Backup Documents 04/25/2023 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 14 U 6
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 fines#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. Wendy Klopf Community and Human 04/25/2023
Services
2. Minutes & Records Clerk of Court's Officesaif
3.
4.
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 Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 04/25/2023 Agenda Item Number 16D6
Approved by the BCC
Type of Document AAA/EHEAP Amendment 203.21.02 Number of Original 1
Attached Documents Attached
PO number or account NA
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? NA
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 WK
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 NA
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's NA
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 03/14/2023 and all changes made WK
during 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 WK
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
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
April 2021 —September 2023 EHEAP 203.21.02
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC. L n L
EMERGENCY HOME ENERGY ASSISTANCE PROGRAM V tl V
WHEREAS, the purpose of this Amendment is to authorize Fiscal Year 2022 funding.
NOW THEREFORE,in consideration of the mutual covenants and obligations set forth herein,the receipt and sufficiency of
which are hereby acknowledged,the Parties agree to the amended pages attached.
All provisions in the contract and any attachments thereto in conflict with this Amendment shall be and are hereby changedto
conform to this Amendment.
All provisions not in conflict with this Amendment are still in effect and are to be performed at the level specified in the
contract.
This Amendment and all its attachments are hereby made part of the contract.
IN WITNESS THEREOF,the Parties hereto have caused this amendment,to be executed by their officials as duly authorized;
and agree to abide by the terms,conditions and provisions of this EHEAP amendment as amended. This Amendment is effective
on the last date the Amendment has been signed by both Parties.
IN WITNESS WHEREOF, the Parties hereto have caused this contract to be executed by their undersigned officials as duly
authorized.
CONTRACT OLLI CQ ; ikygned by AREA AGE ,� r.P • FORgitally signed by
III-
BOARD OF �I iSSIO1 RS SOUTHWES I 'I I FG
NC. Maricela Morado
ya Date:2023.03.24
SIGNED BY Date:2023.03.29
SIGNED BY: 16:38:42-04'00' : 12:00:03-04'00'
NAME: Tanya R. Williams NAME: Maricela Morado
TITLE: Public Services Dept. Head TITLE: President and CEO
DATE: 03.24.2023 DATE: 03.29.23
As Designee of the County Manager,
pursuant to Resolution No. 2018-202.
AiJL4A1/
ived as to Form acid Legality:
Derek D. Perry
Assistant County Attorney
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April 2021 —September 2023 EHEAP 203.21.02
16U6
AREA AGENCY ON AGING FOR SOUTHWEST FLORIDA,INC.
EMERGENCY HOME ENERGY ASSISTANCE PROGRAM
THIS CONTRACT is entered into between the Area Agency on Aging for Southwest Florida, Inc. (Agency)
and Collier County Board of County Commissioners (Contractor), collectively referred to as the "Parties." The
term Contractor for this purpose may designate a Vendor, Subgrantee or Subrecipient.
WITNESSETH THAT:
WHEREAS,the Agency has determined that it is in need of certain services as described herein; and
WHEREAS,the Contractor has demonstrated that it has the requisite expertise and ability to faithfully perform such
services as an independent Contractor of the Agency.
NOW THEREFORE, in consideration of the services to be performed;and payments to be made,together with the
mutual covenants and conditions set forth herein,the Parties agree as follows:
1 Purpose of Contract:
The purpose of this contract is to provide services in accordance with the terms and conditions specified in this contract
including all attachments, forms and exhibits,which constitute the contract document.
2 Incorporation of Documents within the Contract:
The contract will incorporate attachments, proposal(s), state plan(s), grant agreements, relevant Department
handbooks, manuals and/or desk books, as an integral part of the contract, except to the extent that the contract
explicitly provides to the contrary. In the event of conflict in language among any of the documents referenced above,
the specific provisions and requirements of the contract document(s) shall prevail over inconsistent provisions in the
proposal(s)or other general materials not specific to this contract document and identified attachments.
3. Term of Contract:
This contract shall begin at twelve (12:00)AM., Eastern Standard Time April 1,2021 or on the date the contract has
been signed by the last party required to sign it,whichever is later.It shall end at eleven fifty-nine(11:59)P.M.,Eastern
Standard Time September 30,2023.
4 Contract Amount:
The Agency agrees to pay for contracted services according to the terms and conditions of this contract in an amount
not to exceed $196,708.79 subject to the availability of funds. Any costs or services paid for under any other contract
or from any other source are not eligible for payment under this contract.
5 Renewals:
By mutual agreement of the Parties,in accordance with Section 287.058(1)(g),Florida Statutes(F.S.),the Agency may
renew the contract for a period not to exceed three years,or the term of the original contract,whichever is longer. The
renewal price, or method for determining a renewal price, is set price, is set forth in the bid, proposal, or reply. No
other costs for the renewal may be charged. Any renewal is subject to the same terms and conditions as the original
contract and contingent upon satisfactory performance evaluations by the Agency and the availability of funds.
6 Compliance with Federal Law:
6.1 If this contract contains federal funds this section shall apply.
6.1.1 The Contractor shall comply with the provisions of 45 Code of Federal Regulations(CFR)75 and/or 45 CFR
Part 92,2 CFR Part 200 and other applicable regulations.
6.1.2 If this contract contains federal funds and is over $100,000.00, the Contractor shall comply with all
applicable standards,orders,or regulations issued under Section 306 of the Clean Air Act as amended(42
United States Code(U.S.C.) 7401,et seq.), Section 508 of the Federal Water Pollution Control Act as
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FY21 FUNDS EXPIRE 3/31 /23
April 1,2021 —September 2023 EHEAP 203.21 1 6 0 6
AT t'ACHMENT IX
ANNUAL BUDGET SUMMARY AND DETAIL
EMERGENCY HOME ENERGY ASSISTANCE PROGRAM
for
Collier County Board of County Commissioners
Collier
EHEAP ADMINISTRATION BUDGET $ 8,247.89
EHEAP OUTREACH BUDGET $ 13,569.80
F,HEAP CRISIS ASSISTANCE $ 74.891.10
TOTAL $ 96,708.79
Projected minimum number of individuals to be served
Energy Assistance* _ 269
*Program expenditures may not exceed the spending authority as provided in the Budget Summary. As program hinds are
released,written notification of additional spending authority will be provided to Contractors.
**Eligible households may be provided with one benefit per season. The minimum number of consumers may reflect duplicated
consumers if a consumer receives a benefit in both seasons.
***Weather Related/Supply Shortage funds arc a set-aside for emergency assistance.These funds must be held in this
budget line item category until December 15th of the program year,for use in response to a possible disaster.
58
April 2021 — September 2023 EHEAP 203.21.02
FY22 FUNDS ACTIVE 4/1/23 through 9/30/23
6
BUDGET SUMMARY(2022-2023) 6
EMERGENCY HOME ENERGY ASSISTANCE FOR THE ELDERLY PROGRAM
Award
Total Administrative Budget $8,500.00
Total Outreach Budget $15,500.00
Crisis Assistance $76,000.00
Total S100,000.00
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