Backup Documents 01/25/2022 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i Q
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. Judith Sizensky Community and Human 1/21/22
Services
2. County Attorney Office County Attorney Office ck,3 1 ' a y '
3. BCC Office Board of County 014
Commissioners ,,17 //&1/
4. Minutes and Records Clerk of Court's Office
its -2' —
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 Judith Sizensky/CHS Phone Number 252-2590
Contact/Depai tinent
Agenda Date Item was 1/25/2022 Agenda Item Number 16.D.4
Approved by the BCC
Type of Document Amendment to CDBG Grant Agreement- Number of Original 2 (dophoit thooLub)
Attached City of Naples-Street Lighting Documents Attached
PO number or account Pick-up
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) Applipable)
1. Does the document require the chairman's original signature? S \ 0 4V/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 JS
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 JS
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 JS
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 end and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County 5_1— " ti option for
Attorney's Office has reviewed the changes,if applicable. 1,a .1a ., is line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the an option for
Chairman's signature. kis 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
1 60 4
MEMORANDUM
Date: January 27, 2022
To: Judith Sizensky, Grants Coordinator
Housing & Human Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment to CDBG Grant Agreement:
City of Naples — Street Lighting
Attached, is an original copy of the agreement amendment referenced above,
(Item #16D4) approved by the Board of County Commissioners January 25, 2022.
The second original agreement amendment 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
16Q4
FAIN# B-21-UC-12-0016
Federal Award Date EST. 10/2021
Federal Award Agency HUD
CFDA Name Community
Development Block
Grant
CFDA/CSFA# 14.218
Total Amount of Federal $183,676 $683,676
Funds Awarded
Subrecipient Name City of Naples
DUNS# 084130293
FEIN 59-6000382
R&D NA
Indirect Cost Rate NA
Period of Performance 10/1/2021 —04/30/2023
Fiscal Year End 09/30
Monitor End: 04/30/2028
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
CITY OF NAPLES
CDBG Grant Program— Construction
THIS AMENDMENT is made and entered into this o�SA day of 1/) , 2022, by and between Collier
County, a political subdivision of the State of Florida, (COUNTY) having its principal address at 3339 E
Tamiami Trail, Naples FL 34112, and City of Naples (SUBRECIPIENT), a governmental organization
having its principal office at 735 8th Street South Naples,FL 34102-1401 .
RECITALS
WHEREAS, on June 22, 2021, the COUNTY has entered into an Agreement for awarding a
Community Development Block Grant(CDBG)Program to the City of Naples; and
WHEREAS, the County has entered into an agreement with the United States Department of
Housing and Urban Development(HUD)for a grant for the execution and implementation of a Community
Development Block Grant Program in certain areas of Collier County, pursuant to Title I of the Housing
and Community Development Act of 1974(as amended); and
WHEREAS,the Board of County Commissioners of Collier County(Board)approved the Collier
County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2021-2022 for the CDBG
Program with Resolution 2021-131 on June 22,2021—Agenda Item 16.D.7 ; and
WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan
concerning the preparation of various Annual Action Plans,the COUNTY advertised the 2021-2022 Annual
Action Plan, on May 1, 2021, with a 30-day Citizen Comment period from May 1, 2021 to June 1, 2021;
and
City of Naples Street Lighting Project CD21-02 First Amendment
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16D4
WHEREAS, the parties desire to increase the project budget to allow for additional street light
replacements,and update CHS contact information.
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable
consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to
amend the Agreement as follows:
Words Struek Tlw ugh are deleted; Words Underlined are added
PART I
SCOPE OF WORK
The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required
as a condition of providing CDBG assistance as provided herein and, as determined by Collier County
Community and Human Services (CHS) Division, perform the tasks necessary to conduct the program as
follows:
Project Name: City of Naples Street Lighting
Description of project and outcome: To provide safe and secure lighting for its residents, the City
of Naples is updating the street lighting in the Riverside River Park location.
Project Component One: Purchase and install street lighting with updated wiring for increased
safety along public sidewalks in Riverside River Park.
The property will be deed restricted for five(5)years commencing on the date of initially meeting
one of the National Objectives, in accordance with 24 CFR 570.505, if applicable.
1.2 PROJECT DETAILS
A. Project Description/project Budget
Description Federal Amount
Project Component I: Purchase and install street lighting with updated wiring for $183,676
increased safety along public sidewalks in Riverside-River Park $683,676
Total Federal Funds: $183,676
$683,676
* * *
Detailed Project Schedule Project Schedule Within sixty(60)days of
Agreement execution
Project Plans and Specifications Site Plans and Specifications Prior to procurement
CITY OF NAPLES
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Subcontractor Log Subcontractor Log Initially at construction start,
and quarterly thereafter
Progress Report Exhibit C Quarterly reports. Annually after
closeout.
Section 3 Report Quarterly report of new hire Quarterly; within 10 days
information following the end of the quarter.
Annually after closeout.
Davis-Bacon Act Certified Weekly Certified Payroll Weekly within 7 days following
Payroll reports, forms,and supporting issuance of payroll checks
documentation
Annual Audit Monitoring Exhibit E Annually, within 60 days after
Report then end of the FY end
Financial and Compliance Audit Audit, Management Letter,and Annually: nine(9)months after
Supporting Documentation FY end for Single Audit OR one
hundred eighty(180)days after
FY end
Continued Use Certification Continued Use Affidavit, if Annually; for five(5)years after
applicable meeting the National Objective
Capital Needs Assessment Plan Plan approved by the COUNTY Initial Plan due after completion
of construction. Annually
through the period of continued
use
Program Income Reuse Plan Plan Approved by the COUNTY N/A
D. Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 1: Purchase Submission of supporting documents Submission of'
and install street lighting with must be provided as backup, as evidenced monthly invoices due
updated wiring for increased by invoices, receipts, completed AIA by the 10th of the
safety along public sidewalks in G702-1992 form or equivalent document month for prior month
Riverside-River Park. per contractor's Schedule of Values, services/activities.
check stubs, bank statements, copy of
permits, and any other additional
documentation as requested. 10%
retainage will be held until monitoring
clearance.
