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Backup Documents 05/12/2020 Item #16F 1F ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F 1 F 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 Init'a s Date 1. Susan Golden Community and Human 5.12.2020 Services 2. Jennifer Belpedio County Attorney Office Slal3 spa I a00\6 3. BCC Office Board of County (� A4i �-��^Commissioners o[3 4. Minutes and Records Clerk of Court's Office WI) 6111/990 1a:sa 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 Susan Golden/CHS Phone Number 252-2336 Contact/ Department Agenda Date Item was 4.27.20 In Absentia and 5.12.20 mtg Agenda Item Number 16.F.1. (5.12.20) Approved by the BCC Type of Document HUD Substantial Amendment—recognize Number of Original CDBG-CV—4 Attached COVID funding; SF424s,424D-Assurances Documents Attached ESG-CV-3 &HUD Certifications PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? 5.4.pomp O K SG 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 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 SG 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 NA 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 SG 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 SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA 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 aware of your deadlines! 8. The document was approved by the BCC 5/12/2020 and all changes made during the _ (1) t 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 CY"(5 is not BCC,all changes directed by the BCC have been made, and the document is ready for the ption for Chairman's signature. is li 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 16F1 F MEMORANDUM Date: May 14, 2020 To: Susan Golden, Community & Human Services From: Martha Vergara, Sr. Deputy Clerk Minutes & Records Department Re: HUD Substantial Amendment —Recognizing COVID funding for SF424s, 424D-Assurances & HUD Certifications Enclosed please find one (1) copy of two (2) originals documents referenced above (Agenda Item #16F1 (f)), approved by the Board of County Commissioners on Tuesday, May 12, 2020. 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 252-7240. Thank you. Enclosures 16F1 F OMB Number:4040-0004 Expiration Date:12/31/2019 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): ❑ Preapplication ❑New ®Application ®Continuation *Other(Specify): ❑ Changed/Corrected Application Ei Revision *3.Date Received: 4.Applicant Identifier: B-19-UC-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: ESG - COVID 19 State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS: 596000558 0769977900000 d.Address: *Streetl: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 *City: Naples County/Parish: Collier County *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Kristi Middle Name: *Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: Kristi.Sonntag@colliercountyfl.gov 0 16F1 F Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.231 CFDA Title: Entitlement Grant - ESG - COVID *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: ESG-COVID Response Programs and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments CD+ � r 1 r Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 03/01/2020 *b.End Date: 09/30/2021 18.Estimated Funding($): *a. Federal 707,128.00 *b.Applicant *c.State *d.Local e.Other *f. Program Income 0.00 *g.TOTAL 707,128.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? ® a.This application was made available to the State under the Executive Order 12372 Process for review on • b.Program is subject to E.O. 12372 but has not been selected by the State for review. c. Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) • **I AGREE **The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman *Telephone Number: 239-252-8603 Fax Number: *Email: Burt.Sausi.tlers@eoL],iercountyfl.g *Signature of Authorized Representative:, *Date Signed: 15,.1>X ATTEST Approved as to form and leg: ity CY3TAL \I lit BY• Assistant County 11eY Sinnatiira Anti/ 16F1 F ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden,to the Office of Management and Budget, Paperwork Reduction Project(0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case, you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970(42 U.S.C. §§4728-4763)relating to prescribed (including funds sufficient to pay the non-Federal share standards of merit systems for programs funded of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration(5 C.F.R. 900, Subpart F). 2. Will give the awarding agency, the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning of the United States and, if appropriate, the State, Prevention Act(42 U.S.C. §§4801 et seq.)which the right to examine all records, books, papers, or prohibits the use of lead-based paint in construction or documents related to the assistance; and will establish rehabilitation of residence structures. a proper accounting system in accordance with generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non directives. discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964 (P.L. 88-352) 3. Will not dispose of, modify the use of, or change the which prohibits discrimination on the basis of race, terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education site and facilities without permission and instructions Amendments of 1972, as amended (20 U.S.C. §§1681 from the awarding agency. Will record the Federal 1683, and 1685-1686), which prohibits discrimination awarding agency directives and will include a covenant on the basis of sex; (c) Section 504 of the in the title of real property acquired in whole or in part Rehabilitation Act of 1973, as amended (29) U.S.C. with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as 4. Will comply with the requirements of the assistance amended (42 U.S.C. §§6101-6107),which prohibits awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse approval of construction plans and specifications. Office and Treatment Act of 1972(P.L. 92-255), as amended relating to nondiscrimination on the basis of 5. Will provide and maintain competent and adequate drug abuse; (f)the Comprehensive Alcohol Abuse and engineering supervision at the construction site to Alcoholism Prevention, Treatment and Rehabilitation ensure that the complete work conforms with the Act of 1970(P.L. 91-616), as amended, relating to approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or progressive reports and such other information as may be alcoholism; (g)§§523 and 527 of the Public Health required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol 6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, 7. Will establish safeguards to prohibit employees from rental or financing of housing; (i)any other using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s) presents the appearance of personal or organizational under which application for Federal assistance is being conflict of interest, or personal gain. made; and (j)the requirements of any other nondiscrimination statue(s)which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 1bF1 F 11. Will comply, or has already complied,with the Federal actions to State(Clean Air) implementation requirements of Titles II and Ill of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of Assistance and Real Property Acquisition Policies Act of 1955, as amended(42 U.S.C. §§7401 et seq.); (g) 1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water treatment of persons displaced or whose property is under the Safe Drinking Water Act of 1974, as acquired as a result of Federal and federally-assisted amended (P.L. 93-523); and, (h)protection of programs.These requirements apply to all interests in real endangered species under the Endangered Species property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205). Federal participation in purchases. 16. Will comply with the Wild and Scenic Rivers Act of 12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C. §§1271 et seq.)related to protecting §§1501-1508 and 7324-7328)which limit the political components or potential components of the national activities of employees whose principal employment wild and scenic rivers system. activities are funded in whole or in part with Federal funds. 17. Will assist the awarding agency in assuring compliance 13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation Bacon Act(40 U.S.C.§§276a to 276a-7),the Copeland Act Act of 1966, as amended(16 U.S.C. §470), EO 11593 (40 U.S.C. §276c and 18 U.S.C. §874), and the Contract (identification and protection of historic properties), and Work Hours and Safety Standards Act(40 U.S.C. §§327- the Archaeological and Historic Preservation Act of 333)regarding labor standards for federally-assisted 1974(16 U.S.C. §§469a-1 et seq). construction subagreements. 18. Will cause to be performed the required financial and 14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133, (P.L. 93-234)which requires recipients in a special flood "Audits of States, Local Governments, and Non-Profit hazard area to participate in the program and to purchase Organizations." flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other Federal laws, executive orders, regulations, and policies 15. Will comply with environmental standards which may be governing this program. prescribed pursuant to the following: (a)institution of environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of Environmental Policy Act of 1969(P.L. 91- the Trafficking Victims Protection Act(TVPA)of 2000, as 190)and Executive Order(EO) 11514; (b)notification amended (22 U.S.C. 7104)which prohibits grant award of violating facilities pursuant to EO 11738; (c) recipients or a sub-recipient from(1) Engaging in severe protection of wetlands pursuant to EO 11990; (d) forms of trafficking in persons during the period of time evaluation of flood hazards in floodplains in accordance that the award is in effect(2)Procuring a commercial with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in with the approved State management program effect or(3) Using forced labor in the performance of the developed under the Coastal Zone Management Act of award or subawards under the award. 