Backup Documents 07/11/2023 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 7, /I.
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO o '73 me I G _
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 bb
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already completeeit 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. Carolyn Noble Community and Human CN 6.1.23
Services
2. County Attorney Office— County Attorney Office o�J'J e 1\41/3
3. BCC Office Board of County 1
Commissioners Fi, lr 03 frI 7////L 5
4. Minutes and Records Clerk of Court's Office
7j7-7) t .i
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 Ca-ra\/n � 1O� � Phone Number 239-450-5186
Contact/ Depai tutent I�/
Agenda Date Item was Agenda Item Number
Approved by the BCC 111 ' b3 I CO
Type of Document 3 ORIGINAL AMENDMENTS FOR CCHA Number of Original 3 ORIGINAL
Attached AMENDMENT#2 Documents Attached DOCUMENTS
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
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 fmal 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 T/A is not
the meeting have been incorporated in the attached document. The County ' ' 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 /A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the \j'�Q an option for
Chairman's signature. this line.
16D5
FAIN# M-16-UC-12-0217
M-18-UC-12-0217
M-21-UC-12-0217
Federal Award Date October 2016, October
2018 and October 2021
Federal Award HUD
Agency
CFDA Name Home Investment
Partnership (HOME)
CFDA/CSFA# 14.239
Total Amount of $431,537.78
Federal Funds
Awarded
Subrecipient Name Collier County
Housing Authority
UEI# WHDZXBD56QL 1
FEIN# 59-1490555
R&D No
Indirect Cost Rate No
Period of January 1, 2022—
Performance September 30, 2023
Fiscal Year End 9/30
Monitor End Date 12/23
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COLLIER COUNTY HOUSING AUTHORITY
Tenant Based Rental Assistance (TBRA)
THIS AMENDMENT is made and entered into this I I day of 3V i—`{ , 2023, by
and between Collier County, a political subdivision of the State of Florida, ("COUNTY" or
"Grantee") having its principal address as 3339 E. Tamiami Trail, Naples FL 34112, and
"COLLIER COUNTY HOUSING AUTHORITY"a quasi-governmental agency established by
Florida Statute 421 existing under the laws of the State of Florida, (SUBRECIPIENT) having its
principal office at 1800 Farm Worker Way,Immokalee, FL 34142.
WHEREAS, the COUNTY is the recipient of HOME Investment Partnerships (HOME)
Program funds from the United States Department of Housing and Urban Development(HUD) as
provided by the Cranston-Gonzalez National Affordable Housing Act, as amended; and
WHEREAS,the Board of County Commissioners of Collier County(Board)approved the
Collier County Consolidated Plan One-Year Action Plans for Federal Fiscal Years 2019-2020 and
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Collier County I lousing Authority I IM21-02
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2021-2022 for the HOME Program on June 25, 2019 and June 22, 2021, Agenda Items, 16.D.2
and 16.D.7, respectively,and the Substantial Amendment dated December 14, 2021, Agenda Item
16.D.8.; and
WHEREAS, HUD has approved the County's Consolidated Plan One-Year Action Plan
for Federal Fiscal Year 2019-2020 and 2020-2021 for the HOME Program and the use of the
HOME funds for the activities identified in the Plan; and
WHEREAS, the COUNTY and the SUBRECIPIENT desire to provide the activities
specified in this Agreement, in accordance with the approved One-Year Action Plan; and
WHEREAS, the COUNTY has engaged the SUBRECIPIENT to implement such
undertakings of the HOME Program as a valid and worthwhile County purpose.
WHEREAS, on January 11, 2022, Agenda Item 16.D.6., the COUNTY entered into an
Agreement using HOME Investment Partnerships (HOME) Program funds for the Tenant Based
Rental Assistance Program to provide very-low and low income households with rent, electric
utility deposits and/or security deposits for a period up to 24 months.
WHEREAS, on September 27, 2022, Agenda Number 16.D.4., the Board of County
Commissioners approved Amendment#1 to increase funding, update the UEI number,component
and supporting documentation language, and revise the period of performance.
WHEREAS, the Parties desire to amend the Agreement to update Exhibit C —Quarterly
Performance Report.
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 Struck ough are deleted; Words Underlined are added.
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Collier County Housing Authority HM21-02
Tenant Based Rental Assistance Amendment#2
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EXHIBIT C
QUARTERLY PERFORMANCE REPORT
Subrecipients: Please complete the questions that pertain to your project only.
Subrecipient Name: Collier County Housing Date:
Authority
Project Title: TBRA
Program Contact: Angela Edison Alternate Contact:
Telephone Number: Telephone Number:
Project#: IDIS#:
Activity Reporting Period Report Due Date
October 1"—December 31 St January 10th
January 1"—March 31 st April 10th
April 1"—June 30th July 10th
July 1"—September 30th October 10th
REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period):
12/31/XX 3/31/XX 6/30/XX 9/30/XX
Please note: The HUD Program year begins October 1,20XX—September 30,20XX. Each quarterly report must
include cumulative data beginning from the start of the program year October 1,20XX.
1. Please list the outcome goal(s)from your approved application and subrecipient Agreement.
a. Outcome Goals: list the outcome goal(s)from your approved application and subrecipient Agreement
Outcome 1: Serve approximately 3� 15 households with rent payments or electric utility,and/or security
deposits for a period up to 24 months
Outcome 2: 75 percent of eligible applicants receive eligible housing within three(3)months of approval,
based on availability of funds and housing
Outcome 3: Conduct outreach to a minimum of four(4) landlords per program year as evidence by quarterly
performance reports
b. Goal Progress: Indicate the progress to date in meeting each outcome goal.
Outcome 1:
Outcome 2:
Outcome 3:
Monthly Rent Household Tenant Contract
Last #of Securit Tenan TBRA Total % of Hispan Race Famil Type Paid to Newly #
Name, Bed- y Dep t Rent Subsid Rent Media is y of Owner Assist Months
First rooms y n Y/N Size House / ed of
Initial Incom -hold Tenant YIN assistanc
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Collier County Housing Authority HM21-02
Tenant Based Rental Assistance Amendment#2
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$
$
$
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Name:
Signature:
Title:
Your typed name here represents your electronic signature
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Collier County I lousing Authority I IM21-02
tenant Based Rental Assistance Amendment#2
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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 K. KINZEL, CLERK BOARD OF COUNTY COMMISSIONERS OF
4444a/0C COLLIER COUNTY, FLORIDA
A f+St 1s to criavisotet Clerk
uicnat:�; pni . By: '
RICK LOCASTRO., CHAIRMAN
Dated: p. "I `- p -3
•' / • -(SAL Date: I 1 ( - -5
e; , . .
vB 11 {r.. ,,44",,i
,,
j,.
ITNESSES:\/zed., AS TO SUBRECIPIENT:
t 01 COLLIER COUNTY HOUSIN
G AUTHORITY
Witness#1 PG di, Si na, e
I t /S%:-1 By: rtigir811.
�i/� ��,r /'
Witness#1 Printed Name OSCA—E "A CHEL, EXECUTIVE
DIRECTOR
Witness 2 Si nature t5 //9/2.
7
Date:
NtarIcAi Par ro,
Witness#2 Printed Name [Please provide evidence of signing authority]
A rdved as to forPand legality:J. .
rb
Derek D. Perry \\vI'
Assistant County Attorney h\
Date: 7 / t 1 ) z 3
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Collier County I lousing Authority I IM2 1-02
Tenant Based Rental Assistance Amendment#2
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