Final 10 percent of award amount will be paid upon completion of final monitoring clearance and
documentation of meeting the National Objective. Failure by the SUBRECIPIENT to achieve the National
Objective will require repayment of the CDBG investment under this Agreement.
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available O*' ORE.D EIGHTY THn ;, T SOUS AND X
SIX HUNDRED AND EIGHTY THREE THOUSAND
SIX HUNDRED AND SEVENTY SIX($683,676) for use by the SUBRECIPIENT, during the
term of the Agreement(hereinafter, shall be referred to as the"Funds").
CITY OF NAPLES
CD21-02 First Amendment
Street Lighting Project O
16Dis:
1.6 NOTICES
COLLIER COUNTY ATTENTION: Iiaeliel en, Judith Sizensky,Grant Coordinator
Collier County Government
Community and Human Services Division
3339 E Tamiami Trail, Suite 211
Naples, Florida 34112
EmaiI:Raelie-Ransen CoIliercountyf1.gev
Judith.Sizenskyccol liercountyfl.gov
* * *
IN WITNESS WHEREOF,the S1IBRECIPIENT and COUNTY, have each respectively, by an authorized
person or agent, hereunder set their hands and seals on the date first written above.
ATTEST`. BOARD OF COU " • •• S1ONERS OF
CRY§:Pt12,KKIZEL,CLERK COLLIER C •
0110
Ore erk
At st,aS (Pal Wil dam L. McDaniel, Jr., Chairman
signature 0►rtY,..
Date: 1
��1--�� CITY OF NAPLES
Dated:
(SEAL)
By:
TF,RESA HEITMANN, AYOR
Date: /4/3*
Approved as to form and legality: Approved as to form and legali :
Jennifer A. edio el
p 'ate �K't ts," S U #lfL 14_4
Assistant County Attorney �\ City A of ney
as �``�
Date: 1 a.S) Date: / t i 3/..)-(
CITY OF NAPLES
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EXHIBIT 13
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
SECTION I: REQUEST FOR PAYMENT
SUBRECIPIENT Name: City of Naples
SUBRECIPIENT Address: 735 8'1' Street South Naples, Florida 34102
Project Name: Rivepsitle River Park—Street Lighting Project
Project No: CD21-02 _ Payment Request #
Total Payment Minus Retainage
Period of Availability: _through
Period for which the Agency has incurred the indebtedness through
SECTION II: STATUS OF FUNDS
Subrecipient CI IS Approved
1.Grant Amount Awarded $ $
2.Total Amount of Previous Requests $ $
3. Amount of Today's Request(Net of Retainage, if $ $
applicable)
4. Current Grant Balance (Initial Grant Amount Award $ $
request)(includes Retainage)
I certify that this request for payment has been made in accordance with the terms and conditions of the
Agreement between the COUNTY and us as the SUBRECIPIENT.'I'o the best of my knowledge and belief,
all grant requirements have been followed.
Signature Date
Title
Authorizing Grant Coordinator Authorizing Grant Accountant
Supervisor(Approval required $15,000 and Division Director(Approval Required
above) $15,000 and above)
CITY OF NAPLES
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EXHIBIT C
QUARTERLY PERFORMANCE REPORT DATA
The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement
and Information System(IDIS).The COUNTY reports information on a quarterly basis.To facilitate in the
preparation of such reports,SUBRECIPIENT shall submit the information contained herein within ten(10)
days of the end of each calendar quarter. At COUNTY's discretion, SUBRECIPIENT may be required to
enter the information collected on this exhibit into an online grant management system.
Subrecipient Name: City of Naples Date:
Project Title: Riverzide River Park Street Lighting Project IDIS#:
Program Contact: Felix Gomez Telephone Number: 239-213-7101
Activity Reporting Period Report Due Date
October 1"—December 3151 January 10'h
January I"— March 31" April 10'h _
April 1"—June 30th July 10111
July I"—September 30'h October I0'1i
REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period):
12/31/21 3/31/22 6/30/22 9/30/22 Please note: The HUD Program year begins October 1,2021 —September 30,2022. Each quarterly report must include __
cumulative data beginning from the start of the program year October I,2021.
I. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your
progress in meeting those goals since October I,2021.
a. Outcome Goals: list the outcome goal(s) from your approved application and SUBRECIPIENT Agreement
Outcome I: Install 20 street lights, including upgraded wiring
Outcome 2: Meet the National Objective
Outcome 3:
b. Goal Progress: Indicate the progress to date in meeting each outcome goal.
Outcome 1: Meet the National Objective _
Outcome 2:
Outcome 3:
2. Is this project still in compliance with the original project schedule: Yes ❑ No ❑
If No, Explain:
3. Since October I,2021;of the persons assisted,how many...
Answer ONLY for Public Facilities& Infrastructure Activities *03 Matrix Codes _
a. ...now have new access(continuing)to this service or benefit? 0
b. ...now have improved access to this service or benefit? _ 0
c. ...now receive a service or benefit that is no longer substandard? 0
Total 0
4. What funding sources did the SUBRECIPIENT apply for this period?
Section 108 Loan Guarantee $ CDBG $ _
Other Consolidated Plan Funds $ HOME $
Other Federal Funds $ ESG $
$ HOPWA $
$ Total Entitlement $
Funds
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