1972(16 U.S.C. §§1451 et seq.); (f)conformity of SIGNATU F AUTHORIZED RTIFYING OFFICIAL TITLE Chairman APPLICANT ORGANIZATION DATE SUBMITTED Collier County, Florida 05/12/2020 SF-424D(Rev.7-97)Back ATTEST ; ,0 rr. Approved as to form and legality CRYSTAL K:KINZ ,CLERK BY: • Ant County �ncy Attest as to Chairman's signature only. 0 y0 16F1 F INTERIM ESG-CV Certifications (NON-STATE) The Emergency Solutions Grants Program Recipient certifies that: Major rehabilitation/conversion—If an emergency shelter's rehabilitation costs exceed 75 percent of the value of the building before rehabilitation,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed rehabilitation. If the cost to convert a building into an emergency shelter exceeds 75 percent of the value of the building after conversion,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 10 years after the date the building is first occupied by a homeless individual or family after the completed conversion. In all other cases where ESG funds are used for renovation,the jurisdiction will maintain the building as a shelter for homeless individuals and families for a minimum of 3 years after the date the building is first occupied by a homeless individual or family after the completed renovation. EXCEPTION: In accordance with the CARES Act,the certifications in this paragraph do not apply with respect to CARES Act funding that is used to provide temporary emergency shelters (through leasing of existing property, temporary structures, or other means)to prevent,prepare for, and respond to coronavirus. Essential Services and Operating Costs—In the case of assistance involving shelter operations or essential services related to street outreach or emergency shelter,the jurisdiction will provide services or shelter to homeless individuals and families for the period during which the ESG assistance is provided,without regard to a particular site or structure, so long the jurisdiction serves the same type of persons (e.g., families with children,unaccompanied youth, disabled individuals, or victims of domestic violence) or persons in the same geographic area. EXCEPTION: In accordance with the CARES Act,the certification in this paragraph does not apply with respect to CARES Act funding that is used to provide temporary emergency shelters (through leasing of existing property,temporary structures, or other means)to prevent,prepare for, and respond to coronavirus. Renovation—Any renovation carried out with ESG assistance shall be sufficient to ensure that the building involved is safe and sanitary. Supportive Services—The jurisdiction will assist homeless individuals in obtaining permanent housing, appropriate supportive services (including medical and mental health treatment,victim services, counseling, supervision, and other services essential for achieving independent living), and other Federal State, local, and private assistance available for such individuals. 576.201. Confidentiality—The jurisdiction has established and is implementing procedures to ensure the confidentiality of records pertaining to any individual provided family violence prevention or treatment services under any project assisted under the ESG program, including protection against the release of the address or location of any family violence shelter project, except with ('n 0 16F1 F the written authorization of the person responsible for the operation of that shelter. Homeless Persons Involvement—To the maximum extent practicable,the jurisdiction will involve, through employment,volunteer services, or otherwise,homeless individuals and families in constructing, renovating, maintaining, and operating facilities assisted under the ESG program, in providing services assisted under the ESG program, and in providing services for occupants of facilities assisted under the program. Consolidated Plan—All activities the jurisdiction undertakes with assistance under ESG are consistent with the jurisdiction's consolidated plan. Discharge Policy—The jurisdiction will establish and implement,to the maximum extent practicable and where appropriate policies and protocols for the discharge of persons from publicly funded institutions or systems of care (such as health care facilities, mental health facilities, foster care or other youth facilities, or correction programs and institutions) in order to prevent this discharge from immediately resulting in homelessness for these persons. 34YX,44g€41000'a 16(\a ) 26°1-D ignature/Authorized Official Date 1. AC6 r ck. r\ Title •r„ ATTEST {"-• L CLERK Approved as to form and legality C YSTAL�• , � � •,_ BY: • � Ass slant County ev Attest as to Chairman's _ ''Sign?iture only. 16F1 F OMB Number:4040-0004 Expiration Date:12/31/2019 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): ❑ Preapplication El New ®Application ®Continuation *Other(Specify): ❑ Changed/Corrected Application ❑Revision *3.Date Received: 4.Applicant Identifier: B-19-UC-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: CDBG - COVID19 State Use Only: 6.Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EINITIN): *c.Organizational DUNS: 596000558 0769977900000 d.Address: *Streetl: 3339 Tamiami Trail East Street2: Public Services Division Suite 211 *City: Naples County/Parish: Collier County *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. *First Name: Kristi Middle Name: *Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: *Telephone Number: 239-252-2486 Fax Number: 239-252-2638 *Email: Kristi.Sonntag@colliercountyfl.gov p0 GF1 F Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.218 CFDA Title: Entitlement Grant - CDBG -COVID19 *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: CDBG - COVID Response Programs and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments i t 16F1 F Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 03/01/2020 *b.End Date: 09/30/2021 18.Estimated Funding($): *a.Federal 1,561,633.00 *b.Applicant *c.State *d.Local *e.Other *f. Program Income 0.00 *g.TOTAL 1,561,633.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? ® a.This application was made available to the State under the Executive Order 12372 Process for review on ▪ b.Program is subject to E.O. 12372 but has not been selected by the State for review. ▪ c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) Yes IN No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) ® **I AGREE **The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. "First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman *Telephone Number: 239-252-8603 Fax Number: Email: Burt rSaunder' 0sol1 Brcountyf1.gov *Signature of Authorized Representative. /J *Date Signed: 6 IL)IN I ATTEST , sue Approved as to form and legality CRYSTAL K.K INLEL,CLERK Aural. Vb, Assistant Coun turncy signature only.. 16 F 1 F ASSURANCES - CONSTRUCTION PROGRAMS OMB Number:4040-0009 Expiration Date:02/28/2022 Public reporting burden for this collection of information is estimated to average 15 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the Office of Management and Budget, Paperwork Reduction Project(0348-0042), Washington, DC 20503. PLEASE DO NOT RETURN YOUR COMPLETED FORM TO THE OFFICE OF MANAGEMENT AND BUDGET. SEND IT TO THE ADDRESS PROVIDED BY THE SPONSORING AGENCY. NOTE: Certain of these assurances may not be applicable to your project or program. If you have questions, please contact the Awarding Agency. Further, certain Federal assistance awarding agencies may require applicants to certify to additional assurances. If such is the case,you will be notified. As the duly authorized representative of the applicant:, I certify that the applicant: 1. Has the legal authority to apply for Federal assistance, 8. Will comply with the Intergovernmental Personnel Act and the institutional, managerial and financial capability of 1970(42 U.S.C. §§4728-4763) relating to prescribed (including funds sufficient to pay the non-Federal share standards of merit systems for programs funded of project costs)to ensure proper planning, under one of the 19 statutes or regulations specified in management and completion of project described in Appendix A of OPM's Standards for a Merit System of this application. Personnel Administration (5 C.F.R. 900, Subpart F). 2. Will give the awarding agency,the Comptroller General 9. Will comply with the Lead-Based Paint Poisoning of the United States and, if appropriate,the State, Prevention Act(42 U.S.C. §§4801 et seq.)which the right to examine all records, books, papers, or prohibits the use of lead-based paint in construction or documents related to the assistance; and will establish rehabilitation of residence structures. a proper accounting system in accordance with generally accepted accounting standards or agency 10. Will comply with all Federal statutes relating to non- directives. discrimination. These include but are not limited to: (a) Title VI of the Civil Rights Act of 1964(P.L. 88-352) 3. Will not dispose of, modify the use of, or change the which prohibits discrimination on the basis of race, terms of the real property title or other interest in the color or national origin; (b)Title IX of the Education site and facilities without permission and instructions Amendments of 1972, as amended(20 U.S.C. §§1681 from the awarding agency.Will record the Federal 1683, and 1685-1686),which prohibits discrimination awarding agency directives and will include a covenant on the basis of sex; (c) Section 504 of the in the title of real property acquired in whole or in part Rehabilitation Act of 1973, as amended (29) U.S.C. with Federal assistance funds to assure non- §794),which prohibits discrimination on the basis of discrimination during the useful life of the project. handicaps; (d)the Age Discrimination Act of 1975, as 4. Will comply with the requirements of the assistance amended (42 U.S.C. §§6101-6107),which prohibits awarding agency with regard to the drafting, review and discrimination on the basis of age; (e)the Drug Abuse approval of construction plans and specifications. Office and Treatment Act of 1972(P.L. 92-255), as amended relating to nondiscrimination on the basis of 5. Will provide and maintain competent and adequate drug abuse; (f)the Comprehensive Alcohol Abuse and engineering