Backup Documents 05/24/2022 Item #16A 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A 9
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. County Attorney Office�A� CAO k1, .s/i /Z
2. Board of County Commissioners Office BOCC
I"(VP/ S/2-6
3. Minutes and Records Clerk of Court's Office 01U1 (2022. ( :624'11'
4. Send via email to: DO NOT SEND TO
james.keith@colliercountyfl.gov GRANTOR
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 James Keith GMD/TMS 239-252-1463
Contact/ Department
Agenda Date Item was May 2A, 2022 Agenda Item Number ✓
6A
Approved by the BCC
Type of Document Number of Original
Attached Amendment 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 TAhW NO O Btit' tNam_ .
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 JK
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
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 JK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JK
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 May 24,2022 and all changes made during
the meeting have been incorporated in the attached document. The County .94
AO
Attorney's Office has reviewed the changes,if applicable.
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 5Aki
Chairman's signature.
1: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
16A 9
MEMORANDUM
Date: May 26, 2022
To: James Keith, Grants Coordinator
Community & Human Services
From: Martha Vergara, Sr. Deputy Clerk
Minutes & Records Department
Re: DEO Agreement #IR002
Attached for your records is a copy of the documents referenced above, (Item
#16A9) approved by the Board of County Commissioners Tuesday, May 24, 2022.
The original agreement has been kept by the Board's Minutes & Records
Department as part of the Board's Official Records.
If you have any questions, please call me at 252-7240.
Thank you.
Attachment
� 6A 9
DocuSign Envelope ID:07CDEF6A-D202-4A60-A08A-85FB5A029625
DEO Agreement No.: 1R002
AMENDMENT ONE
TO SUBRECIPIENT AGREEMENT BETWEEN
THE DEPARTMENT OF ECONOMIC OPPORTUNITY
AND
COLLIER COUNTY BOARD OF COUNTY COMMISSIONER'S
On August, 8, 2020 the State of Florida, Department of Economic Opportunity("DEO") and the Collier County
Board of County Commissioners ("Subrecipient"), entered into Federally-Funded Community Development Block
Grant Disaster Recovery (CDBG-DR) Infrastructure Repair Program Subrecipient Agreement, DEO Agreement No.
IR002 (hereinafter, "CDBG-DR Infrastructure Agreement"). DEO and the Subrecipient may individually be referred
to herein as a "Party"or collectively as the"Parties."
WHEREAS,Section (4)of the CDBG-DR Infrastructure Agreement provides that any modification to the CDBG-
DR Infrastructure Agreement shall be executed in writing by the Parties thereto;and
WHEREAS,the Parties wish to amend the Contract as set forth herein.
NOW THEREFORE,the Parties hereby agree to the following:
1. Section 3—Period of Agreement is hereby deleted and replaced with
This agreement begins upon execution by both Parties (the "Effective Date") and ends thirty-two (32)
months after execution by DEO,unless otherwise terminated as provided in this Agreement. DEO shall not
grant any extension of this Agreement unless the Subrecipient provides justification satisfactory to DEO in
its sole discretion and DEO's Director of the Division of Community Development approves such extension.
2. Section 16(b)is hereby deleted a replaced with:
The name and address of DEO's Grant Manager for this Agreement is:
Samuel Long
107 E. Madison Street
Tallahassee,FL 32399
Office:850-921-3279
Email:Samuel.LonRPdeo.mvflorida.com
3. Section(27),Employment Eligibility Verification,is hereby deleted and replaced with the following:
"(a) Section 448.095,F.S.,requires the following:
1. Every public employer, contractor,and subcontractor shall register with and use the E-Verify system
to verify the work authorization status of all newly hired employees. A public employer, contractor, or
subcontractor may not enter into a contract unless each party to the contract registers with and uses the E.-
Verify system.
2. A private employer shall,after making an offer of employment which has been accepted by a person,
verify such person's employment eligibility. A private employer is not required to verify the employment
eligibility of a continuing employee hired before January 1,2021.However,if a person is a contract employee
S
16A 9
DocuSign Envelope ID:07CDEF6A-D202-4A60-A08A-85F85A029625
DEO Agreement No.: IR002
retained by a private employer,the private employer must verify the employee's employment eligibility upon
the renewal or extension of his or her contract.
(b) E-Verify is an Internet-based system that allows an employer,using information reported on an employee's
Form I-9, Employment Eligibility Verification, to determine the eligibility of all new employees hired to
work in the United States.There is no charge to employers to use E-Verify.The Department of Homeland
Security's E-Verify system can be found at:
https://www.e-verify.gov/
(c) If the Recipient does not use E-Verify,the Recipient shall enroll in the E-Verify system prior to hiring any
new employee or retaining any contract employee after the effective date of this Agreement. "
4. Attachment B,Project Budget,is hereby deleted in its entirety and is replaced by the revised Attachment B,which
is attached hereto and incorporated herein by reference.
5. Attachment C,Activity Work Plan,is hereby deleted in its entirety and is replaced by the revised Attachment C,
which is attached hereto and incorporated herein by reference.
6. All other terms and conditions of the Subrecipient Agreement not otherwise amended remain in full force and
effect.
Remainder of this page is intentionally left blank
03"
16A 9
DocuSign Envelope ID:07CDEF6A-D202-4A60-A08A-85FB5A029625
DEO Agreement No.: IR002
IN WITNESS THEREOF, and in consideration of the mutual covenants set forth above and, in the attachments and
exhibits hereto, the Parties agree to abide by the terms, conditions, and provisions of DEO Agreement No. IR002 as
amended. This Amendment is effective the date the last Party executes this Amendment.
COLLIER COU� :• ` . OUNTY DEPARTMENT OF ECONOMIC OPPORTUNITY
ce✓ //' _ �'
By ` By
/ Signature Signature
William L. McDaniel,Jr. Dane Eagle
Title Chair Title Secretary
Date C5/2-0 ,ZZ Date
Federal
Tax ID# 59-6000558
DUNS# 76997790
Approved as to form and legal sufficiency,subject only to full
and proper execution by the Parties.
OFFICE OF GENERAL COUNSEL
DEPARTMENT OF ECONOMIC OPPORTUNITY
By:
Approved Date:
Approved >�
T I bS I 1 ,r pp and legality
CRC%STAI_ k K•W' L.CLERK �~
13Y: 9 u Attorney 0-1 co.'"
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Attest as to Chairmen 3\
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signature only.
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