Backup Documents 09/27/2022 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 3
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 9/23/2022
Services
2. County Attorney Office County Attorney Office 0'✓(� r (bit)irC2--
DDP
3. BCC Office Board of County
Commissioners k( 1 IO47z Z
4. Minutes and Records Clerk of Court's Office O( 1 ' -C�' l v I (O,R8
l
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 9.23.2022 Agenda Item Number 16.D. 3
Approved by the BCC
Type of Document Amendment#1 to Rural Neighborhoods Number of Original 3 ,
Attached Agreement Documents Attached
PO number or account Document to be picked up after Judy to pick-up at CAO
number if document is to signatures attained.
be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(N
appropriate. (Initial) A le)
1. Does the document require the chairman's original signature?(Stamp ok) �l/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 9/27/2022 and all changes made during � N/A is not
the meeting have been incorporated in the attached document. The County I 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 C N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the v 9 an option for
Chairman'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
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MEMORANDUM
Date: October 8, 2022
To: Judith Sizensky, Grants Coordinator
Housing & Human Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to Rural Neighborhoods Agreement
Attached, are two original copies of the agreement amendment referenced above,
(Item #16D3) approved by the Board of County Commissioners September 27, 2022.
As requested, they have been given to the County Attorney's Office for pickup.
The third original agreement amendment will be held in the Minutes and Records
Department for the Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachments (2)
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FAIN# B-20-UC-12-0016
Federal Award Date EST 10/20
Federal Award Agency HUD
CFDA Name Community
Development Block
Grant
CFDA/CSFA# 14.218
Total Amount of Federal $400,000
Funds Awarded
Subrecipient Name Rural Neighborhoods
Incorporated
DUNS# 605098438
UEI# DWTGVXLUGJM5
FEIN 65-1238417
R&D No
Indirect Cost Rate No
Period of Performance 10/1/2020-9/30/2022
12/31/2022
Fiscal Year End 12/31
Monitor End: 9/27
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
RURAL NEIGHBORHOODS INCORPORATED
THIS AMENDMENT is made and entered into this 27 'day of 5 "U 2022,by and between Collier
County,a political subdivision of the State of Florida,(COUNTY or Grantee)having its principal address
at 3339 E Tamiami Trail East, Naples FL 34112, and Rural Neighborhoods, Incorporated,
(SUBRECIPIENT), having its principal office at P.O. Box 343529, 19308 SW 380th Street, Florida City,
FL 33034.
RECITALS
WHEREAS, on June 23, 2020, Agenda Item 1 1.J the COUNTY has entered into an Agreement
for awarding a Community Development Block Grant (CDBG) Program to the Rural Neighborhoods,
Incorporated;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 approved the Collier County
Consolidated Plan—One-year Action Plan for Federal Fiscal Year 2020-2021 for the CDBG Program with
Resolution 2020-109 on June 23,2020—Agenda Item 11.1; and
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WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan
concerning the preparation of various Annual Action Plans,the COUNTY advertised the 2020/2021 Annual
Action Plan, on May 23, 2020, with a 30-day Citizen Comment period from May 23, 2020, to June 23,
2020;and
WHEREAS,the parties desire to consolidate(3)payment deliverables)to(1)payment deliverable
project component,and extend the Period of Performance from September 30,2022 to December 31,2022.
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 are deleted; Words Underlined are added
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component 1: Building Permits $4 000-00
Project Component 2: Impact Fees $45,000.00
Project Component 31: Building construction and all related costs,including but not $400,000.00
limited to construction material, installation, advertising, bonds. labor, permits and
fees.
Total Federal Funds: $400,000.00
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
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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 2027
D. Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 1: Building Submission of supporting documents Submission of
Permits must be provided as backup,as evidenced monthly invoices by
by check stubs, bank statements, copy of the 10th of the month
permits, and any other additional following the month
documentation as requested. of service.
Project Component 2: Impact Submission of supporting documents Submission of
Fees must be provided as backup,as evidenced monthly invoices by
by check stubs, bank statements,copy, the-f0`h of the month
proof of payment of impact fees,and any following the month
etheEadditiehal-dheeffientatihn-as of service.
requested.
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Project Component 3-1: Building Submission of supporting documents Submission of
construction and all related costs, must be provided as backup,as evidenced monthly invoices by
including but not limited to by banking documents, completed AIA the loth 30th of the
construction material. installation, G702-1992 form,or equivalent document month following the
advertising, bonds, labor,permits per contractor's Schedule of Values and month of service.
and fees. any additional documents as needed.
10%retainage held with the last pay
request.
Retainage: The remaining10 percent of the award or project costs will be released upon final monitoring
clearance and meeting a National Objective. For clarity, The COUNTY will not withhold 10 percent on
each payment, rather, the last 10 percent will only be paid as previously specified. Failure by the
SUBRECIPIENT to achieve the National Objective will require repayment of the CDBG investment under
this Agreement.
1.1 PERIOD OF PERFORMANCE
Services of the SUBRECIPIENT shall start on October 1. 2020, and shall end on September 30,
2022 December 31,2022.
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.
