Backup Documents 01/13/2009 Item #16D 8
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D 8
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OI<' COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Altach to original document. Original documcnb should be hand delivered to the linal'd Ol1'icc The completed routing slip ,md Llriginal
documents are to be forwarded to the Board Olliee only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines # 1 through #4 as appropriate for additional signatures, dates, and/or inlormatiol1 needed. ]1' the document is already complete with the
exceotion of the Chairman's signature, draw a line through routing lines # I throll~ 1 #4, complete the checklist. and forward to Sue Filson {line #5)
Route to Addressee(s) Office Initials Date
(List in routinp" orderl
J,Frank Ramsey Housing and Human Service .A" A' J /14/09
~
2. Colleen Greene County Attorney's Otlice CJYlG 1-15-cA
3, CO tlLL -- -'
4, -- - .. ----------_.__._~.._-_."
-_.._~-- .-...------- ---.--f'
5, Sue Filson, Executive Manager Board of County Commissioners
6. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary conta;t is the holder of the original dncument pending nee approval. Normally the primary clllltact is Ihe person who en::att'd/prcpared the executive
summary. Primary contact information is needed in the event one of Ule addressees ah'lVe. inc1LlIing Sw: l-i1snn. need (() cmlact slaff j;1r additional or missing
information. All original doeumenls needing the 13ce Chairman's signature arc 10 he dcliven:u I,) the Bee olllee l)nly alter the [~C(" has acted to approve the
item)
Name of Primary Staff Frank Ramsey, Housing Manager Phone Number 252-2336
Contact
Agenda Date Item was 01/13/2009 Agenda Item Number 160-8
AnDroved bv the BCC
Type of Document Agreement Numher of Original 1
Attached DOCUlnents Attached
1.
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, vvhichevcr is
a TO fiate.
Original document has been signed/initialed for legal sufficiency. <All documents to be
signed by the Chaim1an, 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 BeC
Chainnan and Clerk to the Board and ossihly State Officials,)
All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other arties exce t the BCC Chairman and the Clerk to the Board
The Chaimlan's signaturc line date has been t::ntercd as the date of Bee approval of the
document or the 11nal nCHotiated contract date \vhichever is a Iicable.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
si nature and initials are rc uired.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC on;ce within 24 hours of BCC approval.
Some documents arc time sensitive and require forwarding to Tallahassee within a certain
time frame or the Bec's actions are nullified. He aware of your deadlines!
The document was approved by the Bee onlll/13/2009 and all chan~cs made durin~
the meeting have been incorporated in thc attached ducumcnt. The County Attorney's
Office has reviewed the chan es, if a licablc.
Yes
(Initial)
NI A (Not
^ licablc)
2,
3,
4,
5,
6,
7ft
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip V...'WS Original 9(LUl4, Revised L26_0:'i, Revised 2.2405
MEMORANDUM
Date:
January 20,2009
To:
Frank Ramsey, Housing Manager
Housing & Human Services Department
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
An agreement providing for a $150,000 State Housing
Initiative Partnership (SHIP) Grant to "Housing
Opportunities Made for Everyone, Inc," (HOME) for the
acquisition and/or rehabilitation of residential dwelling units
benefitting qualified lower income residents
Enclosed is a copy of the document referenced above, (Agenda Item
#16D8) approved by the Board of County Commissioners on Tuesday,
January 13, 2009,
The Minutes & Records Department has kept the original for the Board's
perrnanentrecord,
If you should have any questions, please contact me at 252-8406,
Thank you.
Enclosures
1608
16D8
AGREEMENT BETWEEN COLLIER COUNTY
AND
HOUSING OPPORTUNITIES MADE FOR EVERYONE. INC.
