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Agenda 07/25/2023 Item #16D 6 (Third Amendment to provide case management services to benefit the residents of Collier County)
16.D.6 07/25/2023 EXECUTIVE SUMMARY Recommendation to approve and authorize the Chairman to sign the Third Amendment between Collier County and Collier Health Services, Inc., d/b/a Healthcare Network for the administration of the Community Development Block Grant - CV program with an increase of funding in the amount of $125,625 to support staff salaries of Community Health Workers. (Grant Fund 1835) OBJECTIVE: Provide case management services to benefit the residents of Collier County. CONSIDERATIONS: The U.S. Department of Housing and Urban Development (HUD) provides Community Development Block Grant (CDBG), HOME, and Emergency Solution Grant (ESG) entitlement funds to the County annually to address program -specific needs in the community. The Board of County Commissioners (Board) previously approved the 2019-2020 One -Year Action Plan on June 25, 2019 - Agenda Item #16D2. On April 27, 2020, the County Manager signed the substantial amendment to Collier County's HUD Annual Action Plan for FY2019-2020 to address additional funding and programs related to the pandemic. On May 12, 2020, Agenda Item # 16F 1(f), the Board ratified the County Manager's action to amend the 2019-2020 One -Year Action Plan to recognize the first round of CDBG (CDBG-CV) funding. On November 10, 2020, Agenda Item #16D8, the Board approved the second substantial amendment recognizing the second allocation of CDBG-CV funding, bringing the total award for Collier County to $4,232,728, respectively. On December 8, 2020, Agenda Item #16D18, the Board approved Collier Health Services, Inc d/b/a Healthcare Network for CDBG-CV funding and waived the formal application process for funding. On April 27, 2021, Agenda Item #16D3, the County entered into an Agreement with Collier Health Services, Inc. d/b/a Healthcare Network to further undertake the responsibilities and obligations of the CDBG-CV Program to provide Case Management services to serve vulnerable patients. On March 8, 2022, Agenda Item #16D11, the Board approved the First Amendment to further assist Collier Health Services, Inc. by adding a technology component to their case management program. On September 27, 2022, Agenda Item #16D1, the Board approved the Second Amendment to further assist Collier Health Services, Inc. by adding a fourth project component, a reallocation of funding amongst project components, a reduction in number served, removal of policies not applicable to the project and adding additional language to further clarify grant requirements. On February 28, 2023, Agenda Item #16D6, the Board approved the termination of the Collier Health Services, Inc. dba Healthcare Network (HCN) CDC agreement. As part of this termination, staff was directed by the Board to look for alternatives to fund the organization while continuing the outreach and advocacy efforts that the Community Health Workers (CHW) offered in the low- to moderate -income areas of the community. Staff worked closely with HCN and has developed a comprehensive approach to using CHW but redirecting efforts to focus on mental health and substance abuse issues and more specifically, Priority 6 on the County's Mental Health and Substance Abuse Strategic Plan. On May 23, 2023, Agenda Item #11A, the Board approved the continuation of the Collier Health Services, Inc. d/b/a Healthcare Network's Community Health Workers to address health disparities among those affected by mental health and substance abuse by using CDBG-CV funds to support these efforts. Therefore, the proposed Third Amendment includes the following: • Increase the total award from $1,170,800.39 to $1,296,425.39. • Amend the Period of Performance from 04/01/2023 to 09/30/2023. Add mental health and substance abuse services to the scope of services. Add $125,625 to Project Component #1 Staffing Costs. Packet Pg. 641 16.D.6 07/25/2023 FISCAL IMPACT: The proposed action has no new Fiscal Impact. The Amendment will authorize a fund shift in the amount of $125,625 from administration to the subrecipient award within the CDBG-CV Program which is budgeted in Housing Grant Fund (1835), Project 33674. LEGAL CONSIDERATIONS: This item has been approved as to form and legality and requires a majority vote for Board approval. -DDP GROWTH MANAGEMENT IMPACT: This item has no impact on the Growth Management Plan of Collier County. RECOMMENDATION: To approve and authorize the Chairman to sign the Third Amendment between Collier County and Collier Health Services, Inc., d/b/a Healthcare Network for the administration of the Community Development Block Grant - CV program with an increase of funding in the amount of $125,625 to support staff salaries of Community Health Workers. Prepared By: Tracey Smith, Grants Coordinator, Community and Human Services Division ATTACHMENT(S) 1. AGRMT SUB 2021 CHSI CD-CV21-01(PDF) 2. AMEND 1 SUB CHSI CD CV21-01 Executed (PDF) 3. AMEND 2 SUB CHSI CD CV21-01 Executed (PDF) 4. AMEND 3 SUB CHSI CDBG CV with witness (PDF) Packet Pg. 642 16.D.6 07/25/2023 COLLIER COUNTY Board of County Commissioners Item Number: 16.D.6 Doc ID: 25965 Item Summary: Recommendation to approve and authorize the Chairman to sign the Third Amendment between Collier County and Collier Health Services, Inc., d/b/a Healthcare Network for the administration of the Community Development Block Grant - CV program with an increase of funding in the amount of $125,625 to support staff salaries of Community Health Workers. (Grant Fund 1835) Meeting Date: 07/25/2023 Prepared by: Title: — Community & Human Services Name: Tracey Smith 06/28/2023 1:01 PM Submitted by: Title: Manager - Federal/State Grants Operation — Community & Human Services Name: Kristi Sonntag 06/28/2023 1:01 PM Approved By: Review: Community & Human Services Kristi Sonntag CHS Review Operations & Veteran Services Jeff Weir OVS Director Review Public Services Department Todd Henry PSD Level 1 Reviewer Grants Erica Robinson Level 2 Grants Review Public Services Department Tanya Williams PSD Department Head Review County Attorney's Office Derek D. Perry Level 2 Attorney Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Debra Windsor Level 3 OMB Gatekeeper Review Grants Therese Stanley Additional Reviewer Office of Management and Budget Christopher Johnson Additional Reviewer County Manager's Office Amy Patterson Level 4 County Manager Review Board of County Commissioners Geoffrey Willig Meeting Pending Completed 06/28/2023 1:36 PM Completed 06/28/2023 3:06 PM Completed 06/29/2023 7:53 AM Completed 07/14/2023 9:26 AM Completed 07/17/2023 7:56 AM Completed 07/17/2023 9:17 AM Completed 07/17/2023 10:00 AM Completed 07/17/2023 10:17 AM Completed 07/17/2023 1:57 PM Completed 07/18/2023 7:38 AM Completed 07/19/2023 3:51 PM 07/25/2023 9:00 AM Packet Pg. 643 16.D.6.a FAIN # B-20-UW-12-0016 Federal Award Date 09/22/2020 Federal Award A enc HUD CFDA Name Community Development Block Grant -CV CFDA/CSFA# 14,218 Total Amount of Federal Funds Awarded $1,170,800.39 Subrecipient Name Collier Health Services, Inc. dba Healthcare Network DUNS# 085019511 FEIN 59-1741277 R&D NA Indirect Cost Rate NA Period of Performance 04/01/2021 — 03/30/2023 Fiscal Year End 3/31 Monitor End: 05/31/2023 AGREEMENT BETWEEN COLLIER COUNTY AND Collier Health Services, Inc. dba Healthcare Net}vork CDBG-CV Healthcare Services THIS AGREEMENT is made and entered into this A-� day of Apo 1 2024 by and between Collier County, a political subdivision of the State of Florida, (COUNTY) having Its principal address at 3339 E Tamlami 'frail, Suite 211, Naples FL 34112, and Collier Health Services, Inc, dba Healthcare Network. (SUBRECIPIENT), a private non-profit organization having its principal office at 1454 Madison Ave, Immokalee, FL 34142. 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, the Board of County Commissioners of Collier County (Board) approved the Collier County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2019-2020 for the CDBG Program on June 25, 2019 — Agenda Item 16,13.2; and WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the preparation of various Annual Action Plans, the COUNTY advertised the 2019 — 2020 Annual Action Plan, on April 21, 2020, with a 5-day Citizen Comment period from April 21, 2020 to April 26, 2020; and COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 / Case Management Healthcare Services for Loge to Moderate -Income Residents Page I ('11AQ Packet Pg. 644 16.D.6.a WHEREAS, on May 12, 2020, Agenda ]tern 16.F.I(f) the Board ratified the County Manager's action to amend the 2019-2020 One -Year Action flan to recognize CDBG COVID-19 funding. On November 10, 2020, Agenda item 16.13.8, the Board approved another substantial amendment recognizing further CDBG COVID-19 funding, bringing the total alnount to $4,232,728 respectively. WHEREAS, the COUNTY established a program to provide assistance to qualified healthcare agencies from its Community Development Block Grant (Program) due to the circumstances of the COVID-19 health crisis; and WHEREAS, the SUBRECIPIENT has applied for and, based on the infonnation provided, is qualified to receive funding from the Collier County CDBG-CV program; and WHEREAS, the COUNTY and SUBRECIPIENT wish to set forth the responsibilities and obligations of each in undertaking the CDBG-CV project — (CD-CV21-01) COVID Case Management Healthcare Services. 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 N the SUBRECIPIENT upon and subject to all general conditions, terms, covenants, and agreements herein set forth: c N PART I U SCOPE OF WORIZ o to The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required U as a condition of providing CDBG-CV assistance as provided herein and, as determined by Collier County Community and Hurnan Services (CHS) Division, perform the tasks necessary to conduct the program as N follows: m Project Name: COVID Case Management Healthcare Services Description of project and outcome: Collier health Services Inc will provide a case management/care navigation program to serve the needs of our most vuinerable patients who have been diagnosed or are at risk for contracting COVID-19 in an effort to minimize disease severity and acute and/or chronic complications, Project Component One: Staffing -- Salary costs Project Component Two: 'Testing and Testing Supplies. COLLMt HEALTH SERVICES, [IBC. dba HEALTHCARE NETWORK CD-CV21—Ol Case Management healthcare Services for Low ro Moderate -Income Residents Page 2 Packet Pg. 645 16.D.6.a 1.1 GRANT AND SPECIAL CONDITIONS A. Within sixty (60) calendar days of the execution of this Agreement, the SUBRECIPIENT must deliver, to CHS for approval, a detailed project schedule for the completion of the project. B. The following resolutions and policies must be submitted within sixty (60) days of this Agreement: ® Affirmative Fair Housing Policy ® Affirmative Action/ Equal Opportunity Policy Conflict of Interest Policy ® Procurement Policy ® Uniform Relocation Act Policy Sexual Harassment Policy ® Section 3 Policy ® Section 504/ADA Policy ® Fi-aud, Waste, and Abuse Policy Limited English Proficiency Policy (LEP) ® Violence Against Women Act (VAWA) Policy ® LGBTQ Policy C. Annual Subrecipient Training — New Subrecinigntst All SUBRECIPIENT staff assigned to the administration and implementation of the Project established by this Agreement shall attend the CHS- sponsored Annual Subrecipient Fair Housing training and all other CMS -offered Subrecipient training relevant to the Project, as determined by the Grant Coordinator, not to exceed four (4) sessions, D. Pre -Award Costs: Pursuant to pre -agreement cost authority under 24 CFR 570.489(b) (States) and pre -award cost authority under CFR 570.200(h): "To account for the urgent activities and costs CDBG recipients and subrecipients have undertaken to prevent, prepare for, and respond to coronavirus, the recipient is authorized to use CDBG-CV funds to cover or reimburse casts incurred before the period of performance, provided thattlic cost to be covered would be otherwise allowable under the flexibilities and requirements established for CDBG-CV funds, CDBG-CV funds may be used to cover or reimburse allowable costs of activities to prevent, prepare for, and respond to corotiavirus incurred by a State or laeoality so long as costs were incurred on or after January 21, 2020. In accordance with pre -agreement cost authority under 24 CFR 570.489(b) (States) and pre -award cost authority under CFR 570.200(h) entitlements, reinibursed costs must comply with ail grant COLLIER IMALTH SE3RVICES, TNC. dba HEALTHCART, N(:TwORK CD-C:V21--01 Case 1vlanageinent Healthcare Services for Low to Moderate -Income Residents Page 3 Packet Pg. 646 16.D.6.a requirements, must be costs to prevent, prepare for, or respond to cor'onavirus, and must not constitute a duplication of benefits." PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component One: Staffing — Salary costs $ 950,000.00 Project Component Two: Testing and Testing Supplies $ 220,800.39 Total Federal Funds: $1,170,800.39 The SUBRECIPIENT will accomplish the following checked project tasks: ❑ Pay all closing costs related to property conveyance 0 Maintain and provide to the COUNTY, as requested, beneficiary and/or income certification documentation ® Maintain and provide National Objective Documentation ® Provide Quarterly Reports on National Objective and project progress ® insure attendance by a representative from executive inanagenient at scheduled partnership meetings, as requested by CHS ❑ Ensure attendance by SUBRECIPIENT and General Contractor at Pre -Construction meetings, prior to SUBBRECIPIEW issuance of Notice to Proceed (NTP) ❑ Provide monthly construction and rehabilitation progress reports until completion of construction or rehabilitation 0 Identify Lead Project Manager ❑ Provide Site Design and Specifications ❑ Comply with Davis -Bacon Labor Standards ® Comply with Section 3 and maintain documentation ❑ Provide certified payroll weekly throughout construction and rehabilitation ❑ Comply with Uniform Relocation Act (URA), if necessary ❑ Ensure applicable numbers of units are Section 504/ADA accessible ❑ Ensure the applicable continued use period for the project is met A. National Objective The CDBG-CV program funds awarded to Collier County nnust benefit low- to