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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:Carolyn Noble Judith Sizensky, Grants Coordinator
Collier County Government
Community and Human Services Division
3339 E Tamiami Trail E, Suite 2-14 213
Naples,FL 34112
Email:
Judith.Sizensky 2 Colliercountyfl.gov
Telephone:(239)450 5186(239)252-2590
Remainder of Page Intentionally Left Blank
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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 239-252-6 32679,
Michael.BrownleeAeolliercountyfl.gov, 3299 Tamiami Trail East,
Naples, FL 34112.
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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.
r $,
ATTEST: .''" ' AS TO COUNTY:
CI' ySL-K. KINZEL,CLERK
#k4s',, BOARD OF COU. Y •MMISSEONERS OF
COLLIER CO •1, FLORA►
,_y, l �W Ce„ 0111°
A,.. , .. __ JT��uty •(�._o- _ rk
� � fir_
Attest a 4+ •,fr-n-,,,,s By: •
,,:rt '11. Wil ' m L. McDaniel,Jr., Chairperson;
Dated: `V i �4110!
(SEAL) Date: $c 7-- Za Z Z
AS TO SUBRECIPIENT:
WITH ES:
RURAL NEIGHBORHOODS, INC.
( (§--Gt`t,-.
t ness#1 Signature
By:
dL t'5 A re, (f eve ir eni
Witness#1 Printed Name
Date: 1g �ji
Witne #2 Signature
[Please provide evidence of signing authority]
it4I th.t t jiii3
Witness #2 Printed Name
Ape, • .d as to form d le lity:
I JA.,..2.-
- k--- 2022.06.03
Derek D. Perry 1 1 :48:45-04'00'
Assistant County Attorney
Date: OC—T 6 ) Za 2 2
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16D
EXHIBIT C
QUARTERLY PERFORMANCE REPORT DATA
GENERAL-COUNTY is required to submit to HUD,through the Integrated Disbursement and Information
System(IDIS)Performance Reports. 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.
Agency Name: Rural Neighborhoods,Inc Date:
Project Title: den Park-Esperanza Place Community IDIS#:
Center
Program Contact: Steve Kirk Telephone Number: (239)324-0317
Activity Reporting Period Report Due Date
October 151—December 31" January 10'h
January 1"—March 3151 April 10'1i
April l"—June 30'h July 101h
July Is'—September 30'h October 10'h
REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period per Amendment
#1):
12/31/21 3/31/22 6/30/22 9/30/22 Final XX/XX/XX
Please note: The CDBG/HOME/ESG Program year begins October 1,2020 HOecember 31,2022.Each quarterly report
must include cumulative data beginning from the start of the program year;October 1,2020.
1. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your
progress in meeting those goals since October 1,2020.
a. Outcome Goals:list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement
Outcome 1: Building construction and all related costs, including but not limited to construction
material, installation, advertising, bonds. labor,permits and fees
Outcome 2: I Meet National Objective for LMA
Outcome 3:
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 1,2020;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 S
Other Consolidated Plan Funds $ HOME $
Other Federal Funds $ ESG S
$ HOPWA $
$ Total Entitlement $
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Funds
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 served(LMC) 0; Total No.persons served under 18 0
(LMC)
Quarter Total No.of Persons 0 Quarter Total No.of Persons 0
b. Total No.of Households served 0. Total No.of female head of household 0
(LMH)
6. What is the total number of UNDUPLICATED clients served since;October,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 served(LMC) 0 Total No Persons served under 18 0
(LMC)
YTD Total: 0 YTD Total 0
b. Total No.Households served(LMH) 0, Total No.female head of household(LMI-I) 0
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 who fall into each
category(the total should equal the total in question#6a presumed benefit category(the total should equal the
or 6b): total in question#6a or 6b9:
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 IA
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 (YTD)who fall into
(the total should equal the total in question#6): each income category(the total should equal the total
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in_question#6):
a ELI Extremely Low Income(0-30%) ;0 b ELI Extremely Low 0
Income(0-30%)
LI Low Income(31-50%) 0 LI Low Income ;0
MOD Moderate Income(51-80%) O. MOD Moderate Income b
(5 1-80%)
NON-L/M Above Moderate Income(>80%) 0 NON-L/M Above Moderate 0
Income(>80%)
Quarter Total ;0 YTD Total b
9. Is this project in a Low/Mod Area(LMA)? YES , NO
Was project completed this quarter? YES I 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 Indiat/Alaska Native 0 0 American Indian/Alaska 0, 0
Native
Native Hawaiian/Other Pacific Islander 0 0 Native IIawaiian/Othcr Pacific 0 0
Islander
Black/African American&White0 0 Black/African American& 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
Name:
Signature:
Title:
Your typed name here represents your electronic signature
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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: Rural Neighborhoods, Incorporated
Report Period:
Fiscal Year:
Contract Number: :CD20-0I
Program: ICDBG
Contact Name: !Steve Kirk, President
Contact Number: (239)324-0317
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
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I hereby certify the above information is true and accurate.
Signature: Date: I
Printed Name:
Title:
Your typed name here represents your electronic signature.
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