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Backup Documents 07/12/2022 Item #11P ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ' ' P 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. Judith Sizensky Community and Human , 7/7/2022 Services 2. County Attorney Office County Attorney Office V or -\\,077- 3. BCC Office Board of County Commissioners to, by 49/5/ 7/26/2 z 4. Minutes and Records Clerk of Court's Office �fi'1Z,/Z 7/2/2 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 Judith Sizensky/CHS Phone Number 252-2590 Contact/Department Agenda Date Item was 7.12.2022 Agenda Item Number 1-6cBr& ` ' P Approved by the BCC Type of Document Amendments to,(.}Agreements Number of Original / 2 n,/� Attached ( /i{,, Fown(7— Documents Attached "' 3 �/ PO number or account Document to be picked up after Judy to pick-up at CAO number if document is to signatures attained. V 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 JS 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 NA 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 JS 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 JS 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 7/12/2022 and all changes made during P N/A is not the meeting have been incorporated in the attached document. The County o 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 Chaiiiiian's signature. this,line. I: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 liP $ MEMORANDUM Date: August 1, 2022 To: Judith Sizensky/CHS From: Mende Ragan Minutes & Records Department Re: Item IIP/Amendments to Agreement Please find the attached Item 11#P Amendments to Agreement which I had sent to you without a memo. The Minutes and Record's Department has kept the original of the agreement as part of the Board's Official Record. If you have any questions, please feel free to call me at 252-8411. Thank you. Attachment H P Melinda S. Ragan From: Melinda S. Ragan Sent: Wednesday,July 20, 2022 11:48 AM To: SizenskyJudith Subject: Item #11 P Amendments to Agreement Attachments: Backup Documents 07_12_2022 Item #11P.pdf Please find the attached for your records. Thank You! Mende Ragan BMR&VAB Deputy Clerk w;,,moo, Office: 239-252-8411 Fax: 239-252-8408 Melinda.Ragan@CollierClerk.com Office of the Clerk of the Circuit Court &Comptroller of Collier County 3299 Tamiami Trail E,Suite#401 Naples, FL 34112 www.CollierClerk.com i HP FAIN# B-20-UC-12-0016 B-21-UC-12-0016 Federal Award Date EST. 10/2021 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of Federal $500,000.00 Funds Awarded $630,000.00 Subrecipient Name Collier County Housing Authority DUNS# 081 130293 UEI# WHDZXBD56QL 1 FEIN 59-1490555 R&D NA Indirect Cost Rate NA Period of Performance 10/1/2021 —04/30/2023 Fiscal Year End 09/30 Monitor End: 04/30/2028 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COLLIER COUNTY HOUSING AUTHORITY CDBG Grant Program—Construction/Rehabilitation THIS AMENDMENT is made and entered into this i LTM day of '3 J L ,2022,by and between Collier County, a political subdivision of the State of Florida, (COUNTY)having its principal address at 33391?Tamiami Trail East,Naples FL 34112,and Collier County Housing Authority(SUBRECIPIENT), public body corporate and politic, created and existing under and by virtue of the laws of the State of Florida,Chapter 421 having its principal office at 1800 Farm Worker Way, Immokalee,FL 34142. RECITALS WHEREAS,on June 22,2021,Agenda Item 16.D.7,the COUNTY has entered into an Agreement for awarding a Community Development Block Grant (CDBG) Program to the Collier County Housing Authority; and WHEREAS, the County has entered into an agreement with the United States Department of Housing and Urban Development(HUD)for a grant for the execution and implementation of a Community Development Block Grant Program in certain areas of Collier County, pursuant to Title I of the Housing and Community Development Act of 1974(as amended);and WHEREAS,the Board of County Commissioners of Collier County(Board)approved the Collier County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2021-2022 for the CDBG Program with Resolution.2021-131 on June 22,2021 —Agenda Item 16.D.7;and WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the preparation of various Annual Action Plans,the COUNTY advertised the 2021-2022 Annual [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment C�0 H P Action Plan,on May 1,2021,with a 30-day Citizen Comment period from May 1, 2021 to May 30, 2021; and WHEREAS, the Board approved the Substantial Amendment to the FY 2021-2022 One Year Action Plan on June 28, 2022 (Agenda Item 16.D_ Ii ), which reallocated $130,000 of HUD PY20 appropriation to the Collier County Housing Authority Heating,Ventilation,and Air Conditioning project; and WHEREAS,the parties desire to increase the project budget to allow for the purchase and installation of additional Heating,Ventilation, and Air Conditioning systems;and 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: Words Struck Through 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 CDBG assistance as provided herein and, as determined by Collier County Community and Human Services (CHS) Division, perform the tasks necessary to conduct the program as follows: Project Name: HVAC Installation Description of project and outcome: CHS, as an administrator of the CDBG pmgram, will make available FY 2020-2021 and FY 2021-2022 CDBG funds up to the gross amount of$500,000.00 $630,000.00 to Collier County Housing Authority to fund the rehabilitation of affordable housing units in Immokalee, FL, through the purchase and installation of additional Heating, Ventilation, and Air Conditioning systems.The property will be deed restricted for five(5)years commencing on the date of initially meeting one of the National Objectives,in accordance with 24 CFR 570.505, if applicable. 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component 1: Purchase and installation of additional HVAC systems in $500,000.00 affordable housing units, in Immokalee,FL and any project related fees or costs. $630,000.00 Total Federal Funds: $500,000.00 $630,000.00 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 IIP C. Performance Deliverables Program Deliverable Deliverable Supporting Submission Schedule Documentation Special Grant Condition Policies Policies as stated in this Within sixty(60)days of (Section 1.1) Agreement Agreement execution Insurance Insurance Certificate Within 30 days of Agreement execution and Annually within thirty(30)days of renewal Detailed Project Schedule Project Schedule Within sixty(60)days of Agreement execution Project Plans and Specifications Site Plans and Specifications Prior to procurement Subcontractor Log Subcontractor Log Initially at construction start, and quarterly thereafter Submission of Progress Report Exhibit C Quarterly;within 10 days following the end of the quarter. Section 3 Report Quarterly report of new hire Quarterly; within 10 days information following the end of the quarter. Leverage Funds Report Exhibit C-1 1. Quarterly,within 10 days following quarter end. 2.Final report upon submission of the final pay request in Neighborly Davis Bacon Act Certified Weekly Certified Payroll Weekly within 7 days following Payroll reports, forms,and supporting issuance of payroll checks documentation required to be submitted through the County electronic certified payroll system LCP Tracker. Financial and Compliance Audit Exhibit C-1 Annually:nine(9)months after FY end for Single Audit OR one hundred eighty(180)days after FY end Continued Use Certification Continued Use Affidavit, if Annually, for five(5)years after applicable Project Closeout Revenue Plan for Maintenance Plan approved by the COUNTY Initial Plan due after completion and Capital Reserve of construction.Annually through the period of continued use Program Income Reuse Plan Plan Approved by the COUNTY Annually until 2028 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Cit*� I I P D. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component 1: Purchase Submission of Exhibit B and supporting Submission of and installation additional HVAC documents,as evidenced by banking monthly invoices, systems in affordable housing documents,completed AIA G702-1 992 within 30 days of the units in Immokalee, FL and any form, or equivalent document per prior month. project related fees or costs. contractor's Schedule of Values, and any additional documents as needed. 10%retainage of the award amount or project costs,whichever is less,will be released upon final monitoring clearance and meeting a National Objective. Final 10 percent of award amount will be paid upon completion of final monitoring clearance and documentation of meeting the National Objective. Failure by the SUBRECIPIENT to achieve the National Objective will require repayment of the CDBG investment under this Agreement. 1.4 AGREEMENT AMOUNT The COUNTY agrees to make available FIVE HUNDRED THOUSAND DOLLARS AND ZERO CENTS ($500,000.00) SIX HUNDRED AND THIRTY THOUSAND DOLLARS AND ZERO CENTS ($630,000.00) for use by the SUBRECIPIENT, during the term of the Agreement (hereinafter,shall be referred to as the"Funds"). 1.6 LEVERAGED FUNDS Leveraged funds must be identified, tracked, and verifiable in the SUBRECIPIENT's records. Resources must be fully identified and described in the Agreement and the approved budget submitted with the application. Resources must also meet the following criteria to be allowable as leverage: a. Expenditures of leveraged funds or resources are permitted only for eligible activities and allowable costs under the cost principles specified by the OMB Circulars referenced in this Agreement. Expenditures must be necessary and reasonable for proper and efficient accomplishments of project or program objectives. b. Leveraged resources committed on one project may not be used as leverage or match for any other project or program. c. Leveraged resources must represent newly created resources covering expenditures that would not be incurred if the award were not made. d. Leveraged resources may not be Federal funds under a different award, except where Federal statute allows their use for cost sharing(such as the Community Development Block Grant program). e. Third-party cash or in-kind contributions offered as leverage require a commitment letter on company letterhead signed by the individual who is in a position to commit the in-kind contribution. The contribution is only allowable if not utilized towards matching dollars. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Citi*� I I P 1.7 NOTICES Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, personal delivery, or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending.All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below,unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION:Judith Sizensky,Grants Coordinator Collier County Government Community and Human Services Division 3339 E Tamiami Trail E, Suite 2-1-1-213 Naples,FL 34112 Email:Judith.Sizensky@Colliercountvfl.gov Telephone: (239)252-2590 Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struckgh are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 H P 2.2 RECORDS AND DOCUMENTATION D. Upon completion of all work contemplated under this Agreement,copies of all documents and records relating to this Agreement shall be surrendered to CHS, if requested. In any event, SUBRECIPIENT shall keep all documents and records in an orderly fashion, in a readily accessible, permanent, and secured location for five (5)years after the date of submission of the annual performance and evaluation report, as prescribed in 2 CFR 200.333, with the following exception: if any litigation,claim,or audit is started before the expiration date of the five(5)year period,the records will be maintained until all litigation, claim, or audit findings involving these records are resolved. If a SUBRECIPIENT ceases to exist after the closeout of this Agreement,the COUNTY shall be informed, in writing, of the address where the records are to be kept,as outlined in 2 CFR 200.336.The SUBRECIPIENT shall meet all requirements for retaining public records and transfer, at no cost to COUNTY, all public records in possession of the SUBRECIPIENT upon termination of the Agreement and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the COUNTY. IF THE SUBRECIPIENT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 239-252-68322679, Michael.Brownlee( ,colliercountvfl.gov, 3299 Tamiami Trail East, Naples, FL 34112. Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 H P 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 ► Y COMMISSIONERS OF CRYSTAL K. KINZEL, CLERK COLLIER CO .1 ,',FLOR r t / c._• . . MAI° a/7• By: (1) ' ........;,___.:Ingiiiilm.qty. Depl Clerk • Willi L.McDaniel,Jr.,Chairperson � a C � Date: V 4-- 12- 1 Zo 7i Z %vulture ey. Dated: ti/aD/Ro Q AS TO SUBRECIPIENT: (SEAL) COLLIER COUNTY HOUSING AUTHORITY torialigalh., By: (kW 4 WWI ill Oscar H-Ariscc el, Executive Director Date: W i ' 7i'2-L Ap( • !dastofirm d1 g lity: _ t 2022.06.03 Dere' ''.Perry 11 :23:17-04'00' Assistant County Attorney Date: 3 u L 1 I 1 1 2G 2 Z. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment GAO 11P EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and Information System(IDIS).The COUNTY reports information on a quarterly basis.To facilitate in the preparation of such reports,SUBRECIPIENT shall submit the information contained herein within ten(10) days of the end of each calendar quarter. At COUNTY's discretion, SUBRECIPIENT may be required to enter the information collected on this exhibit into an online grant management system. Subrecipient Name: Collier County Housing Authority Date: Project Title: CD21-04 HVAC Installation IDIS#: XXXX Program Contact: Oscar Hentschel Telephone Number: (239)657-3649 Activity Reporting Period Report Due Date October 1st—December 31 S` January 10' January Pt—March 31' April 10th April Pt—June 30' July 10" July Pt—September 30' October 10' REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period): 12/31/21 3/31/22 6/30/22 9/30/22 Final XX/XX/XX Please note: The HUD Program year begins October 1,2021—April 30,2023.Each quarterly report must include cumulative data beginning from the start of the program year October 1,2021. 1. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since October 1,2021. a. Outcome Goals:list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement Outcome 1: Purchase and installation of additional HVAC systems in affordable housing units, in Immokalee,FL and any project related fees or costs. Outcome 2: Document achievement of the LMH National Objective in a minimum of(35)households. Outcome 3: Procurement/Bid Package completed and submitted for review. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: . Outcome 2: Outcome 3: 2. Is this project still in compliance with the original project schedule: Yes ❑ No ❑ If No,Explain: 3. Since October 1,2022;of the persons assisted,how many... Answer ONLY for Public Facilities&Infrastructure Activities *03 Matrix Codes a. ...now have new access(continuing)to this service or benefit? 0 b. ...now have improved access to this service or benefit? 0 c. ...now receive a service or benefit that is no Ion er substandard? 0 Total 0 4. What funding sources did the SUBRECIPIENT apply for this period? Section 108 Loan Guarantee $ CDBG $ Other Consolidated Plan Funds $ HOME $ Other Federal Funds $ ESG $ $ HOPWA $ $ Total Entitlement $ Funds [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Ct*0 I I P 5. What is the total number of UNDUPLICATED Persons(LMC)or Households(LMH)served this QUARTER,if applicable? Answer question 5a or 5b;NOT both For LMC activities: people,race/ethnicity,and income data are reported by persons. For LMH activities: households,race/ethnicity,and income level are reported by households,regardless the number of persons in the household. a. Total No.Persons/Adults 0 Total No.persons served under 18 0 served(LMC) (LMC) Quarter Total No.of Persons 0 Quarter Total No.of Persons 0 b. Total No.of Households 0 Total No.of female head of household 0 served (LMH) 6. What is the total number of UNDUPLICATED clients served since October 1,2022,if applicable? Answer question 6a or 6b,NOT both For LMC activities:race/ethnicity and income data are reported by persons. a. Total No.Persons/Adults 0 Total No.Persons served under 18 0 served(LMC) (LMC) YTD Total: 0 YTD Total 0 b. Total No.Households 0 Total No.female head of household(LMH) 0 served(LMH) YTD Total 0 YTD Total 0 Complete EITHER question 7 or 8,NOT both Complete question 7a and 7b if your program only serves clients in one or more of the listed HUD Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY (LMC)Quarter (LMC)YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this quarter who fall into each presumed benefit persons served since October 1,2022 who fall into category (the total should equal the total in question#6a each presumed benefit category(the total should or 6b): e'ual the total in question#6a or 6b): a Presumed Benefit Activities Only(LMC)QTR b Presumed Benefit Activities Only(LMC)YTD 0 Abused Children ELI 0 Abused Children ELI 0 Homeless ELI 0 Homeless Person ELI Person 0 Migrant Farm LI 0 Migrant Farm Workers LI Workers 0 Battered LI 0 Battered Spouses LI Spouses 0 Persons LI 0 Persons w/HIV/AIDS LI w/HIV/AIDS 0 Elderly Persons LI or MOD 0 Elderly Persons LI or MOD 0 Illiterate Adults LI 0 Illiterate Adults LI 0 Severely LI 0 Severely Disabled Adults LI Disabled Adults 0 Quarter Total 0 YTD Total 8. Complete question 8a and 8b if any client in your program does not fall into a Presumed Benefit category. Other Beneficiary Data: Income Range Other Beneficiary Data: Income Range Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this Quarter who fall into each income category persons served since October 1,2022(YTD)who fall (the total should equal the total in question#6): into each income category (the total should equal the total in question#6): [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��,0 I I P a ELI Extremely Low 0 b ELI Extremely Low 0 Income(0-30%) Income(0-30%) LI Low Income(31- 0 LI Low Income 0 50%) MOD Moderate Income 0 MOD Moderate Income 0 (51-80%) (51-80%) NON-L/M Above Moderate 0 NON-L/M Above Moderate 0 Income(>80%) Income(>80%) Quarter Total 0 YTD Total 0 9, Is this project in a Low/Mod Area(LMA)? YES NO Was project completed this quarter? YES NO If yes,complete all of this section 9. Date project completed Block Group Census Tract Total Beneficiaries Low/Mod Low/Mod Percentage Beneficiaries 0 0 0 0 0 Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, etc.) 10. Racial&Ethnic Data(if applicable) Please indicate how many UNDUPLICATED Please indicate how many UNDUPLICATED clients clients served this Quarter fall into each race served since October(YTD)fall into each race category.In category. In addition to each race category,please addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic. (Total Race column Hispanic. (Total Race column should equal the total in should equal the total in question 6.) question 6.) a. RACE ETHNICITY b. RACE ETHNICITY /HISPANIC /HISPANIC White 0 0 White 0 0 Black/African American 0 0 Black/African American 0 0 Asian 0 0 Asian 0 0 American0 0 American Indian/Alaska 0 0 Indian/Alaska Native Native Native Hawaiian/Other Pacific Islander 0 0 Native Hawaiian/Other Pacific 0 0 Islander Black/African American&White 0 0 Black/African American& 0 0 White American Indian/Alaska Native& 0 0 American Indian/Alaska 0 0 Black/African American Native&Black/African American Other Multi-racial 0 0 Other Multi-racial 0 0 0 0 0 0 I hereby certify the above information is true and accurate. Name: Signature: Title: Your typed name here represents your electronic signature [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �t,0 H P EXHIBIT C-1 Community Development Block Grants(CDBG)Leveraged Funds Report Leveraged Funds must be identified, tracked, and verifiable. Resources must be fully identified and described as submitted with SUBRECIPIENT's application. Subrecipient Name: Collier County Housing Authority Report Period: Fiscal Year: Contract Number: ICD21-04 Program: ICDBG Contact Name: !Oscar Hentschel Contact Number: 239-657-3649 Leveraged Funds See EXAMPLE below for how to complete this form. Source Amount Type Use Total Project Cost I Ratio: EXAMPLE Source Amount Type Use CDBG $1,000,000 Other Federal Land Acquisition Funds HOME $870,000 Federal Funds Infrastructure Private Donation $1,200,000 Cash&In-Kind Infrastructure Philanthropic $3,500,000 Cash—local funds 52 units Affordable Housing Total Project Cost $6,570,000 Ratio: $1 Federal Dollar $2.51 Local Funds Signature Page to Follow [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment I 1 P I hereby certify the above information is true and accurate. Signature: Date: Printed Name: Title: Your typed name here represents your electronic signature. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment C�0 SIP FAIN# B-20-UC-12-0016 B-21-UC-12-0016 Federal Award Date EST. 10/2021 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of Federal $500,000.00 Funds Awarded $630,000.00 Subrecipient Name Collier County Housing Authority DUNS# 081130293 UEI# WHDZXBD56QL1 FEIN 59-1490555 R&D NA Indirect Cost Rate NA Period of Performance 10/1/2021 —04/30/2023 Fiscal Year End 09/30 Monitor End: 04/30/2028 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COLLIER COUNTY HOUSING AUTHORITY CDBG Grant Program—Construction/Rehabilitation THIS AMENDMENT is made and entered into this (Z day of -5 V c"` ,2022,by and between Collier County, a political subdivision of the State of Florida, (COUNTY)having its principal address at 3339 R Tamiami Trail East,Naples FL 34112,and Collier County Housing Authority(SUBRECIPIENT), public body corporate and politic, created and existing under and by virtue of the laws of the State of Florida,Chapter 421 having its principal office at 1800 Farm Worker Way,Immokalee,FL 34142. RECITALS WHEREAS,on June 22,2021,Agenda Item 16.D.7,the COUNTY has entered into an Agreement for awarding a Community Development Block Grant (CDBG)Program to the Collier County Housing Authority; and WHEREAS, the County has entered into an agreement with the United States Department of Housing and Urban Development(HUD)for a grant for the execution and implementation of a Community Development Block Grant Program in certain areas of Collier County, pursuant to Title I of the Housing and Community Development Act of 1974(as amended);and WHEREAS,the Board of County Commissioners of Collier County(Board)approved the Collier County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2021-2022 for the CDBG Program with Resolution 2021-131 on June 22,2021 —Agenda Item 16.D.7; and WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the preparation of various Annual Action Plans,the COUNTY advertised the 2021-2022 Annual [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Gt"'0 1 I P Action Plan,on May 1,2021,with a 30-day Citizen Comment period from May 1,2021 to May 30, 2021; and WHEREAS, the Board approved the Substantial Amendment to the FY 2021-2022 One Year Action Plan on June 28, 2022 (Agenda Item 16.D_ ), which reallocated $130,000 of HUD PY20 appropriation to the Collier County Housing Authority eating,Ventilation,and Air Conditioning project; and WHEREAS,the parties desire to increase the project budget to allow for the purchase and installation of additional Heating,Ventilation,and Air Conditioning systems; and 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: Words Struck Through 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 CDBG assistance as provided herein and, as determined by Collier County Community and Human Services (CHS)Division, perform the tasks necessary to conduct the program as follows: Project Name:HVAC Installation Description of project and outcome: CHS, as an administrator of the CDBG pmgram, will make available FY 2020-2021 and FY 2021-2022 CDBG funds up to the gross amount of$500,000.00 $630,000.00 to Collier County Housing Authority to fund the rehabilitation of affordable housing units in Immokalee, FL, through the purchase and installation of additional Heating, Ventilation, and Air Conditioning systems.The property will be deed restricted for five(5)years commencing on the date of initially meeting one of the National Objectives,in accordance with 24 CFR 570.505, if applicable. 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component 1: Purchase and installation of additional HVAC systems in $500,000.00 affordable housing units,in Immokalee,FL and any project related fees or costs. $630,000.00 Total Federal Funds: $500,000.00 $630,000.00 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Cit*� H P C. Performance Deliverables Program Deliverable Deliverable Supporting Submission Schedule Documentation Special Grant Condition Policies Policies as stated in this Within sixty(60)days of (Section 1.1) Agreement Agreement execution Insurance Insurance Certificate Within 30 days of Agreement execution and Annually within thirty(30)days of renewal Detailed Project Schedule Project Schedule Within sixty(60)days of Agreement execution Project Plans and Specifications Site Plans and Specifications Prior to procurement Subcontractor Log Subcontractor Log Initially at construction start, and quarterly thereafter Submission of Progress Report Exhibit C Quarterly;within 10 days following the end of the quarter. Section 3 Report Quarterly report of new hire Quarterly;within 10 days information following the end of the quarter. Leverage Funds Report Exhibit C-1 1. Quarterly,within 10 days following quarter end. 2.Final report upon submission of the final pay request in Neighborly Davis Bacon Act Certified Weekly Certified Payroll Weekly within 7 days following Payroll reports,forms,and supporting issuance of payroll checks documentation required to be submitted through the County electronic certified payroll system LCP Tracker. Financial and Compliance Audit Exhibit C-1 Annually:nine(9)months after FY end for Single Audit OR one hundred eighty(180)days after FY end Continued Use Certification Continued Use Affidavit, if Annually, for five(5)years after applicable Project Closeout Revenue Plan for Maintenance Plan approved by the COUNTY Initial Plan due after completion and Capital Reserve of construction.Annually through the period of continued use Program Income Reuse Plan Plan Approved by the COUNTY Annually until 2028 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �� IIP D. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component 1:Purchase Submission of Exhibit B and supporting Submission of and installation additional HVAC documents,as evidenced by banking monthly invoices, systems in affordable housing documents,completed AIA G702-1 992 within 30 days of the units in Immokalee,FL and any form,or equivalent document per prior month. project related fees or costs. contrnctor's Schedule of Values, and any additional documents as needed. 10%retainage of the award amount or project costs,whichever is less,will be released upon final monitoring clearance and meeting a National Objective. Final 10 percent of award amount will be paid upon completion of final monitoring clearance and documentation of meeting the National Objective.Failure by the SUBRECIPIENT to achieve the National Objective will require repayment of the CDBG investment under this Agreement. 1.4 AGREEMENT AMOUNT The COUNTY agrees to make available FIVE CENTS ($500,000.00) SIX HUNDRED AND THIRTY THOUSAND DOLLARS AND ZERO CENTS ($630,000.00) for use by the SUBRECIPIENT, during the term of the Agreement (hereinafter, shall be referred to as the"Funds"). 1.6 LEVERAGED FUNDS Leveraged funds must be identified, tracked, and verifiable in the SUBRECIPIENT's records. Resources must be fully identified and described in the Agreement and the approved budget submitted with the application. Resources must also meet the following criteria to be allowable as leverage: a. Expenditures of leveraged funds or resources are permitted only for eligible activities and allowable costs under the cost principles specified by the OMB Circulars referenced in this Agreement. Expenditures must be necessary and reasonable for proper and efficient accomplishments of project or program objectives. b. Leveraged resources committed on one project may not be used as leverage or match for any other project or program. c. Leveraged resources must represent newly created resources covering expenditures that would not be incurred if the award were not made. d. Leveraged resources may not be Federal funds under a different award, except where Federal statute allows their use for cost sharing(such as the Community Development Block Grant program). e. Third-party cash or in-kind contributions offered as leverage require a commitment letter on company letterhead signed by the individual who is in a position to commit the in-kind contribution. The contribution is only allowable if not utilized towards matching dollars. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment C�0 IIp 1.7 NOTICES Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, personal delivery,or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending.All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below,unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION:Judith Sizenskv,Grants Coordinator Collier County Government Community and Human Services Division 3339€s Tamiami Trail E,Suite 2-14-213 Naples,FL 34112 Email:Judith.Sizensky@.Colliercountvfl.gov Telephone: (239)252-2590 Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 IIR 2.2 RECORDS AND DOCUMENTATION D. Upon completion of all work contemplated under this Agreement,copies of all documents and records relating to this Agreement shall be surrendered to CHS, if requested. In any event, SUBRECIPIENT shall keep all documents and records in an orderly fashion, in a readily accessible, permanent, and secured location for five(5)years after the date of submission of the annual performance and evaluation report, as prescribed in 2 CFR 200.333, with the following exception:if any litigation,claim,or audit is started before the expiration date of the five(5)year period,the records will be maintained until all litigation, claim, or audit findings involving these records are resolved. If a SUBRECIPIENT ceases to exist after the closeout of this Agreement,the COUNTY shall be informed, in writing, of the address where the records are to be kept,as outlined in 2 CFR 200.336.The SUBRECIPIENT shall meet all requirements for retaining public records and transfer, at no cost to COUNTY, all public records in possession of the SUBRECIPIENT upon termination of the Agreement and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the COUNTY. IF THE SUBRECIPIENT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 239-252-68322679, Michael.Brownlee(a colliercountyfl.gov, 3299 Tamiami Trail East, Napless FL 34112. Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment GAO I 1 P 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 i ." •► MISSIONERS OF ‘ •a .,,CRYSTAL K.KINZEL,CLERK COLLIER CO ► 1104,FLORI II • optio ri. (f , C' �_ / (..1). )'=. S /( I - By. --�,,. .i, ,Deputy Cie' Will' L.McDaniel,Jr.,Chairperson Att to Chal 3 Z. 2-0z 2., Date: signature only. Dated:',—. A t ,QQ * AS TO SUBRECIPIENT: (S �(SEAL) COLLIER COUNTY HOUSING AUTHORITY .■:001011161 By: ICOra/ Oscar H-n"ts- c • 'el,Executive Director W Date: ' o • " Apt . ed as to fo l an gality: IF. _ 2022.06.03 De�D.Perry ' 1 1:23:1 7-04'00' Assistant County Attorney g Date: I l 3 ? Z O l Z. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 11P EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and Information System(IDIS).The COUNTY reports information on a quarterly basis.To facilitate in the preparation of such reports,SUBRECIPIENT shall submit the information contained herein within ten(10) days of the end of each calendar quarter.At COUNTY's discretion, SUBRECIPIENT may be required to enter the information collected on this exhibit into an online grant management system. Subrecipient Name: Collier County Housing Authority Date: Project Title: CD21-04 HVAC Installation IDIS#: XXXX Program Contact: Oscar Hentschel Telephone Number: (239)657-3649 Activity Reporting Period Report Due Date October 1st—December 31" January 10th January Pt—March 31st April 10th April 1"—June 30th July 10th July 1st—September 30th October 10th REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period): 12/31/21 3/31/22 6/30/22 9/30/22 Final XX/XX/XX Please note: The HUD Program year begins October 1,2021—April 30,2023.Each quarterly report must include cumulative data beginning from the start of the program year October 1,2021. 1. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since October 1,2021. a. Outcome Goals:list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement Outcome 1: Purchase and installation of additional HVAC systems in affordable housing units, in Immokalee,FL and any project related fees or costs. Outcome 2: Document achievement of the LMH National Objective in a minimum of(35)households. Outcome 3: Procurement/Bid Package completed and submitted for review. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: . Outcome 2: Outcome 3: 2. Is this project still in compliance with the original project schedule: Yes ❑ No ❑ If No,Explain: 3. Since October 1,2022;of the persons assisted,how many... Answer ONLY for Public Facilities&Infrastructure Activities *03 Matrix Codes a. ...now have new access(continuing)to this service or benefit? 0 b. ...now have improved access to this service or benefit? 0 c. ...now receive a service or benefit that is no longer substandard? 0 Total 0 4. What funding sources did the SUBRECIPIENT apply for this period? Section 108 Loan Guarantee $ CDBG $ Other Consolidated Plan Funds $ HOME $ Other Federal Funds $ ESG $ $ HOPWA $ $ Total Entitlement $ Funds [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �Q C 1 IP " 5. What is the total number of UNDUPLICATED Persons(LMC)or Households(LMH)served this QUARTER,if applicable? Answer question 5a or 5b;NOT both For LMC activities: people,race/ethnicity,and income data are reported by persons. For LMH activities: households,race/ethnicity,and income level are reported by households,regardless the number of persons in the household. a. Total No.Persons/Adults 0 Total No.persons served under 18 0 served(LMC) (LMC) Quarter Total No.of Persons 0 Quarter Total No.of Persons 0 b. Total No.of Households 0 Total No.of female head of household 0 served (LMH) 6. What is the total number of UNDUPLICATED clients served since October 1,2022,if applicable? Answer question 6a or 6b,NOT both For LMC activities:race/ethnicity and income data are reported by persons. a. Total No.Persons/Adults 0 Total No.Persons served under 18 0 served(LMC) (LMC) YTD Total: 0 YTD Total 0 b. Total No.Households 0 Total No.female head of household(LMH) 0 served(LMH) YTD Total 0 YTD Total 0 Complete EITHER question 7 or 8,NOT both Complete question 7a and 7b if your program only serves clients in one or more of the listed HUD Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY (LMC)Quarter (LMC)YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this quarter who fall into each presumed benefit persons served since October 1,2022 who fall into category(the total should equal the total in question#6a each presumed benefit category(the total should or 6b): e'ual the total in question#6a or 6b): a Presumed Benefit Activities Only(LMC)QTR b Presumed Benefit Activities Only(LMC)YTD 0 Abused Children ELI 0 Abused Children ELI 0 Homeless ELI 0 Homeless Person ELI Person 0 Migrant Farm LI 0 Migrant Farm Workers LI Workers 0 Battered LI 0 Battered Spouses LI Spouses 0 Persons LI 0 Persons w/HIV/AIDS LI w/HIV/AIDS 0 Elderly Persons LI or MOD 0 Elderly Persons LI or MOD 0 Illiterate Adults LI 0 Illiterate Adults LI 0 Severely LI 0 Severely Disabled Adults LI Disabled Adults 0 Quarter Total 0 YTD Total 8. Complete question 8a and 8b if any client in your program does not fall into a Presumed Benefit category. Other Beneficiary Data: Income Range Other Beneficiary Data: Income Range Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this Quarter who fall into each income category persons served since October 1,2022(YTD)who fall (the total should equal the total in question#6): into each income category(the total should equal the total in question#6): [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �0 G H P a ELI Extremely Low 0 b ELI Extremely Low 0 Income(0-30%) Income(0-30%) LI Low Income(31- 0 LI Low Income 0 50%) MOD Moderate Income 0 MOD Moderate Income 0 (51-80%) (51-80%) NON-L/M Above Moderate 0 NON-L/M Above Moderate 0 Income(>80%) Income(>80%) Quarter Total 0 YTD Total 0 9, Is this project in a Low/Mod Area(LMA)? YES NO Was project completed this quarter? YES NO If yes,complete all of this section 9. Date project completed Block Group Census Tract Total Beneficiaries Low/Mod Low/Mod Percentage Beneficiaries 0 0 0 0 0 Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, etc.) 10. Racial&Ethnic Data(if applicable) Please indicate how many UNDUPLICATED Please indicate how many UNDUPLICATED clients clients served this Quarter fall into each race served since October(YTD)fall into each race category.In category.In addition to each race category,please addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic.(Total Race column Hispanic.(Total Race column should equal the total in should equal the total in question 6.) question 6.) a. RACE ETHNICITY b. RACE ETHNICITY /HISPANIC /HISPANIC White 0 0 White 0 0 Black/African American 0 0 Black/African American 0 0 Asian 0 0 Asian 0 0 American Indian/Alaska Native 0 0 American Indian/Alaska 0 0 Native Native Hawaiian/Other Pacific Islander 0 0 Native Hawaiian/Other Pacific 0 0 Islander Black/African American&White 0 0 Black/African American& 0 0 White American Indian/Alaska Native& 0 0 American Indian/Alaska 0 0 Black/African American Native&Black/African American Other Multi-racial 0 0 Other Multi-racial 0 0 0 0 0 0 I hereby certify the above information is true and accurate. Name: Signature: Title: Your typed name here represents your electronic signature [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �0 e r P EXHIBIT C-1 Community Development Block Grants(CDBG)Leveraged Funds Report Leveraged Funds must be identified, tracked, and verifiable. Resources must be fully identified and described as submitted with SUBRECIPIENT's application. Subrecipient Name: 1Collier County Housing Authority Report Period: Fiscal Year: Contract Number: 1CD21-04 Program: CDBG Contact Name: Oscar Hentschel Contact Number: 1239-657-3 649 Leveraged Funds See EXAMPLE below for how to complete this form. Source Amount Type Use Total Project Cost Ratio: EXAMPLE Source Amount Type Use CDBG $1,000,000 Other Federal Land Acquisition Funds HOME $870,000 Federal Funds Infrastructure Private Donation $1,200,000 Cash&In-Kind Infrastructure Philanthropic $3,500,000 Cash—local funds 52 units Affordable Housing Total Project Cost $6,570,000 Ratio: $1 Federal Dollar $2.51 Local Funds Signature Page to Follow [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 1 I P I hereby certify the above information is true and accurate. Signature: Date: Printed Name: Title: Your typed name here represents your electronic signature. [22 SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment C�0 IIP FAIN# B-20-UC-12-0016 B-21-UC-12-0016 Federal Award Date EST. 10/2021 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of Federal $500,000.00 Funds Awarded $630,000.00 Subrecipient Name Collier County Housing Authority DUNS1t 081130293 UEI# WHDZXBD56QL 1 FEIN 59-1490555 R&D NA Indirect Cost Rate NA Period of Performance 10/1/2021 —04/30/2023 Fiscal Year End 09/30 Monitor End: 04/30/2028 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COLLIER COUNTY HOUSING AUTHORITY CDBG Grant Program—Construction_/Rehabilitation rr THIS AMENDMENT is made and entered into this I Z day of U J -"j ,2022,by and between Collier County, a political subdivision of the State of Florida, (COUNTY)having its principal address at 3339 B Tamiami Trail East,Naples FL 34112,and Collier County Housing Authority(SUBRECIPIENT), public body corporate and politic, created and existing under and by virtue of the laws of the State of Florida,Chapter 421 having its principal office at 1800 Farm Worker Way,Immokalee,FL 34142. RECITALS WHEREAS,on June 22,2021,Agenda Item 16.D.7,the COUNTY has entered into an Agreement for awarding a Community Development Block Grant(CDBG) Program to the Collier County Housing Authority; and WHEREAS, the County has entered into an agreement with the United States Department of Housing and Urban Development(HUD)for a grant for the execution and implementation of a Community Development Block Grant Program in certain areas of Collier County, pursuant to Title I of the Housing and Community Development Act of 1974(as amended);and WHEREAS,the Board of County Commissioners of Collier County(Board)approved the Collier County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2021-2022 for the CDBG Program with Resolution 2021-131 on June 22,2021 —Agenda Item 16.D.7;and WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the preparation of various Annual Action Plans,the COUNTY advertised the 2021-2022 Annual [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �Q I I P Action Plan,on May 1,2021,with a 30-day Citizen Comment period from May 1,2021 to May 30, 2021; and WHEREAS, the Board approved the Substantial Amendment to the FY 2021-2022 One Year Action Plan on June 28, 2022 (Agenda Item 16.D_ -1 ), which reallocated $130,000 of HUD PY20 appropriation to the Collier County Housing Authority Heating,Ventilation,and Air Conditioning project; and WHEREAS,the parties desire to increase the project budget to allow for the purchase and installation of additional Heating,Ventilation,and Air Conditioning systems;and 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: Words Via.-Through Stfuek-Through 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 CDBG assistance as provided herein and, as determined by Collier County Community and Human Services (CHS)Division, perform the tasks necessary to conduct the program as follows: Project Name:HVAC Installation Description of project and outcome: CHS, as an administrator of the CDBG pmgram, will make available FY 2020-2021 and FY 2021-2022 CDBG funds up to the gross amount of$500,000.00 $630,000.00 to Collier County Housing Authority to fund the rehabilitation of affordable housing units in Immokalee, FL, through the purchase and installation of additional Heating, Ventilation, and Air Conditioning systems.The property will be deed restricted for five(5)years commencing on the date of initially meeting one of the National Objectives,in accordance with 24 CFR 570.505, if applicable. 