nnoderate-income persons (LMI), As such, the SUBRECIPIENT shall ensure that all activities and beneficiaries meet the definition of; ❑ LMA — Low/Mod Area Benefit LMC — Low/Mod Clientele Benefit ❑ LMH — Low/Mod Housing Benefit ❑ LMJ — Low/Mod Job Benefit COLLIER HEALTH SFRVICES, INC. dba HEALTFICARE NLTwORK CD-CV21--01 Can, Management Healthcare Services for Low to Moderate -Income Residents Page 4 Packet Pg. 647 16.D.6.a LMA. Must document where at least 51 percent of the residents are LMl persons, based on HUD determined eligible census tracts. Failure to achieve the national objective under this Agreement will require repayment of the CDBG-•CV investment tinder this Agreenncnt. LMC: Must document that at least 51 percent of persons served, are low- to moderate - income persons or households, in order to meet a CDBO-CV National Objective. F'ailui•e to achieve the national objective tinder this Agreement wilt require repayment of the CDBG-CV investment under this Agreement, LM11: Must document providing or improving permanent residential structures, which upon completion will be occupied by LMI households. Structures with three or more units must contain at least 51 percent occupied by LMI households, and structures with less than three units must be occupied by 100 percent LMI households. Failure to achieve (lie national objective under, this Agreement will require repayment of the CDBG-CV investment under this Agreement. LMJ: Must document job creation and retention. The LMI benefit national objective addresses activities designed to create or retain permanent jobs, at least 51 percent of which (computed on a full-time equivalent basis) will be made available to or held by LMI persons. Failure to achieve the national objective under this Agreement will require repayment of the CDBG-CV investment under this Agreement. B. Performance Deliverables Program Deliverable Deliverable Supporting Submission Schedule Documentation Special Grant Condition Policies Policies as stated in this Within sixty (60) days of Section 1.l A reement A teelnent execution Insurance Insurance Certificate Within 30 days of Agreement execution and Annually within thikl 30 days of renewal Detailed Project Schedule Project Schedule Within sixty (60) days of Agreement execution. Project Plans and Specifications Site Plans and Specifications Not applicable Subcorntr'actor Lo Subcontractor Log Not applicable Progress Report Exhibit C Quarterly reports on the 10" day folEowin the end of the quarter. Section 3 Report Quarterly report of new hire Quarterly; within 10 days information followin the end of the guailer, Davis -Bacon Act Certified Weekly Certified Payroll Not applicable Payroll reports, forms, and supporting documentation Annual Audit Monitoring Exhibit E Annually, within 60 days after, Report FY end Financial and Compliance Audit Audit, Management Letter, and Annually: nine (9) months after Supporting Documentation FY end for Single Audit OR one hundred eighty (180) days after FY end Continued Use Certification Continued Use Affidavit, if Not applicable applicable COLLIER HHALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 Case Managoment Heatilrcare Services for Low io Moderate-Ineorac Residents Pale 5 Packet Pg. 648 16.D.6.a Capital Needs Assessment Plata Plana roved by the COUNTY Not applicable I Program Income Reuse Plan Plan A roved b the COUNTY Not applicable C. Payment Deliverables Payment Deliverable Payment Su ortin Documentation Submission Schedule Project Component One: Staffing Submission of supporting documents Submission of -- Salary costs must be provided as backup, as evidenced monthly invoices no by Exhibit B, signed and dated later than the 20" day timesheets, check stubs, payroll registers, of the following bank statements/cancelled checks and any month other additional documentation as requested. 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national Objective. Project Component Two; Testing Submission of supporting documents Submission of and Testing Supplies must be provided as backup, as evidenced monthly invoices no by receipts, invoices, credit card later than the 20"' day statements, bank statements and any other of the following additional documentation as requested, month 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national objective. Failure by the SUBRECIPIENT to achieve the National Objective will require repayment of the CDBG- CV investment under this Agreement. 1.2 PERIOD OF PERTORMANCE SUBRECIPIENT services shall begin on beginning March 1, 2020 for all pre award costs and term of agreement shall begin April 1, 2021 and shall end on March 30, 2023, unless terminated earlier, in accordance with provisions of Paragraph 3.9 Defaults, Remedies, and Termination. In accordance with 2 CFR 200 Subpart E-Cost Principles and Section 215.97(1)(d) Florida Statutes, the SUBRECIPIENT may expend finds authorized by this Agreement only for allowable costs resulting from obligations incurred during the specific Agreement period. If the SUBRECIPIENT complies with all requirements set forth herin, this Agreement shall terminate (March 30, 2023), whereupon all SUBRECIPIENT obligations for repayment of funds shall cease. Notwithstanding the foregoing, the COUNTY expressly reserves and does not waive its rights to recover any damages arising from or relating to the SUBRECIPIENT's breach of any of the Grant Documents, including but not limited to this Agreement and/or any attachments hereto which occurred in whole or in part before said termination. _ sanr�_.r�ra�ro�rmr®d��_reaarmi.t�rxrsoo�M��arw+®oikne+..wn_ nn COLLIER HEALTH SERVICES, INC. dba HEAT MCARL' NETWORK y �� CD-CV21-01 Case Management Healthcare Services for Low to Moderate -Income Residents Page b Packet Pg. 649 16.D.6.a The County Manager or designee may extend the term of this Agreement for a period of tip to 180 days after the end of the Agreement. Extensions must be authorized, in writing, by formal letter to the SUBRECIPIENT, 1.3 AGREEMENT AMOUNT The COUNTS agrees to make available ONE MILLION ONE HUNDRED SEVENTY THOUSAND EIGHT HUNDRED DOLLARS AND 39 CENTS ($1,170,800.39) for use by the SUBRECIPIENT, during the term of the Agreement (hereinafter, referred to as the "Funds"). Modification to the "Budget and Scope" may only be made if approved in advance. Budgeted fund shifts among line items shall not be more than 10 percent of the total funding amount and shall not signify a change in scope. Fund shifts that exceed 10 percent of the Agreement amount shall only be made with Board of County Commissioners (Board) approval, 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 CD130-CV funds until 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 a 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 perfortn the minimum level of service required by this Agreement. Final invoices are due no later than 90 days after the end of the Agreement. Work performed during the term of the program but not invoiced within 90 days after the end of the Agreement may not be processed without written authorization from the Grant Coordinator. No payment will be made until approved by CHS for grant compliance and adherence to all applicable Local, State, or Federal requirements. Except where disputed for noncompliance, payment will be made upon receipt of a properly completed invoice, and in compliance with §218,70, Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." 1.4 COST PRINCIPLES Payments to the SUBRECIPIENT are governed by the Federal grant management rules for cost allowability, found at 2 CFR 200 Subpart E-Cost Principles. For the purposes of this section (Section 1.5-Cost Principles) of the Agreement, SUBRECIPIENT is defined as described in 2 CFR 200,93, Accordingly, payments will be made on a cost reimbursement basis. Rach request for reimbursement shall identify the associated project and approved project task(s) listed under this Scope of Work. The, SUBRECIPIENT may only incur direct costs that may be attributed COLLI k IWALTH SERVICES, INC, dha HEALTHCARE NETWORK CD-CV21-01 Case Management ifealtrscare Services for Low to Madcrate-Income Residems Page 7 U m 0 U M C (D E c a� E Q U LO W a) LO Packet Pg. 650 16.D.6.a specifically to the project(,) referenced above, as defined in 2 CFR 200,413. The SUBRECIPIENT must provide adequate documentation for validating costs incurred. Payments to SUBRECIPIENT S contractors and vendors are conditioned upon compliance with the procurement requirements provided in 2 CFR 200.318-200,327, Allowable costs incurred by Subrecipients and Contraotors shall comply with2 CFR Subpart E-Cost Principles. A Developer is not subject to 2 CFR Subpart E; however, the COUNTY is and may impose requirements upon the Developer, to remain compliant with COUNTY's obligation to follow 2 CFR Subpart E. 'rho Developer will use adequate internal controls and maintain necessary source documentation for all costs incurred and adhere to any other accounting requirements included in this Agreement. 1,5 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 patty may change the address to which notices are to be sent by giving written notice of such change to the other party in the spanner herein provided for giving notice. Any notice delivered or sent as afoiresaid 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: Tracey Smith, Grant Coordinator Collier County Govenunent Community and Human Services Division 3339 E Tamiami Trail, Suite 211 Naples, Florida 34112 Email; 'T'racey.Smitti(@,colliei�couiityfl.gov Telephone: (239) 252-1428 SUBRECIPIENT ATTENTION: Tam! Raznoff, Chief Financial Officer Collier Health Services, Inc. dba Healthcare Network 1454 Madison Ave Immokalee, Florida 34142 Emaik TRaznoff@l-lealtlicitreSWI,-L.org l-lealtlicareSWFL.org Telephone: (239) 658-3137 Remainder of Page Intentionally Left Blank COLURR HEALTH SEXV1CHS, INC. dba HEALTHMRE NRTWORK CD-CV21-01 Case Management Henitl4care Services for Low to Moderate -Income itesidenis Wage S Packet Pg. 651 16.D.6.a PART II GRANT CONTROL RE, QIJIRE, MI+,NT8 2.1 AUDITS At any time during normal business pouts and as often as the COUNTY (and/or its representatives) may deem necessary, the SUBRECIPIENT shall make available for review, inspection, or audit all records, documentation, and any other data relating to all matters covered by the Agreement. SUBRECIPIENT must fully clear any deficiencies noted in audit reports within 30 days after its receipt of the report. SUBRECIPIINT's failure to comply with the above audit requirements will constitute a violation of this Agreement and may result in the withholding of future payments, The SUBRECIPIENT hereby agrees to obtain an annual agency audit conducted in accordance with current COUNTY policy concerning Subrecipient audits and 2 CFR 200.501. The determination of Federal Award amounts expended shall be in accordance with guidelines established by 2 CFR Part 200, Subpart F-Audit Requirements. 2.2. RECORDS AND DOCUMIGNTATION c The SUBRECIPIENT shall maintain sufficient records, in accordance with 24 CFR 570.506, to v determine compliance with the requirements of this Agreement, the CDBG-CV Program, and all p other applicable laws and regulations, This documentation shall include but is not limited to, the v following, _ U A. All records required by CDBG-CV regulations, B. SUBRECIPIENT agrees to execute such further documents as may be required by law or prepared by the COUNTY to confirm SUBRECIPIENT's Agreement, C. SUBRECIPIENT shall keep and maintain public records that ordinarily and necessarily would be required by the COUNTY in order to perform the service. D. SUBRECIPIENT shall, at any time upon request, make available to the COUNTY or C14S all reports, plans, surveys, information, documents, reaps, books, records, and other data procedures developed, prepared, assembled, or completed by the SUBRECIPIENT for this Agreement. Materials identified in the previous sentence shall be in accordance with generally accepted accounting principles (GAAP), procedures, and practices, which sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by this Agreement, including matching funds and Program Income. These records shall be maintained to the extent of such detail to property reflect all net costs, direct and indirect labor, materials, equipment, supplies and services, and other costs and COLLIER FILALTH SERVICES, INC, dba HEALTHCARE NETWORK CD-CV2 r--o l Case Managentent Healthcare Services for Low to Moderare.rncotne Residents Page 9 Packet Pg. 652 16.D.6.a expenses of whatever nature for which reimbursement is claimed under the provisions of this Agreement. 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 ally event, SUMECIPIENT shall keep all documents and records in an orderly fashion, in a V readily accessible, permanent, and secured location for three (3) years after the date of m submission of the annual performance and evaluation report, as prescribed in 2 CFR o 200,334. However, if any litigation, claim, or audit is started before the expiration date of M the three (3) year period, the records will be maintained until all litigation, claim, or audit c findings involving these records are resolved. If SUBRECIPIENT ceases to exist after the E 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 E E meet all requirements for retaining public records and transfer, at no cost to COUNTY, all Q public records in SUBRECIPIENT's possession upon termination of the Agreement, and = destroy any duplicate exempt or confidential public records that are released from public v records disclosure requirements, All records stored electronically must be provided to the LO COUNTY in a format that is compatible with the COUNTY'S information technology °; systems. r O IF SUBRECIPIENT HAS QUESTIONS REGARDING THE cm APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO y THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS RELATING TO THIS AGREEMENT, CONTACT = THE CUSTODIAN OF PUBLIC RECORDS AT 239-252-6832, N Michael.Co rr colliercauntyfl.gov, 3299 Tamiami Trait E, Naples N FL 34112. 