Agenda 11/10/2009 Item #16D 4
Agenda Item No. 16D4
November 10, 2009
Page 1 of 10
EXECUTIVE SUMMARY
Recommendation that the Board of County Commissioners approve and authorize the
Chairman to sign certifications required by the State of Florida, Department of Children and
Families (DCF) Challenge Grant in order to be eligible to be awarded 2010 Challenge Grant
funding.
OBJECTIVE: For the Board of County Commissioners to approve and authorize the Chairman
to sign the State of Florida, Department of Children and Families certifications and
documentation required to be eligible for 2010 Challenge Grant funding.
CONSIDERATIONS: On May 27, 2003, the Board of County Commissioners (BCC) gave
approval for the County to become the Lead agency and to apply, on behalf of the County's
social service agencies, for annual homeless assistance. On July 28, 2009, the BCC provided
after the fact approval (Item 16D2) for the 20 I 0 Challenge Grant application. Recently the
Department of Housing and Human Services received notification Collier County will receive a
total award amount of $96,000 pending receipt of Collier County's signed celiifications and
backup documentation. This Challenge Grant funding will be used to provide assistance to
Collier County citizens experiencing homelessness through five non-profit entities: St.
Matthew's House, The Shelter for Abused Women and Children, National Alliance on Mental
Illness, The Collier County Hunger and Homeless Coalition, and Youth Haven, Inc.
"'....'.,..'
FISCAL IMPACT: Completion of these certifications will allow Collier County to receive a
total of$96,000 in Challenge Grant funding. Neither the Challenge Grant, nor the certifications
and documentation associated with it will require the use of any County general funds.
GROWTH MANAGEMENT IMPACT: This project is consistent with the Growth
Management Plan.
LEGAL CONSIDERATIONS: The required certifications and documentation have been
reviewed by the County Attomey's Office and are legally sufficient for Board action. - CMG
RECOMMENDA TION: That the Board of County Commissioners approve and authorize the
Chairman to sign the celiifications and documentation required by the State of Florida,
Depmiment of Children and Families in order to receive the Challenge Grant.
Prepared by: Margo Castorena, Grants Operations Manager
Housing and Human Services Department
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Agenda Item I\Jo. 16D4
November 10, 2009
Page 2 of 10
COLLIER COUNTY
BOARD OF COUNTY COMMISSIONERS
Item Number:
Item Summary:
1604
Meeting Date:
Recommendation that the Board of County Commissioners approves and authorizes the
Chairman to sign certifications required by the State of Florida, Department of Children and
Families (DCF) Challenge Grant in order to be eligible to be awarded 2010 Challenge Grant
funding.
11/10/20099:00:00 AM
P,'epared By
Margo Castorena
Director
Date
Public Services
Domestic Animal Services
10/23/2009 1 :44: 37 PM
Approved By
Marcy Krumbine
Director
Date
Public Services
Housing & Human Services
10/26/20098:34 AM
Approved By
Kathy Carpenter
Executive Secretary
Date
Public Services
Public Services Admin.
10/26/2009 10:44 AM
Approved By
Colleen Greene
Assistant County Attorner
Date
County Attorney
County Attorney Office
10/26/200910:56 AM
Approved By
Marla Ramsey
Public Services Administrator
Date
Public Services
Public Services Admin.
10/28/20092:11 PM
Approved By
OMB Coordinator
OMB Coordinator
Date
County Manager's Office
Office of Management & Budget
10/28/2009 4: 12 PM
Approved By
Sherry Pryor
Management & Budget Analyst
Date
County Manager's Office
Office of Management & Budget
10/28/20095:10 PM
Approved By
Jeff Klatzkow
County Attorney
Date
County Attorney
County Attorney Office
10130/2009 3:45 PM
Approved By
John A. Yonkosky
Director of the Office of Management
Date
County Manager's Office
Office of Management & Budget
10130120094:51 PM
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. Agenda Item hJo. 1604
t\!ovember 10,2009
Page 3 of 10
..:
. Rortd~ [)epatt.fnl!'nt of
, Childn!n 8- F.>mUIes
i\
State of Florida
Department of Children and Families
Charlie Crist i
Governor
,
Robert A.. Butterwo,",
Secretary
"
VERIFICATION OF
PROVIDER SUBCONTRACTING STATUS
CONTRACT MANAGER COMPLETE THE FOLLOWING:
Provider Name:
Grant Number:
In accordance with the provisions of Section 1.1 of the Standard Contract:
o This contract allows the provider to contract for the provision of all services under this
contract.
o This contract does not allow the provider to subcontract for the provision of any services
under this contract.
