Backup Documents 10/11/2022 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 04
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TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Tracey Smith(for Don Luciano) Community and Human TS 10/14/2022
Services
2. County Attorney Office—JAB County Attorney Officer 6 L
3. BCC Office Board of County
Commissioners (✓n 4/)frfr/
I041l ZZ
4. Minutes and Records Clerk of Court's Office
NA) tel�ll aoaa 9:3
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 Tracey Smith, Grants Coordinator 252-1428
Contact/ Department
Agenda Date Item was 10/11/2022 Agenda Item Number 16.D.4
Approved by the BCC
Type of Document AMENDMENT #1 BETWEEN COLLIER Number of Original 3
Attached COUNTY AND YOUTH HAVEN INC. (ON Documents Attached
AGENDA WITH SUBSTANTIAL
AMENDMENT)
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature TS
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 Yes
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's TS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on above date and all changes made during op{
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the ^Q
BCC,all changes directed by the BCC have been made,and the document is ready for the J1
Chairman's signature.
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FAIN# B-20-UW-12-0016
Federal Award Date 09/22/2020
Federal Award Agency HUD
ALN Name Community
Development Block
Grant-CV
ALN# 14.218
Total Amount of Federal $682,000.00
Funds Awarded $1,390,321.00
Subrecipient Name Youth Haven, Inc.
UEI# H53EDBJFE816
FEIN 23-7065187
R&D NA
Indirect Cost Rate NA
Period of Performance 07/01/2021 —
06/30/2023
Fiscal Year End 06/30
Monitor End: 12/2028
FIRST AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY, FLORIDA
AND
YOUTH HAVEN,INC.
CDBG-CV SERVICES
This AMENDMENT is made and entered into as of this ' I day of 0 GTd$E 2
2022,by and between Collier County,a political subdivision of the State of Florida("COUNTY")
having its principal address at 3339 Tamiami Trail East, Suite 213,Naples, FL 34112 and Youth
Haven, Inc. ("SUBRECIPIENT"), a private non-profit organization having its principal office at
5867 Whitaker Road,Naples, FL 34112.
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 (CDBG) Program in certain areas of
Collier County, pursuant to Title I of the Housing and Community Development Act of 1974 (as
amended), codified as 42 USC 5301 et. se. and subject to 24 CFR Part 570; and
WHEREAS, on July 13, 2021, Agenda Item 16.D.8, the COUNTY entered into an
Agreement with Youth Haven, Inc.to further undertake the responsibilities and obligations of the
Community Development Block Grant(CDBG) - CV Program.
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WHEREAS, the parties wish to amend the Agreement by increasing the total amount of
Federal funds awarded at the request of the subrecipient.
NOW, THEREFORE, in consideration of the covenants and agreements contained
herein, and for other good and valuable consideration,the Parties hereby agree that the COUNTY
will provide a Grant to SUBRECIPIENT upon and subject to all general conditions, terms,
covenants,and agreements herein set forth:the parties hereto agree to amend the Agreement as set
forth below.
Words Str-ffck-Thr-ough 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-CV 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: Intake Center for Abused,Neglected, Abandoned and Homeless Youth
Description of project and outcome: CHS, as administrator of the CDBG-CV program, will
make available CDBG-CV funds up to the gross amount of$6-82,000 $1,390,321.00 to
Youth Haven, Inc. to fund including but not limited to: construction activities,
materials/supplies, plans/specs, permits and fees, mobilization, survey, and all other
associated costs for the construction of an new intake center to benefit homeless for youth
on Youth Haven's campus.
Project Component One: Construction of an intake center for youth.
* * *
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component 1: Construction of an intake center including but $6827090.00
not limited to construction activities,materials/supplies,plans/specs, $1,390,321.00
permits and fees,mobilization,survey and all other associated costs.
Total Federal Funds: $682,000.00
$1,390,321.00
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* * *
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available SIX HUNDRED EIGHTY TWO THOUSAND
DOLLARS AND ZERO CENTS($682,000.00) ONE MILLION, THREE HUNDRED NINETY
THOUSAND, THREE HUNDRED TWENTY-ONE DOLLARS AND ZERO CENTS
($1,390,321.00) for use by SUBRECIPIENT, during the term of the Agreement(hereinafter, shall
be referred to as the"Funds").