0° l! , SUBRECIPIENT shall maintain records showing compliance with tile. Davis -Bacon Act of 1931, including files containing contractor payrolls, employee interviews, Davis Bacon wage rates, and administrative crass -referencing. SUBRECIPIENT shall maintain records showing contractor compliance with the Contract Work Hours and Work Safety Law, Similarly, the SUBRECIPIENT shall maintain records showing compliance with federal purchasing requirements and other federal requirements for grant implementation. G. SUBRECIPIENT will be responsible for the creation and maintenance of income eligible files on clients served, and documentation that all households are eligible under HUD Income Guidelines. SUBRECIPIENT agrees that CHS shall be the final arbiter on SUBRECIPIE-Mrs compliance. H, SUBRECIPIENT shall document ]low compliance with the National Objective(s), as defined in 24 CFR 570.208, and the eligibility requiroment(s) under which funding has COLLIER HEALTH SERVICES, INC. dba HEAUrRCARENE'rwoitK CD-CV21--01 Case iYianagenlent Healthcare Services for Low to Moderate -Income Residents Page 10 Packet Pg. 653 16.D.6.a been received were accotnlished, These also include special requirements, such as necessary and appropriate determinations as defined in 24 CFR 570,208, income certification, and written agreetnetlts with beneficiaries, where applicable, SUBRECIPIENT shall provide the public with access to public records on the same terms and conditions that tite COUNTY would provide the records, and at a cost that does not exceed the cost provided in Chapter 119, Florida Statutes or as otherwise provided by law. SUBRECIPIENT shall ensure that exempt or confidential public records that air, released from public records disclosure requirements are not disclosed except as authorized by 2 CFR 200.33t and 2 CFR 200.338. J. Notwithstanding any provision in the Grant Documents to the cotltrary, the SUBRECIPIENT agrees that the failure or delay by the COUNTY in giving any notice or E statement hereunder or under any other Grant Document, or any inaccuracy therein or Q incompleteness thereof, shall not in any way alter or affect the absolute and unconditional = obligation of the SUBRECIPIENT to pay and perform, in full, the obligations set forth U hereunder, but any action taken or not taken by the SUBRECIPIENT as direct result of LO such lack or delay of notice, or of the SUBRECIPIENT"s good faith reliance upon a a) material inaccuracy therein or the material incompleteness thereof, as the case may be, =' shall not in and of itself, and to the extent thereof, constitute an Event of Default hereunder, c so long as the SUBRECIPIENT does not otherwise have or receive notice or knowledge N of the material contents or substance of such notice, or of the intended substance of any > U inaccurate or incomplete notice, as the case tnay be, and the SUBRECIPIENT acts, at all p times, in good faith. U x U 2.3 MONITORING During the term of this Agreement, SUBRECIPIENT shall submit to the COUNTY an Annual Audit Monitoring Deport (Exhibit E) no later than 60 days after SUBRECIPIENT's fiscal year end. In addition, SUBRECIPIENT shall submit to tine COUNTY a Single Audit report, Management Fetter, and supporting documentation nine (9) months (or one hundred eighty (180) days for Subrecipients exempt from Single Audit) after the SUBRECIPIENT's fiscal year end, The COUNTY will conduct an annital financial and programmatic review, SUBRECIPIENT agrees that CHS may carry out no less than one (1) annual on -site monitoring visit and evaluation activities, as determined necessary. At the COUNTY's discretion, a desktop review of the activities may be conducted in lieu of an on -site visit. The continuation of this Agreement is dependent upon satisfactory evaluations. Upon request by CHS, the SUBRECIPIENT shall submit information and status repotls required by CHS or HUD, to enable CHS to evaluate said progress and allow for completion of required reports. The SUBRECIPIENT shall allow CHS or HUD to monitor the SUBRECIPIENT on site. Such site visits tnay be scheduled or unscheduled, as detennined by CHS or HUD. COLMR HEALTH SERVECI S, INC. dha HEALTHCARE NETWORK CD-CV7.1--01 Caw Manngemenl Healthcare Services for Low to Moderate-[ncoine Residents Page 1 t Packet Pg. 654 16.D.6.a COUNTY will Monitor the SUBRECIPIENT'S performance in an attempt to mitigate fraud, waste, abuse, or non-performance, based on goals and performance standards as stated with all other applicable laws, regulations, and policies governing the fiends provided under this Agreement, further defined by 2 CFR 200.332, Substandard performance, as determined by CHS, will constitute noncompliance with this Agreement. If corrective action is not taken by the SUBRECIPIENT within a reasonable time period after being notified by CHS, Agreement suspension or termination procedures will be initiated. SUBRICIPIENT agrees to provide HUD, the HUD Office of Inspector General, the General Accounting Office, the COUNTY, or the COUNTY's internal auditor s) access to all records related to performance of activities in this Agreement, 2,4 PREVENTION OF FRAUD, WASTE, AND ABUSE SUBRECIPIENT shall establish, maintain, and utilize internal systems and procedures necessary to prevent, detect, and correct incidents of fraud, waste, and abuse in the performance of this Agreement, and provide proper and effective management of all Program and Fiscal activities of the Agreement. SU13RECIPIENT's internal control systems and all transactions and other significant events shall be clearly documented, and the documentation shall be readily available for monitoring by COUNTY, SUBRECIPIENT shall provide COUNTY with complete access to all of its records, employees, c and agents for the purpose of monitoring or investigating the performance of the Agreement. N SUBRECIPIENT shall fully cooperate with COUNTY's efforts to detect, investigate, and prevent v fraud, waste, and abuse. p U SUBRECIPIENT may not discriminate against any employee or other person who reports a = violation of the terms of this Agreement or any law or regulation to the COUNTY, or to any V appropriate law enforcement authority, if the report is made in good faith, c 2,5 CORRECTIVE ACTION Corrective action plans may be required for noncompliance, nonperforinance, or unacceptable performance under this Agreement. Penalties may be imposed for failure to implement or to make acceptable progress on such corrective action plans. To effectively enforce COUNTY Resolution No, 2013-228, CHS has adopted an escalation policy to ensure continued compliance by Subrecipients, Developers, or any entity receiving grant funds from CHS. The escalation policy for noncompliance is as follows: Initial noncompliance may result in COUNTY issuing Findings or Concerns to the SUBRECIPIENT, which requires SUBRECIPIENT to submit a corrective action plan to CHS within 15 days following issuance of the report. Any pay requests that have been submitted to CHS for payment will be held until the corrective action plan has been submitted. COLURR REATMI SERVICES, INC. dba HEALTHCARF, NETWORK CD-CV21—Ot Case Management Healthcare Services for Low to Mode€ate-Income Residents rage 12 Packet Pg. 655 16.D.6.a « CHS will be available to provide Technical Assistance (TA) to the SUBRECIPIENT, as needed, in order to correct the noncompliance issue. 2. If SUBRECIPIENT fails to submit the corrective action plan to CHS in a timely manner, the COUNTY may require a portion of the awarded grant funds be returned to the COUNTY. « CHS may require upwards of 5 percent of the award amount be returned to the COUNTY, at the discretion of the Board. « The SUBRECIMENT may be denied future consideration, as set forth in Resolution No, 2013-228. 3, If SUBRECIPIENT remains noncompliant, or repeats an issue that was previously corrected, and has been informed by CHS of their substantial noncompliance by certified mail, CHS may require a portion of the awarded grant amount or the amount of the CDBG-CV investment for acquisition of the properties conveyed, to be returned to the COUNTY, « CHS may require upwards of 10 percent of the award amount to be returned to the COUNTY, at the discretion of the Board. • The SUBRECIPIENT will be considered hi violation of Resolution No. 2013- 228. 4. If after repeated notification, SUBRECIPIRN'r continues to be substantially noncompliant, CHS may recommend the Agreement or award be terminated. « CHS will make a recommendation to the Board to immediately terminate Agreement, The SUBRECIPIENT will be required to repay all funds disbursed by CHS for the terminated project. This includes the amount invested by the COUNTY for the initial acquisition of properties or other activities. « SUBRECIPIENT will be considered in violation of Resolution No. 2013-228, If SUBRECIPIENT has multiple agreements with the COUNTY, and is found to be noncompliant, the above sanctions may be imposed across all awards at the Board's discretion. CQLLIR Z HFAL rH SERVIM, W. dba HrAL 11CART; NLI WORK CD-CV21—ol Case Management Healthcare Services for Low to Moderate -Income. Residents Page 13 Packet Pg. 656 16.D.6.a 2.6 RIJPOI;VrS Reimbursement may be contingent upon the timely receipt of complete and accurate reports required by this Agreement, and on the resolution of monitoring findings identified pursuant to this Agreement, as deemed necessary by the County Manager or designee, During the term of this Agreement, SUBRECIPIENT sliall submit quarterly progress reports to the COUNTY on the IOth day of January, April, July, and October, respectively, for the prior quarter period end. As part of the report submitted in October, the SUIBRECIPIENT agrees to include a comprehensive final report covering the agreed -upon Program objectives, activities, and expenditures including but not limited to, performance data on client feedback With respect to the goals and objectives set ford/ in Exhibit C, which contains an example reporting form to be used in fulfillment of this requirement. Other reporting requirements may be required by the County Manager or designee if the Program changes, the need for additional information or documentation arises, and/or legislative amendments are enacted. Reporls and/or requested documentation not received by the due date shall be considered delinquent and may be cause for default and termination of this Agreement, Remainder of Page Intentionally Left Blank COLLIER HF,ALTH SERVICES, INC, On IIEALTHCM NETWORK CD-CV21--01 Can Management Hcaltheare Serviecs for Low to Moderate -Income Residents Page 14 Packet Pg. 657 16.D.6.a PART III TERMS AND CONDITIONS 3.1 SUBCONTRACTS No part of this Agreement may be assigned or subcontracted without the written consent of the COUNTY, which consent, if given at all, shall be at the COUNTY's sole discretion and judgment. 3.2 GENERAL COMPLIANCE The SUBRECIPIENT agrees to comply with the requirements of Title 24 of the Code of Federal' E Regulations, Part 570 (the U.S. Housing and Urban Development regulations concerning Community Development Block Grants), including subpart K of these regulations, except that (1) E E the SUBRECIPIENT does not assunne the COUNTY's environmental responsibilities described in Q 24 CFR 570.604, (2) the SUBRECIPIENT does not assume the COUNTY's responsibility for initiating the review process under the provisions of 24 CFR Part 52; (3) the SUBRECIPIENT is U required to follow the federal procurement process; and (4) for Developers, revenue generated is not considered program inconie. "The CDBG-CV program is funded through the CARES ACT. TheLO ' SUBRECIPIENT also agrees to comply with all other applicable laws, regulations, and policies governing the funds provided under this Agreement, The SUBRECIPIENT further agrees to utilize c finds available under this Agreement to supplement rather than supplant funds otherwise available. N U 3.3 INDEPENDENT CONTRACTOR p U Nothing contained in this Agreement is intended to, or shall be construed in any manner, as creating = or establishing the relationship of employer/employee between the parties. The SUBRECIPIENT V shall always remain an "independent contractor" with respect to the services to be performed under c this Agreement, The COUNTY shall be exempt from payment of all Unemployment m Compensation, FICA, retirement, life and/or medical insurance, and Workers' Compensation D Insurance, as the SUBRECIPIENT is independent from the COUNTY, 3.4 AMENDMENTS The COUNTY or SUBRECIPIENT may amend this Agreement, at any time, provided that such amendments make specific reference to this Agreement, arid are executed in writing, signed by a duly authorized representative of each organization, and approved by the Board. Such amendments shall not invalidate this Agreement, nor relieve or release the COUNTY or SUBRECIPIENT from its obligations under this Agreement. The COUNTY may, in its discretion, amend this Agreement to conform with Federal, State, or Focal governmental guidelines, policies, available funding amounts, or other reasons. If such amendments result in a change in the funding, the scope of services, or schedule of the activities to be undertaken as part of this Agreement, such modifications will be incorporated only by written annendment, signed by both COUNTY and SUBRECIPIENT. COU-11311 HEALTH SERVICES, INC, dba HEAUMCARE NETWORK CD-CV2141 Case Management Healthcare Services for Low to Moderate -Income Residents Page 15 Packet Pg. 658 16.D.6.a No modification or waiver of any provision of the Grant Documents, no], consent to any departure by SUBRECIPIENT" therefrom shall in any event be effective unless the same is it) writing, and such waiver or consent shall be effective only in the specific instance and for the purpose for which it is given. No failure or delay oil the part of the COUNTY in exercising any right, power, or privilege hereunder or under the Grant Documents shall operate as a waiver thereof, nor shall a single or partial exercise thereof preclude any other or further exercise thereof or the exercise of any other right, power, or privilege, 3.5 AVAILABILITY OF FUNDS The parties acknowledge that the Funds originate from HUD CDBG-CV grant funds and must -be -Q implemented in full compliance with all of HUD's rules and regulations and any agreement E between COUNTY and HUD governing CDBG-CV funds pertaining to this Agreement, In the Q event of curtailment or non -production of said federal funds, or the reduction of funds awarded by = HUD to the COUNTY, to a level determined by the County Manager to be insufficient to U adequately administer the project, the financial resources necessary to continue to pay the LO SUBRECIPIENT all or any portion of the funds will not be available. In either event, the COUNTY a) may terminate this Agreement, which shall be effective as of the date it is determined by the County =' Manager or designee, in his/leer sole discretion and judgtnent, that the funds are no longer available. c In the event of such termination, the SUBRECIPIENT agrees that it will not look to, nor seek to N hold the COUNTY, not, any individual member of the County Commissioners andlor County > U Administration, personally liable for the performance of this Agreement, and the COUNTY shall p be released from any further liability to SUBRECIPIENT under the terms of this Agreement. U SUBRECIPIENT shall use the Grant proceeds solely for necessary expenditures incurred due to U the COVID-19 public health emergency, and the proceeds of the Grant will not be loaned, granted, c or assigned to any party and shall in no event be used for any puupose prohibited by the Grant `14 m Documents or Regulations, No Grant proceeds may be used for the purchase of property or D to construction of existing property. 