Backup Documents 12/13/2022 Item #16D 4 160 4 •
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 he 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. Joshua Thomas, Grants Coordinator Community & Human 12/05/22
Services
2. Derek D. Perry County Attorney Office O
op Y 1 Z(1(1 IZZ
3. BCC Office Board of County
Commissioners
4. Minutes and Records Clerk of Court's Office NPI ,� �a /I)``1
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 Joshua Thomas/CHS Operations Grants Phone Number 239-252-8995
Contact/ Department Coordinator
Agenda Date Item was December 13,2022 Agenda Item Number 16 LI1
Approved by the BCC
Type of Document CHSI Amendment#2 Number of Original 2
Attached Documents Attached
PO number or account See Routing Instructions Attached
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 o ' i al signature? S o r _4T'
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 JT
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 JT
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 JT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JT
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 12/13/22 and all changes made during JT F is not an
the meeting have been incorporated in the attached document. The County on for
Attorney's Office has reviewed the changes,if applicable. line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not an
BCC,all changes directed by the BCC have been made,and the document is ready for the \' option for
Chairman's signature. \J 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
Co ver County
Public Services Department
Community & Human Services Division
MEMO
December 13, 2022
TO: BCC—Minutes & Records
FROM: Joshua Thomas, Grants Coordinator
RE: BCC Agenda Item 16D14
CHSI Amendment 2
Please have the Chairman sign with , two copies of the attached
CHSI Amendment 2. Once the agreement has been signed, please return one original and e-
mail a scanned copy to me at Joshua.Thomas@colliercountyfl.gov. Please contact me when the
original is ready for pickup.
If you have any questions, please call me at: X-8995
Thank You!
Community&Human Services Division•3339 Tamiami Trail East,Suite 211 •Naples,Florida 34112-5361
239-252-CARE(2273)•239-252-CAFE(2233)•239-252-4230(RSVP)•www.colliergov.netlhumanservices
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FAIN if NUS8DP007038
Federal Award Date 8/31/2021
Federal Award Agency U.S,Department of Health and
Human Services/Centers for
Disease Control and
Prevention(HHS/CDC)
CFDA Name Community Health Workers
for COVID Response and
Resilient Communities(CCR)
CFDA/CSFAf 93.495
Total Amount of Federal FYI $394,455.00
Funds Awarded PY2$388,069.00
PY3*
*Contingent upon CDC and
COUNTY approval
SUBRECIPIENT Name Collier Health Services,Inc.
d/b/a Healthcare Network
UEI GPX13QKU6AJA5
FEIN 59-1741277
R&D N/A
Indirect Cost Rate N/A
Period of Performance 8/31/2021 -8/30/2024
Fiscal Year End 03/31
Monitor End: 11/2024
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COLLIER HEALTH SERVICES,INC.D/B/A HEALTHCARE NETWORK
.Collier County Community Health Coalition:
Advancing Accessible&Equitable Healthcare Systems in Extra Mile Migrant Worker Communities
THIS AMENDMENTth
is made and entered into this 13 day of December 2022, by and between
Collier County, a political subdivision of the State of Florida, (COUNTY) having its principal address at
3339 E Tamiami Trail, Naples FL 34112, and Collier Health Services, Inc. d/b/a Healthcare Network,
(SUBRECIPIENT),having its principal office at 1454 Madison Ave W,ImmokaIee,Florida 34142.
WITNESSETH
WHEREAS, on December 14, 2021, Agenda Item I6.D.18,the COUNTY entered into an
Agreement with Collier Health Services, Inc, to administer the Centers for Disease Control and
Prevention, Community Health Workers for COVID Response and Resilient Communities(CCR)
program; -
I1
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
Second Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC)
Page 1
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WHEREAS, on May 24, 2022, Agenda Item 16.D.3, the Agreement was amended to
increase the SUBRECIP1ENT's award amount by $101,236.78 to a total award of$394,455, and
WHEREAS, the parties wish to amend the Agreement to add second year funding and
adjust the scope and budget as stated below.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein,the parties hereto agree to amend the Agreement as set forth below.