SHIP ACOUlSITION-REHABILITATIONINEW CONSTRUCTION
This Agreement ("Agreement"), effective this 13th day of January, 2009, is made by and
between Collier County, a political subdivision of the State of Florida, hereinafter referred to as
"COUNTY," and Housing Opportunities Made for Everyone, Inc., a public not-for-profit
corporation, existing under the laws of the State of Florida, having its principal office at 4351
Gulf Shore Boulevard #19N, Naples, Florida 34103, hereinafter referred to as "SPONSOR."
RECITALS:
WHEREAS, the COUNTY is a participant in the State Housing Initiatives Partnership
(SHIP) Program; and
WHEREAS, pursuant to the SHIP Program, the COUNTY is undertaking certain
activities to primarily benefit housing for very low - low - and moderate income persons and
neighborhoods; and
WHEREAS. the Local Housing Assistance Plan (LHAP) Fiscal Year 2007-2010 was
adopted on April 24, 2007 through Resolution No. 2007-96; and
WHEREAS, through Resolution No, 2008-212 the Board of County Commissioners
("Board") adopted a revision to the three-year LHAP amending a strategy that outlines the
intended use of SHIP funds for fiscal years 2007-2008, 2008-2009 and 2009-2010; and
WHEREAS, the Board finds that the activities undertaken in connection with this
Agreement constitute valid and worthwhile County purposes, and as such, that SPONSOR
should be duly funded or reimbursed for the expenses as set forth herein.
WITNESSETH:
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
I. All of the Recitals are true and correct and are hereby expressly incorporated herein by
reference as if set forth fully below.
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II. DEFINITIONS
(I) "COUNTY" means Collier County, and where applicable, its authorized
representative( s),
(2) "SHIP" means the State Housing Initiatives Partnership Program of Collier County,
S 420.907-.9079, Florida Statutes,
(3) "SPONSOR" means Housing Opportunities Made for Everyone, Inc,
(4) "Very low - low - and moderate income persons" means the definition set by S
420.9071, Florida Statutes.
(5) "Project" means the work contemplated to be performed as set forth in Exhibit "A."
(6) "Florida Housing Finance Corporation" means the agency governing the SHIP
Program.
II. SCOPE OF SERVICES
The SPONSOR shall, in a satisfactory and proper manner, as determined by COUNTY,
perform the tasks necessary to conduct the program outlined in Exhibit "A," and shall submit
each request for advancement and/or reimbursement of funds using Exhibit "8," all of which are
attached hereto and made a part hereof. The SPONSOR may request advance funds for
acquisition of eligible property with the required documentation. Payments for eligible work
tasks and/or activities may be made directly to the provider of the service(s), as approved by
HOUSING AND HUMAN SERVICES, at SPONSOR'S written request.
IV, TIME OF PERFORMANCE
The effective date of this Agreement is written above, and the services of the SPONSOR
shall be undertaken and completed within twelve (12) months from date of executed Agreement.
V. CONSIDERATION AND LIMITATION OF COSTS
The SPONSOR shall be paid by the COUNTY for allowable costs, using SHIP funds,
determined by COUNTY, in an amount not to exceed ONE HUNDRED FIFTY THOUSAND
AND 00/100 DOLLARS ($150.000,00) for the services described in Exhibit "A." Funding shall
not exceed fifty-thousand dollars per residential unit.
All activities specified in Exhibit "A" shall be performed by SPONSOR employees, or
shall be solicited under a procedure acceptable to the COUNTY, Contract administration shall
be handled by the SPONSOR and monitored by the COUNTY, which shall have access to all
records and documents related to the project. Payments for eligible work tasks and/or activities
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16D8
may be made directly to the provider of the service(s), as approved by HOUSING AND
HUMAN SERVICES, at SPONSOR'S written request.
VI. NOTICES
All notices required to be given under this Agreement shall be sufficient when delivered
to COUNTY at its office, presently located at 330 I E Tamiami Trail, Suite 211, Naples, FL
34112, and to the SPONSOR when delivered to its office at the address listed on page one (I) of
this Agreement.