3.6 INDEMNIFICATION To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold harmless the COUNTY, its officers, agents, and employees from any and all claims, liabilities, damages, losses, costs, and causes of action which may arise out of an act or omission, including but not limited to reasonable attorneys' and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the SUBRECIPIENT or any of its agents, officers, servants, employees, contractors, patrons, guests, clients, licensees, invitees, or any persons acting under the direction, control, or supervision of the SUBRECIPIENT in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge, or reduce any other rights or remedies, which otherwise may be available to an indemnified party or person described in this paragraph, The SUBRECIPIENT shall pay all elain7s and losses of any nature whatsoever in connection therewith and shall defend all suits in the name of the COLLIER HEALTH SERVICES, INC. dba I IHAI,THCARL NETWORK CD•CV2"1 Case Manageinent Healthcare Services for Low to hioderate-Incoine Residents Page 16 Packet Pg. 659 16.D.6.a COUNTY and shall pay all costs (including attorney's fees) andjudgments which may issue there- on, This Indemnification shall survive the termination and/or expiration of this Agreement, This section does not pertain to any incident arising from the sole negligence of COUNTY. The foregoing indemnification shall not constitute a waiver of sovereign immunity beyond the limits set forth in Section 768.28, Florida Statutes, This section shall survive tine expiration of termination of this Agreement. 3,7 GRANTEE RI COGNITION/SPONSORSHH'S The SUBRECIPIENT agrees that all notices, informational pamphlets, press releases, aclvertisctnents, descriptions of program sponsorships, research reports, and similar public notices, whether printed or digitally prepared and released by the SUBRECIPIENT for, on behalf of, and/or about the Program shall include the statement; "FINANCED IN PART BY U.S. DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT (HUD) AND COLLIER COUNTY COMMUNITY AND HUMAN SERVICES DIVISION" and shall appear in the same size letters or type as the name of the SUBRECIPIENT. This design concept is intended to disseminate key information to the general public regarding the development o team, as well as Equal Housing Opportunity. Construction signs shall comply with applicable N COUNTY codes, > U 3.8 DEBARMENT AND SUSPENSION v x SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this c transaction b an Federal Department or agency; and the SUBRECIPIENT' shall not knowingly `V Y Y p g Y� g Y op enter into any lower tier contract, or other covered transaction, as outlined in Executive Orders D 12549 (1986) and 12689 (1989), Debarment and Suspension and 2 CFR200.213, as further detailed � in Section 4,18. ry 3.9 DE FAULTS, REMEDIES, AND TERMINATION In accordance with 2 CFR 200,341, this Agreement may be terminated for convenience by cither the COUNTY or the SUBRECIPIENT, in whole or in part, by setting forth the reasons for such termination, the effective date, and in the case of partial terminations, the portion to be terminated. However, in the case of a partial termination, if the COUNTY determines that the remaining portion of the award will not accomplish the purpose for which the award was made, fire COUNTY may terminate the award in its entirety, This Agreement may also be terminated by the COUNTY, if the award no longer effectuates the program goals or grantor agency priorities. The following actions or inactions by SUBRECIPIENT shall constitute a Default under this Agreement, in compliance with 2 CFR 200, Appendix 11(A): COLLM1 HEALTH SERVICES, FNC. dba HEAUMCARE NETWORK CD-CV21A I Case Management Healthcare Services for Low to Moderate -Income Residents Page 17 Packet Pg. 660 16.D.6.a A, SUBRECIPIENT's failure to comply with any of the roles, regulations, or provisions referred to herein, or such statutes, regulations, executive orders, and HUD guidelines, policies, or directives as may become applicable at any time, B. SUBRECIPIENT's failure, for any reason, to fulfill its obligations under this Agreement in a timely and proper manner. C. SUBRECIPIENT's ineffective or improper use of fiends provided under this Agreement. D. SUBRECIPIENT's submission to the COUNTY of reports that are incorrect or incomplete in any material respect, E. SUBRECIPIENT's submission of any false certification, F, SUBRECIPIENT's failure to ]materially comply with any terms of this Agreement. G. SUBRECIPIENT's failure to materially comply with the terms of any other agreement between the COUNTY and the SUBRECIPIENT relating to the project, In the event of any default by SUBRECIPIENT under this Agreement, the COUNTY may seek any c combination of one or snore of the following remedies, in compliance with 2 CFR 200, Appendix N > U A. Require specific performance of the Agreement, in whole or in part. U x B, Require the use of, or change in, professional property management, U C. Require SUBRECIPIENT to immediately repay to the COUNTY all CDBG-CV funds received under this Agreement. D. Apply sanctions, if COUNTY determines them to be applicable, E. Stop all payments until identified deficiencies are corrected. F. 'Terminate this Agreement by giving written notice to SUBRECIPIENT" and specifying the effective date of such termination. If the Agreement is terminated by the COUNTY, as provided herein, SUBRECIPIENT shall have no claim of payment or benefit for any incomplete project activities undertaken under this Agreement. 3.10 REVERSION OIL ASSETS In the event of a termination of this Agreement and in addition to any and all other remedies available to the COUNTY (whether under this Agreement, or at law, or in equity), the SUBRECIPIENT shall immediately transfer to the COUNTY any property oil hand at the time of COLLIER MEALTH SERVICES, INC. dbn HEAL:rF{CARP,M-1 WORK CD-CV2I—Ol Case Manageurant Healihcare Services for Low to Moderale-facom Residents Page 18 Packet Pg. 661 16.D.6.a termination (or expiration) and any accounts receivable attributable to the use of CDBG-CV funds, per 24 CFR 570.503(b)(7), The COUNTY's receipt of any funds on hand at the time of termination shall not waive the COUNTY's right (nor excuse SUBRECIPIENT's obligation) to recoup all or any portion of the funds or property, as the COUNTY may deem necessary. Regulations regarding real property are subject to 2 CFR 200.311 and as otherwise provided at 24 CFR 570.503(b)(7). 3.11 INSURANCE SUBRECIPIENT shall not commence any work and/or services pursuant to this Agreement until all required insurance, as outlined in Exhibit A and 2 CFR 200.310, has been obtained. Said insurance shall be carried continuously during SUBRECIPIENT's performance under the Agreement. 3.12 ADMINISTRATIVE REQUIREMENTS The SUBRECIPIENT agrees to perform the Scope of Work in compliance with the Grant Budget LO and the Scope of Work (Part 1), the Uniform Administrative Requirements, Cost Principles and Audit Requirements for Federal Awards (2 CFR 200 et sect.), and the federal regulations for the o Community Development Block Grant (24 CFR 570 et seq.), N U 3.13 PURCHASING p U SUBRECIPIENT is required to follow Federal Procurement standards (2 CFR 200.318 through = 200.327) and Collier County's Procurement Ordinance 42017-08, as amended. Current purchasing U thresholds are: o Federal Procurement Standards; Ran e; MethoVCotn etition Required $0 -- $10,000 Micro -Purchase $10,001 - $250,000 Small Purchase $250,001+ Sealed Bidding Collier County Procurement Standards Ran e; Competition Required. $0 - $50,000 3 Written Quotes $50,001+ Formal Solicitation (ITB, RFP, etc.) During the period of the Declared State of Emergency, emergency and exigent purchases will be permitted, following Federal Procurement standards, pursuant to 2 CFR 200.320, provided that SUBRECIPIENT submits sufficient documentation to support cost reasonableness. Acceptance of said documentation shall be at the COUNTY's sole discretion. If the Declared State of Emergency expires before December 30, 2020, SUBRECIPIENT shall ensure that non -emergency COUNTY procurement standares is used for purchases under this Agreement. Regardless of the state of COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-M I-o l Case Managear mt Healthcare Services for Low to Moderate -Income Residents Page 19 Packet Pg. 662 16.D.6.a emergency, any purchase in excess of 250,000 will be assessed using a price or cost analysis approved by CHS, prior to purchase. In accordance with 2 .CPR 200.322, to the greatest extent practicable, SUBRECIPIENT shall procure, acquire, or use goods, products or materials produced in the United States. In accordance with 2 CFR 200.323, SUBRECIPIENT shall procure items that contain thr, highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of completion, per 2 CFR 200, Appendix II (J) and 2 CFR 200.323, All items specified in Part I Scope of Work shall be. perforined by SUBRECIPIENT employees, or put out to competitive bidding, under a procedure acceptable to COUNTY and Federal requirements. "fhe SUBRECIPIENT shall enter into contracts with the lowest, responsible, and qualified bidder, In accordance with 2 CFR 200.323, SUBRECIPIENT shall procure items that contain the highest percentage of recovered materials practicable, consistent with maintaining a satisfactory level of completion, per 2 CFR 200, Appendix lt(.i) and 2CFR 200.323. Contract administration shall be conducted by the SUBRECIPIENT and monitored by CHS, which shall have access to all records and documents related to the Project. 3.14 PROGRAM GENERATED INCOME No Program income is anticipated. However, if Program Income is derived from the use of CDBG- CV furids disbursed under this Agreement, such Program Income shall be utilized by the SUBRECIPIENT for CDBG-CV eligible activities approved by COUNTY. Any Program Income (as such term is defined under applicable Federal regulations) gained from any activity of the SUBRECIPIENT funded by CDBG-CV funds shall be reported to the COUNTY through an annual Program Income Reuse Plan, utilized by the SUBRECIPIENT accordingly, and shall be in compliance with 2 CFR 200.307 and 24 CFR 570.503(c) in the operation of the Program. When Program Income is generated by an activity that is only partially assisted by CDBG-CV funds, the income shall be prorated to reflect the percentage of CDBG-CV funds used, if there is a Program Income balance at the end of the Program Year, such balance shall revert to the COUNTY's CDBG Program, for further reallocation. 3,15 GRANT CLOSEOUT PROCEDURES SUBRECIPIENT's obligation to the COUNTY shall not end until all closeout requirements are completed. The SUBRECIPIENT may close out the project with the COUNTY after the expiration of the Agreement, Activities during this closeout period shall include, but are not limited to making final payments; disposing of program assets (including the return of ail unused materials, equipment, program income balances, and receivable accounts to the COUNTY); and determining the custodianship of records. In addition to the records retention outlined in Part 2.2, the SUBRECIPIENT shall comply with Section 119.021, Florida Statutes, regarding records maintenance, preservation, and retention. A conflict between state and federal records retention law requirements will result in the more stringent law being applied, such that the record must be held COLLIER HEALTHSERVICES, INC. On HEALTHCARE NETWORK - CD-CV21-0l Case Management rrenr€ricare Services for Lo%v to Moderate -Income Residents rage 20 Packet Pg. 663 16.D.6.a for the longer duration. Any balance of unobligated funds that have been advanced or paid must be returned to the COUNTY. Any funds paid exceeding the amount SUBRECIPIENT is entitled to under the terms and conditions of this Agreement must be refunded to the COUNTY. SUBRECIPIENT shall also produce records and information complying with Section 215.97, Florida Single Audit Act, Closeout procedures must take place in accordance with 2 CFR 200.344. 3.16 OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPIAANCE 'rho SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be subjected to discrimination under any activity carried out by the performance of this Agreement based on race, color, disability, national origin, religion, age, familial status, or sex. Upon receipt of evidence of such discrimination, the COUNTY shall have the right to terminate this Agreement. To the greatest extent feasible, lower -income residents of the project areas shall be given opportunities for training and employment. In addition, to the greatest extent feasible, eligible business concerns located in or owned in substantial part by persons residing in the project areas shall be awarded contracts in connection with the project. The SUBItECIPIENT shall comply with Section 3 of the Housing and Community Development Act of 1968. 