Backup Document 02/22/2022 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 0 5
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. Maria Kantaras Community and Human MK 2/11/2022
Services
2. County Attorney Office—JAB County Attorney Office
3. BCC Office Board of County
Commissioners by/lI)1S1 Z/z /z 2-
4. Minutes and Records Clerk of Court's Office :t
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 Maria Kantaras-CHS Grants Coordinator Phone Number 239-252-6141
Contact/ Department
Agenda Date Item was 2/22/2022 / Agenda Item Number 16.D.5 ✓
Approved by the BCC
Type of Document AMENDMENT #3 TO GRANTOR Number of Original 1
Attached AGREEMENT 20.H.SC.100.099 ✓ Documents Attached
FOR GRANTOR Email to Eric Case,DHR/FLDOS:
evutEXECUTION, Eric.case@dos.myflorida.com --� ' e- 1 ���cyt S
EMAIL A SIGNED rn r. Caste .ate re-I arm+ "ra I I`1
COPY OF Please CC Maria Kantaras,CHS:
AGREEMENT Maria.Kantaras@colliercountyfl.gov 'e-Ke c�-�eat 1.'Ie rSiu✓1 ' -
INSTRUCTIONS & CHECKLIST 3w12/ CAA S
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable) 13s-
1. Does the document require the chairman's original signature STAMP OK MK t-M&l.l 1•
2. Does the document need to be sent to another agency for additional signatures? If yes, YES
provide the Contact Information(Name;Agency;Address;Phone)SEE ABOVE. MK
3. Original document has been signed/initialed for legal sufficiency. (All documents to be MK
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 N/A
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 MK
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 MK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 on above date and all changes made during MK N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. this line. _
9. Initials of attorney verifying that the attached document is the version approved by the MK 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. this line.
I 6 0 5
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday, February 24, 2022 3:49 PM
To: 'eric.case@dos.myflorida.com'
Cc: 'KantarasMaria'
Subject: Collier County Grantor Agreement 20.h.sc.100.099 Amendment
Attachments: Collier County Grantor Agreement 20.h.sc.100.099 Amendment.pdf
Good Afternoon Eric,
Attacked, please find the amendment document
referenced above for further execution.
Once signed please email a copy of the fully executed
amendment to Maria.Kantaras@colliercouvttyfl.gov, she
will provide me a copy of the signed document for the
records of Collier Couvtty's l3oard of County Commissioners.
Thank you.
Ann Jennejohn
13MR Senior Deputy Clerk II
0`4 n ur kr r Clerk to the Value Adjustment Board
Office: 23,3-252-8406
Fax: 239-252-8408 (if applicable)
AfrIn.Jennejohn@CollierClerk.com
Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tamiami Trail, Suite #401
Naples, FL 34112-5324
www.CollierClerk.com
i
160 5
Collier County Board of County Commissioners
20.h.sc.100.099
This Amendment is between the State of Florida, Department of State, Division Historical Resources hereinafter
referred to as the"Division"and Collier County Board of County Commissioners, hereinafter referred to as the
"Grantee".
The parties entered into a grant agreement for the implementation of a Special Category grant, for Roberts Ranch
Home Stabilization& Rehabilitation . The parties now mutually desire to amend certain terms and conditions of
the grant agreement.
In consideration of the covenants contained herein, it is agreed:
All section of the original grant agreement not specifically amended by this or a prior written amendment and all
prior written amendments are hereby reaffirmed.
The following sections are hereby revised as follows:
Original Length of Agreement
7/1/2019-2/28/2022
Amended Length of Agreement
7/1/2019 -6/30/2022
Additional Conditions
Section 12:
I)Tenth Report is due by January 31, for the period ending December 31 (third year of the Great Period).
J)Eleventh Report is due by April 30, for the period ending March 30(third year of the grant period).
K)Final Report. The Grantee must submit a Final Report to the Division within one month of the Grant Period
End Date set forth in Section 2 above.
Page:1 �17
160 5
AUTHORIZATION
William L. McDaniel, Jr. -Chairman
Authorized official for the Grantee Authorized official for the Division
Ce) 1•1/
_.r 0'�' 2 f Z`/'Z Z.
Au cirized official Signature Date Division Authorized official Signature Date
ATTEST
CRY►STAL K.KINZEL,CLERK Approved as to form and legality
if; 1.3V: oe._,
4 Assistant County torney
.Attest as to.6 � � ��. .. r��
signature OAI , ' /ate
/a,)
(.%
Page:2
0
I 6 0 5
Ann P. Jennejohn
From: KantarasMaria <Maria.Kantaras@colliercountyfl.gov>
Sent: Monday, March 21, 2022 2:59 PM
To: Ann P.Jennejohn
Subject: RE: Collier County Grantor Agreement 20.h.sc.100.099 Amendment
Attachments: 20.h.sc.100.099_GAAExtension Modification 3 FULLY EXECUTED.pdf
Hello Ann,
I hope all is well with you.
Please see the attached modification fully executed by the Grantor.
Please record as necessary.
Respectfully,
Maria Xantaras
Grants Coordinator
Community and Human Services Division
3339 East Tamiami Trail, Suite 211
Naples, FL 34112
239-252-6141
Maria.Kantaras@colliercountyfl.gov
Making Our Community Stronger:One life,one home,one project at a time.
How was our service?
Click here to take the survey.
Grants: Click here.
Internal Partners: Click here.
From:Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com>
Sent:Thursday, February 24, 2022 3:51 PM
To: KantarasMaria <Maria.Kantaras@colliercountyfl.gov>
Subject: FW: Collier County Grantor Agreement 20.h.sc.100.099 Amendment
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.
Just an F.Y.I.
Ttiavtk you!
i
1605 '
Collier County Board of County Commissioners
20.h.sc.100.099
This Amendment is between the State of Florida, Department of State, Division Historical Resources hereinafter
referred to as the"Division"and Collier County Board of County Commissioners, hereinafter referred to as the
"Grantee".
The parties entered into a grant agreement for the implementation of a Special Category grant,for Roberts Ranch
Home Stabilization&Rehabilitation. The parties now mutually desire to amend certain terms and conditions of
the grant agreement.
In consideration of the covenants contained herein, it is agreed:
All section of the original grant agreement not specifically amended by this or a prior written amendment and all
prior written amendments are hereby reaffirmed.
The following sections are hereby revised as follows:
Original Length of Agreement
7/1/2019-2/28/2022
Amended Length of Agreement
7/1/2019-6/30/2022
Additional Conditions
Section 12:
1)Tenth Report is due by January 31, for the period ending December 31 (third year of the Great Period).
J)Eleventh Report is due by April 30, for the period ending March 30(third year of the grant period).
K)Final Report. The Grantee must submit a Final Report to the Division within one month of the Grant Period
End Date set forth in Section 2 above.
Page:1 n.�O
1 6 0 5
AUTHORIZATION
William L. McDaniel,Jr.-Chairman
Authorized official for the Grantee Authorized official for the Division
•
2/2V/2 Z. 214c/34--
Autl rized official Signature Date Division Awl rize& o thcial Signature Date
ATTEST
CRVSTAII,K.KINZEL,CLERK Approved as to form and legality
4
- 4
ATio-itt-o.Arki Assistant County Attomeyr,
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