VII. SPECIAL CONDITIONS
The SPONSOR agrees to comply with the requirements of the SHIP Program as
described in the 9 420.907 through 420.9079, Florida Statutes, and Chapter 67.37 of the Florida
Administration Code. All work performed by SPONSOR, any contractor(s) and their
subcontractor(s), must conform to the requirements ofthe following:
I. 2005 Environmental Health & Safety
2. 2004 Florida Building Code (includes Energy Efficient Code)
3. 2004 Florida Building Code/Fuel Gas
4, 2004 Florida Building Code/Mechanical
5. 2004 Florida Building Code/Plumbing
6, 2004 Florida Building Code/Americans with Disabilities
7. 2005 National Electric Code
8. 2002-01 Building Construction Administrative Code
VIII. GENERAL CONDITIONS
A. IMPLEMENTATION OF PROJECT ACCORDING TO REOUIRED
PROCEDURES
The SPONSOR shall implement this Agreement in accordance with applicable
Federal, State, and County laws, ordinances and codes. No payments will be made until
approved by COUNTY.
B. AMENDMENTS
This Agreement, along with all exhibits and attachments, may be amended only
by written agreement executed by the governing boards of both parties, except that
COUNTY representative may approve adjustments between line item amounts, scope
clarifications, or an extension of time and schedule provided in Exhibit "A" that do not
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1608
change the project, or exceed the amount funded by the COUNTY, as stated herein. Any
modifications to this contract shall be in compliance with the County Purchasing Policy
and Administrative Procedures in effect at the time such modifications are authorized,
C. INDEMNIFICATION
To the maximum extent permitted by Florida law, the SPONSOR shall indemnify
and hold harmless Collier County, its officers and employees from any and all liabilities,
damages, losses and costs, including, but not limited to, reasonable attorneys' fees and
paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally
wrongful conduct of the SPONSOR or anyone employed or utilized by the SPONSOR in
the performance of this Agreement. This indemnification obligation shall not be
construed to negate, abridge or reduce any other rights or remedies which otherwise may
be available to an indemnified party or person described in this paragraph. This section
does not pertain to any incident arising from the sole negligence of Collier County. The
foregoing indemnification shall not constitute a waiver of sovereign immunity beyond the
limits set forth in ~ 768.28, Florida Statutes.
D, TERMINATION
In event of tennination for any of the following reasons, all finished or unfinished
documents, data studies, surveys, drawings, maps, models, photographs, reports prepared,
and capital equipment secured by the SPONSOR with funds under this Agreement shall
be returned to HOUSING AND HUMAN SERVICES or the COUNTY, In the event of
termination, the SPONSOR shall not be relieved of liability to the COUNTY for damages
sustained by the COUNTY by virtue of any breach of the Contract by the SPONSOR,
and the COUNTY may withhold any payment to the SPONSOR for set-off purposes until
such time as the exact amount of damages due to the COUNTY from the SPONSOR is
determined.
1. TERMINATION FOR CAUSE
Should the SPONSOR be found to have failed to perform in a manner
satisfactory to the COUNTY as per this Agreement, the COUNTY may
terminate said agreement immediately for cause; further the COUNTY
may terminate this Agreement for convenience with a seven (7) day
written notice. The COUNTY shall be sole judge of non-performance,
2, TERMINATION FOR CONVENIENCE
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16D8
At any time during the term of this Agreement, either party may, at its
option and for any reason, terminate this Agreement upon ten (10)
working days written notice to the other party, Upon termination, the
COUNTY shall pay the SPONSOR for services rendered pursuant to this
Agreement through and including the date of termination.
E. INSURANCE. The SPONSOR or Contractor, if applicable, shall provide
insurance as follows:
Commercial General Liabilitv: Coverage shall have minimum limits of $300,000
Per Occurrence, Combined Single Limit for Bodily Injury Liability and Property Damage
Liability. This shall include Premises and Operations; Independent Contractors; Products
and Completed Operations and Contractual Liability.