supervision at the construction site to Alcoholism Prevention, Treatment and Rehabilitation ensure that the complete work conforms with the Act of 1970 (P.L. 91-616), as amended, relating to approved plans and specifications and will furnish nondiscrimination on the basis of alcohol abuse or progressive reports and such other information as may be alcoholism; (g)§§523 and 527 of the Public Health required by the assistance awarding agency or State. Service Act of 1912(42 U.S.C. §§290 dd-3 and 290 ee 3), as amended, relating to confidentiality of alcohol 6. Will initiate and complete the work within the applicable and drug abuse patient records; (h)Title VIII of the time frame after receipt of approval of the awarding agency. Civil Rights Act of 1968(42 U.S.C. §§3601 et seq.), as amended, relating to nondiscrimination in the sale, 7. Will establish safeguards to prohibit employees from rental or financing of housing; (i)any other using their positions for a purpose that constitutes or nondiscrimination provisions in the specific statue(s) presents the appearance of personal or organizational under which application for Federal assistance is being conflict of interest, or personal gain. made; and (j)the requirements of any other nondiscrimination statue(s)which may apply to the application. Previous Edition Usable Authorized for Local Reproduction Standard Form 424D(Rev.7-97) Prescribed by OMB Circular A-102 • 16F1 F 11. Will comply, or has already complied,with the Federal actions to State(Clean Air)implementation requirements of Titles II and III of the Uniform Relocation Plans under Section 176(c)of the Clean Air Act of Assistance and Real Property Acquisition Policies Act of 1955, as amended(42 U.S.C. §§7401 et seq.); (g) 1970(P.L. 91-646)which provide for fair and equitable protection of underground sources of drinking water treatment of persons displaced or whose property is under the Safe Drinking Water Act of 1974, as acquired as a result of Federal and federally-assisted amended (P.L. 93-523); and, (h)protection of programs.These requirements apply to all interests in real endangered species under the Endangered Species property acquired for project purposes regardless of Act of 1973, as amended(P.L. 93-205). Federal participation in purchases. 16. Will comply with the Wild and Scenic Rivers Act of 12. Will comply with the provisions of the Hatch Act(5 U.S.C. 1968(16 U.S.C. §§1271 et seq.)related to protecting §§1501-1508 and 7324-7328)which limit the political components or potential components of the national activities of employees whose principal employment wild and scenic rivers system. activities are funded in whole or in part with Federal funds. 17. Will assist the awarding agency in assuring compliance 13. Will comply, as applicable,with the provisions of the Davis- with Section 106 of the National Historic Preservation Bacon Act(40 U.S.C. §§276a to 276a-7),the Copeland Act Act of 1966, as amended (16 U.S.C. §470), EO 11593 (40 U.S.C.§276c and 18 U.S.C. §874), and the Contract (identification and protection of historic properties), and Work Hours and Safety Standards Act(40 U.S.C. §§327- the Archaeological and Historic Preservation Act of 333)regarding labor standards for federally-assisted 1974(16 U.S.C. §§469a-1 et seq). construction subagreements. 18. Will cause to be performed the required financial and 14. Will comply with flood insurance purchase requirements of compliance audits in accordance with the Single Audit Section 102(a)of the Flood Disaster Protection Act of 1973 Act Amendments of 1996 and OMB Circular No.A-133, (P.L. 93-234)which requires recipients in a special flood "Audits of States, Local Governments, and Non-Profit hazard area to participate in the program and to purchase Organizations." flood insurance if the total cost of insurable construction and acquisition is$10,000 or more. 19. Will comply with all applicable requirements of all other 15. Will comply with environmental standards which may be Federal laws, executive orders, regulations, and policies governing this program. prescribed pursuant to the following: (a)institution of environmental quality control measures under the National 20. Will comply with the requirements of Section 106(g)of Environmental Policy Act of 1969(P.L. 91- the Trafficking Victims Protection Act(TVPA)of 2000, as 190)and Executive Order(EO) 11514; (b)notification amended (22 U.S.C. 7104)which prohibits grant award of violating facilities pursuant to EO 11738; (c) recipients or a sub-recipient from (1)Engaging in severe protection of wetlands pursuant to EO 11990; (d) forms of trafficking in persons during the period of time evaluation of flood hazards in floodplains in accordance that the award is in effect(2) Procuring a commercial with EO 11988; (e)assurance of project consistency sex act during the period of time that the award is in with the approved State management program effect or(3)Using forced labor in the performance of the developed under the Coastal Zone Management Act of award or subawards under the award. 1972(16 U.S.C. §§1451 et seq.); (f)conformity of SIGNATURE OF THORIZED CERTI YING OFFICIAL TITLE Chairman i APPLICANT ORGANIZATION DATE SUBMITTED Collier County, Florida 05/12/2020 SF-424D(Rev.7-97)Back ATTESTS . Approved as to form and legality CRYS J k.KiNzEL,CLERK �` Assistant County Attor icy Attest—as fothairman's signature only. or.) 16F1 F CERTIFICATIONS In accordance with the applicable statutes and the regulations governing the consolidated plan regulations, the jurisdiction certifies that: Affirmatively Further Fair Housing--The jurisdiction will affirmatively further fair housing. Uniform Relocation Act and Anti-displacement and Relocation Plan --It will comply with the acquisition and relocation requirements of the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended,(42 U.S.C. 4601-4655)and implementing regulations at 49 CFR Part 24. It has in effect and is following a residential anti-displacement and relocation assistance plan required under 24 CFR Part 42 in connection with any activity assisted with funding under the Community Development Block Grant or HOME programs. Anti-Lobbying--To the best of the jurisdiction's knowledge and belief: 1. No Federal appropriated funds have been paid or will be paid,by or on behalf of it,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 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, it will complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions;and 3. It will require that the language of paragraph 1 and 2 of this anti-lobbying 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. Authority of Jurisdiction--The consolidated plan is authorized under State and local law(as applicable) and the jurisdiction possesses the legal authority to carry out the programs for which it is seeking funding, in accordance with applicable HUD regulations. Consistency with plan --The housing activities to be undertaken with Community Development Block Grant,HOME,Emergency Solutions Grant, and Housing Opportunities for Persons With AIDS funds are consistent with the strategic plan in the jurisdiction's consolidated plan. Section 3--It will comply with section 3 of the Housing and Urban Development Act of 1968 (12 U.S.C. 1701u)and implementing regulations at 24 CFR Part 135. .0Y CCt� ATTEST , 2. Signature of Authorized Official Date CRYS4AL K 1;;-MIRK • BY: D1Cf ri\ClA Attest as to Chairman s Title signature only. Approved as to form and legality As taut County t rncy 16F1 F Specific Community Development Block Grant Certifications The Entitlement Community certifies that: Citizen Participation --It is in full compliance and following a detailed citizen participation plan that satisfies the requirements of 24 CFR 91.105. Community Development Plan --Its consolidated plan identifies community development and housing needs and specifies both short-term and long-term community development objectives that that have been developed in accordance with the primary objective of the CDBG program(i.e.,the development of viable urban communities,by providing decent housing and expanding economic opportunities,primarily for persons of low and moderate income)and requirements of 24 CFR Parts 91 and 570. Following a Plan--It is following a current consolidated plan that has been approved by HUD. Use of Funds--It has complied with the following criteria: 1.Maximum Feasible Priority. With respect to activities expected to be assisted with CDBG funds, it has developed its Action Plan so as to give maximum feasible priority to activities which benefit low-and moderate-income families or aid in the prevention or elimination of slums or blight. The Action Plan may also include CDBG-assisted activities which the grantee certifies are designed to meet other community development needs having particular urgency because existing conditions pose a serious and immediate threat to the health or welfare of the community, and other financial resources are not available(see Optional CDBG Certification). 2. Overall Benefit. The aggregate use of CDBG funds, including Section 108 guaranteed loans, during program year(s) • .200- o2.09.0 [a period specified by the grantee of one, two, or three specific consecutive program years], shall principally benefit persons of low and moderate income in a manner that ensures that at least 70 percent of the amount is expended for activities that benefit such persons during the designated period. 3. Special Assessments. It will not attempt to recover any capital costs of public improvements assisted with CDBG funds,including Section 108 loan guaranteed funds,by assessing any amount against properties owned and occupied by persons of low and moderate income, including any fee charged or assessment made as a condition of obtaining access to such public improvements. However, if CDBG funds are used to pay the proportion of a fee or assessment that relates to the capital costs of public improvements(assisted in part with CDBG funds)financed from other revenue sources,an assessment or charge may be made against the property with respect to the public improvements financed by a source other than CDBG funds. In addition,in the case of properties owned and occupied by moderate-income(not low-income) families,an assessment or charge may be made against the property for public improvements financed by a source other than CDBG funds if the jurisdiction certifies that it lacks CDBG funds to cover the assessment. Excessive Force--It has adopted and is enforcing: 1. A policy prohibiting the use of excessive force by law enforcement agencies within its jurisdiction against any individuals engaged in non-violent civil rights demonstrations; and 2. A policy of enforcing applicable State and local laws against physically barring entrance to or exit from a facility or location which is the subject of such non-violent civil rights demonstrations within its jurisdiction. 