Backup Documents 03/22/2022 Item #16D5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO f' 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. Carolyn Noble Community and Human CN 3.16.22
Services
2. County Attorney Office—Jen Belpedio County Attorney Office
5Ak(M, 3/10 2
3. BCC Office Board of County `
Commissioners wn 17 M,a / I 312 212 z
4. Minutes and Records Clerk of Court's Office z-6)-nrct
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 Carolyn Noble-CHS Phone Number 239-450-5186
Contact/ Department
Agenda Date Item was Agenda Item Number
Approved by the BCC 5-22-LZ I • 0 5
Type of Document 1 Amendment(Youth Haven) Number of Original or ginals
Attached Documents Attached
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 STAMP OK N/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 Yes-
signed by the Chairman,with the exception of most letters,must be reviewed and signed CN
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 N/A
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CN
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 N/A is not
the meeting have been incorporated in the attached document. The County 5pkf/02 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
BCC,all changes directed by the BCC have been made,and the document is ready for the 3Akrjrp'
Chairman's signature.
1605
MEMORANDUM
Date: March 23, 2022
To: Carolyn Noble, Grants Coordinator
Community & Human Services
From: Aim Jennejohn, Deputy Clerk
Minutes & Records Department
Re: First Amendment to the Subrecipient Agreement with
Youth Haven, Inc.,
Attached for your records are three original copies of the document referenced above,
(Item #16D5) approved by the Board of County Commissionerson March 22, 2022.
The third original amendment document will be held by this department for the
Board's Official Record.
If you have any questions, please feel free to contact me at 252-8406.
Thank you
Attachments (3)
2605
FAIN# E-21-UC-12-0016
Federal Award Date 10/2021
Federal Award Agency HUD
CFDA Name Emergency Solutions
Grants
CFDA/CSFA# 14.231
Total Amount of $71,000.00
Federal Funds
Awarded
Subrecipient Name Youth Haven, Inc.
DUNS# 077283349
FEIN 23-7065187
R&D No
Indirect Cost Rate No
Period of Performance January 1,2022—
December 31,2022
March 31, 2023
Fiscal Year End 06/30
Monitor End: 12/31/22 6/30/23
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
YOUTH HAVEN,INC.
Rapid Re-Housing Assistance and Case Management
THIS AMENDMENT is made and entered into this 2'L„d day of march ,2022, by and between
Collier County, a political subdivision of the State of Florida, ("COUNTY" or "Grantee") having its principal
address as 3339 E. Tamiami Trail,Naples FL 34112, and YOUTH HAVEN,INC(SUBRECIPIENT) a private
not-for-profit corporation existing under the laws of the State of Florida, having its principal office at 5867
Whitaker Road,Naples, FL 34112.
RECITALS
WHEREAS,on January 11, 2022, the COUNTY entered into an agreement with the SUBRECIPIENT
using Emergency Solutions Grants (ESG) funds, pursuant to the Homeless Emergency Assistance and Rapid
Transition to Housing(HEARTH)Act(24 CFR 576) amending the McKinney-Vento Homeless Act(42 U.S.C.
11371-11378); and
WHEREAS,the Parties desire to amend the Agreement to update the maximum payment limit per youth
and the period of performance date.
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:
1
Youth Haven,Inc. ES21-04
Rapid Rehousing Amendment#1 0
16 5
* * *
Words Sttuel-T-Iwegh 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 ESG funds, as determined by Collier County Community and Human Services Division
(CHS),perform the tasks necessary to conduct the program as follows:
PROJECT DETAILS
Emergency Solutions Grants Program will provide:
Rapid Re-Housing for abused, neglected,abandoned,and homeless youth.
Emergency Shelter Case Management for youth preparing to exit to Rapid Rehousing.
Project Component One: Short-to medium-term rental assistance for abused,neglected,abandoned,and
homeless youth including but not limited to, rent, security deposits, application fees, move-in costs, last
month's rent,and utility deposits and/or payments with a maximum limit of$3;000 $5,000 per youth.
* *
1.2 PROJECT DETAILS
A. Project Description/Budget
The budget identified for the Rapid Rehousing Project shall be as follows:
Description Federal Amount ESG Match 1:1
Project Component 1: Short-to medium-term rental $45,000.00
assistance for abused, neglected,abandoned,and homeless
youth including but not limited to,rent, security deposits,
application fees,move-in costs, last month's rent,and utility
deposits and/or payments with a maximum limit of$3,000
$5,000 per youth.
Project Component 2: Case Management/Personnel Salaries $26,000.00
including but not limited to,counseling,referrals to needed
services,and developing an individualized housing and
service plan, including a path to permanent housing stability.
ESG Match Requirement: Match is required for a minimum Documentation of 71,000.00
of dollar-for-dollar with each submitted pay request. ESG Eligible
Matching Funds
Total Federal Rinds: $71,000.00
2 •r)
Youth Haven, Inc. ES21-04 o
Rapid Rehousing Amendment#1
1605
* * *
D. Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 1: Short-to Exhibit B along with invoice and proof of Monthly,by the 30`1'of
medium-term rental assistance for rent payment as evidenced by cancelled the month following
abused, neglected,abandoned and checks, bank statements, utility bills, lease the month of service
homeless youth including but not agreement, landlord agreement(initial
limited to,rent,security deposits, payment only),and any other documents as
application fees,move-in costs, requested.
last month's rent, and utility
deposits and/or payments with a
maximum limit of$3,000 $5,000
per youth.
Project Component 2: Case Exhibit B along with documentation to Monthly,by the 3011'of
Management/Personnel Salaries include but not limited to timesheets, the month following
including but not limited to, payroll detail reports, banking and any the month of service
counseling, referrals to needed other documents as requested.
services, and developing an
individualized housing and
service plan, including a path to
permanent housing stability.
ESG Match Exhibit B-1 with supporting Match Monthly Match: a
documentation minimum of dollar-
for-dollar,with each
submitted pay request,
until 100%of funded
amount reached.
1.3 PERIOD OF PERFORMANCE
SUBRECIPIENT services shall start on January 1, 2022 (or after an approved Environmental Review)
and end on December 31, 2022 March 31, 2023 (Term of Agreement). The services/activities of the
SUBRECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. Any
funds not obligated by the expiration date of this Agreement shall automatically revert to the COUNTY.
The County Manager or designee may extend the term of this Agreement for a period of up to 180 days
after the end of the Agreement. Extensions must be authorized, in writing, by formal letter to the
SUBRECIPIENT.
* * *
3
Youth Haven, Inc. ES21-04
Rapid Rehousing Amendment#1
l605
ATTEST: BOARD OF C C SSIO 7 ZS
CRYSTAL K. KINZEI,, CLERK OF C LI I I Y,FLOR
C
• BY
w
Duty clerk WIL AM I,. MCDANIEI.,JR.,
Attest as to C irmaj',s. CI I RMAN
signature only.
Date: *IA?
YOUTT-I HAVEN, INC.
Dated --a- -_
(SEAL) _By; \
LI FIELD, EXECUTI
DIRECTOR
I
A., Q� . form and legality:
f0- Jennif: A. e )edio ;-a
Assist. t I oun y Attorney
Date:
4
as
Youth Haven, Inc. ES2I-04 0
Rapid Rehousing Amendment#]