Words&trl e Tt�chrongh are deleted; Words Underlined are added.
PART 1
SCOPE OF WORK
The SUBRECIPIENT shall,in a satisfactory and proper manner and consistent with any standards required
as a condition of providing CDC funding, as determined by Collier County Community and Human
Services Division(CHS),perform the tasks necessary to conduct the program as follows:
Project Name: Collier County Community Health Coalition:Advancing Accessible and Equitable
Healthcare Systems in Extra Mile Migrant Worker Communities(CCCHC)
Description of project and outcome: The CCCHC program will support COVID-19 response
efforts in communities hit hardest and among Priority Populations that are at higher risk for
COVID-19 exposure, infection, and poor health outcomes. Through this program, Community
Health Workers (CHWs) will serve Extra Mile communities within Collier County. Extra Mile
communities are defined as medically underserved communities in which the residents must make
additional efforts,require additional resources,and/or overcome barriers in order to access quality
healthcare. Communities may include, but are not limited to: Immokalee, Golden Gate, Lely,
Everglades City, Goodland,Copeland,and Chokoloskee.
Project Component One: Salaries, payroll taxes and fringe benefits for program personnel, not to
exceed six(1.0 FTE) Community Health Workers; one (0.15 PTE) Human Resources Manager;
and one(0,15 FTE) Community Relations Director.
Project Component Two: Travel,reimbursed according to the federal GSA rate.
Project Component Three: Supplies, including but not limited to tablets, cell phones, monthly
cellular service plans, PPE, sanitization supplies, and other materials necessary for COVID-I9
testing events.
Project Component lour: All costs associated with contracted Program Evaluation and
Consultation Services
I. Project Tasks:
a, Task 1: Recruit,hire,and train no more than six(6)new Community Health Workers,
demonstrated by signed offer letter and job description for each new hire.
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
Second Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 2
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b, Task 2:Provide a monthly mileage log for travel throughout Collier County. (Year 1
Funding Only)
c. Task 3; Conduct a minimum of one (1) COVID-19 testing event and participate in a
minimum of one(1)COVID-19 vaccination outreach event,in Extra Mile communities
in Collier County.
d. Task 4:Develop Vendor Service Agreements,to assist with program implementation,
training,data evaluation and the preparation of reports_To include the submission of;
no less than one.semi-annual report, including data as required by the CDC,to CIIS.
* * *
1.2 PROJECT DETAILS
A. Project Description/Project Budget Program Year 1
Description Federal Amount
Project Component 1: Salaries $25I,250.00
Project Component 2: Travel $19,777.00
Project Component 3: Supplies $11,630.00
Project Component 4: Program Evaluation and Consultation S111,798.00
Services*
Total Federal Funds; $394,455,00
*All costs associated with Program Evaluation and Consultation Services shall be retroactive to 3/1/2022.
B. Project Description/Project Budget Program Year 2
Description Federal Amount
Project Component 1: Salaries/Fringe $316,512.00
Project Component 2; Travel $0,00
Project Component 3: Supplies $7,200.00
Project Component-4: Program Evaluation and Consultation $64,357.00
Services
Total Federal Funds: $388,069.00
* * *
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
Second Amendment to CDC21-01
Collier County Community Health Coalition(CCCHC) Page 3
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E. Payment Deliverables
Payment Deliverable
Y Payment Supporting Documentation Submission Schedule
Project Component 1: Salaries Submission of supporting documents Submission of
must be provided, as evidenced by offer monthly invoices
letter and job description(first pay within 30 days of the
request) for new hires, signed timesheets, month of service.
payroll registers,check stubs, bank
statements,and any other additional
documentation as requested. (Exhibit B)
Project Component 2: Travel Submission of supporting documents Submission of
(Year I Funding Only)
must be provided, as evidenced by, monthly invoices
mileage logs,GSA rate documentation, within 30 days of the
check stubs, bank statements,and any month of service:
other additional documentation as
requested. (Exhibit B)
Project Component 3: Supplies Submission of supporting documents Submission of
must be provided,as evidenced by monthly invoices
receipts,invoices, check stubs, bank within 30 days of the
statements,and any other additional month of service.
documentation as requested.