Nicholas B. Cox
Sun Coast Region Director
o This contract allows the provider to subcontract for the provision of the following services
under this contract:
Contract Manager Signature
Date
PROVIDER SELECT ONE OF THE FOLLOWING:
_No work is currently perfonned by subcontractors for the services which are under
contract or there is currently no intent to subcontract for contracted services being
negotiated with the department.
_X_Subcontractors are currently perfonninQ services which are under contract or there is an
intent to subcontract tor contracted services being negotiated with the department.
X Please provide a list of those services: -S ee o. t+c...c 'led
The provider understands that if the Department allows subcontracting, and the provider ;
chooses to subcontract any of the contracted services, the provider snail submit a written .
request to subcontract for the provision of services to the Contract Manager for Departmellt
approval.
Signature of provider personnel authorized
to legally bind the provider
Date
o
Date
Approved as to form & legal sufficiency P.O. Box 60085. Fort Myers, Florida 33906-00
Vulnerable, Promote Strong and Economically s~WIatSi~~~tClerk
dvance Personal and Family Recovery and Resiliency
By:
Colleen Greene,
fi.ssistant County Attorney
"
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C~er County
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Public Services DMsion
Housing & Human SeNices
Agenda Item No. 1604
November 10, 2009
Page -4 of 10
List of Providers and Services
1. Collier County Hunger & Homeless Coalition/HMIS ; (CCHHC)
The request for funding will be to maintain and expand the HUD mandated information system that has been
an invaluable case management tool for the nine (9) agencies now currently participating in the program.
This proposal will increase the agencies currently participating by four (4) to thirteen (13) total agencies
participating.
2. Youth Haven, Inc.:
The funding request would pay the salary of a Mobile Case Manager who will be dedicated to helping
children identified by the Collier County Public School District as being currently homeless or at-risk of
becoming homeless. This Case Manager will provide services such as crisis management, supportive services,
information and referral for job placement, housing option, and landlord tenant mediation,
3. St. Matthew's House:
The funding request will leverage private dollars received for bus tokens and the operating cost of an existing
passenger van to provide transportation for the homeless men, women and children who reside at St.
Matthew's House. In addition to assisting with transportation, funding received from this grant will cover a
portion of the salary for a Case Manager, who will work directly with the Structured Recovery program,
which works directly with meeting the needs of the homeless population of Collier County.
4. Shelter for Abused Women & Children: (SAWCC)
The funding request for will pay 100% of the salary for their full-time Residential Manager. The residential
Manager will provide supportive services such as long and short term needs assessments, and immediate
assistance with food, clothing, and safety. Assistance in obtaining mainstream benefits such as job
placement and basic life skills such as budgeting, self-care with nutrition and job placement.
5. National Alliance on Mental Illness of Collier County: (NAMI)
The funding request will provide assistance to the mentally ill with housing costs such as utilities, wellness
assistance with medications, mental health support programs, psychiatric evaluations, glasses, dental
assistance and providing Supportive Services.
Housing 0
Huri1an Services
c~ CoUier CounTy
CoIi€f County Housing and Human SeMCeS . 239-252-CARE (2273) ,239 252-HOME (4663) . www.colliergov.netlhurnanservices
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CIVIL RIGHTS COMPLIANCE CHECKLIST
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PART L 1. 8rlefly describe the geoQraphlc ilrea served by tne ,:lrogram!pl'Ovider/facIHty and the type of service(s) provided:
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item rJo. 1 ED4
r'Jovernber 10, 2009
Page 5 of 10
"-~ionlOi.triet
PART II. USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
6, IS an Assurance of Compliance on file with the Department of Children and Families? 11 NA or NO, exiHain, NA YES
[iJ 0
vn known
7, Compare staff composition to the population. Are staff representative of the population? If NA or NO, explain. .
AppeO{$ 11tat bl(l[U popu1~1zfJl ~ ~ ndtrvhII r.ut ~~ ,"0-;0 J rnJ p4nU pD ~rt{ f4
vtttUfll{ll{1~,d Pj 611" anci {urUUlJ CUt vfU/.t,.,-vhln(J bjJI.1'dl~
a, Compare the client cO'l'lposition 10 the population. Are race/gander composition representative of the population?
If NA or NO. explain, U n llnlW n
9. Are employees, applicants end recipients intormed of 1hair protection against discrimination?
If YES, how? OVerb,11 ~Wrilloo ~ Posler If NA or NO, eKplaln,
f1npf~s arr,d 4,~krantr {Utlnfinru.""---'11 Wnhn:; attrib:; P4J/Cr;
Dnk niWil If rea tfH:{ arc rrt{n}11tA
10, Do recruitment and notificali maleriels advise applicants, employees anll recipients of yoUI' non-discrimination policy?
If NO, eKplllin.
~es f6( a.rp~ntJ, U n~t101JJ~ ..r rtapltrth CU{ m{rTlfYcl
11, Is there an eltablished grievance/complaint procedure to resolve complaints of discrimination regarding service dellv(lry or
employment decisiolls?" If NO, explain.
