Backup Documents 11/08/2022 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 11.8.22 oard ijaSg
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6U 6
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. Carolyn Noble Community and Human CN 11.8.22
Services
2. County Attorney Office— County Attorney Office
1).9 C lI . -ZZ
3. BCC Office Board of County
Commissioners (, I( i i//$/2 Z
4. Minutes and Records Clerk of Court's Office 1oUw�Q���
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PRIMARY CONTACT INFORMATIO
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 23i—4/50— Phone Number 239-450-5186
Contact/ Department 01 120Ly if tJ 0 d LF 518Co
Agenda Date Item was Agenda Item Number Approved by the BCC ^/4 VEr i 4E2 81 2z 2 Z /�`/,, %�, D/
•
Type of Document I AMENDMENT—3 ORIGINALS—HABITAT Number of Original 3 original documents
Attached FOR HUMANITY—AMENDMENT#2 Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK CN 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 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 N/A
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's yes
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on above date and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County 1 an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made, and the document is ready for the V�I an option for
Chairman's signature. this line.
I. 6O
MEMORANDUM
Date: November 16, 2022
To: Carolyn Noble, Grants
Community & Human Services
From: Martha Vergara, Sr. Deputy Clerk
Minutes & Records Department
Re: Habitat for Humanity Amendment #2
Enclosed please find two (2) originals of each document referenced above (Agenda
Item #16D6), approved by the Board of County Commissioners on Tuesday, November
8, 2021.
The Minutes & Records Department has retained an original as part of the Board's
Official Records.
If you have any questions, please contact me at 252-7240.
Thank you.
Enclosure
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FAIN# M 16-UC 12-0217
M 18-UC 12-0217
M 19-UC 12-0217
Federal Award Date September 12, 2019
Federal Award HUD
Agency
CFDA Name Home Investment
Partnerships (HOME)
CFDA/CSFA# 14.218
Total Amount of $886,345
Federal Funds
Awarded
Subrecipient Name Habitat for Humanity
of Collier County, Inc.
DUNS#UEI 080676690
MLUZYT83P4Z9
FEIN 59-1834379
R&D No
Indirect Cost Rate No
Period of March 23, 2021 —
Performance December 31,242-2
November 15, 2024
Fiscal Year End 6/30
Monitor End: 6/ June 30, 2034
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
HABITAT FOR HUMANITY OF COLLIER COUNTY, INC.
New Construction-Homeownership
This Amendment is made and entered into as of this 872-I day of /410VE01 5E2 2022, by and
between Collier County,a political subdivision of the State of Florida(COUNTY)and Habitat for
Humanity of Collier County, Inc. (SUBRECIPIENT), a non-profit corporation existing under the
laws of the State of Florida, having its principal office at 11145 Tamiami Trail E., Naples, FL
34113.
WITNESSETH
WHEREAS, on April 13, 2021, Agenda Item 16.D.1., the COUNTY entered into an
Agreement using HOME Investment Partnerships(HOME)Program funds for a new construction,
infrastructure,project to provide new multi-unit single family homes for 52 families whose income
is at or below 80%AMI.
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WHEREAS, on March 22, 2022, the Board of County Commissioners approved
Amendment#1 to clarify the award amount and match requirement.
WHEREAS,the Parties desire to further amend the Agreement to update the UEI number,
period of performance, monitoring end date, performance deliverable due dates, subrecipient
contact, and custodian of public records.
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 Stritektough are deleted; Words Underlined are added.
PART 1
SCOPE OF WORK
1.2 PROJECT DETAILS
D. Performance Deliverables
The Following Table Details the Project Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies as stated in this Within sixty (60) days of
Policies (Section 1.1) agreement Agreement Execution
HOME Match Requirement Documentation of Proportionate to the monthly
SUBRECIPIENT Activities amount invoiced or 100%may
be submitted at any time during
the project
HQS Inspections NA Not Applicable
Insurance Insurance Certificate Within Thirty (30) days of
(Exhibit A) Agreement execution within
thirty (30) days of renewal
Detailed Project Schedule Project Schedule Within thirty (30)days of
Agreement Execution
Project Plans and Site Plans and Specifications Prior to Construction Start
Specifications
Subcontractor log Subcontractor log Monthly or any time new
subcontractors begin
Davis-Bacon/Certified Payroll Certified Payroll 14 days from end of each pay
Documentation period for each
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r contractor/subcontractor
Income Certification Exhibit D Maintained in
Documentation SUBRECIPIENT client file
and validated at Monitoring
Quarterly Performance Report Exhibit C Quarterly until project
_ completion
Section 3 Report Quarterly report of new hire Quarterly within 10 days after
information the end of the quarter(even if
zero). Final report due 60 days
after Agreement ends.