16F1 F Compliance with Anti-discrimination laws--The grant will be conducted and administered in conformity with title VI of the Civil Rights Act of 1964(42 U.S.C. 2000d)and the Fair Housing Act(42 U.S.C. 3601-3619) and implementing regulations. Lead-Based Paint--Its activities concerning lead-based paint will comply with the requirements of 24 CFR Part 35, Subparts A,B, J,K and R. Com liance with Laws--It will comply with applicable laws. Signature of Authorized Official Date lAatf man Title ATTEST Approved as to form and legality CRYSTAL,K. ZEL,CL < `.. �. BY:: Assistant County Wiley Atiest as to Charms signature only. ' ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 F 1 F 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. Susan Golden Community and Human '4g• 8/11/20 Services 2. Jennifer Belpedio County Attorney Office 0.,3 e 1 ►a.vao 3. BCC Office Board of Count y Commissioners ��}� g' 9,3 4. Minutes and Records Clerk of Court's Office i PC S1310ei •(9)v 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 Susan Golden/CHS Phone Number 252-2336 Contact/ Department Agenda Date Item was 4/27/2020 and ratified 5/12/2020-COVID Agenda Item Number 16.F.1.on 5/12/20 Approved by the BCC Type of Document HUD SF424—CDBG-CV&ESG-CV and Number of Original Attached regular entitlement CDBG,HOME&ESG Documents Attached 2 PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? S.i.pk NA 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 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 SG 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 NA 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 SG 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 SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA 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 aware of your deadlines! 8. The document was approved by the BCC 5/12/2020 and all changes made during the QQ /A is not meeting have been incorporated in the attached document. The County Attorney's* VA.X option for Office has reviewed the changes,if applicable. - `e is line. 9. Initials of attorney verifying that the attached document is the version approved by the /A is not BCC,all changes directed by the BCC have been made,and the document is ready for th 14 option for Chairman's signature. line. k # Ub vpdaAe.d Ms anol o ckanye-d ecp;ra-I;ey\ o,n +ap ri 3 -r coeher .his s "o .1- a a ca_` et, a a a,ok- as Skch doeS ho+ eevaire 4)1 4-letzr (30ct of a?p+-n"cc• 1 . ,q►S,.is\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 16F1 F Ann P. Jennejohn From: Ann P.Jennejohn Sent: Thursday, August 13, 2020 10:33 AM To: GoldenSusan Subject: Item #16F1 May 12, 2020 BCC Meeting (Updated Forms) Attachments: Item #16F1 May 12, 2020 BCC Meeting (Updated Forms).pdf Good Morning Susan, Executed copies of the above referenced documents from the May 12, 2020 13CC Meeting are attached for your records. Thank you! Ann Jennejohn 13MR Senior Deputy Clerk R. Clerk to the Value Adjustment Board ti r r',� Office: 239-252-8406 Fax: 239-252-8408 (if applicable) Ann.Jennejohn@CollierClerk.covvt 44-�� Office of the Clerk of the Circuit Court "`c% & Comptroller of Collier County 32qq Tamiami Trail, Suite #4O1 Naples, FL 34112-5324 www.CollierClerk.covn i 16Fi F Ann P. Jennejohn From: GoldenSusan <Susan.Golden@colliercountyfl.gov> Sent: Thursday, August 13, 2020 12:23 PM To: Ann P.Jennejohn Subject: RE:June 23, 2020 BCC Meeting Item #111 (Updated Forms) Thanks Ann. Saw both of your emails. I will stop over some time on Friday to pick up originals. In mtgs all day today. Respectfully, Susan Golden,AICP To improve our services and technical assistance to our clients,vendors or subrecipients,we ask that you provide us feedback on our services to your organization by completing the short survey contained at the following links: Affordable Housing: How was my service? Click here to take a survey Internal Partners,Vendors and Subrecipients: How was my service? Click here to take a survey Susan Golden, AICP Senior Grants& Housing Coordinator Community and Human Services 3339 Tamiami Trail E Suite 211 Naples, Fl 34112 239-252-2336 Susan.Golden@colliercountyfl.gov +C.o er Csoullty Making Our Community Stronger:One life,one home,one project at a time. From:Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com> Sent:Thursday,August 13, 2020 10:45 AM To: GoldenSusan<Susan.Golden@colliercountyfl.gov> Subject:June 23, 2020 BCC Meeting Item #111 (Updated Forms) EXTERNAL EMAIL:This email is from an external source. Confirm this is a trusted sender and use extreme caution when opening attachments or clicking links. Susan, Executed copies of the documents referenced above are attached for your records. Thank you. 1 16F1 F MEMORANDUM Date: August 13, 2020 To: Susan Golden, Senior Grants & Housing Coordinator Community & Human Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Updated Forms: HUD SF424 — CDBG-CV & ESG-CV & Regular Entitlement CDBG, HOME & ESG Attached, please find original copies of the documents referenced above, approved by the Board of County Commissioners (Item #16F1 (F)) on May 12, 2020. Copies will be held in the Minutes and Records Department for the Board's Official Record. If you have any questions, please contact me at 252-8406. Thank you. Attachment 16F1 F OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 • Type of Submission: "2.Type of Application "If Revision,select appropriate letter(s): Preapplication ®New ®Application ❑Continuation "Other(Specify): ❑ Changed/Corrected Application ❑Revision •3.Date Received: 4.Applicant Identifier B-20-Uw-120016 5a.Federal Entity Identifier: 5b Federal Award Identifier: CDB3-COVID19 State Use Only: 6 Date Received by State: 7.State Application Identifier: 8.APPLICANT INFORMATION: "a.Legal Name: Collier County Board of County Commissioners b.Employer/Taxpayer Identification Number(EIN/TIN) "c.Organizational DUNS: 596000558 0769977900000 d.Address: Street': 3339 Tamiami Trail East Street2' Public Services Division Suite 211 "City. Naples County/Parish: Collier County "State: FL: Florida Province- "Country. USA: UNITED STATES "Zip/Postal Code: 34112-5361 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms. "First Name: Kristi Middle Name: "Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: "Telephone Number: 239-252-2486 Fax Number: 239-252-2638 "Email: Kristi.Sonntag©colliercountyfl.gov Qom', 16F 1 F Application for Federal Assistance SF-424 •9.Type of Applicant 1:Select Applicant Type: P: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: 'Other(specify): *10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.218 1 CFDA Title: Entitlement Grant CDBG-COVID19 *12.Funding Opportunity Number: Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment #14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: CDBG-COVID 19 Response Programs and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 16F1 F Application for Federal Assistance SF-424 16.Congressional Districts Of: •a.Applicant 14, 25 b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 03/01/2020 *b.End Date 09/30/2021 18.Estimated Funding(S): "a.Federal 1,561,633.00 *b.Applicant *c.State ( *d.Local e.Other *f. Program Income *g.TOTAL 1,561,633.00 19.Is Application Subject to Review By State Under Executive Order 12372 Process? ❑ a.This application was made available to the State under the Executive Order 12372 Process for review on ❑ b.Program is subject to E.O.12372 but has not been selected by the State for review. ® c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) ❑Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 21,*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) **I AGREE "' The list of certifications and assurances, or an internet site where you may obtain this list is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. "First Name: Bur: Middle Name: L. "Last Name: Saunders Suffix: "Title: Chairman *Telephone Number: 239-252-860. Fax Number: • "Email. Burt.Saunders®o"!1iergoyn ,yf1.gov *Signature of Authorized Represent$ive, • : A€ f` *Date Signed: 1 C' 1_ _ �__.,_ r* ♦ L y�.y�"3QW ATTEST, •` Appravod to form and Icsality CKY tiNZEL,CLERK O BY: . :..rtIrlA ,••Lid( • Assistant County tornry e.lrir+it'rirn n'i I 16F1 F OMB Number:4040-0004 Expiration Date:12/31/2022 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): Preapplication ®New ®Application ❑Continuation *Other(Specify): ❑ Changed/Corrected Application Revision 3.Date Received: 4.Applicant Identifier E-20-UW-120016 5a.Federal Entity Identifier: 5b.Federal Award Identifier: ESG-00VID19 State Use Only: 6.Date Received by State: 7.State Application Identifier 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners b.Employer/Taxpayer Identification Number(EIN/TIN) 'c.Organizational DUNS: 596000558 0769977900000 d.Address: Streetl 3339 lamiami Trail East Street2: Public Services Division Suite 211 "City: Naples CountylParish: Collier County *State: FL: Florida Province: "Country: USA: UNITED STALES *Zip/Postal Code: 34112-53 61 e.Organizational Unit: Department Name: Division Name: Public Services Community and Human Services f.Name and contact information of person to be contacted on matters involving this application: Prefix: Ms *First Name: Kristi Middle Name: "Last Name: Sonntag Suffix: Title: Director, Community and Human Services Organizational Affiliation: *Telephone Number: 239-252-2485 Fax Number: 239-252-2638 *Email: Kristi.Sonntag®colliercountyf1.gov 16F1 F Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: b: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: Other(specify): "10.Name of Federal Agency: U.S. Department of Housing & Urban Development 11.Catalog of Federal Domestic Assistance Number: 14.231 CFDA Title: Entitlement Grant ESG-COVIDI9 "12.Funding Opportunity Number: Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): SF424 Attachment #14 Areas Affected by Proj Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: ESG-COVID 19 Response Programs and Administrative Activities Countywide Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 1 6F 1 F Application for Federal Assistance SF-424 16.Congressional Districts Of: "a.Applicant 14, 25 *b.Program/Project 14, 25 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: a.Start Date: 03/01/2020 "b.End Date: 09/30/2021 18.Estimated Funding(S): *a.Federal 707,128.00 *b.Applicant "c.State *d.Local e.Other *f. Program Income *g.TOTAL 707,128.