3.17 OPPORTUNITIES FOR SMALL AND MINORITY/WOMEN OWNED IBUSMSS o ENTERPRISE, S N U The SUBRECIPIENT will use its best efforts to afford small businesses and minority and women's business enterprises the maximum practicable opportunity to participate in the performance of this v Agreement. As used in this Agreement, the term "small business" means a business that meets the = criteria set forth in section 3(a) of the Small Business Act, as amended (15 U.S.C. 632); and "minority and women's business enterprise" means a business that is at least 51 percent owned and o N controlled by minority group members or women. For the purpose of this definition, "minority ca group members" are Afro-Americans, Spanish-speaking, Spanish surnamed or Spanish -heritage D Americans, Asiatl-Americans, and American Indians. The SUftECIPIENT may rely on written representations by businesses regarding their status as minority and women's business enterprises, in lieu of an independent investigation, Q 3.18 PROGRAM BENEFICIARIES If the Agreement is inecting a National Objective through an L,MI strategy, at least 51 percent of the beneficiaries of a project funded through this Agreement must be low- and moderate -income persons, or presumed to be low- to moderate- income persons based on applicable regulation. Determination of income eligibility is based on the annual income of the family or household, Tids Agreement conforins to the definition of Annual Income, per 24 CFR 570,3(1)(i), where Annual income is defined under the Section 8 Housing Assistance Payments. Details for calculating the Annual Income are contained in 24 CFR 5,609, with practical instructions contained in HUD Handbook 4350.3, Chapter 5. COLLIER 11FALTH SERVICES, INC. dba HEAUITICARE NETWORK CD•CV21—M Case ivranagenzenl Healthcare Services for Low to Moderate -income Residents Page 21 A Packet Pg. 664 16.D.6.a If the project is located in an entitlement city as defined by HUD, or serves beneficiaries countywide, more than 30 percent of the beneficiaries directly assisted under this Agreement must reside in unincorporated Collier County or in municipalities participating in the COUNTY's Urban County Qualification Program. The project shall assist beneficiaries as defined above for the time period designated in Exhibit C of this Agreement. 3.19 AFFIRMATIVE ACTION The SUBRECIPIENT agrees that it shall be committed to carry out an Affirmative Action Program pursuant to the COUNTY's specifications, in keeping with the principles as provided in President's Executive Order 11246 of September 24, 1966, The SUBRECIPIENT shall submit a plan for an Affirmative Action Program for approval prior to the award of funds. The Afflrinative Action Program will need to be updated throughout the continued use period and must be submitted to the COUNTY within 30 days of any updatelniodiflcation. 3.20 CONFLICT OF INTEREST The SUBRECIPIENT covenants that no person under its employ, who presently exercises any a) functions or responsibilities in connection with the Project, has any personal financial interest, direct or indirect, in the Project areas or any parcels therein, which would conflict in any manner c or degree with the performance of this Agreement SUBRECIPIENT also agrees that it will not N employ or subcontract any person having any conflict of interest, The SUBRECIPIENT covenants U that it will comply with all provisions of 24 CFR 570.611 "Conflict of Interest," 2 CFR 200,318, p and the State and County statutes, regulations, ordinances, or resolutions governing conflicts of U interest. _ U The SUBRECIPIENT will notify the COUNTY, in writing, and seek COUNTY approval prior to entering into any contract with an entity owned in whole or in part by a covered person, or an entity owned or controlled in whole or in part by the SUBRECIPIENT. 'file COUNTY may review the proposed contract to ensure that the contractor is qualified, and the costs are reasonable. Approval of an identity of interest contract will be in the COUNTY's sole discretion. This provision is not intended to limit SUBRECIPIENT's ability to self manage the projects using its own employees. Any possible conflict of interest on the part of the SUBRECIPIENT, its employees, or its contractors shall be disclosed to CHS in writing, provided however, that this paragraph shall be interpreted in such a manner so as not to unreasonably impede the statutory requirement that maximum opportunity be provided for employment of and participation of low- and moderate - income residents of the project target area. 3.21 BYRD ANTI -LOBBYING AIV ENIIMENT Each tier certifies that the tier above it will not, and has not, used Federally appropriated fiends to pay any person or organization for influencing or attempting to influence the award of Federal COLLIER HEALTH SERVICES, INC, dba HEALTHCARE NFM77 CD-CM-01 Cnse Management Healtheare Services for Law to h4oderate-Income Residents Page 22 Packet Pg. 665 16.D.6.a funds, as covered by 31 USC 1352, as more fully described in Section 4.47 of this Agreement. Colniractors who apply or bid for an award of $100,000 or more shall file the required certification. 3.22 RELIGIOUS ORGANIZATIONS CDBG-CV funds may be used by religious organizations or on property owned by religious organizations only in accordance with requirements set forth in Section 24 CPR 570.2000), The SUBRFCIPIFNT small comply with First Amendment Church/State principles as follows: A. It will not discriminate against any employee or applicant for employment based on religion, and will not limit or give preference in employment to persons based on religion. B. It will not discriminate against any person applying for public services based on religion, and will not limit such services of give pleference to persons based on religion. C. It will retain its independence from Federal, State, and Local governments and may continue to carry out its mission, including the definition, practice, and expression of its tn religious beliefs, provided it does not use direct CDBG-CV funds to support any inherently LO N religious activities, such as worship, religious instruction, or proselytizing. 0 D. The funds shall not be used for the acquisition, construction, or rehabilitation of structures N to the extent that those structures are used for inherently religious activities. Where a U structure is used for both eligible and inherently religious activities, CDBG-CV funds may not exceed the cost of those portions of the acquisition, construction, or rehabilitation that � are attributable to eligible activities, in accordance with the cost accounting requirements v applicable to CDBG-CV funds in this part. Sanctuaries, chapels, or other rooms that a CDBG-CV funded religious congregation uses as its principal place of worship, however, N are ineligible for CDBG-CV funded improve€vents, as 3.23 INCIDENT REPORTING If services to clients are to be provided under this Agreement, the SUBRECIPIENT and any subcontractors shall report to the COUNTY knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child, aged person, or disabled person. 3.24 SEVERABILITY Should any provision of the Agreement be determined to be unenforceable or invalid, such a determination shall not affect the validity or enforceability of any other section or part thereof. 3,25 MISCELLANEOUS The SUBRECIPIENT and the COUNTY each binds itself, its partners, successors, legal representatives, and assigns of such other party in respect to all covenants of this Agreement. COLLIER I1EALTII SERVICHS, INC. dba HEALTHCARE NETWORK CD-CV21--01 Case Management Healthcare services for Low to Moderate-luome. Residents Wage 23 Packet Pg. 666 16.D.6.a The SUBRECIPIENT represents and warrants that (lie financial data, reports, and other information regarding the Project that SUBRECIPIENT furnished to the COUNTY are accurate and complete, and financial disclosures fairly repiwent the SUBRECIPIENT's financial position. The SUBRECIPIENT certifies that it has the legal authority to receive the funds under this Agreement and that its governing body has authorized the execution and acceptance of this Agreement. The SUBRECIPIENT also certifies that the undersigned person has the authority to legally execute and bind the SUBRECIPIENT to the terms of this Agrenient. The Grant Documents shall be construed in accordance with and governed by the laws of the State of Florida, without giving effect to its provisions regarding choice of laws, All activities authorized by this Agreement shall be subject to and performed in accordance with the provisions of the terms and conditions of the Agreement between the COUNTY, the Regulations, all applicable federal, state, and municipal laws, ordinances, regulations, orders, and guidelines, including but not limited to any applicable regulations issued by CNS. Electronic Signatures, This Agreement, and related documents entered into in connection with this Agreement are signed when a party's signature is delivered by facsimile, e-mail, or any other electronic medium. These signatures must be treated in all respects as having the same force and effect as original signatures. Remainder of Page Intentionally Left Blank COLLIER HEALTH SERVICES, INC. dba HEALTHCARE MWORK CD•CV21AI Case Manngement Hen Move Services for Low to Moderate -Income Residents Page 24 Packet Pg. 667 16.D.6.a PART IV GENERAL PROVISIONS 4.1 24 CFR 570 as amended- All the regulations regarding the CDBO program hops://www.ecfa .govlcgi-bil�ltext-idx?tpl=lecfi b►'owse{Title24/24cfr570_nrain�02Ttpl 4.2 24 CFR 58 - The regulations prescribing the Environmental Review procedure. litti)s://www.ccfi-.gov/cgi-biii/textw idx?SID= I acdb92f3 bOSc3f285dd76c26d I 4f54c&iiic--true&nQde--t24.1.58&r nwcliv5 4.3 Section 104(b) and Section 109 of Title I of the Housing anmd Community Development Act of 1974 as amended httusJ/www.hL]d.gov/pl'o rain Off ces/conini tannin conimunit develo 3me1 #Irulesandre slaw slsec5309 4.4 The Fair Housing Act (42 U.S.C. 3601-20) Reasonable Accommodations Under the Fail' Housing U Act, htt s;//www.hud. oy/sltesldocuments/DOC 7771.PD , Ln littps://www.'tistice.govlcrt/faii�-hotising-act-I a) Executive Order 11063 — Equal Opportunity in Housing hitos://www.al-cilives.L'ov/federal- i'epister•/eodiBcatiolmlexectitive-order/11063.1mtnil• o Executive Order 11259 - Leadership & Coordination of Fair Housing in Federal Programs N httDs://www.ai•chives.g_oy/federal-rep-ister/codificatiaii/executive-orclei,/ 12259.html v 24 CFR fart 107 - Non- Discrimination and Equal Opportunity in Housing under E.O, p htti)s://www.law.ccoi-nol l.edu/cfr/LexY24i )aim t- t 07, V x 4.5 Titre V1 of the Civil Rights Act of 1964 as amended, Title V111 of the Civil Rights Act of 1968, as v amended —https://www.hudov/pro raiadescri tioim/title6 N 0 4.6 24 CFR 570.601 Subpart K - The regulations issued pursuant to Executive Order 11063 which prohibits discrimination and promotes equal opportunity in housing. littus-.//kvww.p,po. og v/fdsys/i)kg/CFlt-2001-title24-vo13/pdf/CFR-2007-title24-vol3-sec570- 602.ndf 4.7 Executive Order 11246 ("Equal Employment Opportunity"), as amended by Executive Orders 11375 and 12086 - which establishes hiring goals for minorities and women on projects assisted with federal funds and as supplemented in Department of Labor regulations. EO 11246: httos:/hvww.dol.,ov/agencies/ofcct)/executive-order-1 1246/as-amended EO 11375 and 12086: see item 118 below 4.8 Title VII of time 1968 Civil Rights Act as amended by the Equal Employment Opportunity Act of 1972,42 USC § 2000e, et. seq. The SUBRECIPIENT will, in all solicitations or advertisements for employees placed by or on behalf of the SUBRECIPIENT, state that it is an Equal Opportunity or Affirmative Action employer. htt s:/�iwww.hid.�ovlprogt•alydescriptio�m/titleG COLLIER tlrAum SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 Case Mwagenieut Itealthcare services for Low to Moderate -Income Residents Page 25 Packet Pg. 668 16.D.6.a 4.9 24 CPR 75 — Regulations outlining requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended. Compliance with the provisions of Section 3 of the HUD Act of 1968, as amended, and as implemented by the regulations set forth in 24 CI-R 75, and all applicable rules and orders issued hereunder prior to the execution of this Agreement, shall be a condition of the Federal financial assistance provided under this Agreement and binding upon the COUNTY, the SUBRECIPIENT and any of the SUBRECIPIENT's Subrecipients and subcontractors, Failure to fulfill these requirements slrall subject the COUNTY, the SUBRECIPIENT and any of the SUBRECIPIENT's SiOrecipients and subcontractors, their successors and assigns, to those sanctions specified by the Agreement through which Federal assistance is provided. The SUBRECIPIENT certifies and agrees that no contractual or other disability exists that would prevent compliance with these requirements, h tti)s:HwWw.hud. gov/sites/df i l es/FHEO/documents/Secti on3 rut e492 820. pd f The SUBRECIPIENT further agrees to comply with these "Section 3 " requirements and to include the following language in all subcontracts executed under this Agreement: "The work to be performed under this Agreement is a project assisted under a program providing direct Federal financial assistance from HUD and is subject to the requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended (12 U.S.C. 1701), Section 3 requires that, to the greatest extent feasible, opportunities for training and employment be given to low- and very low-income residents of tile project area, and that contracts for work in connection with the project be awarded to business concerns that provide economic opportunities for low- and very low-income persons residing in the metropolitan area in which the project is located." Tire SUBRECIPIENT further agrees to ensure that opportunities for training and employment arising in connection with a housing rehabilitation (including reduction and abatement of lead - based paint hazards), housing construction, or other public construction project are given to low - and very low-income persons residing within the metropolitan area in which the CDBG-funded project is located; where feasible, priority should be given to low- and very low-income persons within tine service area of the project or the neighborhood in which the project is located, and to low- and very low- income participants in other HUD programs; and award contracts for work undertaken in connection with a housing rehabilitation (including reduction and abatement of lead - based paint hazards), housing construction, or other public construction project to business concerns that provide economic opportunities for low- and very low-income persons residing within the metropolitan area in which the CMG -funded project is located; where feasible, priority should be given to business concerns that provide economic opportunities to low- and very low- incorne residents within the service area or tine neighborhood in which the project is located, and to low- and very low-income participants in other HUD programs, Tile SUBRECIPIENT certifies and agrees that no contractual or other legal incapacity exists that would prevent compliance with these requirements. httt)s://iv-vvw. hud. aov/sites/dfiles/FHF,Oldocuineiits/Sectioti3rti leO9282O.pdf COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD•CV2S—o1 Case Management Healthcare Services for Low to Moderatatncome Residents Page 26 Packet Pg. 669 16.D.6.a 4.10 Age Discrimination Act of 1975, Executive Order 11063, and Executive Order 11246 as amended by Executive Orders 1137S, 11478, 12107 attd 12086. Age Discrimination Act of 1975 https://www.law.coi'jieli.edu/Liscole/tQxt/42/cliaL)ter-76 11246: lt, ttps://www.dol,gov/ofccpfre s/statutes/co11246.httn 11375, Amended by EO 11478 11478: httt)s://www.arcliives,�ov/federal-re,sister/0odificatiotVexcctitive-order/I 1478.httnl 12107: htt s://www.arcltives, ov federal -re ister/codifEcatinit/executive-ordell 210 .httnl 12086: hit s•//www.archives. ov/federaI-re gister/codification/executive-order/12096.Min I 4.11 Contract Work Hours and Safety Standards Act, 40 USC 327-332. Ytttps ://w4vw.dol . iov/wltd/regs/statutes/safeO l .