Annual Audit Monitoring Audit, Management Letter, Annually, within 60 days after
Report Exhibit E FY end
Financial and Compliance Exhibit E Annually 180 days after FY
Audit end
Continued Use Certification Continued Use Affidavit Annually until 2032 2034
Capital Needs Assessment Plan approved by the Initial Plan due at construction
Plan COUNTY completion and annually
thereafter,prior to start of
SUBRECIPIENT fiscal year,
until 2 2 2034
Program Income Re-use Plan Planned use of program Annually until2 2034
generated income
1.3 PERIOD OF PERFORMANCE
SUBRECIPIENT's services shall begin on March 23,2021 and end on December 31,2022
November 15, 2024. Construction activities shall be completed by December 31, 242-2
November 15,2024 and the affordability period shall cease in 282 2034. The term of this
Agreement and the provisions herein may be extended by amendment to cover any
additional time period during which the SUBRECIPIENT remains in control of HOME
funds or other HOME assets, including program income.
DURATION OF AGREEMENT -
The duration of the SUBRECIPIENT Agreement is as follows:
Agreement Effective Date March 23,2021
Deadline for Commitment of Funds(12 months) March 23,2021
Deadline for Expenditure of Funds(2 years) December 31, 2022 November
15, 2024
Agreement Expiration Date December 31,202.2 November
15, 2024
Deadline for Receipt of Final Reimbursement March 31,202-3 2025
Request
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1.6 NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, or 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, Grant Coordinator
Collier County Government
Community&Human Services Division
3339 E Tamiami Trail, Suite 211
Naples, Florida 34112
Email: Carolyn.noble@,colliercountyfl.gov
Phone: 239-450-5186
SUBRECIPIENT ATTENTION: Nick rro,,loheras, President Lisa Lefkow, CEO
Habitat for Humanity of Collier County
11145 Tamiami Trail East
Naples, FL 34113
Email:
llefkow@habitatcollier.org
Phone: 239-775-0036
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 three (3)
years after the date SUBRECIPIENT submits 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 SUBRECIPIENT ceases to exist after closeout of this Agreement, it shall
notify the COUNTY in writing of the address where the records are to be kept, as
outlined in 2 CFR 200.337. SUBRECIPIENT shall meet all requirements for retaining
public records and transfer, at no cost to COUNTY, all public records in
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SUBRECIPIENT's possession upon termination or expiration of the Agreement, and
destroy any duplicate exempt or confidential public records that are released 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 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 6832 239-252-
2679, Michael.Brownlee@colliercountyfl.gov,
3299 Tamiami Trail E.,Naples, FL 34112.
* * *
Remainder of Page Intentionally Left Blank
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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 THE COUNTY:
CRYSTAL K1,1 EL, CLERK BOARD OF COUNTY COMMISSIONERS OF
rr COLLIER CO : ' DA
om' mr_ '
WI/ IAM L. McDANIEL, JR., CHAIRMAN
Dated:
Attest as la:601146 Date: Ho veri l#E t $, Lo 2.z
signature only.
WITNESSES: AS TO SUBRECIPIENT:
1 C L L,_ HABITAT_ FOR HUMANITY OF COLLIER
Witness#1 Signature J CO• T INC.
Cnntrn B :
Witness#1 Printed Name / LISA LEFKOW, IEF EXECUTIVE
1 OFFICER
c ti��
Witne Signat j Date: (Q/,�/ /L - 2?-.
Viking ear7an l
Witness #2 Printed Name
Approved as to form and legality:
Derek D. Perry \��
Assistant County Attorn y cc\\'
Date: iy A/O V Zo ZZ
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