Modification to the"Budget and Scope"may only be made if approved in advance. Budgeted-fund
signify a change in scope. Fund shifts that exceed 10 percent of the Agreement amount shall only
be made with Board of Count)'Commissioners(Board)a .al
The COUNTY shall reimburse SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks, as accepted and approved by CHS.
SUBRECIPIENT may not request disbursement of CDBG-CV funds until funds are needed for
eligible costs;and all disbursement requests must be limited to the amount needed at the time of the
request. SUBRECIPIENT may expend funds only for allowable costs resulting from obligations
incurred during the term of this Agreement. Invoices for work performed are required every month.
If no work has been performed during that month,or if the SUBRECIPIENT is not yet prepared to
send the required backup,a$0 invoice is required.Explanations may be required if two consecutive
months of $0 invoices are submitted. Payments shall be made to the SUBRECIPIENT, when
requested, as work progresses but not more frequently than once per month. Reimbursement will
not occur if SUBRECIPIENT fails to perform the minimum level of service required by this
Agreement.
*
2.2 RECORDS AND DOCUMENTATION
E. 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 three(3)years after the date of submission of
the annual performance and evaluation report, as prescribed in 2 CFR 200.334. However, if
any litigation,claim, or audit is started before the expiration date of the three(3)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 200.337. 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 exempt or
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confidential public records that are exempt from public records disclosure requirements. All
records stored electronically must be provided to the COUNTY in a format that is compatible
with the COUNTY'S information technology systems.
IF 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 PUBLIC RECORDS CUSTODIAN AT
Michael.Brownlee(a colliercountyfl.2ov 239-252-2679, 3299 Tamiami Trail East,
Naples FL 34112.
[Signature Page to Follow]
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IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY, have each
respectively, by authorized person or agent, hereunder set their hands and seals on the date first
written above.
ATTEST: AS TO COUNTY:
CRYSTAL K. KINZEL,,CLERK
BOARD OF CO I. Y COMMISSIONERS OF
COLLIER CO A • - ! •
Attest al_to h to ,Deputy Clerk 6 ). Allir / !_ 0.41" a,signature only., .. - By: _,c-_ -
Will L. McDaniel, Jr., Chairperson
Dated: ! 1 I Y n
(SEAL) Date: 0 Cr 11 Z.o Z Z
AS TO SUBRECIPIENT:
WITNESSSES4: YOUTH HAVEN, INC.
Witness#1 Signature B '
Linda Goldfield,Executive Director
y k,ebloLO r\
Witness#1 Printed Name
Date: ----NX\. `4\ . 1a�
( )„,-0
Witness Signature [Please provide evidence of signing authority]
Jodi Erspe4D
Witness#2 Printed Name
App jed as to form and legality:
fir ti
Derek D. Perry CP'
Assistant County Attorney eP
Date: Q CT if , Zo Z Z
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ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 P 12/5/2022
Services
2. County Attorney Office County Attorney Office nP 12/5/2022
3. BCC Office Board of County
Commissioners tal ly Oil 12/S/2 z
4. Minutes and Records Clerk of Court's Office ill)
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 10.11.2022 Agenda Item 16.D.4
Approved by the BCC Number
Type of Document Substantial Amendment Number of Original i2'
Attached (as Board Resolution) "16.7' Documents Attached
PO number or account Document to be-pickoiemailed to Email Judith.Sizensky@Colliercountyfl.gov
number if document is Judy once signatures attained.
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature?(Stamp ok) Y
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 10/11/2022 and all changes made during 1�Q I/A is not
the meeting have been incorporated in the attached document. The County In option for
Attorney's Office has reviewed the changes,if applicable. s line.