� f' 4.12 Section 504 of the Rehabilitation Act of 1973, 29 USC 776(b) (5), 24 CFR 570.614 Subpart K. Q Section 504: https://www.et)a.aoyloci- _ 29 USC 776: httus://law.onecle, corn/tlscode/291776.lit nil V 24 CFR 570,614, httl s:ilwww.lary.cornell,edu/cfr/text/24/570.614 LO a) LO 4.13 The Americans with Disabilities Act of 1990: https://www,hud.p- ov/hudprnarattlsleohudaU 0 4.14 Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as amended. N https://w%vw.fhwa.dot.gov/real estate/uniform act/index.cfni > U 4.15 29 CFR Pails 3 and 5 - Regulations that prescribe the payment of prevailing wages and the use of U apprentices and trainees on federally assisted projects, HUD Form 4010 must be included in all = construction contracts funded by CDBG. U Davis -Bacon Act: 42 USC 276a to 40 USC 276a: en httus://ttscode.ltottse.gov/view.xhtntl?re = rattuleid:USC-1999-title40-sectiott276a- 7&nuns=0&edition=1999 29 CFR Part 3 - Contractors and Subcontractors on public building or Public Work Financed, in whole or in part, by loans or Grants from the United States kittps://wwrv, law.co rnell .edu/eft•/textl29/part-3 29 CFR Part 5 - Labor Standards Provisions Applicable to Contracts Covering Federally Financed and Assisted Construction (Also, Labor Standards Provision Applicable Subject to the Contract Work Hours and Safety Standards Act) h t#us :/hwww.law.cot�nel l.edttlefi'/text/29/pai't-5 Executive Order 11914 - Prohibits discrimination with respect to the handicapped, in federally assisted projects, h#ttts://zvww.presidency.tlesb.edu/wslindex.pltp?pid=23675 4.16 As a supplement to the Davis -Bacon Act requirements, the SUBRECIPIENI' agrees to comply with the "Copeland Anti -Kickback Act," which prohibits the SURRECIPIENT, its contractors, or COLLIER HEALTH SRRVICES, INC. dba HEALTHCARE NETWORK Cif-CV21- 01 Case Management Healthcare Services for Low to Moderato-Incoitie Residents Psge 27 Packet Pg. 670 16.D.6.a subcontractors from inducing an employee to relinquish any part of hislher compensation, under the federally -funded contract. 18 U,S.C. 874 1�ts:/Iwwwavinfo.t;ov/contentlt�fct�JC7SCODl� 20.10-fitlel8lidf/USCODE-2Q1Q- itle 18 f 40 U.S.C. 276c 9-title40- section276c&iiurn=0&edition=1999 4.17 Executive Order 11625 and U.S. Department of Housing and Urban Development Circular Letter 79-45 - which prescribes goal percentages for participation of minority businesses in Community Development Block Grant Contracts. E.O. 11625 Prescribing additional arrangements for developing and coordinating a national prograin for minority business enterprise, htt s:llwww.archiml 4.18 The SUBRECIPIENT agrees to comply with the non-discrimination in employment and contracting opportunities laws, regulations, and executive orders referenced in 24 CFR 570.607, as revised by Executive Order 13279. The applicable non-discrimination provisions in Section 109 of the Housing and Community Development Act (HCDA) are still applicable. 24 CFR 570.607: lit s://wwrv.ecfi•. ov/c i-biii/text- idx?S1D=9cae3f8eaa9 1f04JIDM74003bcbl&Rq:!rue&node= t24.3.570&r nTdivS#se24. .5 70 1607 B.O. 13279:.http://www.fedgovcL)nti'acts.coin/L)eO2-96.iiti-n 9.19 Public Law 100-430 the Fair Housing Amendments Act of 1988. bttns:/hyw.v,ncbi.riliii.iiih,,.._ lovlpubined112289709 4.20 2 CFR 200 et seq - Uniform Administrative Requirements, Cost Principles, and Audit requirements for Grants and Agreements. fit tps HwNvw.erfrgov/cam-biti/text-iidx'?M==/cefrbi-owse/TitleO2/2cfi-200�main 02.ttil 4.21 2 CFR 200.216 — Prohibition on certain telecommunications and video surveillance set -vices or equipment, COUNTY and SUBIRECIPIENT are prohiblied fi•orn obligating or expending loan or grant fiends to: 1) procure or obtain; 2) extend or renew a contract to procure or obtain; 3) enter into a contract (or extend or renew a contract) to procure or obtain equipments, services, or systems that use(s) covered telecommunications equipment or services as a substantial component of any system, or as critical technology as part of any system. d.22 immigration Reform and Control Act of 1986 littL)s://www.eeoc.p,ov/eeoc/iiistoiy/35ili/tl)elaw/irea.hiini 4.23 Prohibition of Gifts to COUNTY Employees - No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service, or other item of value to any COLLIER HEALTH SURVWES, INC. dba H1 ALITICARL+ NETWORK CD-CV21—oi Case Management Iieaithcare Services for Low to Moderate-Incolne Residents Page 28 Packet Pg. 671 16.D.6.a COUNTY employee, as set forth in Chapter 112, Part 111, Florida Statutes, Collier County Ethics Ordinance No, 2004-05, as amended, and County Administrative Procedure 5311> Florida Statutes- 1 ttp.s//www.lEiwserver.com/law/state/ftorida/statutes/florl(ta statutes chapter 1 12�part H Collier County- ht p;//www.colliergov,net/homelshowdocunnenMd=3S127 4.24 Order of Precedence - In the event of any conflict between or among the terms of any of the Contract Documents, the terms of the Agreement shall take precedence over the terms of all other Contract Doctrmetits, except that the terms of any Supplemental Conditions shall take precedence over the Agreement. To the extent any conflict in the terms of the Contract Documents cannot be resolved by application of the Supplemental Conditions, if any, or the Agreement, the conflict shall be resolved by imposing the more strict or costly obligation under the Contract Documents upon the Contractor at Owner's discretion, 4.25 Venue -Any suit of action brought by either party to this Agreement against the other party, relating to or arising out of this Agreement, must be brought in the appropriate federal or state courts, in Collier County, FL which courts have sole jurisdiction on all such matters. (No reference required LO N for this item). 0 4.26 Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this Agreement N to resolve disputes between the parties, the parties shall make a good faith effort to resolve any > such disputes by negotiation, Any situations when negotiations, litigation, and/or mediation shall U 0 be attended by representatives of SUBRECIPIENT with full decision -making authority and by U COUNTY'S staff person who would make the presentation of any settlement reached during negotiations to COUNTY for approval. Failing resolution, and prior to the commencement of U depositions in any litigation between the parties arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed -upon Circuit Court Mediator N certified by the State of Florida. Should either party fail to submit to mediation as required m hereunder, the other party may obtain a court order requiring mediation under § 44.102, Florida D Statutes. The litigation arisingout of this Agreement shall be adjudicated in Collier County, Florida, if in state court; and the US District Court, Middle District of Florida, if in federal court. BY ENTERING INTO THIS AGREEMENT, COLLIER COUNTY AND THE SUBRECIPIFINT EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO ATRIAL BY JURY Q OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF, THIS ACRFEM1 N`l-, https://www.tlsenate.goy/Laws/Statutes/2D 12/44.102 4.27 The SUBRP,CIPIFNT agrees to comply with the following requitttnents: a. Clean Air Act, 41 USC 7401, et sect. littps;/lwwvr.govmfo.gov/content/Rk�g/USCODE- 2010-title42/htlttl/USCODE 2010-titte42-cltap85.htrn I)ttpsJiwww.law.coi-iiell.edu/Liscode/text/42/chaptgL-85 b. Federal Water Pollution Control Act, 33 USC 1251, et seq., as amended. lltttis://www.I�ovillfo,gov/content/pkg S DE-201l,-title33/Rdf/ilSC011E-2011-title33- chap2G.pdf htt ps:Nwww.law.cornell.edu/uscode/textl33/eha )ter-26 COLLLFR HEALTH SERVICES, INC. dha HEAL:r13CARE:FTwORIC CD-CV21-41 Case Management Healthcare Sen•imes for Low to Moderate -Income Residents Page 29 Packet Pg. 672 16.D.6.a 4.28 In accordance with the requirements of the Flood Disaster Protection Art of 1973 (42 USC 4002 and 24 CFR 570.605 Subpart K), the SUBRECIPIENT sliall assure that for activities located in an area identified by FEMA as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained. If appropriate, a letter of map amendment (LOMA) may be obtained from FEMA, which would satisfy this requirement and/or reduce the cost of said flood insurance. littA)s,,I/ww�v.1a,A,,corjioll.edu/,-fr/text/24/570,605 4,29 The SUBRECIPIENT agrees that any construction or rehabilitation of residential structures with assistance provided under this Agreement shall be subject to the HUD Lead -Based faint Poisoning Prevention Act, found at 24 CFR 570.608, Subpart K. httns:/Iwww, o.gov/fdV /granule/CFR- 2000-title24-vo13/CFR-2000-title24-vol3-see570-608-id 163 4.30 The SUBRECIPIENT agrees to comply with the Historic Preservation requirements set forth in the Fn National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the procedures set = forth its 36 CFR fart 800, Advisory Council on Historic Preservation Procedures for Protection ofLO V Historic Properties, insofar as they apply to the performance of this Agreement. https //www.npss,ov/historYllocal-law/nhpa1966.htm N https://www.acht).g_oy/sites/default/files/re Julatioiis/2017-02/i,e s-reyD4. df r In general, this requires concurrence from the State Historic Preservation Officer for all e rehabilitation and demolition of historic properties that arc fifty years old or older or that are included on a Federal, State, or Local historic property list. U https://www,,ti s.gay/hisstory/local-law/nhnal966.tltrn U to 4.31 The SUBRECIPIENT must certify that it will provide drug -free workplaces, in accordance with = U the Drug -free Workplace Act of 1988 (41 USC 701). hlt s:llwww. o, ovlfds sl ranule/USCODE-2009-title4l/USCODE-2009 title4l-cha ]0- N sec701 m 4.32 The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal Department or agency; and the SUBRECIPIENT shall not knowingly enter into any lower tier contract, or other covered transaction, with a person who is similarly debarred or suspended from participating in this covered transaction as outlined in 24 CFR 570.609, Subpart K. https,-//www.ai-chives.aoy/federal-register/codificatio«/executive-ordei/l2549.html 4.33 The SUBRECIPIENT agrees to comply with the following OMB Circulars whichever is applicable and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. These requirements are enumerated in 2 CFR 200, et seq. 4,34 Single Audits shall be conducted annually, in accordance with 2 CFR 200.501, and shall be submitted to the COUNTY nine (9) months after the end of the SUBRECiPIENT's fiscal year. The COLLIER HEALTH SERVICES, INC. dba IIEALTHCAIW NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate-Yucome Residents Page 30 Packet Pg. 673 16.D.6.a SUBRECIPIENT shall comply with the requirements and standards of 2 CFR 200 Subpart F, Section 500. SUBRECIPIENTS exempt from Single Audit requirements shall submit financial statements to the COUNTY one hundred eighty (180) days after the end of the SUBRECIPIENT'S fiscal year. Per 2 CFR 200.344, if this Agreement is closed out prior to the reecipt of an audit report, the COUNTY reserves the right to recover any disallowed costs identified in an audit after such closeout. https;llwww.ecfr.govlcgi-bin/text- idx?SID=5a78addefff9a535e83fed3010308aef&inc=true&node=se2,1.200 1344&r n-div8 4.35 Any real property acquired by the SUBRECIPIENT for the purpose of carrying on tine projects stated herein, and approved by the COUNTY in accordance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR 24.101, shall be subject to the provisions of CDBG including, but not limited to, the provisions oil use and disposition of property. Any real property within SUBRECIPIENT control, which is acquired ol, improved, in whole or part, with CDBG funds in excess of $25,000, must adhere to the CDBG Regulations at 24 CPR 570,505. htt s://www. o. ovifds sl ranrtle/CPR-1999-title49-volt/CFR-1999-title49-volt-sec24-101 hops;Ilnvww,vinfQLov/alp/detaifsiCFR-2012-tit1e24-yol31CFR-2012-title24-vol3-sec570-505 4.36 As provided in § 287.133, Florida Statutes, by entering into this Agreement or perforating any work o in furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers, subcontractors N and consultants who will perform hereunder, have not been placed on the convicted vendor list U maintained by the State of Florida Department of Management Services within tine 36 months o immediately preceding the date hereof. This notice is required by § 287.133 (3) (a), Florida Statutes. _ http;ffwww.leg,state.11.us/Statutes/iltdex.cfrm?Apt mode=Display Statutc&Search_Stri iy&UR04 U L=0200-029910287/Sectiorns/0287.133.htnnl o 4,37 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to ally person for influencing of, attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress, in connection with the awarding of any Federal contract, the making of any Federal grant, tine making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. If any funds, other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, all officer or employee of Congress, or an employee of a Member of Congress, in connection with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and. submit Standard Form-LLL, "Disclosure Form to Report Lobbying", in accordance with its instruelions. The undersigned shall require that the language of this certification be included in the award documents for all sub -awards at