Backup Documents 05/24/2022 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 in 3
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. Kristi Sonntag r' Community and Human CS L 1 2-6
--sske r lya r Services
2. County Attorney Office p e County Attorney Office c) p s
j2.5)zz
3. BCC Office Board of County
Commissioners �IAl.y!€? 6/ S/24/Z 2
4. Minutes and Records Clerk of Court's Office
F 5-al.tacizeettl
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 Kristi Sonntag,CHS Phone Number 252-2486
Contact/ Department
Agenda Date Item was 5/24/2022 Agenda Item Number top p S
Approved by the BCC V!
Type of Document FIRST AMENDMENT TO SUBRECIPIENT Number of Original 3 Olcoeteetel T Ud
Attached AGREEMENT CDC21-01 Documents Attached PC.(ru U4
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 CS
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
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 CS
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 CS
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 on above date and all changes made during "is not
the meeting have been incorporated in the attached document. The County 0 0(1
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 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. yyy this line.
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MEMORANDUM
Date: May 27, 2022
To: Kristi Sonntag, Division Director
Community & Human Services
From: Martha Vergara, Sr. Deputy Clerk
Minutes and Records Department
Re: 1st Amendment to Agreement between Collier County and
Collier Health Services, Inc. d/b/a Healthcare Network
Attached for your records are two (2) originals of each document referenced above
(Item #16D3) approved by the Board of County Commissioners on Tuesday, May 24,
2022.
An original of each has been kept by the Minutes and Records Department in the
Board's Official Records.
If you have any questions, please contact me at 252-7240.
Thank you
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FAIN# NU58DP007038
Federal Award Date 8/31/2021
Federal Award Agency U.S. Department of Health and
Human Services/Centers for
Disease Control and
Prevention(HHS/CDC)
CFDA Name Community Health Workers
for COVID Response and
Resilient Communities(CCR)
CFDA/CSFA# 93.495
Total Amount of Federal PY1 $293,218.22 $394,455.00
Funds Awarded PY2*
PY3*
*Contingent upon CDC and
COUNTY approval
SUBRECIPIENT Name Collier Health Services, Inc.
d/b/a Healthcare Network
DUNS /)85019511
UEI GPXBQKU6AJA5
FEIN 59-1741277
R&D N/A
Indirect Cost Rate N/A
Period of Performance 8/31/2021 - 8/30/2024
Fiscal Year End 03/31
Monitor End: 11/2024
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COLLIER HEALTH SERVICES,INC.D/B/A HEALTHCARE NETWORK
Collier County Community Health Coalition:
Advancing Accessible&Equitable Healthcare Systems in Extra Mile Migrant Worker Communities
THIS AMENDMENT is made and entered into this2'eiday of MO 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 Collier Health Services, Inc. d/b/a Healthcare Network,
(SUBRECIPIENT),having its principal office at 1454 Madison Ave W,Immokalee,Florida 34142.
WITNESSETH
WHEREAS, on December 14, 2021, Agenda Item 16.D.18,the COUNTY entered into an
Agreement with Collier Health Services, Inc. to administer the Centers for Disease Control and
Prevention, Community Health Workers for COVID Response and Resilient Communities(CCR)
program; and
COLLIER HEALTH SERVICES,INC DB/A HEALTHCARE NETWORK
First Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page I
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WHEREAS, the parties wish to amend the Agreement to include the language as stated
below.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein,the parties hereto agree to amend the Agreement as set forth below.
Words eli ugh are deleted; Words Underlined are added.
PART 1
SCOPE OF WORK
The SUBRECIPIENT shall,in a satisfactory and proper manner and consistent with any standards required
as a condition of providing CDC funding, as determined by Collier County Community and Human
Services Division(CHS),perform the tasks necessary to conduct the program as follows:
Project Name: Collier County Community Health Coalition: Advancing Accessible and Equitable
Healthcare Systems in Extra Mile Migrant Worker Communities(CCCHC)
Description of project and outcome: The CCCHC program will support COVID-19 response
efforts in communities hit hardest and among Priority Populations that are at higher risk for
COVID-19 exposure, infection, and poor health outcomes. Through this program, Community
Health Workers (CHWs) will serve Extra Mile communities within Collier County. Extra Mile
communities are defined as medically underserved communities in which the residents must make
additional efforts,require additional resources, and/or overcome barriers in order to access quality
healthcare. Communities may include, but are not limited to: Immokalee, Golden Gate, Lely,
Everglades City, Goodland,Copeland,and Chokoloskee.