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? ❑ a.This application was made available to the State under the Executive Order 12372 Process for review on ❑ b.Program is subject to E.O. 12372 but has not been selected by the State for review. ® c.Program is not covered by E.O. 12372. *20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.) 0 Yes ®No If"Yes",provide explanation and attach Arid Attachment Delete Attachment View Attachment 21.*By signing this application,I certify(1)to the statements contained In the list of certifications**and(2)that the statements herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001) ® **I AGREE "" The list of certifications and assurances, or an Internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. "Last Name: Saunders Suffix: "Title. Chairman *Telephone Number: 239-252-8603 •• Fax Number. "Email: Burt.Saunders®col l ieCcountyf 1.gev. 'Signature of Authorized Representative: �� "Date Signed: [7�4.1 t :ab ` ♦ a �IAJ ATTEST <'`T: Approved OF to form and legality CRYSTAL K.KINZare i'..•...1()1., , BY: ii._�_�..,._. • ��'4....�ti-szo ' C Sttl-� �G/A^4 @S 8S 'iy r ,® Asst nt County Ara (r, _.www{,..A Anil '\•_• ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIt TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1b F I F 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. Susan Golden Community and Human 9.25.2020 Services 2. Jennifer Belpedio County Attorney Office � Q 1o/ixlaoao 3. BCC Office Board of County Commissioners J 1rj, 10 5-°1 4. Minutes and Records Clerk of Court's Office ( cidD 1 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 Susan Golden/CHS Phone Number 252-2336 Contact/ Department Agenda Date Item was 4.27.20 In Absentia and 5.12.20 mtg Agenda Item Number 16.F.1.(f) 5.12.20 Approved by the BCC Type of Document 2 HUD Funding Agreements for CDBG-CV Number of Original CDBG-CV—2 Attached and ESG-CV Round 1 allocation Documents Attached ESG-CV-2 PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not A A.s licable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairma 's original '_ ature? N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, NA 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 SG 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 NA 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 SG 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 SG signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA 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 aware of your deadlines! 8. The document was approved by the BCC 5/12/2020 and all changes 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 /A is not BCC,all changes directed by the BCC have been made,and the document is ready for the option for Chairman's signature. is line. 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 16F1F a t1AE%r0 *11111111 v IIEVF` U.S. Department of Housing and Urban Development Office of Community Planning and Development Region IV, Miami Field Office Brickell Plaza Federal Building 909 SE First Avenue, Room 500 Miami, FL 33131-3042 September 22, 2020 Honorable Burt L. Sanders, Chairman Collier County Board of County Commissioners 3299 Tamiami Trail East, Suite 303 Naples, Florida 34112-5361 Dear Chairman Sanders: SUBJECT: CARES Act Award Transmittal FY 2020 Grant Funds Collier County The Miami CPD Field Office would like to thank you for your continued diligence in responding to the coronavirus crisis. The Coronavirus Aid, Relief and Economic Security (CARES) Act provides funding to enable your community to prevent, prepare for. and respond to coronavirus through providing quality subsidized housing and expanding economic opportunities for low-and moderate-income persons through Department of Housing and Urban Development (HUD) programs. Your community has been awarded CARES Act funding as noted below. You will need to execute a grant agreement amendment for any subsequent rounds of funding in addition to the original grant agreement for Round 1 program funds. One grant agreement or grant agreement amendment, as applicable, is attached for each program awarded as follows: Community Development Block Grant Program (CDBG-CV) Round 1 $ 1,561,633 Emergency Solutions Grants Program (ESG-CV) Round 1 $ 707,128 Transmittal of a grant agreement or grant agreement amendment does not constitute approval of the activities described in your Consolidated Plan. You are reminded that you, as the grantee, are responsible for ensuring that all grant funds are used in accordance with all program requirements. An executed grant agreement is a legally binding agreement. HUD's mission is to create strong,sustainable, inclusive communities and quality, affordable homes for all. www.hud.gov espanol.hud.gov t 6F1F CARES Act Provisions The CARES Act awards follow the existing regulations for each program, with additional flexibilities and suspensions that have been provided by HUD as well as those that will be outlined in forthcoming applicable program Notices. The HOPWA-CV notice was issued on May 8, 2020 and is posted here: m lannin(.2. Once CDBG and ESG Program Notices are final, they will be transmitted to all grantees for use in administering each program and will also be published in the Federal Register. Access the current waiver memoranda on HUD.gov here: ' ip, :'\\\A CIt,CS CC)f?lill pIdllllln£3 Administrative Guidelines Electronic signatures and email transmission are approved for the following: • Grant agreements • Grant agreement amendments • IDIS Online Access Request Form (HUD 27055) • Request for Release of Funds • Direct Deposit Sign-Up form (SF-1 199A) The Chief Elected Official and/or designee should execute two (2) copies of each attached grant agreement or grant agreement amendment, as applicable. To establish a Line of Credit for the supplemental CARES Act funds, it will be necessary for your agency to sign, execute and return one (I) copy of each grant agreement or grant agreement amendment. Electronic signature and email submission of the agreement or amendment to the field office is approved. Return one (1) copy of each agreement or amendment to this office to the attention of Ann D. Chavis, Director, Community Planning and Development via email message at: and cc: Lisa Bustamante, Program Manager at: Please ensure the signatory signs the CDBG-CV grant agreement in the box directly across from the HUD CPD Director's signature. The CDBG-CV Funding Approval/Agreement should not be electronically signed in box 12c. Maintain a copy of each agreement with the original signature on site in your program files. If there is a need to add or remove individuals authorized to access the Integrated Disbursement Information System (IDIS), please submit an IDIS Online Access Request Form (HUD 27055), which can be signed and notarized electronically. Additionally, if there is a need to establish or change the depository account where these funds are to be wired, a Direct Deposit Sign-Up form (SF-1199A) must be completed electronically by your financial institution and returned to this office by email with a copy of a voided check. HUD's mission is to create strong,sustainable,inclusive communities and quality, affordable homes for all. www.hud.eov espanol.hud.gov 16FZF You are reminded that these grants are subject to the provisions of 24 CFR Part 58 Environmental Review Procedures unless requirements are waived through the CARES Act. Funds for covered activities may not be obligated or expended until HUD has approved the release of funds. A request for release of funds (RROF) must be accompanied by an environmental certification, and until the RROF is approved and notification is received, no HUD funds should be committed. If the project or activity is exempt per 24 CFR 58.34 or categorically excluded (except in extraordinary circumstances), no RROF is required. Updated procedures are available at https://www.hudexchange.info/news/office-of-environment-and- energy-guidance-in-response-to-covid-19/. All grantees must ensure they maintain active Dun and Bradstreet Numbering System (DUNS) numbers in the System for Award Management (SAM) system. Entities must have an active and unexpired DUNS before execution of grant agreements to avoid delays in the obligation of funds which will delay your ability to drawdown funds in IDIS. Grantees are required to maintain an active SAMs registration by re-activating their DUNS number annually in the SAM system for the entire drawdown period of their grants. DUNS numbers can be registered and renewed each year at the following website: https://www.sam.gov/SAM/. Thank you for your efforts in supporting community needs in order to prevent, prepare for and respond to coronavirus, and we are available to assist you in accomplishing your programs goals. If you have any questions or need further information or assistance, please contact John Quade, Senior Community Planning and Development Representative at 305-520- 5018 or john.i.quadc . Sincerely, Ann D. Chavis, Director Office of Community Planning and Development Enclosures cc: Ms. Lisa Bustamante, Program Manager, U.S. H.U.D. HUD's mission is to create strong,sustainable,inclusive communities and quality,affordable homes for all. www.hud.gov espanol.hud.gov I6F1F Funding ApprovaUAgreement U.S.Department of Housing and Urban Development Title I of the Housing and Community Office of Community Planning and Development Development Act(Public Law 930383) Community Development Block Grant Program OMB Approval No.2506-0193 HI-00515R of 20515R exn 5/31/2.01 S 1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number Collier County 596000558 076997790 2.Grantee's Complete Address(as shown in item 5 of Standard Form 424) 4.Date use of funds may begin Collier County 09/22/2020 Community and Human Services Department 5a.Project/Grant No.1 6a.Amount Approved 3339 East Tamiami Trail B-20-UW-12-0016 $1,561,633 Naples,FL 34112 5b.Project/Grant No.2 6b.Amount Approved Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the authority of Title I of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee agrees to assume all of the responsibilities for environmental review,decision making,and actions,as specified and required in regulations issued by the Secretary pursuant to Section 104(g)of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub- recipient entities to which it makes funding assistance hereunder available. U.S.Department of Housing and Urban Development(By Name) Grantee Name(Contractual Organization) Ann D.Chavis Collier County Title Title CPD Director Cka,C- b. Signature Date Signature Date 09/22/2020 C—.. 