all tiers (including subcontracts, sub -grants, contracts under grants, loans, and cooperative agreements) and that all SUBRECIPIENTS shall certify and disclose accordingly. COLLTF,R 11EAI.111 SERVICES, INC. dba HGALTHCART;NUWORK CD-CV21—Or Can Management Healthcare Services for L01V to Maderale-rneonre Residents page 31 Packet Pg. 674 16.D.6.a 4.38 Travel reimbursement will be based on the U.S, General Services Administration (GSA) per diem rates in effect at the time of travel. https ;/lwww. ma. gov/poila 1/coi itent/104877 4.39 Equal access in accordance with the individual's gender identity in community planning and development programs, per 24 CFR 5.106. htt s://www. ovre s.carti/re ulatiaals/ex arld/title24 art5 sub ar'tA section5.106 4.40 Housing Counseling, including homeownership counseling or rental housing counseling, as defined in §5.100, required under or provided in connection with any program administered by HUD shall be provided only by organizations and counselors certified by the Secretary under 24 CFR part 214 to provide housing counseling, consistent with 12 U.S.C. 1701 x, per 24 CFR 5.111. littps://www.ecft,,ao /c,i�xt- i.dx?SlD=e339ece9fdfdl479eab67e850c7cddd4&nodc--24:2,1,1.2.10.4&rjZn—div6 ltttps: twww.law.coinell.edu/cfr/text/24/5.111 4.41 HUD Final Rule --- Implementation of the Violence Against Women Reauthorization Act of 2013 LO which applies for all victims of domestic violence, dating violence, sexual assault, and stalling, LO N regardless of sex, gender identity, or sexual orientation, and which must be applied consistent with all nondiscrimination and fair housing requirements. o htt Hwww, fed erairm ister.gov/dow N reatrtlzor'ization-act-of-2013-impleinentatioar-in-hud-IiousingYprograins U 0 U 4.42 Any rule or regulation determined to be applicable by HUD. 4.43 Florida Statutes 713.20, Part 1, Construction Liens U htt s:llwww.le .state.thus/Statutes/itldex.cfnl?A mode--Displaymode--Display Statute&URL=0700- o 0799/0713/0 13.1itml m 4.44 Florida Statutes 119.021 Records Retention htt ://wwjv lIe, state.fl.us/5tatuteslindex.cfnr2AI?p niocie=Display Statute&UItL�0100- 0199/0119/Sections/0119.021.litml 4.45 Florida Statutes, 119,071, Contracts and Public Records htt :/hvww.le .state.fl.us/Statutes/index.eftn?A mode —Display Statute&URL=0100- 019910119/Sections/ 119.071.htanl 4.46 Limited English Proficiency: The SUBRECIPICNT agrees to take reasonable steps to provide meaningful access to the prograrn/project and activities funded under this Agreement for persons with limited English proficiency pursuant to information located at hup:/lwww.lepg,,ov. 4.47 Equal Treatment of Faith -Based Organizations: By regulation, HUD prohibits all recipient organizations from using financial assistance from HUD to fund explicitly religious activities. The SUSRECIPIENT agrees to avoid such prohibited conduct. For more information, see COLLIER HEALTH SERVICES. INC. dba RLAIJ14CARE NEMORK Cl3•CV2141 Casa Management Healthcare Services for Lu%v to Moderate•Iercome Residents Page 32 Packet Pg. 675 16.D.6.a littps /,/ojp,gov/about/ocr/ at,tiierslii s.htiu. Discrimination on the basis of religion in employment is generally prohibited by federal law, but the Religious Freedom Restoration Act is interpreted on a case -by -case basis to allow some faith -based organizations to receive HUD funds while taking into account religion when hiring staff. Questions in this regard should be directed to the Office for Civil Rights, 4.48 Arrest and Conviction Records: Federal and state laws restrict use of arrest and conviction records in the employment context, except when specifically authorized. The SUBRFCIPIENT agrees to avoid the misuse of arrest or conviction records to screen applicants for employment or employees for retention or promotion that mnay have a disparate impact based on race or national origin, resulting in unlawful employment discrimination unless use is otherwise specifically authorized by law. See littt)s://oip.Pov/about/ocr/pdfs/UseofConvietion Advisory.p f for more details. 4.49 Byrd Anti -Lobbying Amendment (31 U.S.C. § 1352): The SUBRECIPIENT will not use and has not used federal appropriated funds to pay at any tier, either directly or indirectly, any person or organization for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with obtaining any federal contract, grant, or any other award or subaward covered by 31 U.S.C. § 1352. Each tier shall also disclose any lobbying with nonfederal fiends that takes place in connection with obtaining any federal award or subaward. Such disclosures are forwarded from tier to tier up to the recipient, The SUBRECIPIENI' shall comply with the lobbying restrictions of the Byrd Anti -Lobbying Amendment (31 U.S.C. § 1352) and (ii) ensure that its officets, employees and its subcontractors hereunder comply with all applicable local, state, and federal laws and regulations governing advocacy of and appearances before any legislative body. None of the funds provided tinder this Agreement shall be used for publicity or propaganda purposes designed to support or defeat any legislation pending before local, state, or federal legislatures, 4.50 False Claim; Criminal, or Civil Violation: SUBRECIPIENT must promptly refer to COUNTY any credible evidence that a principal, employee, agent, contractor, subgrantee, subcontractor, or other person has either (i) submitted a false claim for grant funds under the False Claims Act or (ii) committed a criminal or civil violation of laws pertaining to fraud, conflict of interest, bribery, gratuity, or similar misconduct involving subaward agreement funds 4.51 Political Activities Prohibited: None of the funds provided directly or indirectly tinder this Agreement shall be used for any political activities or to further the election or defeat of ally candidates for public office, Neither this Agreement nor any funds provided hereunder shall be utilized in suppoti of any partisan political activities or activities for or against the election of a candidate for an elected office. 4.52 Text Messaging: Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text Messaging While Driving," 74 Federal Register 51225 (October 1, 2009), HUD encourages recipients and subrecipients to adopt and enforce policies banning employees from. text messaging while driving any vehicle during the course of perfotmiing work funded by HUD and to establish COLLIER HEALTH SERVICCS, INC. dba HEALTHCARE NKYWORK CD•CV21—Ol Case Management lieatutcare services for I.ow to Mode(atc-Income Residents Page 33 Packet Pg. 676 16.D.6.a workplace safety policies and conduct education, awareness, and other outreach to decrease crashes caused by distracted drivers. 4.53 Trafficking in Persons; The SUBRECIPIENT agrees to, at any tier, comply with all applicable requirements (including requirements to repoil allegations) pertaining to prohibited conduct related to the trafficking of persons, whether on the part of the SUBRECIPIENI' and any employees of the StJBR1CIPIENT. The details of the SUBRECIPIENT'S obligations related to prohibited conduct related to the trafficking of persons are posted at littps:Hojp.gov/f€ti ing Explore/ProliibitedCottduct-Traffcking.littn. 4.54 Association of Community Organizations for Reform Now (ACORN): The SUBRECIPIENT understands and acknowledges that it cannot use any federal funds, either directly or indirectly, in support of any contract or subaward to either ACORN or its subsidiaries, without the express prior written approval of OJP. 4.55 If the SUBRECIPIENT wishes to enter into a contract with a small business firth or nonprofit organization regarding the substitution of parties, assignment, or performance of experimental, W developmental, or research work under this funding agreement, the SUBRECIPIENT must comply N with the requirements of 37 CFR Part 401, "Rights of Inventions Made by Nonprofit Organizations and Small Busines Firms Under Government Grants, Contracts, and Cooperative Agreements," and any implementing regulations issued by HUD, httus://www.ccfr.Rov/cp-i- U bill/►•etrieveECFR?Rp=&SID—a004b6bf20934ace7a7l7de761dc64c0&mc—true&n=ut3T 1.401&1- o =PART&ty=HTML V U (Signature Page to Folloiv) COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 Case Managewnt Healthcare Services for Low to Moderate -Income Residents Page 34 Packet Pg. 677 16.D.6.a 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 written above. ATTEST: CRYSTALX.,I�INZEL, CLERIC v , weputy le Weil a50 ��la'IrI13atl'S:': Dated:b� E A L BOARACY OMlvll I RS OF COLLIORIDABy: P,CHAIRPER N Date: 4 I Z 121 COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK Ad /1 By:- TAMI RAZNOFF, C IEF NC1AL OFFICE/R,j I r Date: ` Approved as to form and le ality: Jennif elpedio �v Assistant County Attorney Date: 2 d, COLLIER HEALTH SERVICES, INC, dba HEALTHCARE NETWORK CD-CV21-01 Case Management Hcallhcare Services for Low to Moderate-Incomo Residents Page 35 Packet Pg. 678 16.D.6.a PART V EXHIBITS EXHIBIT A INSURANCE REQUIREMENTS The SUBRECIPIENT shall furnish to Collier County, c/o Community and Human Services Division, 3339 E. Tainiami Trail, Suite 211, Naples, Florida 34112, Certificate(s) of Insurance evidencing insurance coverage that rneets the requirements as outlined below: Workers' Compensation as required by Chapter 440, Florida Statutes. 2. Commercial General Liability, including products and completed operations insurance, in the amount of $1,000,000 per occurrence and $2,000,000 aggregate. Collier County must be shown as an additional insured with respect to this coverage. 3. Automobile Liability Insurance covering all owned, non -owned and hired vehicles used in N connection with this Agreement, in an amount not less than $1,000,000 combined single limit for combined Bodily Injury and Property Damage. e N DESIGN STAGE (IF APPLICABI..F) In addition to the insurance required in I — 3 above, a Certificate of Insurance must be provided as follows: V Fn 4. Professional Liability Insurance, in the name of the SUBRECIPIENT or the licensed design v professional employed by the SUBRECIPIENT, in an amount not less than $1,000,000 per occurrence/$1,000,000 aggregate providing for all sums which the SUBRECIPIENT and/or the N design professional shall become legally obligated to pay as damages for claims arising out of the ca services performed by the SUBRECIPIENT or any person employed by the SUBRECIPIENT in N connection with this Agreement. This insurance shall be maintained for a period of two (2) years after the certificate of Occupancy is issued. CONSTRUCTION PHASE (IF APPLICABLE) in addition to the insurance required in I — 4 above, the SUBRECIPIENT shall provide, or cause its Subcontractors to provide, original certificates indicating the following types of insurance coverage prior to any construction: Completed Value Builder's Risk Insurance on an "All Risk" basis, in an amount not less than one hundred (100%) percent of the insurable value ofthe building(s) or structure(s). The policy shall be in the name of Collier County and the SUBRECIPIENT. 6. In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 U.S.C. 4001), the SUBRECIPIENT shall assure that for activities located in an area identified by the Federal Emergency Management Agency (FEMA) as having special flood hazards, flood insurance under COLLIER HEALTH SERVICES, INC. dha HEALTHCARE NETWORK CD-CV21-01 Case Management Heallheare Services for Low to Moderale-Income Residents Page 36 Packet Pg. 679 16.D.6.a the National Flood Insurance Program is obtained and maintained, as a condition of financial assistance for acquisition or construction purposes (including rehabilitation). OPERATION/MANAGEMENT PHASE (IF APPLICABLE) After the Construction Phase is completed and occupancy begins, the following insurance must be kept in force throughout the duration of the loan and/or Agreement; 7. Workers' Compensation as required by Chapter 440, Florida Statutes. Commercial General Liability including products and completed operations insurance in the amount of $1,000,000 per occurrence and $2,000,000 aggregate. Collier County must be. shown as an additional insured with respect to this coverage. 9. Automobile Liability Insurance covering all owned, non -owned and hired vehicles used in connection with this Agreement in an amount not less than $1,000,000 combined single limit for combined Bodily Injury and Property Damage, 10. Property Insurance coverage on an "All Risk" basis, in an amount not less than one hundred (1001/6) 0 N of the replacement cost of the property. Collier County must be shown as a Loss payee, with respect to this coverage A,'I',I.M.A. G N 11. Flood Insurance coverage for those properties found to be within a flood hazard zone, for the full U replacement values of the structure(s) or the maximum amount of coverage available through the 6 U National Flood Insurance Program (NFIP). The policy must show Collier County as a Loss Payee A.T.LM.A. _ U COLLICR IMAUN SERVICES, INC, dba HEALTHCARE NETWORK CD-CV21--01 Case Management Healthcare services for Low to Moderate -Income Residents Page 37 Packet Pg. 680 16.D.6.a EXHIBIT B COLLIER COUNTY COMMUNITY & HUMAN SERVICES SECTION I: REQUEST FOR PAYMENT SUBRECIPIENT Name: Collier Health Services, Inc. dba Healthcare Network SUBRECIPIENT Address; 1454 Madison Ave, Immokalee, FL 34142 Project Naane: COVID Case Management Healthcare Services Project No: CD-CV21-01- Payment Request 4 Total Payment Minus Retainage Period of Availability: 04/01/2021 through03/30/2023 Period for which the Agency has incurred the indebtedness through SECTION 11. STATUS OF FUNDS Subrecipient CHS Approved 1. Grant Amount Awarded $ $ 2. Total Amount of Previous Requests $ $ 3. Amount of Today's Request (Net of Retainage, if applicable) $ $ 4. Current Grant Balance (Initial Grant Amount Award request) (includes Retainage) $ $ I certify that this request for payment has been made in accordance with the terms and conditions of the Agreement between the COUNTY and us as the SUBRECIPIENT. To the best of my knowledge and belief, all grant requirements have been followed. Signature Title Authorizing Grant Coordinator Date Authorizing Grant Accountant Supervisor (Approval required $15,000 and Division Director (Approval Required above) $15,000 and above) COLUCK HEALTH SERVICB, INC. dba HEALTHCARE NETWORK CI]-CV2"I Case Nienagement Healthcare Services for Low to Moderate -Income Residents Page 38 Packet Pg. 681 16.D.6.a EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and information System (IDIS), The COUNTY repoils information on a quarterly basis. To facilitate in the preparation of such reports, SUBRECIPIENT shall submit the Information contained herein within ten (10) days of the end of each calendar quarter. At COUNTY's discretion, SUBRECIPIENT may be required to enter the Information collected on this exhibit into an online grant management system, Subrecipient Name: Collier Health Services, Inc.dba Date: Healthcare Network Project Title: COVID Case Management Healthcare IRIS 4: Services Program Contact: Telephone Number: Activity Reporting Period Re oat Due mate October I51— Decembet• 31" Januar 10" January I"— March 31" Aril 10`h April 111—June3ott' July loll Jul t °' — Se item bee 30"' October 101t' REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period): 12/31 /X X 3/31 IXX 6/30/XX 9/3 0/XX Please note: The CDBG-CV/HOME/ESG Program year begins October I, 2020 -- September 30, 2023. Each quarterly n.w ,,,,,ot 11—h-1A PuMltlafivP riata be inninv fram the <tnrt of the nt'rtgrarn vear October 1. 