9. Initials of attorney verifying that the attached document is the version approved by the /A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the ne option for
Chairman's signature. is 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
160 4
RESOLUTION NO. 2022- 1 62
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
APPROVING AMENDMENTS TO COLLIER COUNTY'S
U.S. DEPARTMENT OF HOUSING AND URBAN
DEVELOPMENT FY2019-2020 ANNUAL ACTION PLAN TO
REALLOCATE $1,000,000 CDBG-CV FUNDING FROM
GOLDEN GATE SENIOR CENTER (CD-CV21-06) WITH
$708,321 TO THE YOUTH HAVEN INTAKE CENTER
PROJECT (CD-CV21-04) AND $291,679 FOR A TO BE
DETERMINED PUBLIC FACILITIES PROJECT;
AUTHORIZING THE CHAIR TO EXECUTE REQUIRED
HUD AGREEMENTS AND FORMS; AND AUTHORIZING
TRANSMITTAL OF THE AMENDED PLAN TO THE
UNITED STATES DEPARTMENT OF HOUSING AND
URBAN DEVELOPMENT (HUD); AND PROVIDING FOR
AN EFFECTIVE DATE.
WHEREAS, the United States Department of Housing and Urban Development (HUD)
requires a one-year Annual Action Plan be developed and submitted as an application for planning
and funding of Community Development Block Grant (CDBG), HOME Investment Partnerships
(HOME), and Emergency Solutions Grants (ESG) Program; and
WHEREAS, the Annual Action Plan for FY2019-2020 was approved by the Board of
County Commissioners on June 25, 2019,and the FY2019-2020 Annual Action Plan was adopted
by Resolution 2019-108; and
WHEREAS, on May 12, 2020, the Board of County Commissioners ratified the County
Manager's action to amend the FY2019-2020 Annual Action Plan and recognize the first
round of CDBG-CV and ESG-CV funding for $1,561,633 and $707,128 respectively by
Resolution 2020-50; and
WHEREAS, on November 10, 2020, the Board approved a second amendment to the
FY2019-2020 Annual Action Plan to recognize additional funding related to the Coronavirus
pandemic by Resolution 2020-205; and
WHEREAS, on November 9, 2021, the Board approved a third amendment to the
FY2019-2020 Annual Action Plan to reallocate $1,000,000 in CDBG-CV funds from St.
Matthew's House Facility Acquisition to Reconstruction of Golden Gate Senior Center by
Resolution 2021-229; and
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WHEREAS, the overall goal of the community planning and development programs
covered by the action plan is to develop viable communities by providing decent, affordable
housing, a suitable living environment and expanding economic opportunities for low and
moderate-income persons; and
WHEREAS,the Coronavirus pandemic resulted in additional federal funding through the
CARES Act; and
WHEREAS, in order to reprogram the HUD Community Development Block Grant
(CDBG), CDBG-CV, Emergency Solution Grants (ESG), ESG-CV, and HOME funding each
entitlement community must amend the FY2019-2020 Annual Action Plan to recognize
reallocation of funding within identified programs to be undertaken and respond to community
needs; and
WHEREAS, a fourth substantial amendment is needed to reallocate funding to more
effectively implement the federal grant funded programs.
NOW, THEREFORE BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
1. The Board of County Commissioners of Collier County approves the amendments to
the FY2019-2022 Annual Action Plan for the CDBG-CV Program and authorize the
Community and Human Services Division to transmit the amendments and required
documents to the funding authority and take all necessary actions to implement the
CDBG-CV program.
2. The Annual Action Plan sets forth dollar amounts and project descriptions for the
activities to be funded by the CDBG-CV. A description of the proposed projects and
associated funding is included in the Executive Summary and incorporated by
reference.
3. SEVERABILITY. If any section, sentence, clause or phrase of this Resolution is held
to be invalid or unconstitutional by any court of competent jurisdiction, then said
holding shall in no way affect the validity of the remaining portions of this Resolution.
4. EFFECTIVE DATE. This Resolution shall become effective upon adoption bya p p
majority vote of the Board of County Commissioners.
[22-SOC-00953/1744204/1] Page 2 of 3
CAC
160 4
This Resolution adopted this 11th day of October 2022, after motion, second
and majority vote favoring same.
ATTEST:, a`...•....., 9,4 BOARD OF COUNTY COMMISSIONERS
CRYSTAL ICE KINZEL•,tJ.ERK COLLIER CO10; : ' I A
Deputy ' By: C e-)- 4 I ..., OP"
Cler' .•, Will/ m L. McDaniel,Jr., Chairman
w.ttest as toy han -`
, . still:
signature '.
App ed as to form a legality:
ill /I-
Derek D. Perry
Assistant County Attorney \ i
v
(1\01/
[22-SOC-00953/1744204/1] Page 3 of 3
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