4 7.Category of Title I Assistance for this Funding Action: 8.Special Conditions 9a.Date HUD Received Submission 10.check one (check one) 8/21/2020 ®a.Orig.Funding Entitlement,Sec 106(b) ❑None 9b.Date r � N �Ud Approval ®Attached IZ� El b.Amendment 9c.Date of Start of Program Year Amendment Number 10/01/2020 11.Amount of Community Development Block Grant FY(2020) a.Funds Reserved for this Grantee $1,561,633 b.Funds now being Approved $1,561,633 c.Reservation to be Cancelled (11a minus 11b) 12a.Amount of Loan Guarantee Commitment now being Approved 12b.Name and complete Address of Public Agency N/A N/A Loan Guarantee Acceptance Provisions for Designated Agencies: The public agency hereby accepts the Grant Agreement executed by the Department of Housing and Urban Development on the above date with 12c.Name of Authorized Official for Designated Public Agency respect to the above grant number(s)as Grantee designated to receive loan N/A guarantee assistance,and agrees to comply with the terms and conditions of the Agreement,applicable regulations,and other requirements of HUD Title now or hereafter in effect,pertaining to the assistance provided it. N/A Signature x N/A HUD Accounting use Only Effective Date Batch TAC Program Y A Reg Area Document No. Project Number Category Amount (mm/dd/yyyy) F 1 5 3 — — — — 1 7 6 — — — Y Project Number Amount V Project Number Amount Date Entered PAS(mm/dd/yyyy) ' Date Entered LOCCS(mm/ddlyyyy) Batch Number Transaction Code Entered By Verified By Avouvccl'as tb lbrm and Iegaliy ATTEST CRYCTA 1_ K. KYNjZ�tE'L CLEWK � irrrla Assistant County Att y BY, � � 16FiF Collier County CDBG-CV Grant Number: B-20-UW-12-0016 Additional CDBG-CV Requirements In addition to the terms and conditions in the Funding Approval/Agreement, the following requirements apply to Grantees receiving CDBG-CV funds in accordance with the Coronavirus Aid, Relief and Economic Security Act (CARES Act) (Pub. L. 116-136). 1) The Grantee agrees to comply with the requirements in the CARES Act that apply to CDBG-CV grants and must use the CDBG-CV grant funds to prevent, prepare for and respond to coronavirus. 2) The grantee agrees to comply with the requirements of the,Housing and Community Development Act of 1974 (42 USC 5301 et seq.) and implementing regulations at 24 CFR part 570, as now in effect and as may be amended from time to time, and as modified by the rules, waivers and alternative requirements published by HUD from time to time. Rules, waivers and alternative requirements of Federal Register notices applicable to CDBG-CV grants are hereby incorporated into and made a part of the grant agreement. 3) The Grantee may use CDBG-CV funds as reimbursement for previously incurred costs, provided that those costs are allowable and consistent with the CARES Act's purpose to prevent, prepare for and respond to coronavirus. 4) The grantee agrees to establish and maintain adequate procedures to prevent any duplication of benefits as required by section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155), as amended by section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Law 115-254; 132 Stat. 3442). 5) The period of performance for the funding assistance specified in the Funding Approval/Agreement ("Funding Assistance") shall be six years. It shall begin on the date specified in item 4 in the Funding Approval/Agreement and shall end six years later, on the month and day specified in item 4. The Grantee shall not incur any obligations to be paid with the Funding Assistance after this period of performance. 6) The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Funding Approval/Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Funding Approval/Agreement, provided that the rate(s) described comply with 2 CFR part 200, subpart E. I6FIF Collier County CDBG-CV Grant Number: B-20-UW-12-0016 Administering Direct Department/Agency Indirect cost rate Cost Base % % Instructions: The Recipient must identify each agency or department of the Recipient that will carry out activities under the grant, the indirect cost rate applicable to each department/agency (including if the de minimis rate is used per 2 CFR §200.414(f)), and the type of direct cost base to which the rate will be applied (for example, Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. 7) In addition to the conditions contained in the Funding Approval/Agreement (form HUD 7082), the grantee shall comply with requirements established by the Office of Management and Budget (OMB) concerning the Dun and Bradstreet Data Universal Numbering System (DUNS); the System for Award Management (SAM.gov.); the Federal Funding Accountability and Transparency Act as provided in 2 CFR part 25, Universal Identifier and General Contractor Registration; and 2 CFR part 170, Reporting Subaward and Executive Compensation Information. 8) The grantee shall ensure that no CDBG-CV funds are used to support any Federal, State, or local projects that seek to use the power of eminent domain, unless eminent domain is employed only for a public use. For the purposes of this requirement, public use shall not be construed to include economic development that primarily benefits private entities. Any use of funds for mass transit, railroad, airport, seaport or highway projects as well as utility projects which benefit or serve the general public (including energy-related, communication-related, water- related and wastewater-related infrastructure), other structures designated for use by the general public or which have other common-carrier or public-utility functions that serve the general public and are subject to regulation and oversight by the government, and projects for the removal of an immediate threat to public health and safety or brownfield as defined in the Small Business Liability Relief and Brownfields Revitalization Act (Public Law 107-118) shall be considered a public use for purposes of eminent domain. 16F1F Collier County CDBG-CV Grant Number: B-20-UW-12-0016 9) The Grantee or unit of general local government that directly or indirectly receives CDBG-CV funds may not sell, trade, or otherwise transfer all or any such portion of such funds to another such entity in exchange for any other funds, credits or non-Federal considerations, but must use such funds for activities eligible under title I of the Act. 10) E.O. 12372-Special Contract Condition - Notwithstanding any other provision of this agreement, no funds provided under this agreement may be obligated or expended for the planning or construction of water or sewer facilities until receipt of written notification from HUD of the release of funds on completion of the review procedures required under Executive Order (E.O.) 12372, Intergovernmental Review of Federal Programs, and HUD's implementing regulations at 24 CFR Part 52. The recipient shall also complete the review procedures required under E.O. 12372 and 24 CFR Part 52 and receive written notification from HUD of the release of funds before obligating or expending any funds provided under this agreement for any new or revised activity for the planning or construction of water or sewer facilities not previously reviewed under E.O. 12372 and implementing regulations. 11) CDBG-CV funds may not be provided to a for-profit entity pursuant to section 105(a)(17) of the Act unless such activity or project has been evaluated and selected in accordance with Appendix A to 24 CFR 570- "Guidelines and Objectives for Evaluating Project Costs and Financial Requirements." (Source—This condition is included as requirement on the use of fiscal year 2020 CDBG funds by the Community Development Fund heading, Department of Housing and Urban Development Appropriations Act, 2020, Public Law 116-94, and is made applicable to this grant by the CARES Act). 