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CF 9-46, PDF . 0120()5
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Agenda Item No. 1604
November 10, 2009
Page 6 of 10
'RT II. USE A SEPARATE SHEET OF PAPER FOR ANY EXPLANATIONS REQUIRING MORE SPACE.
. . Provide the number and currlnt stalU$ of any dilcrimin8tiOfl complaints regll'ding aervicH or employment fil8d against NA NUMBER
tneprograrnJprovidBrlfaclRlywlthin Ih818ityear. t/nknlwn liJ I I
13. Are eligibility requirements for services applied to clients and applicanlS wUhout regard to race, color, national origin,
gender, age. religlcm or disability? If NA. or NO. explain. V i,
1 nllLnH{/n
NA YES NO
~ 0 0
.re benefils, services. and facilities available to applicants aOd partlelpants in an eq~allY effective manner monless of
race. gender, cclor, age, naUonal origin, religion or disability? It NA or NO, explajn. jJ /,
",/1, ~n 0 ft) n
NA YES NO
g] 0 0
15. Ar. room aUI~nmellts ml()e without regard 10 race, color, national origCI or disability lor in-patient services?
If NA. or NO, explain. U n}(.nfIAJ n
IlIA YES NO
&l 0 0
16. Are limited-English pronclent {LEP} applicanu end recipients provkled eQUal access to benefits Including .free Interpreter NA YeS NO
service$? If NA or NO, explain. V It. I2J 0 0
n ntfWn
17. Are the programsJfecllilles/services accessible to mobility, hellring. and slghllmpalred 11IdlYlduals? It NA or NO, Slplatn, NA YES NO
V ttkl1fWt1 lZJ 0 0
18. Are wlIlliary Bids available to assure eccellllblllty of services to hearing and Sight impaired incUviduala? If NO, exptaln. YES NO
V nk-n-flJ n 0 0
19. Has a self-evaluaUofl been conducted to identify any Ilarner. to serving Indivilluals with disabilities? If NO. explain. YES NO
{AfltnHlJn 0 0
20. State IlIe name of the designated Sectltm 504 Coordinator for compliance activities:
_Has Civil Rights traininll been conducted for locltl staff? If NA or NO, explain, NA YES NO
11 nJ n6t&1 fl @ 0 0
22. SIGNA rURE~
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o.~ of Rllellipt Sig n8ture 01 Pr091'81l1 Mansger or Delll"nefl Notice of Corrective Action Required: DYES DNO
.If "Yes., attach list of corrective actions.
Oats Reviewed bv ComDfiance Officer: Response Due:
Type of Review: D On..slte o Desk Review Response Received:
Comments:
.
Date of Last Compliance Review:
Peg. Zor2
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fl,cenda Item Nd:-"PoV~i;:;-';;".
~ November 1'0, 2009' -.C
Page 7 of 10
Memorandum
09-13-06P03:27 RCVD
To:
Marcy Krumbine, Director of Human Services/Services for Seniors
From:
James V. Mudd. County Manager ,
.A
Date:
September 11. 2006
Subject:
Designated Signatory for Human Services/Services for Seniors Grant
Programs per Resolution No. 96-268 .
.
On June 11. 1996. the Board of County Commissioners approved Resolution No. 96-268
which authorized the County Manager, and hislher desigriee to execute certain
grant/contract documents.
The Collier County Human Services Director is hereby authorized to be my designee and
to execute grant submissions and budget and contract amendments provided that: said
submissions and amendments require no additional County matching funds for Human
Services/Services for Seniors programs and any transfer of funds is limited to previously
Board of County Commissioners approved grant activities,
The effective date of this designation shall be June 12.2006.
~~
ames V. Mudd
County Manager
;/;1/ ) t
Date
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this II it day of L~lf~
, I
11 J..oa0, by (name of person acknowledqinq). Personally Known I~ OR Produced
Identification Type of fdentification Produced
MMY E. 8!CI(
NoIaIyJublc . Sfafe of Ffadda
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-."J1INlQf'I # DD.10269Q
IarIdIId tt NaIanaI N:lbv AIm.
~~AVJ/
otary Public
C~e"Y County
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Public Services Division
Housing & Human Services
Agenda Item No. 16D4
November 10, 2009
Page8of10
To whom this may concern,
The following is the sample signature of the Director of Housing & Human Services, Marcy Krumbine, MPA.
