Backup Documents 07/28/2009 Item #16D 6
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT To1~ 6 I
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGN
Print on pink paper, Attach to original document. Original documents should be hand delivered to the Board Office, The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item,)
ROUTING SLIP
Complete routing lines # I through #4 as appropriate for additional signatures, dates, and/or information needed, If the document is already complete with the
exception of the Chainnan's signature, draw a line throulZh routinlZ lines #1 throue:h #4, comDlete the checklist, and forward to Sue Filson (line #5),
Route to Addressee(s) Office Initials Date
(List in routing order)
I.Sandra Marrero Housing and Human Services 07/28/09
2. Chairman Donna Fiala BCC
3,
4.
5. Su\;; Fib01l, Executive Manager Board of County Commissioners lL '+/It/v ~
lA-rJ MI.-rc..H.ELI.......
6. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. Normally the primary contact is the person who created/prepared the executive
summary. Primary contact information is needed in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing
infonnation. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Sandra Marrero, Grants Coordinator Phone Number 252-2399
Contact
Agenda Date Item was 07/28/2009 Agenda Item Number 160-6
ADoroved by the BCC
Type of Document Agreement Number of Original 2
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes N/A (Not
a ro riate. (Initial) A licable)
1. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and ossibl State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's 0--
Office and all other arties exce t the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date ofBCC approval of the qL-
document or the final ne otiated contract date whichever is a licable.
4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's ~/
si nature and initials are re uired.
5. In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of our deadlines!
6. The document was approved by the BCC on 07/28/2009 and all changes made during q
the meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the chan es, if a licable.
I: Fonns! County Forms! BCC Forms! Original Documents Routing Slip WWS Original 9,03,04, Revised 1.26,05, Revised 2.24,05
,~--,.......-"-_._.",' '.- "...."'.~...",',.,...'.-.......',.".,,,.,"...~.,.~""'...,._'".~'"._,
'"'''''".",~,';.,..:"",.,.q''''''''IH''!;';l<O~'''>'''''''''''''
,.",,,-.,.-.,
1606
MEMORANDUM
Date: July 29, 2009
TO: Sandra Marrero,
Housing and Human Services
FROM: Teresa Polaski, Deputy Clerk
Minutes and Records
Re: Contract Amendment #1
Enclosed is one original of each document, as referenced above (Agenda
Item #16D6) The petition was approved by the Board of County
Commissioners on Tuesday, July 28, 2009.
If you should have any questions, you may contact me at 252-8411.
Thank you,
Enclosure (s)
,... -""------.'.,.,~-,~ r '_1'"_ -..- .'. M ..., '" _I. _ ~__H~ ____"".~iJ1 __...,.,,_~A'. ,."--,,,-,,-,---,-.-
1606
EXHIBIT A-I Contract Amendment # I
"The Shelter for Abused Women & Children Inc."
~- \ 2. (y~
This amendment, dated ...J 1A.,. \..1 . /:) , 2009 to the referenced agreement shall be by
and between the parties to the origin~1 Agreement, The Shelter for Abused Women & Children Inc. (to be
referred to as Sponsor) and Collier County, a political subdivision ofthe state of Florida, (to be referred to
as "County").
Statement of Understanding
RE: Contract # FL14B50-6001 "The Shelter for Abused Women & Children Inc, Construction and Services."
In order to continue the services provided for in the original Agreement document referenced above, the Sub-
Recipient agrees to amend the above referenced Agreement as fol1ows:
Note: Words stl'l:wk through have been deleted; words underlined have been added.
AMEND Section I Scope of Work, Part F - Term
Delete:
HUD SHP Grant funds to be expended
74% of Foodiflg Expended Jooe 30, 2007
87% of FUfl:ding Expended June 30, 2008
100% of FUFldiflg Expended "^..ugust 31, 2009
Add: The time frame for 100 % completion ofal1 outlined activities defined in Section I. Scope of Work, part F is
extended to January 31 , 20 II,
AMEND Section I Scope of Work, Part C - Budget
Delete: Operations:
(Maintenanee, r~pair, utilities, equipment,
Supplies, inslifanee, food, transportatien)
Add: Operations:
Maintenance, repair, utilities, equipment, supplies, insurance, food, transportation and all costs associated with the
instal1ation of playground equipment. Updated budget provided below reflects shifting of funds between line items.
Shelter for Abused Women & Children Inc,
Oriainal Line Item Original Budget New Budaet
Supportive Services $ 13,824,00 $ 30,256,00
Operations $ 42,168,00 $ 41,166.00
New Construction $ 159,500,00 $ 144,070,00
Remain the same at $5,387,00 for Shelter and 5,387,00
for Housing and Human Services for a total of
Grant Administration $ 10,774,00 $10,774.00
Total $ 226,266,00 $ 226,266,00
_"'"'........,.",~..'"..__,,.'"..~..'_'"~....,.~'_.,.,,"~.,.,,","''''' -. ~ ~ r_ . I'f _=<~p_""'" --
Exhibit A-1 Contract Amendment #1 16 D 6
FL14B50-6001
Shelter for Abused Women & Children Inc.
Page 2 of2
All other terms and conditions ofthe agreement shall remain in force,
IN WITNESS WHEREOF, the Sub-Recipient and the Owner have each, respectively, by an authorized person or
agent, hereunder set their hands and seals on the date(s) indicated below,
~.:J11
" Accepted: :Jv\\y Zu ,2009
'i,,- -}r
ATTEST~' ,.....'..>. COUNTY:
Dwight E. Brock', Clerk, ,:;i
'.',; " , ". -~C By, ~
"\"'f"'I,~...i&t I . '
Sub-Recipient:
The Shelte, ro, Abw;ed Women & Child,en DEPARTMENT DIRECTO~
Inc, ~ I
By: cJlFJt0/ (/---. h)f' lit/C/,:,. By: ~ J,
Linda Obe,hau" Exeoutive Di,ecto< (II:' ktlli 11<, .J~mb'C
~" 'J/ A ''/' Ir: A A, ^ I
_> l,~) l-t ~/ ! ~ c:- /f,/ It/\, I~ 1\
WITNESS:
/] -
By: \.-- ti.AJ.1,l...,'l~ II / j /1 j /I~
/1
/j ,
~,/:./;'!",,'.I /),I,-fH
Print Name and Title CONTRACT SPECIALIST., , /J.:
By (T lJ1 ~)tW
Lyn 00
I
Appmved "' to roon and GRANT:S;?':~R ~
Legal Sufficiency:
By: ~...........~
Sandra Marrero
~7iI~
Assistant County Atfomey
to 11d?f1 fV1 . &ee rtL-
Printed Name
1...... ...n _",.."<"._,".~o,;._._,___ """"'<V