16F1F Funding Approval/Agreement U.S. Department of Housing and Urban Development Emergency Solutions Grants Program—CARES Act Funding Office of Community Planning and Development Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, 42 U.S.C. 11371 et seq.,and the CARES Act,Public Law 116-136 CFDA Number 14.231 1.Recipient Name and Address 2.Unique Federal Award Identification Number: Collier County E-20-UW-12-0016 Community and Human Services Department 3.Tax Identification Number: 596000558 3339 East Tamiami Trail Naples,FL 34112 4.Unique Entity Identifier(DUNS):076997790 5.Fiscal Year 2020: 2020(Supplemental CARES Act funding) 6.Previous Obligation(Enter"0"for initial CARES Act allocation) $0 7.Amount of Funds Obligated or Deobligated by This Action(+or $707,128 8.Total Amount of Federal Funds Obligated $707,128 9.Total Required Match:$0 10.Period of Performance Start Date(the date listed in Box 16) 11.Period of Performance End Date(24 months after the date 09/22/2020 listed in Box 16) 09/21/2022 12.Type of Agreement(check applicable box) 13.Special Conditions and Requirements ® Initial Agreement(Purpose#1—Initial CARES Act allocation) ❑Amendment(Purpose#2—Deobligation of funds) ❑Not applicable ®Attached ❑Amendment(Purpose#3—Obligation of additional funds) General Terms and Conditions:This Agreement between the U.S.Department of Housing and Urban Development(HUD)and the Recipient is made pursuant to the authority provided under the"Homeless Assistance Grants"heading of title XII of Division B of the CARES Act(Public Law 116-136)and Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act(42 U.S.C. 11371 et seq.). Subject to the CARES Act and any waivers or alternative requirements HUD shall make as provided by that Act,the Recipient's Consolidated Plan submissions(including the Recipient's approved annual Action Plan and any amendments),the Emergency Solutions Grants Program regulations at 24 CFR Part 576(as now in effect and as may be amended from time to time),and this Agreement, including any special conditions and requirements attached to this Agreement,constitute part of this Agreement. Subject to the terms and conditions of this Agreement,HUD will make the funds available to the Recipient upon execution of this Agreement by the Recipient and HUD. The funds may be used for costs incurred by a State or locality before the Period of Performance,provided the costs are otherwise allowable and were incurred to prevent,prepare for,and respond to coronavirus. The Recipient agrees to assume all of the responsibilities with respect to environmental review,decision making,and action required under the HUD regulations at 24 CFR Part 58,subject to the exception the CARES Act provides for temporary emergency shelters. Nothing in this Agreement shall be construed as creating or justifying any claim against the federal government or the Recipient by any third party. Without the Recipient's execution of an amendment or other consent,HUD may amend this Agreement either to provide additional funds to the Recipient under the CARES Act or to deobligate funds under this Agreement in accordance with applicable law. 14.For the U.S.Department of HUD(Name,Title,and Contact Information 15.Signature 16.Federal Award Date of Authorized Official) 09/22/2020 Ann D.Chavis CPD Director 17.For the Recipient(Name and Title of Authorized Official) 18.Si gnati/z re `�CG� 19.Date �r`�' • 50�n�erseinc6 r-rm r\ a"/3? -a Funding Information(HUD Accounting Use Only): PAS Code:HAEV Region:04 Program Code:E19 Appropriation:00192 Office:(Miami) Allotment:868 Appro Symbol:F ATTEST CRYSTAL K.KIN7.F.1 ,CLERK Approved as to form and legality • BY: . >. R, A ant County Ant ey then iS Ch., a itanature only; t6F1F Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Indirect Cost Rate The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Agreement,provided that the rate(s) described comply with 2 CFR part 200, subpart E. Instructions: The Recipient must identify each agency or department of the Recipient that will carry out activities under the grant, the indirect cost rate applicable to each department/agency (including if the de minimis rate is used per 2 CFR§200.4140, and the type of direct cost base to which the rate will be applied(for example,Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. Recipient Direct Department/Agency Indirect cost rate Cost Base 36F1F Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Serving Youth Who Lack 3rd Party Documentation or Live in Unsafe Situations Notwithstanding any contrary requirements under the McKinney-Vento Homeless Assistance Act or 24 CFR part 576, youth aged 24 and under who seek assistance (including shelter, services or rental assistance) shall not be required to provide third- party documentation that they meet the homeless definition in 24 CFR 578.3 as a condition for receiving assistance; and unaccompanied youth aged 24 and under(or families headed by youth aged 24 and under)who have an unsafe primary nighttime residence and no safe alternative to that residence shall be considered homeless for purposes of assistance provided by any private nonprofit organization whose primary mission is to provide services to youth aged 24 and under and families headed by youth aged 24 and under. 16FiF Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Recipient Integrity and Performance Matters (applicable if the amount in Box 8 of the Agreement is greater than$500,000) The Recipient shall comply with the requirements in Appendix XII to 2 CFR part 200— Award Term and Condition for Recipient Integrity and Performance Matters. I6F1F Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Restriction on CARES Act Funds The funds under this Agreement may only be used to prevent,prepare for, and respond to coronavirus, among individuals and families who are homeless or receiving homeless assistance, and to support additional homeless assistance and homelessness prevention activities to mitigate the impacts created by coronavirus. People experiencing homelessness shall not be required to receive treatment or perform any other prerequisite activities as a condition for receiving assistance. 16FiF Funding Approval/Agreement U.S.Department of Housing and Urban Development Title I of the Housing and Community Office of Community Planning and Development Development Act(Public Law 930383) Community Development Block Grant Program OMB Approval No.2506-0193 HI-00515R of 20515R exp 5/3l/201 R 1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number Collier County 596000558 076997790 2.Grantee's Complete Address(as shown in item 5 of Standard Form 424) 4.Date use of funds may begin Collier County 09/22/2020 Community and Human Services Department 5a.Project/Grant No.1 6a.Amount Approved 3339 East Tamiami Trail B-20-UW-12-0016 $1,561,633 Naples,FL 34112 5b.Project/Grant No.2 6b.Amount Approved Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the authority of Title I of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee agrees to assume all of the responsibilities for environmental review,decision making, and actions,as specified and required in regulations issued by the Secretary pursuant to Section 104(g)of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub- recipient entities to which it makes funding assistance hereunder available. U.S.Department of Housing and Urban Development(By Name) Grantee Name(Contractual Organization) Ann I).Chavis Collier County Title Title CPD Director Ck(�►r�� Signature Date Signature Date • x 09/22/2020 x �Ce431, f s 7.Category of Title I Assistance for this Funding Action: 8.Special Conditions 9a.Date HUD Received Submission 10.check one (check one) 8/21/2020 ®a.Orig.Funding Entitlement,Sec 106(b) ❑None G Approval ®Attached 9b.Date Ur /L2 J2U2U b.Amendment 9c.Date of Start of Program Year Amendment Number 10/01/2020 11.Amount of Community Development Block Grant FY(2020) a.Funds Reserved for this Grantee $1,561,633 b.Funds now being Approved $1,561,633 c.Reservation to be Cancelled (11a minus 11b) 12a.Amount of Loan Guarantee Commitment now being Approved 12b.Name and complete Address of Public Agency N/A N/A Loan Guarantee Acceptance Provisions for Designated Agencies: The public agency hereby accepts the Grant Agreement executed by the Department of Housing and Urban Development on the above date with 12c.Name of Authorized Official for Designated Public Agency respect to the above grant number(s)as Grantee designated to receive loan N/A guarantee assistance,and agrees to comply with the terms and conditions Title of the Agreement,applicable regulations,and other requirements of HUD now or hereafter in effect,pertaining to the assistance provided it. N/A Signature N/A HUD Accounting use Only Effective Date Batch TAC Program Y A Reg Area Document No. Project Number Category Amount (mm/dd/yyyy) F I 5 3 — — — 1 7 6 — — — Y Project Number Amount Project Number Amount l Date Entered PAS(mm/dd/yyyy) Date Entered LOCCS(mm/dd/yyyy) Batch Number Transactio Cod E ed B Verified By AT2FCT Approve$as fo turn'anu legality CRYSTAL K: KINZEL,CLERK BY: .s,4.3 Ass ant County A torn I6F1F Collier County CDBG-CV Grant Number: B-20-UW-12-0016 Additional CDBG-CV Requirements In addition to the terms and conditions in the Funding Approval/Agreement, the following requirements apply to Grantees receiving CDBG-CV funds in accordance with the Coronavirus Aid, Relief and Economic Security Act (CARES Act) (Pub. L. 116-136). 1) The Grantee agrees to comply with the requirements in the CARES Act that apply to CDBG-CV grants and must use the CDBG-CV grant funds to prevent, prepare for and respond to coronavirus. 2) The grantee agrees to comply with the requirements of the Housing and Community Development Act of 1974 (42 USC 5301 et seq.) and implementing regulations at 24 CFR part 570, as now in effect and as may be amended from time to time, and as modified by the rules, waivers and alternative requirements published by HUD from time to time. Rules, waivers and alternative requirements of Federal Register notices applicable to CDBG-CV grants are hereby incorporated into and made a part of the grant agreement. 3) The Grantee may use CDBG-CV funds as reimbursement for previously incurred costs, provided that those costs are allowable and consistent with the CARES Act's purpose to prevent, prepare for and respond to coronavirus. 4) The grantee agrees to establish and maintain adequate procedures to prevent any duplication of benefits as required by section 312 of the Robert T. Stafford Disaster Relief and Emergency Assistance Act (42 U.S.C. 5155), as amended by section 1210 of the Disaster Recovery Reform Act of 2018 (division D of Public Law 115-254; 132 Stat. 3442). 5) The period of performance for the funding assistance specified in the Funding Approval/Agreement ("Funding Assistance") shall be six years. It shall begin on the date specified in item 4 in the Funding Approval/Agreement and shall end six years later, on the month and day specified in item 4. The Grantee shall not incur any obligations to be paid with the Funding Assistance after this period of performance. 