Workers' Compensation: Insurance covering all employees meeting Statutory
Limits of Chapter 440, Florida Statutes, and all Federal Government Statutory Limits and
Requirements.
Special Requirements: Collier County shall be listed as the Certificate Holder and
included as an Additional Insured on the Comprehensive General Liability Policy.
Current, valid insurance policies meeting the requirement herein identified shall
be maintained by SPONSOR or Contractor, if applicable, during the duration of this
Agreement. Renewal certificates shall be sent to the COUNTY thirty (30) days prior to
any expiration date. There shall be a thirty (30) day notification to the COUNTY in the
event of cancellation or modification of any stipulated insurance coverage,
SPONSOR or Contractor, if applicable, shall insure that all subcontractors comply
with the same insurance requirements that he is required to meet. The SPONSOR or
same Contractor. if applicable, shall provide COUNTY with certificates of insurance
meeting the required insurance provisions.
F, INDEPENDENT AGENT AND EMPLOYEES
The SPONSOR agrees that, in all matters relating to this Agreement, it will be
acting as an independent agent and that its employees are not Collier County employees
and are not subject to the COUNTY provisions of the law applicable to COUNTY
employees relative to employment, hours of work, rates of compensation, leave,
unemployment compensation and employee benefits,
IX. ADMINISTRATIVE REOUIREMENTS
A. DOCUMENTATION AND RECORD KEEPING
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1608
I. The SPONSOR shall maintain all records required by the COUNTY and
SHIP Regulations,
2. All invoices, plans, surveys, information, documents, maps, and other data
procedures developed, prepared, assembled, or completed by the
SPONSOR for the purpose of this Agreement shall be made available to
the COUNTY by the SPONSOR at any time upon request by the
COUNTY. Upon completion of all work contemplated under this
Agreement copies of all documents and records relating to this Agreement
shall be surrendered to COUNTY if requested,
B. PURCHASING
All purchasing for services and goods, including capital equipment, shall be made
by purchase order or by a written contract and in conformity with the procedures
prescribed by the Collier County Purchasing Policy, which are incorporated herein hy
reference.
C. REPORTS, AUDITS, AND EV ALUA TlONS
I. Payments and/or reimbursement will be contingent on the timely receipt of
complete and accurate Request for Payment, attached herein as Exhibit
"B," required by COUNTY, and on the resolution of monitoring or audit
findings identified pursuant to this Agreement.
2. At any time during normal business hours and as often as the COUNTY
or the Florida Housing Finance Corporation may deem necessary, there
shall be made available by the SPONSOR for examination all its records
with respect to all matters covered by this Agreement.
3. The SPONSOR, if applicable, agrees to comply with the requirements of
the Florida Single Audit Act as defined in S 215,97. Florida Statutes,
D, ADDITIONAL COUNTY AND SHIP REOUIREMENTS
COUNTY shall have the right under this Agreement to suspend or terminate
payments and reimbursement until the SPONSOR complies with any additional
conditions that may be imposed by the COUNTY or SHIP at any time. Funds are subject
to the recapture provisions of S 420.9075(5)(g), F/orida Statutes from eligible persons or
eligible sponsors who default on the terms of a grant award or loan award.
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16D8
X. OTHER PROGRAM REOUIREMENTS
A. PROGRAM BENEFICIARIES
One Hundred percent (100%) of the beneficiaries of the project funded through
this Agreement must be very low- low - or moderate income persons as required by ~
420.9071(10), Florida Statutes, All prospective home buyers of subject property, as
listed on Exhibit "A," shall be qualified by COUNTY staff prior to transfer of title from
SPONSOR to new owner.
B, EV AUlA TlON AND MONITORING
The SPONSOR agrees that COUNTY may carry out periodic monitoring and
evaluation activities as determined necessary by COUNTY and that the continuation of
this Agreement is dependent upon compliance with SHIP regulations. The SPONSOR
shall, upon the request of COUNTY, submit information and status reports requested by
the COUNTY, The SPONSOR shall allow COUNTY to monitor the SPONSOR on site,
Such site visits may be scheduled or unscheduled as determined by COUNTY and
Florida Housing Finance Corporation.
