Accountant Authorizing Grant Coordinator Supervisor Department Director (approval required$15,000 and above) (approval required$15,000 and above) 14114111 4 � Wel N O co co N O CL E LU H d H LL -c a) v O 0 L E 0 LU Q Na) 'O Q JCZ U .L N X C W N0.0 U o +rte U Y � 0 0 2 U 0 0 v 0 v E z N C 0 r a a c v L U 0 0 N 0 2 0 C v U DEPART 16 B 7 OP 4fe �� • �'� Ron DeSantis State of Florida Governor n Department of Children and Families Chad Poppell `o e��v Secretary RF^,AND FP MYFLFAMILIES.COM May 7, 2019 Ms. Teresa Cannon, Sr. BMR Clerk 3299 Tamiami Trail East, Suite #401 -- Naples, FL 34112 Re: Grant Agreement #LHZ54—Executed Amendment#0002 �^ sv Dear Ms. Cannon: Enclosed are two original copies of executed Amendment#0002 for the Collier County BOCC Criminal Justice, Mental Health and Substance Abuse (CJMHSA) Reinvestment Grant Agreement. If you have any questions or need any assistance, please feel free to contact me at (850) 717- 4348. Respectfully, Jennifer Benghuzzi Grant Manager cc: Contract File 1317 Winewood Boulevard, Tallahassee, Florida 32399-0700 Mission: Work in Partnership with Local Communities to Protect the Vulnerable, Promote Strong and Economically Self-Sufficient Families, and Advance Personal and Family Recovery and Resiliency 3607 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter referred to as the "Department", and Collier County Board of County Commissioners, hereinafter referred to as the "Grantee". Amendment#0001 corrected contact information in Part 1.; added a definition to Exhibit A.; task requirements in Exhibit C; and revised the performance measure language in Exhibit E. Amendment#0002 revises the contact person for Sections 1.2.2 and 1.2.3., updates Sections 5.5. and 6.2.7.of the CF Standard Contract;replaces Exhibit E to reduce the targets in Sections E-1.3.through El.7.,and the associated methodologies in Sections E-2.3.through E-2.7; and adds clarifying language to Section E-1.9.and the associated methodology in Section E-2.9. 1. Page 1, Section 1.2.2., is amended to read: 1.2.2. The name, address,telephone number, and e-mail of the Provider's contact person responsible for the Provider's financial and administrative records: Name: Kristi Sonntaq Address:3339 Tamiami Trail East Community and Human Services Division City: Naples, State: FL Zip Code: 34112 Phone: 239-252-2486 Ext: E-mail: Kristi.Sonntaqcolliercountyfl.qov 2, Page 1,Section 1.2.3., is amended to read: 1.2.3. The name, address,telephone number and e-mail of the Provider's representative responsible for administration of the program under this Contract(and primary Point of contact)are: Name: Kristi Sonntaq Address: 3339 Tamiami Trail East Community and Human Services Division City: Naples State: FL Zip Code: 34112 Phone: 239-252-2486 Ext: E-mail: Kristi.Sonntag a(�,colliercountyfl.gov 3. Page 9,Section 5.5,of the CF Standard Contract is replaced by the following: 5.5 Information Security The Provider shall comply with, and be responsible for ensuring subcontractor compliance as if they were the Provider with,the following information security requirements whenever the Provider or its subcontractors have access to Department information systems or maintain any client or other confidential information in electronic form: 5,5.1, An appropriately skilled individual shall be identified by the Provider to function as its Information Security Officer. The Information Security Officer shall act as the liaison to the Department's security staff and will maintain an appropriate level of information security for Department information systems or any client or other confidential information the Provider is collecting or using in the performance of this Contract. An appropriate level of security includes approving and tracking all who request or have access,through the Provider's access, to Department information systems or any client or other confidential information. The Information Security Officer will ensure that any access to Department information systems or any client or other confidential information is removed immediately upon such access no longer being required for Provider's performance under this contract. 5.5.2, The Provider shall provide the latest Departmental security awareness training to all who request or have access, through the Provider's access, to Department information systems or any client or other confidential information. CF 1127 Effective July 2015 (CF-1127-1516) 1 • 1607 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 5.5.3. All who request or have access,through the Provider's access,to Department information systems or any client or other confidential information shall comply with, and be provided a copy of CFOP 50-2,and shall sign the DCF Security Agreement form CF 0114 annually.A copy of CF 0114 may be obtained from the Contract Manager. 5.5.4. The Provider shall prevent unauthorized disclosure or access,from or to Department information systems or client or other confidential information. Client or other confidential information on systems and network capable devices shall be encrypted per CFOP 50-2. 5.5.5. The Provider agrees to notify the Contract Manager as soon as possible, but no later than five(5) business days following the determination of any potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 5.5.6. The Provider shall, at its own cost, comply with section 501.171, F.S. The Provider shall also, at its own cost, implement measures deemed appropriate by the Department to avoid or mitigate potential injury to any person due to potential or actual unauthorized disclosure or access to Department information systems or to any client or other confidential information. 4. Page 11, Section 6.2.7.,of the CF Standard Contract is amended to read: 6.2.7. If the Contract is for an amount of$1 Million or more,the Department may terminate this Contract at any time the Provider is found to have submitted a false certification under section 287.135, F.S., or has been placed on the Scrutinized Companies with Activities in Sudan List or the Scrutinized Companies with Activities in the Iran Petroleum Energy Sector List. Regardless of the amount of this Contract,the Department may terminate this Contract at any time the Provider is found to have been placed on the Scrutinized Companies that Boycott Israel List or is engaged in a boycott of Israel. 