6) The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Funding Approval/Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Funding Approval/Agreement, provided that the rate(s) described comply with 2 CFR part 200, subpart E. 16Fli Collier County CDBG-CV Grant Number: B-20-UW-12-0016 Administering Direct Department/Agency Indirect cost rate Cost Base o� % % Instructions: The Recipient must identify each agency or department of the Recipient that will carry out activities under the grant, the indirect cost rate applicable to each department/agency (including if the de minimis rate is used per 2 CFR §200.414(f)), and the type of direct cost base to which the rate will be applied (for example, Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. 7) In addition to the conditions contained in the Funding Approval/Agreement (form HUD 7082), the grantee shall comply with requirements established by the Office of Management and Budget (OMB) concerning the Dun and Bradstreet Data Universal Numbering System (DUNS); the System for Award Management (SAM.gov.); the Federal Funding Accountability and Transparency Act as provided in 2 CFR part 25, Universal Identifier and General Contractor Registration; and 2 CFR part 170, Reporting Subaward and Executive Compensation Information. 8) The grantee shall ensure that no CDBG-CV funds are used to support any Federal, State, or local projects that seek to use the power of eminent domain, unless eminent domain is employed only for a public use. For the purposes of this requirement, public use shall not be construed to include economic development that primarily benefits private entities. Any use of funds for mass transit, railroad, airport, seaport or highway projects as well as utility projects which benefit or serve the general public (including energy-related, communication-related, water- related and wastewater-related infrastructure), other structures designated for use by the general public or which have other common-carrier or public-utility functions that serve the general public and are subject to regulation and oversight by the government, and projects for the removal of an immediate threat to public health and safety or brownfield as defined in the Small Business Liability Relief and Brownfields Revitalization Act (Public Law 107-118) shall be considered a public use for purposes of eminent domain. 1 6 r IF Collier County CDBG-CV Grant Number: B-20-UW-12-0016 9) The Grantee or unit of general local government that directly or indirectly receives CDBG-CV funds may not sell, trade, or otherwise transfer all or any such portion of such funds to another such entity in exchange for any other funds, credits or non-Federal considerations, but must use such funds for activities eligible under title I of the Act. 10) E.O. 12372-Special Contract Condition - Notwithstanding any other provision of this agreement, no funds provided under this agreement may be obligated or expended for the planning or construction of water or sewer facilities until receipt of written notification from HUD of the release of funds on completion of the review procedures required under Executive Order (E.O.) 12372, Intergovernmental Review of Federal Programs, and HUD's implementing regulations at 24 CFR Part 52. The recipient shall also complete the review procedures required under E.O. 12372 and 24 CFR Part 52 and receive written notification from HUD of the release of funds before obligating or expending any funds provided under this agreement for any new or revised activity for the planning or construction of water or sewer facilities not previously reviewed under E.O. 12372 and implementing regulations. 11) CDBG-CV funds may not be provided to a for-profit entity pursuant to section 105(a)(17) of the Act unless such activity or project has been evaluated and selected in accordance with Appendix A to 24 CFR 570 - "Guidelines and Objectives for Evaluating Project Costs and Financial Requirements." (Source—This condition is included as requirement on the use of fiscal year 2020 CDBG funds by the Community Development Fund heading, Department of Housing and Urban Development Appropriations Act, 2020, Public Law 116-94, and is made applicable to this grant by the CARES Act). 16FIF Funding Approval/Agreement U.S.Department of Housing and Urban Development Emergency Solutions Grants Program—CARES Act Funding Office of Community Planning and Development Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, 42 U.S.C. 11371 et seq.,and the CARES Act,Public Law 116-136 CFDA Number 14.231 1.Recipient Name and Address 2.Unique Federal Award Identification Number: Collier County E-20-UW-12-0016 Community and Human Services Department 3339 East Tamiami Trail 3.Tax Identification Number: 596000558 Naples,FL 34112 4. Unique Entity Identifier(DUNS):076997790 5.Fiscal Year 2020: 2020(Supplemental CARES Act funding) 6.Previous Obligation(Enter"0"for initial CARES Act allocation) $0 7.Amount of Funds Obligated or Deobligated by This Action(+or $707,128 8.Total Amount of Federal Funds Obligated $707,128 9.Total Required Match:$0 10.Period of Performance Start Date(the date listed in Box 16) 11.Period of Performance End Date(24 months after the date listed in Box 16) 09/22/2020 09/21/2022 12.Type of Agreement(check applicable box) 13.Special Conditions and Requirements ® Initial Agreement(Purpose#1 —Initial CARES Act allocation) ❑Amendment(Purpose#2—Deobligation of funds) ❑ Not applicable ®Attached ❑Amendment(Purpose#3—Obligation of additional funds) General Terms and Conditions:This Agreement between the U.S.Department of Housing and Urban Development(HUD)and the Recipient is made pursuant to the authority provided under the"Homeless Assistance Grants"heading of title XII of Division B of the CARES Act(Public Law 116-136)and Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act(42 U.S.C.11371 et seq.). Subject to the CARES Act and any waivers or alternative requirements HUD shall make as provided by that Act,the Recipient's Consolidated Plan submissions(including the Recipient's approved annual Action Plan and any amendments),the Emergency Solutions Grants Program regulations at 24 CFR Part 576(as now in effect and as may be amended from time to time),and this Agreement, including any special conditions and requirements attached to this Agreement,constitute part of this Agreement. Subject to the terms and conditions of this Agreement,HUD will make the funds available to the Recipient upon execution of this Agreement by the Recipient and HUD. The funds may be used for costs incurred by a State or locality before the Period of Performance,provided the costs are otherwise allowable and were incurred to prevent,prepare for,and respond to coronavirus. The Recipient agrees to assume all of the responsibilities with respect to environmental review,decision making,and action required under the HUD regulations at 24 CFR Part 58,subject to the exception the CARES Act provides for temporary emergency shelters. Nothing in this Agreement shall be construed as creating or justifying any claim against the federal government or the Recipient by any third party. Without the Recipient's execution of an amendment or other consent, HUD may amend this Agreement either to provide additional funds to the Recipient under the CARES Act or to deobligate funds under this Agreement in accordance with applicable law. 14. For the U.S.Department of HUD(Name,Title,and Contact Information 15.Signature 16.Federal Award Date of Authorized Official) / {, 09/22/2020 Ann D.Chavis _^ _ CPD Director 17. For the Recipient(Name and Title of Authorized Official) 18. gnatur 19. Date / / VA L• c`�01A42 rSciloc6r-rm_r, /p /3 22c) Funding Information(HUD Accounting Use Only): PAS Code:HAEV Region:04 Program Code:E19 Appropriation:00192 Office:(Miami) Allotment:868 Appro Symbol:F CRYSTAL K. KINZEL, CLERK D ut rk Attest as'to Ciia an signature only. 16FIF Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Indirect Cost Rate The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Agreement,provided that the rate(s) described comply with 2 CFR part 200, subpart E. Instructions: The Recipient must ident0)each agency or department of the Recipient that will carry out activities under the grant, the indirect cost rate applicable to each department/agency (including if the de minimis rate is used per 2 CFR§200.4140), and the type of direct cost base to which the rate will be applied(for example, Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. Recipient Direct Department/Agency Indirect cost rate Cost Base 16FIF Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Serving Youth Who Lack 3rd Party Documentation or Live in Unsafe Situations Notwithstanding any contrary requirements under the McKinney-Vento Homeless Assistance Act or 24 CFR part 576, youth aged 24 and under who seek assistance (including shelter, services or rental assistance) shall not be required to provide third- party documentation that they meet the homeless definition in 24 CFR 578.3 as a condition for receiving assistance; and unaccompanied youth aged 24 and under(or families headed by youth aged 24 and under) who have an unsafe primary nighttime residence and no safe alternative to that residence shall be considered homeless for purposes of assistance provided by any private nonprofit organization whose primary mission is to provide services to youth aged 24 and under and families headed by youth aged 24 and under. 16F1F1 Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Recipient Integrity and Performance Matters (applicable if the amount in Box 8 of the Agreement is greater than $500,000) The Recipient shall comply with the requirements in Appendix XII to 2 CFR part 200— Award Term and Condition for Recipient Integrity and Performance Matters. 16F1F Collier County E-20-UW-12-0016 Special Conditions and Requirements for CARES Act funding for ESG Restriction on CARES Act Funds The funds under this Agreement may only be used to prevent, prepare for, and respond to coronavirus, among individuals and families who are homeless or receiving homeless assistance, and to support additional homeless assistance and homelessness prevention activities to mitigate the impacts created by coronavirus. People experiencing homelessness shall not be required to receive treatment or perform any other prerequisite activities as a condition for receiving assistance.