C. CONFLICT OF INTEREST
The SPONSOR covenants that no person who presently exercises any functions
or responsibilities in connection with the Project, has any personal financial interest,
direct or indirect, in the target areas or any parcels therein, which would conflict in any
manner or degree with the performance of this Agreement and that no person having any
conflict of interest shall be employed by or subcontracted by the SPONSOR. Any
possible conflict of interest on the part of the SPONSOR or its employees shall be
disclosed in writing to COUNTY provided, however, that this paragraph shall be
interpreted in such a manner so as not to unreasonably impede the statutory requirement
that maximum opportunity be provided for employment of and participation of low and
very low-income residents ofthe project target area.
XI. SEVERABILITY OF PROVISIONS
If any provision of this Agreement is held invalid, the remainder of this Agreement shall
not be affected thereby if such remainder would then continue to confonn to the terms and
requirements of applicable law.
XII. ENTIRE UNDERSTANDING
This Agreement and its provisions merge any prior agreements, if any, between the
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1608
parties hereto and constitutes the entire understanding. The parties hereby acknowledge that
there have been and are no representations, warranties, covenants, or undertakings other than
those expressly set forth herein.
IN WITNESS WHEREOF, the parties hereto have caused this Agreement to be
executed by their appropriate officials, as of the date first above written.
ATTEST:
Dwight E. Brock, Clerk of Courts
BOARD OF COUNTY COMMISSIONERS
COLLIER C UNT FLORIDA
',;' -' ,:'(';,
By: 'Chl.tL ...~ Q.L.
At!-t ~ to~l~le;k
.fIMWt .f~ .,;
/ '/
, CHAIRMAN
~r;~+
rst Witness I/. d.
G-~orv ~""c<V1 4'.1-
~e
Second Witness
e' /JJ1t:://lle;./.. K Row,)
Type/print witness name
ortun:~~.
N BARLOW, Vice President, Real Estate
Approved as to form and
legal sufficiency:
~m~
/
Colleen M. Greene
Assistant County Attorney
ltem# ~
Agenda U?-r?l
Date ~I
Date I_u::::...ra
Rec'd LLI1L \
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1608
EXHIBIT "A"
SCOPE OF SERVICES
HOUSING OPPORTUNITIES MADE FOR EVERYONE. INC,
THE SPONSOR AGREES TO:
I. PROJECT SCOPE
This project will provide safe, decent and affordable housing for very low - low - and
moderate income persons in Collier County. This SHIP Program grant in the amount of
One Hundred Fiftv Thousand and 0011 00 Dollars ($150,000,00) may be used to acquire
and/or rehabilitate at least three (3) residential dwelling units in Collier County to benefit
very low - low - or moderate income persons as defined by S 420.9071, Florida
Statutes. Funding shall not exceed fifty-thousand dollars per residential unit and may
include acquisition and/or rehabilitation.
a, Acquisition
SPONSOR may use project funds to finance the acquisition of eligible housing.
Pursuant to S 420.9071(12), F/orida Statutes, COUNTY may allocate SHIP funds
to eligible sponsors to partially assist in the construction, rehabilitation, or
financing of eligible housing. Eligible housing is defined in S 420.9071(8),
F/orida Statutes,
b. Rehabilitation
SPONSOR may use project funds to rehabilitate eligible housing. Pursuant to S
420.9071(12), Florida Statutes, COUNTY may allocate SHIP funds to eligible
sponsors to partially assist in the construction, rehabilitation, or financing of
eligible housing. Eligible housing is defined in S 420.9071(8), F/orida Statutes,
Eligible work shall be determined by a Bid Specification Form prepared by
HOUSING AND HUMAN SERVICES.
