Backup Document 06/14/2022 Item #16D9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Maria Kantaras Community and Human MK 6/9/2022
Services
2. County Attorney Office—DDP County Attorney Office
opt/f4, 6/NAZ--
3. BCC Office Board of County N/A N/A
Commissioners
4. Minutes and Records Clerk of Court's Office col 61-zich
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 Phone Number 239-252-6141
Contact/ Depat lrnent
Agenda Date Item was 6/14/2022 Agenda Item Number 16.D.9
Approved by the BCC
Type of Document GRANT AGREEMENT AMENDMENT Number of Original 1
Attached AFTER THE FACT 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 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 N/A
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 N/A
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/As`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.
1609
Collier County Board of County Commissioners
20.h.sc.100.099
This Amendment is between the State of Florida,Department of State,Division of Cultural Affairs 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 Scope Of Work
Grant funds will be used for the structural stabilization and rehabilitation of the Roberts Ranch family home.
Specifically, grant funds will be used for foundation repair, anchoring building, and the repair/replacement of
first floor flooring and floor joints; roof repairs including decking, installation of roof ties, and hurricane
strapping;stabilization and repointing of two (2) chimneys;repair/replacement of a minimum of seventeen(17)
windows, including casing and frame screens;repair/replacement of three(3)exterior steps;
repair/replacement of a minimum of 23 doors and screen doors;repair/replacement of exterior siding;mold
remediation,lead testing/abatement and repainting,both interior and exterior and upgrading of HVAC system,
including replacement of ductwork;repair/replacement of first floor ceiling, including beams and joists;
installation of ADA path and ramp, including modifications to two (2)exterior and two (2) interior doorways;
and architectural/engineering services.
Grant funds will also be used for HABS documentation,updating of the Florida Master Site File(FMSF)
forms for the property, and grant administration.
Amended Scope Of Work
Grant funds will be used for the structural stabilization and rehabilitation of the Roberts Ranch family home.
Specifically,grant funds will be used for foundation repair,anchoring building,and the repair/replacement of
first floor flooring and floor joints;roof repairs including decking,installation of roof ties, and hurricane
strapping;stabilization and repointing of two (2) chimneys;repair/replacement of a minimum of seventeen(17)
windows, including casing, frame screens, and window hardware;repair/replacement of a minimum of 23
doors and screen doors;repair/replacement of exterior siding;mold remediation,lead testing/abatement and
repainting,both interior and exterior and upgrading of HVAC system, including replacement of ductwork and
adding a PCC pad for the compressor;repair/replacement of first floor ceiling, including beams and joists;
installation of ADA parking space, sidewalk path,and ramp, including modifications to two (2)exterior and
two (2)interior doorways;replace deteriorated wood porch flooring;adding support beam to the living room
ceiling; extend bathroom plumbing; and architecturaVengineering services.
Grant funds will also be used for HABS documentation,updating of the Florida Master Site File(FMSF)
forms for the property, and grant administration.
O
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1 6 09
Original Budgets
Description Grant Funds Cash Match In Kind Match
Architectural/engineering fees $52,000 $19,250 $0
Foundation work, anchoring of the building, and
repair/replacement of first floor flooring and floor joints $10,000 $0 $Q
Stabilization and repointing of two (2)chimneys $10,000 $0 $0
Repair/replacement of seventeen(17)windows $68,000 $0 $0
Repair/replacement of exterior siding;repair/replacement $55,000 $27,100 $0
of first floor ceiling, including beams and joists;
Installation of ADA path and ramp, including
modifications to two (2)exterior and two (2)interior $33,000 $0 $0
doorways
Mold remediation;lead testing/abatement and repainting;
upgrading of HVAC system; and repair/replacement of $0 $29,400 $0
attic insulation
HABS documentation and updating of FMSF forms $0 $5,300 $0
Grant administration $0 $0 $22,790
Roof Repairs $110,800 $0 $0
Repair/replacement three(3)sets of exterior steps $10,000 $0 $0
Repair/replacement of a minimum twenty-three(23) $55 000 $10,200 $0
doors and screen doors
Interior wood sheathing repair $52,000 $0 $0
Totals $455,800 $91,250 $22,790
Amended Budgets
Description Grant Funds Cash Match hi Kind Match
Architectural/engineering fees $90,947 ! $22,316 $0
Foundation work, anchoring of the building, and $19,580 $0 $0
repair/replacement of first floor flooring and floor joints
Stabilization and repointing of two (2)chimneys $8,340 $0 $0
Repair/replacement of seventeen(17)windows and
window hardware $52,275 $4,113 $0
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1 609
Description Grant Funds Cash Match In Kind Match
Repair/replacement of exterior siding;repair/replacement
of first floor ceiling, including beams and joists; $3,480 $27,100 $0
Installation of ADA parking space, sidewalk, and ramp,
including modifications to two (2)exterior and two (2) $34,400 $1,089 $0
interior doorways
Mold remediation;lead testing/abatement and repainting;
upgrading of HVAC system; repair/replacement of attic $0 $28,169 $0
insulation;adding PCC pad HVAC compressor
HABS documentation and updating of FMSF forms $0 $8,000 $0
Grant administration $0 $0 $7,942
Roof Repairs $120,700
Repair/replacement of a minimum twenty-three(23) $56,659 $9,013
doors and screen doors and frames as necessary $0 '
Interior wood sheathing repair $69,000 $0 $0
Replace deteriorated wood porch flooring $2,736 $0
Add beam support to living room ceiling $3,000 $0
Extend bathroom plumbing $419 $562 $0
Totals $455,800 $106,098 $7,942
0
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AUTHORIZATION
Amy Patterson-Acting County Manager r";.4 (.24411,-"N
'�
Authorized official for the Grantee Authorized official for the Division
(` l2
Autho ' ed official Signature Date Division'Authorized official Signature Date
Pursuant to CMA 5330, subsection
3.F.(1), as a Minor Amendment.
A ved as to Form and Legality:
D.
erek D.Perry 7120
Assistant County Attorney 5
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