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component 1: Purchase and installation of additional HVAC systems in $500,000.00 affordable housing units, in Immokalee,FL and any project related fees or costs. $630,000.00 Total Federal Funds: $500,000.00 $630,000.00 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment G�� I I P C. Performance Deliverables Program Deliverable Deliverable Supporting Submission Schedule Documentation Special Grant Condition Policies Policies as stated in this Within sixty(60)days of (Section 1.1) Agreement Agreement execution Insurance Insurance Certificate Within 30 days of Agreement execution and Annually within thirty(30)days of renewal Detailed Project Schedule Project Schedule Within sixty(60)days of Agreement execution Project Plans and Specifications Site Plans and Specifications Prior to procurement Subcontractor Log Subcontractor Log Initially at construction start, and quarterly thereafter Submission of Progress Report Exhibit C Quarterly;within 10 days following the end of the quarter. Section 3 Report Quarterly report of new hire Quarterly;within 10 days information following the end of the quarter. Leverage Funds Report Exhibit C-1 1. Quarterly,within 10 days following quarter end.2.Final report upon submission of the final pay request in Neighborly Davis Bacon Act Certified Weekly Certified Payroll Weekly within 7 days following Payroll reports,forms,and supporting issuance of payroll checks documentation required to be submitted through the County electronic certified payroll system LCP Tracker. Financial and Compliance Audit Exhibit C-1 Annually:nine(9)months after FY end for Single Audit OR one hundred eighty(180)days after FY end Continued Use Certification Continued Use Affidavit, if Annually,for five(5)years after applicable Project Closeout Revenue Plan for Maintenance Plan approved by the COUNTY Initial Plan due after completion and Capital Reserve of construction.Annually through the period of continued use Program Income Reuse Plan Plan Approved by the COUNTY Annually until 2028 [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �� SIP D. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component 1:Purchase Submission of Exhibit B and supporting Submission of and installation additional HVAC documents, as evidenced by banking monthly invoices, systems in affordable housing documents,completed AIA G702-1 992 within 30 days of the units in Immokalee,FL and any form,or equivalent document per prior month. project related fees or costs. contrnctor's Schedule of Values,and any additional documents as needed. 10%retainage of the award amount or project costs,whichever is less,will be released upon final monitoring clearance and meeting a National Objective. Final 10 percent of award amount will be paid upon completion of final monitoring clearance and documentation of meeting the National Objective.Failure by the SUBRECIPIENT to achieve the National Objective will require repayment of the CDBG investment under this Agreement. 1.4 AGREEMENT AMOUNT The COUNTY agrees to make available FIVE CENTS ($500,000.00) SIX HUNDRED AND THIRTY THOUSAND DOLLARS AND ZERO CENTS ($630,000.00) for use by the SUBRECIPIENT, during the term of the Agreement (hereinafter,shall be referred to as the"Funds"). 1.6 LEVERAGED FUNDS Leveraged funds must be identified, tracked, and verifiable in the SUBRECIPIENT's records. Resources must be fully identified and described in the Agreement and the approved budget submitted with the application.Resources must also meet the following criteria to be allowable as leverage: a. Expenditures of leveraged funds or resources are permitted only for eligible activities and allowable costs under the cost principles specified by the OMB Circulars referenced in this Agreement. Expenditures must be necessary and reasonable for proper and efficient accomplishments of project or program objectives. b. Leveraged resources committed on one project may not be used as leverage or match for any other project or program. c. Leveraged resources must represent newly created resources covering expenditures that would not be incurred if the award were not made. d. Leveraged resources may not be Federal funds under a different award, except where Federal statute allows their use for cost sharing(such as the Community Development Block Grant program). e. Third-party cash or in-kind contributions offered as leverage require a commitment letter on company letterhead signed by the individual who is in a position to commit the in-kind contribution. The contribution is only allowable if not utilized towards matching dollars. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��,0 IIP 1.7 NOTICES Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, personal delivery,or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending.All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below,unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION:Judith Sizensky,Grants Coordinator Collier County Government Community and Human Services Division 3339 B Tamiami Trail E, Suite 2-14-213 Naples,FL 34112 Email: Judith.Sizenskv c(�Colliercountvfl.gov Telephone: (239)252-2590 Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Cp,0 I 2.2 RECORDS AND DOCUMENTATION D. Upon completion of all work contemplated under this Agreement,copies of all documents and records relating to this Agreement shall be surrendered to CHS, if requested. In any event, SUBRECIPIENT shall keep all documents and records in an orderly fashion, in a readily accessible, permanent, and secured location for five(5)years after the date of submission of the annual performance and evaluation report, as prescribed in 2 CFR 200.333, with the following exception: if any litigation,claim,or audit is started before the expiration date of the five(5)year period,the records will be maintained until all litigation, claim, or audit findings involving these records are resolved.If a SUBRECIPIENT ceases to exist after the closeout of this Agreement,the COUNTY shall be informed, in writing, of the address where the records are to be kept,as outlined in 2 CFR 200.336.The SUBRECIPIENT shall meet all requirements for retaining public records and transfer, at no cost to COUNTY, all public records in possession of the SUBRECIPIENT upon termination of the Agreement and destroy any duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the COUNTY. IF THE SUBRECIPIENT HAS QUESTIONS REGARDING THE APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT THE CUSTODIAN OF PUBLIC RECORDS AT 239-252-68322679, Michael.Brownlee(a colliercountvfl.2ov, 3299 Tamiami Trail East, Naples, FL 34112. Remainder of Page Intentionally Left Blank [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �� Hp . 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 ► Y COMMISSIONERS OF CRYSTAL K. KINZEL,CLERK COLLIER CO Ala • ' : a By: CI) Air / .., OA h01-Acl.4 .i, ,Depu Clerk Willi L. McDaniel,Jr.,Chairperson AtirStiatalialtSDate: 3 U 1•`'t 12 , ZO ZZ. signature only, Dated:9 -14/ '. ,?61 AS TO SUBRECIPIENT: (SEALS COLLIER COUNTY HOUSING AUTHORITY ,aroviallW By: .!. A/I Oscar H�cc el, Executive Director Date: W , Co ' ' o'-L Ape ave. as to arD d lity: i ji _ 2022.06.03 Derek D.Perry 11:23:17-04'00' Assistant County Attorney Date: T k. ` , 2-4 ? Z [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment �0 G 11P EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and Information System(IDIS).The COUNTY reports information on a quarterly basis.To facilitate in the preparation of such reports,SUBRECIPIENT shall submit the information contained herein within ten(10) days of the end of each calendar quarter. At COUNTY's discretion, SUB RECIPIENT may be required to enter the information collected on this exhibit into an online grant management system. Subrecipient Name: Collier County Housing Authority Date: Project Title: CD21-04 HVAC Installation IDIS#: XXXX Program Contact: Oscar Hentschel Telephone Number: (239)657-3649 Activity Reporting Period Report Due Date October 1st—December 31st January 10th January lst—March 31st April 10th April 1st—June 30th July 10th July 1"—September 30th October 10th REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period): 12/31/21 3/31/22 6/30/22 9/30/22 Final XX/XX/XX Please note: The HUD Program year begins October 1,2021—April 30,2023.Each quarterly report must include cumulative data beginning from the start of the program year October 1,2021. 1. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since October 1,2021. a. Outcome Goals:list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement Outcome 1: Purchase and installation of additional HVAC systems in affordable housing units, in Immokalee,FL and any project related fees or costs. Outcome 2: Document achievement of the LMH National Objective in a minimum of(35)households. Outcome 3: Procurement/Bid Package completed and submitted for review. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: . Outcome 2: Outcome 3: 2. Is this project still in compliance with the original project schedule: Yes ❑ No ❑ If No,Explain: 3. Since October 1,2022;of the persons assisted,how many... Answer ONLY for Public Facilities&Infrastructure Activities *03 Matrix Codes a. ...now have new access(continuing)to this service or benefit? 0 b. ...now have improved access to this service or benefit? 0 c. ...now receive a service or benefit that is no longer substandard? 0 Total 0 4. What funding sources did the SUBRECIPIENT apply for this period? Section 108 Loan Guarantee $ CDBG $ Other Consolidated Plan Funds $ HOME $ Other Federal Funds $ ESG $ $ HOPWA $ $ Total Entitlement $ Funds [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 � r ! I• P 5. What is the total number of UNDUPLICATED Persons(LMC)or Households(LMH)served this QUARTER,if applicable? Answer question 5a or 5b;NOT both For LMC activities: people,race/ethnicity,and income data are reported by persons. For LMH activities: households,race/ethnicity,and income level are reported by households,regardless the number of persons in the household. a. Total No.Persons/Adults 0 Total No.persons served under 18 0 served(LMC) (LMC) Quarter Total No.of Persons 0 Quarter Total No.of Persons 0 b. Total No.of Households 0 Total No.of female head of household 0 served (LM1-1) 6. What is the total number of UNDUPLICATED clients served since October 1,2022,if applicable? Answer question 6a or 6b,NOT both For LMC activities:race/ethnicity and income data are reported by persons. a. Total No.Persons/Adults 0 Total No.Persons served under 18 0 served(LMC) (LMC) YTD Total: 0 YTD Total 0 b. Total No.Households 0 Total No.female head of household(LMH) 0 served(LMH) YTD Total 0 YTD Total 0 Complete EITHER question 7 or 8,NOT both Complete question 7a and 7b if your program only serves clients in one or more of the listed HUD Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY (LMC)Quarter (LMC)YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this quarter who fall into each presumed benefit persons served since October 1,2022 who fall into category(the total should equal the total in question#6a each presumed benefit category(the total should or 6b): equal the total in question#6a or 6b): _ _ a Presumed Benefit Activities Only(LMC)QTR b Presumed Benefit Activities Only(LMC)YTD 0 Abused Children ELI 0 Abused Children ELI 0 Homeless ELI 0 Homeless Person ELI Person 0 Migrant Farm LI f 0 Migrant Farm Workers LI Workers 0 Battered LI 0 Battered Spouses LI Spouses 0 Persons LI 0 Persons w/HIV/AIDS LI w/HIV/AIDS 0 Elderly Persons LI or MOD 0 , Elderly Persons LI or MOD 0 Illiterate Adults LI 0 Illiterate Adults LI 0 Severely LI 0 Severely Disabled Adults LI Disabled Adults 0 Quarter Total 0 YTD Total 8. Complete question 8a and 8b if any client in your program does not fall into a Presumed Benefit category. Other Beneficiary Data: Income Range Other Beneficiary Data: Income Range Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this Quarter who fall into each income category persons served since October 1,2022(YTD)who fall (the total should equal the total in question#6): into each income category(the total should equal the total in question#6): [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment Ct"'� H P a ELI Extremely Low 0 b ELI Extremely Low 0 Income(0-30%) Income(0-30%) LI Low Income(31- 0 LI Low Income 0 50%) MOD Moderate Income 0 MOD Moderate Income 0 (51-80%) (51-80%) NON-L/M Above Moderate 0 NON-L/M Above Moderate 0 Income(>80%) Income(>80%) Quarter Total 0 YTD Total 0 9. Is this project in a Low/Mod Area(LMA)? YES NO Was project completed this quarter? YES NO If yes,complete all of this section 9. Date project completed Block Group Census Tract Total Beneficiaries Low/Mod Low/Mod Percentage Beneficiaries 0 0 0 0 0 Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, etc.) 10. Racial&Ethnic Data(if applicable) Please indicate how many UNDUPLICATED Please indicate how many UNDUPLICATED clients clients served this Quarter fall into each race served since October(YTD)fall into each race category.In category.In addition to each race category,please addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic. (Total Race column Hispanic. (Total Race column should equal the total in should equal the total in question 6.) question 6.) a. RACE ETHNICITY b. RACE ETHNICITY /HISPANIC /HISPANIC White 0 0 White 0 0 Black/African American 0 0 Black/African American 0 0 _ Asian _ 0 0 Asian 0 0 American Indian/Alaska Native 0 0 American Indian/Alaska 0 0 Native Native Hawaiian/Other Pacific Islander 0 0 Native Hawaiian/Other Pacific 0 0 Islander Black/African American&White 0 0 Black/African American& 0 0 White American Indian/Alaska Native& 0 0 American Indian/Alaska 0 0 Black/African American Native&Black/African American Other Multi-racial 0 0 Other Multi-racial 0 0 0 0 ; 0 0 I hereby certify the above information is true and accurate. Name: Signature: Title: Your typed name here represents your electronic signature [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ��0 1 + I P EXHIBIT C-1 Community Development Block Grants(CDBG)Leveraged Funds Report Leveraged Funds must be identified, tracked, and verifiable. Resources must be fully identified and described as submitted with SUBRECIPIENT's application. Subrecipient Name: Collier County Housing Authority Report Period: Fiscal Year: Contract Number: CD21-04 Program: CDBG Contact Name: Oscar Hentschel Contact Number: 239-657-3649 Leveraged Funds See EXAMPLE below for how to complete this form. Source Amount Type Use Total Project Cost I Ratio: EXAMPLE Source Amount Type Use CDBG $1,000,000 Other Federal Land Acquisition Funds HOME $870,000 Federal Funds Infrastructure Private Donation $1,200,000 Cash&In-Kind Infrastructure Philanthropic $3,500,000 Cash—local funds 52 units Affordable Housing Total Project Cost $6,570,000 Ratio: $1 Federal Dollar $2.51 Local Funds Signature Page to Follow [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment t,Q I I P I hereby certify the above information is true and accurate. Signature: Date: Printed Name: Title: Your typed name here represents your electronic signature. [22-SOC-00913/1724077/1] Words Struck Through are deleted;Words Underlined are added Collier County Housing Authority HVAC Installation Project CD21-04 First Amendment ,*Q