2. BUDGET
Total funds available under this Agreement shall not exceed One Hundred Fith and
0011 00 Dollars ($150,000.00) and the maximum award per unit shall be limited to fifty-
thousand dollars, The maximum award per unit may be allocated between acquisition
and rehabilitation.
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16D8
a, Acquisition
Line Item
SHIP
Identify Property $0.00
Purchase Property $50,000,00
Identify Buyer(s) $0.00
Transfer Property $0.00
Total Available for Acquisition* $50,000,00
'NOTE: SPONSOR may elect to allocate maximum award per unit between acquisition
and rehabilitation,
b, Rehabilitation
Line Item SHIP
Purchase Property $0,00
Bid Specification $0.00
Complete Rehabilitation Work $50,000,00
Transfer Property $0.00
Total Available for Rehabilitation* $50,000,00
'NOTE: SPONSOR may elect to allocate maximum award per unit between acquisition
and rehabilitation. The Bid Specification Form, when prepared and if applicable, will be
attached and incorporated into this Agreement and used to itemize the Rehabilitation
budget.
3. STAFFING
SPONSOR to provide list of staff directly responsible for reporting and request for
payment processing.
4. FORMER PROJECTS
Failure to adequately maintain any former SHIP funded projects may result in the delay
of processing reimbursement requests for ongoing activities or in the forfeiture of future
SHI P funds.
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16D8
S. WORK SCHEDULE
a, Acquisition
Milestone Start Date Target Goals
Identify Property January 2008 March 2009
Purchase Property March 2009 July 2009
Identify Buyer(s) July 2009 October 2009
Transfer Property October 2009 December 2009
b, Rehabilitation
Milestone Start Date Target Goals
Purchase Property January 2008 March 2009
Bid Specification March 2009 May 2009
Complete Rehabilitation May 2009 October 2009
Transfer Property October 2009 December 2009
NOTE: Performance milestones are in effectfor program monitoring requirements
only, and a.\' .\"Uch, are used by HOUSING AND HUMAN SERVICES as general target
goals rather than strict performance requirements,
6. REPORTS
The SPONSOR shall submit detailed monthly progress reports to HOUSING AND
HUMAN SERVICES outlining the status of specific activities under the project. Each
report must account for the total activity for which the SPONSOR is paid with SHIP
funds, in part or in whole, and which is required in fulfillment oftheir obligations under
this Agreement. The progress reports shall be submitted on the form Exhibit "C". The
progress reports shall be used as an additional basis for COUNTY'S approval of invoices,
etc for payment.
7. COMPENSATION
The COUNTY shall reimburse the SPONSOR for the performance of this Agreement
upon completion or partial completion of the work tasks as accepted and approved by
HOUSING AND HUMAN SERVICES pursuant to the submittal of monthly progress
reports, but not more frequently than once per month. Progress payments to SPONSOR,
as approved by HOUSING AND HUMAN SERVICES, can be made for any eligible
Page 1 I of 16
16D8
activity listed in this Agreement. Eligible work tasks and/or activities shall include, but
not be limited to, acquisition of property, rehabilitation ofthe property and rcsale of the
property to an eligible person. Payments for eligible work tasks and/or activities may be
made directly to the provider ofthe service(s), as approved by HOUSING AND
HUMAN SERVICES. at SPONSOR'S request. Adherence to the work schedule
identified in Section 5 will be required, unless modified in writing by PARTIES.
Payment will be made upon receipt of a proper invoice and in compliance with S 218.70,
F/orida Statutes, otherwisc known as the "Local Government Prompt Payment Act".
END EXHIBIT "A"
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16D8
EXHIBIT "B"
COLLIER COUNTY HOUSING AND HUMAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
SPONSOR Name:
Housing Opportunities Made for Evervone, Inc.