Documentation of no less than one(I)
COVID-19 testing event and no less than
one(I)COVID-19 vaccination event.
(Exhibit B)
Project Component 4: Program Submission of supporting documents Submission of
Evaluation Services must be provided,as evidenced by monthly invoices
vendor contract(first pay request), within 30 days of the
invoices,check stubs, bank statements, month of service.
and any other additional documentation
as requested. (Exhibit B)
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available a cumulative total of 'r'����iNDRE , *ram NThIEmti�
FOUR-THOU -N , �rrn r_irmTnnrr� 7=� rT��r��' truer nnru Banc rm�c�� rcc 0)SEVEN
HUNDRED AND EIGHTY TWO THOUSAND, FIVE HUNDRED AND TWENTY FOUR
DOLLARS ($782,524.00) in Year One (1) and Year Two (2), with additional funding for the
remaining years to be determined by the CDC at the end of caoh funding-veer, for use by the
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
Second Amendment to CDC21-01
Collier County Community Health Coalition(CCCRC) Page 4
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SUBRECIPIENT during the Agreement(hereinafter,referred to as the"Funds"),as restricted by
Program Year. Funds are subject to CDC authorization and COUNTY approval for Yeas,-2—and
Year 3.SUBRECIPIENT may use Funds only for expenses eligible under Coronavirus Aid,Relief,
and Economic Security Act("CARES"),Public Law 116-136 and under the Public Health Service
Act 42 U.S.C. 30I(a),and further outlined in I-IHS/CDC Guidance.
The CDC requires that Funds from Coronavirus Aid, Relief, and Economic Security Act
("CARES")only be used to cover expenses that:
B. Were incurred during the authorized Program Years, defined as:
Program Year I 08/31/2021 -08/30/2022 $ 394,455.00
Program Year 2- 08/31/2022-08/30/2023
$ As-approved by CDG
$388,069.00
Program Year 3** 08/31/2023 -08/30/2024
$As approved by CDC
**Only applicable if authorized by the CDC and upon approval by the COUNTY.
1.6 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.Either party
may change the address to which notices are to be sent to it by giving written notice of such change
to the other parting in the manner herein provided for giving notice.Any notice,request,instruction,
or other document 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: Catherine-Merman--Loretta (Lori) Blanco, Grant
Coordinator
Collier County Community and Human Services Division
3339 E Tamiami Trail, Suite 211
Naples,Florida 34112
Email: Gntheri+te:Shet-not@sell.ieteeun f
Loretta.Blanco@coliicrcountyagov .
Telephone: (239)252- 425-2675
SUBRECIPIENT ATTENTION: Julie Pedretti,Vice President of External Affairs
COLLIER HEALTH SERVICES, INC, d/b/a HEALTHCARE
NETWORK
1454 Madison Avenue
Immokalee,Florida 34142
Email:JpedrettiPhealthcareswfl.org
Telephone: (239)658-3792
* *
COLLIER HEALTH SERVICES,INC D/B/A HEALTHCARE NETWORK
Second Amendment to CDC21-0I
Collier County Community Health Coalition(CCCHC) Page 5 (�
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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 writ-ten above.
ATTEST: BOARD OF CO COMMUSION OF
CRYST K. KINZEL,CLERK COLLIE ORIDA
•
By: •
,Deputy Clerk WIL AM L.MCDANIEL,JR.,
Attest as to Chairman's C RPERSON
signature only..
Date: bet - 3, .Z p 2-7-
I � COLLIER HEALT �,,INC. D/B/A
Dated: HEALTH
(SEAL
By:
JO ETC ,CHIEF OPERATING
CE
Date: ulti
Appr ved s to for fi an to a1it2
Derek D. ny
Assistant County Attorney v\iw
\\`
Date: [ k PC-C-- 2 Z-
COLLIER HEALTH SERVICES,INC D/➢/A HEALTHCARE NETWORK
Second Amendment to CDC21-Ol
Collier County Community Health Coalition(CCCHC) Page 6