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Marcy Krurrbine, MP
Director
Housing 0
HuJ1an Services
of Collier County
CoffierCoonty Housing and Human Services . 239-252-CARE (2273) . 239 252-HOME (4663). www.colliergov.netJhumanservices
Agenda Item 1\10. 1604
November 10, 2009
Page 9 of 10
Attachment
CERTIFICATION REGARDING LOBBYING
CERTIFICATION FOR CONTRACTS, GRANTS, LOANS AND
COOPERATIVE AGREEMENTS
The undersigned certifies, to the best of his or her knowledge and belief, that:
(1) No federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or an employee
of any agency, a member of congress, an officer or employee of congress, or an employee of
a member of congress in connection with the awarding of any federal contract, the making of
any federal grant, the making of any federal loan, the entering into of any cooperative
agreement, and the extension, continuation, renewal, amendment, or modification of any
federal contract, grant, loan, or cooperative agreement.
(2) If any funds other than federal appropriated funds have been paid or will be paid to any person
for influencing or attempting to influence an officer or employee of any agency, a member of
congress, an officer or employee of congress, or an employee of a member of congress in
connection with this federal contract, grant, loan, or cooperative agreement, the undersigned
shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in
accordance with its instructions.
(3) The undersigned shall require that the language of this certification be included in the award
documents for all subawards at all tiers (including subcontracts, subgrants, and contracts
under grants, loans and cooperative agreements) and that all subrecipients shall certify and
disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this
transaction was made or entered into. Submission of this certification is a prerequisite for making
or entering into this transaction imposed by section 1352, Title 31, U.S. Code. Any person who
fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such failure.
Signature
Date
~onn?A "[;'irzli fahifirm::m
ame 0 ufhor zea rldlvl ua
Application or Contract Number
Collier County, Board of Commissioners
Name of Organization
i~~JsJoJ~fz~~~i Tr~il, W~ploc, FL, 31112
CF 1123. PDF 03196
. Approved as to form & legal sufficiency
~O~~
V":" Colleen Greene,
Assistant County Attorney
ATTEST:
DWIGHT E, BROCKe Clerk Page_
By:
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Attachment
Agenda Item No. 1604
November 10, 2009
Page 10 of 10
Contract No.
CERTIFICATION REGARDING
DEBARMENT, SUSPENSION, INELIGIBiliTY AND VOLUNTARY EXCLUSION
CONTRACTS~UBCONTRACTS
This certification is required by the regulations implementing Executive Order 12549, Debarment and Suspension,
signed February 18,1986. The guidelines were published in the May 29, 1987 Federal Register (52 Fed. Reg.. pages
20360 - 20369).
INSTRUCTIONS
1. Each provider whose contract/subcontract equals or exceeds $25,000 in federal moneys must sign
this certification prior to execution of each contract/subcontract. Additionally, providers who audit
federal programs must also sign, regardless of the contract amount. The Department of Children
and Families cannot contract with these types of providers if they are debarred or suspended by the
federal government.
2. This certification is a material representation of fact upon which reliance is placed when this
contract/subcontract is entered into. If it is later determined that the signer knowingly rendered an
erroneous certification, the Federal Government may pursue available remedies, including
suspension and/or debarment.
3. The provider shall provide immediate written notice to the contract manager at any time the
provider learns that its certification was erroneous when submitted or has become erroneous by
reason of changed circumstances.
4. The terms "debarred", "suspended", "ineligIble", "person", "principa!", and "voluntarily excluded", as
used in this certification, have the meanings set out in the Definitions and Coverage sections of
rules implementing Executive Order 12549. You may contact the department's contract manager
for assistance in obtaining a copy of those regulations.
5. The provider agrees by submitting this certification that, it shall not knowingly enter into any
subcontract with a person who is debarred. suspended, declared ineligible, or voluntarily excluded
from participation in this contract/subcontract unless authorized by the Federal Government.
6. The provider further agrees by submitting this certification that it will require each subcontractor of
this contract/subcontract, whose payment will equal or exceed $25,000 in federal moneys, to
submit a signed copy of this certification.
7. The Department of Children and Families may rely upon a certification of a provider that it is not
debarred, suspended, ineligible, or voluntarily. excluded from contracting/subcontracting unless it
knows that the certification is erroneous.
8. This signed certification must be kept in the contract manager's contract file. Subcontractor's
certification must be kept at the provider's business location.
CERTIFICATION
(1) The prospective provider certifies, by signing this certification, that neither he nor his principals is
presently debarred, suspended, proposed for debannent, declared ineligible, or voluntarily
excluded from participation in this contract/subcontract by any federal department or agency.
(2) Where the prospective provider is unable to certify to any of the statements in this certification,
such prospective provider shall attach an explanation to this certification.
Signature
Date
Dnnn."! Pi."!l."!
Name (type or p!int) ~ .
Chajrmi'ln
Title
e, " ". PD' .orz.f.;j)'~
~t@f}~WtlO~ e-.
Colleen Greene,
Assistant County Attorney
ATTEST:
DWIGHT E. BROCK, Clerk
By:
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