SPONSOR Address:
435] Gulf Shore Blvd # 19N, Naples, FL 34103
Unit#]:
Project No:
Payment Request #
Dollar Amount Requested: $
SECTION II: STATUS OF FUNDS
I. Total Loan Amount Unit #] $ $50,000.00
2. Sum of Past Claims Paid on this Account $
3. Total Loan Amount Less Sum of Past
Claims Paid on this Account
$
4, Amount of Previous Unpaid Requests $
5. Amount of To day's Request $
6. Current Loan Balance (Initial Loan Amount
Awarded Less Sum ofillLRequests)
$
7. If applicable amount held as retainage to
date by the County, ifnot retained by the
sub-recipient.
$
I certify that this request for payment has been drawn in accordance with the terms and
conditions of the Agreement between the County and us as the SPONSOR, I also certifY that the
amount of the Request for Payment is not in excess of current needs.
Signature
Date
Title
(approval authority under $ ] 4,999)
(approval required $]5,000 and above)
Supervisor
Dept Director
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16D8
EXHIBIT "B"
COLLIER COUNTY HOUSING AND HUMAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
SPONSOR Name:
Housing Opportunities Made for Evervone. Inc,
SPONSOR Address:
4351 Gulf Shore Blvd # I 9N. Naples. FL 34103
Unit #2:
Project No:
Payment Request #
Dollar Amount Requested: $
SECTION II: STATUS OF FUNDS
1. Total Loan Amount Unit #2 $ $50,000.00
2. Sum of Past Claims Paid on this Account $
3, Total Loan Amount Less Sum of Past
Claims Paid on this Account
$
4. Amount of Previous Unpaid Requests $
5. Amount of To day's Request $
6. Current Loan Balance (Initial Loan Amount
Awarded Less Sum of1!lLRequests)
$
7. If applicable amount held as retainage to
date by the County, ifnot retained by the
sub-recipient.
$
I certify that this request for payment has been drawn in accordance with the terms and
conditions of the Agreement between the County and us as the SPONSOR. I also certify that the
amount of the Request for Payment is not in excess of current needs.
Signature
Date
Title
(approval authority under $]4,999)
(approval required $] 5.000 and above)
Supervisor
Dept Director
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1608
EXHIBIT "8"
COLLIER COUNTY HOUSING AND HUMAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
SPONSOR Name:
Housing Opportunities Made for Evervone, fnc,
SPONSOR Address:
4351 Gulf Shore Blvd # 19N, Naples, FL 34103
Unit #3:
Project No:
Payment Request #
Dollar Amount Requested: $
SECTION 11: STATUS OF FUNDS
1. Total Loan Amount Unit #3 $ $50,000.00
2. Sum of Past Claims Paid on this Account $
3, Total Loan Amount Less Sum of Past
Claims Paid on this Account
$
4, Amount of Previous Unpaid Requests $
5. Amount of To day's Request $
6, Current Loan Balance (Initial Loan Amount
Awarded Less Sum of<!!lRequests)
$
7, If applicable amount held as retainage to
date by the County, ifnot retained by the
sub-recipient.
$
I certify that this request for payment has been drawn in accordance with the terms and
conditions of the Agreement between the County and us as the SPONSOR. I also certify that the
amount ofthe Request for Payment is not in excess of current needs.
Signature
Date
Title
(approval authority under $14,999)
(approval required $15,000 and above)
Supervisor
Dept Director
Page I 5 of 16
16D8
EXHIBIT "C"
COLLIER COUNTY HOUSING AND HUMAN SERVICES
SHIP MONTHLY PROGRESS REPORT
Complete form for the past month and submit to Housing and Human Services staff by the lath
day of the following month.
Status Report for Month of:
Submittal Date:
SPONSOR Name:
Project Number:
I. Describe any action taken, relating to this project, during the past month,
2, What events/actions are scheduled for the next two months?
3, Describe any affirmative marketing you have implemented regarding this project.
Please list and attached any recent media coverage of your organization relating to
this project,
4, List any additional data relevant to the outcome measures listed in the Agreement,
5, Identify any potential issues that may cause delay,
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