5, Pages 37-38,Exhibit E,are hereby deleted in their entirety and pages 37-38,Revised Exhibit E,are inserted ' in lieu thereof and attached hereto. This Amendment shall be effective on April 1, 20191 or the date on which the amendment has been signed by all parties hereto,whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall and are hereby changed to conform to this amendment. Ali provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made part of the grant agreement. IN WITNESS THEREOF,the parties hereto have caused this four(4)page amendment to be executed by their officials thereunto duly authorized ____ GRANTEE: COLLIERit, BOARD 6:r COUN STATE OF FLORIDA:DEPARTMENT OF CHILDREN& COMMISSIONER / ?_ FAMILIES / SIGNED BY: W��.5`=.�� SIGNED BY• i NAME: William L. cDaniel,Jr. NAME: John N. :A ant TITLE: Chairman TITLE: Assistant Secretary, Substance Abuse and Mental Health DATE: 4/a3119 , ;. DATE: 5 -4 Jt' FEID NUMBER:596000558 e`• and,- •�`" `'•`?;' Approved as to form legality ATTEST - : - Ask CRYS AL K,KINZE CIIRK �� \_ i 2 Assis ant Count yAt � yj? V' clir • `1 ,',rtest as to Chairman's 16p7 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 REVISED EXHIBIT E—MINIMUM PERFORMANCE MEASURES E-1. MINIMUM PERFORMANCE MEASURES The following minimum qualitative performance measures are established pursuant to Section 2.4.2. and shall be maintained during the term of this Grant Agreement. E-1.1, 50% reduction in the total number of arrests or re-arrests among Program participants while enrolled in the Program compared to the one year period prior to Program admission. E-1.2. 50% reduction in the total number of arrests or re-arrests among Program participants within the one year period following Program discharge compared to the one year period prior to Program admission. E-1.3. 40% of Program participants not residing in a stable housing environment at program admission will report living in a stable housing environment within 90 days of Program admission. E-1.4. 10% of Program participants not residing in a stable housing environment at Program admission will report living in a stable housing environment one year following Program discharge. E-1.5. 40% of Program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission. E-1.6. 10%of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge. E-1.7. 60%of Program participants will be assisted in applying or be linked to Social Security or other benefits for which they may have been eligible but were not receiving at Program Admission. E-1.8. 50%of Program participants will be diverted from a State Mental Health Treatment Facility. E-1.9. 90% of successfully discharged individuals (i.e., not arrested while enrolled) participating in the Peer Specialist facilitated Quality of Life Assessment shall have an improvement score from admission to discharge. E-2. PERFORMANCE EVALUATION METHODOLOGY The Department will monitor the Grantee's performance in achieving the standards in Section E-1 according to the following methodology. E-2.1. For the measure in Section E-1.1., the total number of arrests among participants while enrolled in the Program DIVIDED BY the total number of arrests among Program participants one year prior to Program admission shall be LESS THAN OR EQUAL TO 50%. E-2.2. For the measure in Section E-1.2., the total number of arrests among participants within one year post Program admission DIVIDED BY the total number of arrests among Program participants one year prior to Program admission shall be LESS THAN OR EQUAL TO 50%. E-2.3. For the measure in Section E-1.3., the total number of Program participants not residing in a stable housing environment at program admission who live in a stable housing environment within 90 days of Program admission DIVIDED BY the total number of Program participants not residing in a stable housing environment at Program admission shall be GREATER THAN OR EQUAL TO 40%. E-2.4. For the measure in Section E-1.4., the total number of Program participants not residing in a stable housing environment at program admission who live in stable housing one year following Program discharge DIVIDED BY the total number of Program participants not residing in stable housing at Program admission shall be GREATER THAN OR EQUAL TO 10%. E-2.5. For the measure in Section E-1.5., the total number of program participants not employed at Program admission who are employed full or part-time within 180 days of Program admission DIVIDED BY the total CF 1127 Effective July 2015 (CF-1127-1516) 37 .1607 March 25, 2019 Contract#LHZ54 Collier County BOCC Amendment#0002 number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 40%. E-2.6. For the measure in Section E-1.6., the total number of Program participants not employed at Program admission who are employed full or part-time one year following Program discharge DIVIDED BY the total number of Program participants not employed at Program admission shall be GREATER THAN OR EQUAL TO 10%. E-2.7. For the measure in Section E-1.7., the total number of program participants who were eligible for, but not receiving, social security or other benefits at program admission who are assisted with applying for such benefits within 180 days of admission DIVIDED BY the total number of program participants who were eligible for, but not receiving,those benefits at program admission shall be GREATER THAN OR EQUAL TO 60%. E-2,8. For the measure in Section E-1.8.,the total number of individuals screened and enrolled in the Program diverted from a State Mental Health Treatment Facility admission DIVIDED BY the total number of individuals screened for Program eligibility meeting the criteria for a State Mental Health Treatment Facility admission shall be GREATER THAN OR EQUAL TO 50%. E-2.9. For the measure in Section E-1.9., the total number of individuals successfully discharged (i.e., not rearrested while enrolled)from the Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at admission DIVIDED BY the total number of individuals successfully discharged from Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at discharge showing improved scores shall be GREATER THAN OR EQUAL TO 90%. REMAINDER OF PAGE INTENTIONALLY LEFT BLANK 38 ova