Project Component One: Salaries, payroll taxes and fringe benefits for program personnel, not to
exceed six (1.0 FTE) Community Health Workers; one (0.15 FTE) Human Resources Manager;
and one(0.15 FTE)Community Relations Director.
Project Component Two: Travel, reimbursed according to the federal GSA rate.
Project Component Three: Supplies, including but not limited to tablets, cell phones, monthly
cellular service plans, PPE, sanitization supplies, and other materials necessary for COVID-19
testing events.
Project Component Four: All costs associated with contracted Program Evaluation and
Consultation Services
1. Project Tasks:
a. Task 1: Recruit,hire,and train no more than six(6)new Community Health Workers,
demonstrated by signed offer letter and job description for each new hire.
b. Task 2: Provide a monthly mileage log for travel throughout Collier County.
COLLIER HEALTH SERVICES,INC DB/A HEALTHCARE NETWORK
First Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 2
CAO
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c. Task 3: Conduct a minimum of one (1) COVID-19 testing event and participate in a
minimum of one(1)COVID-19 vaccination outreach event,in Extra Mile communities
in Collier County.
d. Task 4: Develop Vendor Service Agreements,to assist with program implementation,
training, data evaluation and the preparation of reports. To include the submission of,
no less than ones semi-annual report,including data as required by the CDC,to CHS.
* * *
1.1 PROJECT DETAILS
A. Project Description/Project Budget Program Year 1
Description Federal Amount
Project Component 1: Salaries $251,250.00
Project Component 2: Travel $19,776.96 $19,777.00
Project Component 3: Supplies $11,629.86 $11,630.00
Project Component 4: Program Evaluation and Consultation $10,561/10 $111,798.00
Services*
Total Federal Funds: $293,218.22 $394,455.00
*All costs associated with Program Evaluation and Consultation Services shall be retroactive to 3/1/2022.
* * *
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available a cumulative total of TWO HUNDRED AND NINETY
THREE THOUSAND, TWO HUNDRED AND EIGHTEEN DOLLARS and TWENTY TWO
CENTS ($293,218.22) THREE HUNDRED AND NINETY-FOUR THOUSAND, FOUR
HUNDRED AND FIFTY-FIVE DOLLARS ($394,455.00) in Year One (1), with additional
funding for the remaining years to be determined by the CDC at the end of each funding year,for
use by the SUBRECIPIENT during the Agreement (hereinafter, referred to as the "Funds"), as
restricted by Program Year. Funds are subject to CDC authorization and COUNTY approval for
Year 2 and Year 3. SUBRECIPIENT may use Funds only for expenses eligible under Coronavirus
Aid, Relief, and Economic Security Act ("CARES"), Public Law 116-136 and under the Public
Health Service Act 42 U.S.C. 301(a), and further outlined in HHS/CDC Guidance.
COLLIER HEALTH SERVICES,INC D/B/A HEALTI-HCARE NETWORK
First Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 3
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The CDC requires that Funds from Coronavirus Aid, Relief, and Economic Security Act
("CARES")only be used to cover expenses that:
B. Were incurred during the authorized Program Years,defined as:
Program Year 1 08/31/2021 —08/30/2022 $ 293,218.22
$ 394,455.00
Program Year 2** 08/31/2022—08/30/2023 $ As approved by CDC
Program Year 3** 08/31/2023—08/30/2024 $As approved by CDC
** Only applicable if authorized by the CDC and upon approval by the COUNTY.
* * *
Remainder of Page Intentionally Left Blank
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
First Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 4
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IN WITNESS WHEREOF,the SUBRECIPIENT 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 CO '�; • ' SSION •S OF
CRYSTAL K. EL, CLERK COLLIER J9 ORIDA
By:
,,,....• , epu rl WIL i• L. MC DANIEL, JR.,
ttest a'fo Chairman s CHA • 'ERSON
.c►lnaturen!y.
Date: filte4V Z-I I Z O Z Z_.
17 COLLIER HEA •� ., INC. D/B/A
Dated: / ��� HEAL 460,01:4 •.
(SEAL) �!"..
BY: �'-�
JO err- R, C I ' OP..' •TING
Off. ;;-
Date: dal DA a d-
A ved as to form and ality:
Derek D.Perry
Assistant County Attorney ti
\
Date: 5/2 5 Z Z \
COLLIER HEALTH SERVICES,INC DB/A HEALTHCARE NETWORK
First Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 5