2020. 1. Please list the outcome goal(s) from your approved application and SUBRECIPIENT Agreement and indicate your ro ress in meefin those goals since October 1, 2020. a. Outcome Goals: list the outcoine oats from your approved a lication and StJSRFCIPIFNT A reemcnt Outcome 1: 75% of staff time will be providing case management servi Outcome 2: At least 1,000 unduplicated LMC persons will be served, Outcome 3: b, Goal Progress: Indicate the ro ress to date in niecting each outcome gi Outcome 1: 4 Case managers will be hired speci lically to focus on case Outcome 2: At least 1 000 LMC will be served Outcome 3: Documentation will be kept of the low to moderate income service& served on a 2. is this project still in compliance with the original project schedule: Yes U No If No, Explain: 3. Since October 1, 20XX, of the persons assisted, how many... Answer ONLY for Public Facilities & Infrastructure Activities *03 Matrix Codes a, .,,now have new access(continuing) to this set -vice or benefit? b. ...now have im roved access to this service or benefit? c, now rcceive a service or benefit that is no longer substandard? Total -I. What funding sources did the SUBRECIPIENT a I for -this criod? Section 108 Loan Guarantee CDBG-CV $ Other Consolidated Plan Funds $ HOME $ Other Federal Funds $ FSG $ $ HOPWA $ $ Total Entitlement Funds. $ -- -- - gYftC�IIf101f11R111"'FoN COLLIER HEALTH SERVICES, INC. dba 1117AUFFICARE NETWORK Ct)-CV21-01 Casa Management Healthcare Services for Low to Moderate -Income Residents Page 39 0 N U U U) 2 L) Packet Pg. 682 16.D.6.a S. What is the total number of UNDUPLICATED Persons(LMC) or Households (LMH) served this QUAWIT It, if applicable? Answer question 5a or 5b; NOT both Pat- LMC activities: people, race/ethnicity, and income data are reported by persons. For LMH activities: households, racelethnicity, and income level are reported by households, regardless the number of persons in the household. a. Total No. Persons/Adults served (LNIC) 0 Total No. pet -saris served under 18 LMC) 0 Quarter Total No, of Persons 0 Quarter Total No. of Persons 0 E] Total No. of Households served 0 I Total No. of female head of household LMH 0 6, What is the total number of UNDUPLICATED clients served since October, i f applicable? Answer question Ga or Gb, NOT both For LMC activities: race/ethnioi and income data are reported b ersons, a. Total No. Persons/Adults served (LMC) 0 1 Total No, Persons served under 18 LMC 0 YTD Total: 0 YTD Total 0 b. 'Total No. Households served I,MH 0 Total No. female Tread of household (LMH) 0 YTD Total 0 YTD Total 0 Complete EITHER question 7 or 8, NOT both Complete question ?a and 7b if your program only serves clients in one or more of the listed [IUD Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY LMC Quarter LMC YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this quarter who fall into each presumed benefit category (the total should equal the total in girestion 96a ar 6b): persons served since October I who fall into each presumed benefit category (the total should equal the I In question #Ga or Gl)): La Presumed Benefit Activities Only LMC QTR b Presumed Benefit Activities Oply. LMC YTD 0 Abused Children ELI 0 Abused Children ELI 0 Homeless ELI 0 Homeless Person ELI Person 0 Migrant Farm LI 0 Migrant Farm Workers LI Workers 0 uttered LI 0 Battered Spouses LI S Doses 0 Persons Ll 0 Personsw/HIVIAIDS LI iv/HIV/AIDS 0 Elderly Persons LI or MOD 0 Elderly Persons LI or- 0 Illiterate Adults ILI 0 Illiterate Adults LI 0 Severely LI 0 Severely Disabled Adults LI Disabled Adults 0 Quarter Total 0 YTD Total 8. Complete question 8a and 8b if any clietrt in your program does not fall into a Presumed Benefit category. Other Beneficiary Data: Income Range Other Beneficiar Data: Income Ilan e Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this Quarter who fall into each income category persons served since October I (YTD) who fall Into (the total should equal the total to question 116): each income category (tire total should equal the total In guestion #6 EMEM COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 Case Maaagermnt Healthcare Serv€ces for Lo�v to Modertrte-htcnnte Residents Page 40 to W a) LO 0 N U U 2 U N O N m H C9 Q c a� E t to Q Packet Pg. 683 16.D.6.a C a ELI Extremely Low Income (0-30%) 0 b FU Income 0-30%LI Extremely LowlTotalo Low Income (31-50%) 0 1,1 Low IncomeMOD Moderate Income (51-80%) 0 MOD Mode€ate Inco$1-80%NONL/M Above Moderate Incorne (>801o) 0 NON -UM Above ModeraIncome A. %Qunrter'I'otal 0 YT Is this project in a Low/Mod Area (LMA)? Y1S NO Was project completed this quarter? YES NO If}es, cauiplete all of this section 9. Date project completed Block Group Census Tract 'Total Benefteiar•ies Low/Mod Beneficiaries Low/Mod Percentage 0 0 0 0 0 Date LMA Narrative approved by CIIS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, etc. l0. Racial & Ethnic Data ff a I llicablc Please indicate how many UNDUPLICATED Please indicate how many UNDUI'LICATF,D clients clients served this Quarter fall into cacti race served since October (YTD) fall into each Lace category. In category. In addition to each race calegoty, please addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic. (Total Race column Hispanic. ('Total Race column should equal the total lit shoe d a ual the total in question 6,) ouestion 6. a RACE ETI-INICITY b. RACF ETHNICITY 1111SPANIC 11-TISPANIC White 0 0 White 0 0 Hlack/Afl-ican American 0 0 Black/African American 0 0 Asian 0 0 Asian 0 0 0 © American Indian/Alaska/Alaska D 0 American Indian/Alaska Native Native Native Nati 0 0 Native Ilawaiiarr/Other Pacific 0 0 Native Hawaiiaa/Olher Pecirlo Islatrder Wander 0 BlacklAfrican American & 0 0 13lacklAfrican American & White0 White 0 0 American inditur/Alaska 0 0 American Indian/Alaska Native & Native & Black/African Black/African American American Other Multi -racial 0 0 Other Multi -racial 0 0 0 0 0 0 Name: Signature: 'rile; Your t ted name here represents Your eiectrmlie si nature COLLIER HEALTH SERVICES. INC, dba I]LALTHCARE NETWORK CO-CV21-01 Case Management I lealtheare Services fur Low to Moderate -Income Residents Page 41 0 N U t7 U U) 2 U Packet Pg. 684 16.D.6.a EXHIBIT D INCOME CERTIFICATION INSTRUCTIONS Complete this form and Detain appropriate suppotling dOCU MCIItati011 Droving CDBG-CV assistance to an eligible beneficiary. Please Detain in your organization's records and have on hand for future Inonitorilig visits. Effective Date: A. Household Information Member Names— All Household Members Relationship Age 1 2 3 4 5 6 7 B, Assets: All Household Members, Including Minors Member Asset Description Cash Value Income from Assets 1 2 3 4 5 6 7 g 0.00 Total Cash Value of Assets B(a) 0.00 Total Income from Assets B b 0.00 If line B(a) is greater than $5,000, multiply that amount by the rate specified by HUD (applicable rate 0 .06%) and enter results in B(c), otherwise leave blank. B c n��orernm�aw COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD•CV21-01 Case Management Healt1ware Services for Low to Moderate-IncomcResidenls Page 42 Packet Pg. 685 U C9 m 0 U M C' (D E c (D E Q x U LO w a) LO N O N U U U) x U N 0 N m D C9 Q a� E CU Q 16.D.6.a C. Anticipated Annual Income: Includes Uneamned Income and Support Paid on Behalf of Minors Member Wages 1 Benefits f Public Other Asset Salaries Pensions Assistance Incmne Income (include tips, commissions, (Enter the bonuses, and greater of ovc� tine box B(b) oi- 1 box B(c), 2 above, in box C(e) 3 below) 4 5 r7 6 8 Totals (a) (b) (c) (d) (e) 0,00 0,00, 0.00 0.00 Enter total of items C(a) through C(c). 0,00 This amount is the Annual Anticipated Household Income. D. Recipient Statement. The information on this form is to be used to determine maximum income for eligibility. Me have provided, for each person set forth in Item A, acceptable verification of current and anticipated annual income. Uwe certify that the statements are true and complete to the best of my/our knowledge and belief, and are given under penalty of perjury. WARNING: Florida Statutes 817 provides that willful false statements or misrepresentations concerning income and assets or liabilities relating to financial condition is a misdemeanor of the first degree and is punishable by fines and imprisonment provided under Section 775.082 and 775.083. Signature of Head ofHouschold Date Signature of Spouse or Co -Head of Household Adult Household Member (if applicable) Date Date Adult Household Member (if applicable) Date COLLIER HEALTH SERVICES, MC. dba HEALTHCARE NETWORK CD-CV21-0l Case Mariagenrent Healthcare Services for Low to Moderate-tgcome Residents Page 43 0 N U U U Packet Pg. 686 16.D.6.a E. CDBG-CV Grantee Statement: Based on the representations herein, the family or individual(s) named in Item A of this Income Certification Ware eligible under the provisions of the CDBG-CV Program. The family or individual(s) constitute(s) a: ❑ Extremely Low Income (ELI) Household means and individual or fancily whose annual income does not exceed 30/50" of the Very Low Income (60 percent of VLI) percent of the area median income as determined by the U.S. Department of Housing and Urban Development with adjustments for household size. (Maximum lncome Limit $ ). ❑ Very Low Income (VLI) Household means and individual or family whose annual income does not exceed 50 percent of the area median income as determined by the U,S. Department of Housing and Urban Development with adjustments for household size, (Maximum Income Limit $ ❑ Low Income (LI) Household means and individual or family whose annual income does not exceed 80 percent of the area median income as determined by the U.S. Department of Housing and Urban Development with adjustments for household size. (Maximum hncome Limit $ J. Based on the (year) income limits for the Naples -Marco Island Metropolitan Statistical Area (MSA) of Collier County, Florida. Signature of the CDBG-CV Administrator or HislHer Designated Representative: Signature Printed Name F, Household Data Date Title Number of persons B Race / lutlud ty B Age American Native Other Indian Asian Black Hawaiian or White 0 25 26 --40 41 —61 624- Other Pao. Islander Hispanic Non - Hispanic NOTE: Information concerning the race or ethnicity of the occupants is being gathered for• statistical Ilse only. No benefcialy is required to give such information, and refusal to give sitch iI foi-matron Ivill not affect any right lie or• she has to the CDBG-CV program, 0 04 IL 6 U x U COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CD-CV21-01 Cssc Managomcnl llealthureSmices for Lowto Madernte•hicomcResidems Page 44 Packet Pg. 687 16.D.6.a EXHIBIT L ANNUAL AUDIT MONITORING IM PORT Circular 2 CFR Part 200.332 requires Collier County to monitor subrecipients of federal awards to determine if subrecipients are compliant with established audit requirements (Subpart F). Accordingly, Collier County requires that all appropriate documentation is provided regarding the organization's compliance. In determining Federal awards expended in a fiscal year, the subrecipient must consider all sources of Federal awards, based on when the activity reiated to the Federal award occurs, including any Federal award provided by Collier County. The determination of amounts of Federal awards expended shall be in accordance with the guidelines established by 2 CFR Part 200, Subpart F — Audit Requirements. This form may be used to monitor Florida Single Audit Act Statute 215.97 requirements. Subrecipient Name Collier Health Services, Inc. dba Healthcare Network First Date of Fiscal Year MMIDDIYY Last Date of Fiscal Year MMIDDIYY Total Federal Financial Assistance Expended Total State Financial Assistance Expended during during most recently completed Fiscal Year most recently completed Fiscal Year Check A. or B. Check C If applicable A. The federal/state expenditure threshold for our fiscal year ending as indicated above has been ❑ met, and a Single Audit as required by 2 CFR Part 200 Subpart F has been completed or will be completed by . Copies of the audit report and management letter are attached or will be provided within 30 days of completion. B. We are not subject to the requirements of OMB 2 CFR Part 200, Subpart F because we; ❑ Did not exceed the expenditure threshold for the fiscal year indicated above [❑ ❑ Are a for -profit organization ❑ Are exempt for other reasons -- explain An audited financial statement is attached and if applicable, the independent auditor's management letter. C, Findings were noted, a current Status Update of the responses and corrective action plan is included separate from the written response provided within the audit report. While we ❑ understand that the audit report contains a written response to the finding(s), we are requesting an updated status .of the corrective action(s) being taken. Please do not provide just a copy of the written response from your audit report, unless it includes details of the actions, procedures, olicies, etc. im lemented and when it was or will be implemented. Certification Statement I hereby certify that the above information is true and accurate. Signature Date Print Name and Title 06/18 COLLIER HEALTH SERVICES, TNC. dba HEALTHCAM NETWORK CD-CV21—01 LO W a) LO N 0 N U U U) x U N 0 N m t— c� Q c a� E to Q Case Managentcnt Hea[thcarc Serviccs for Low to Moderate -Income Residents rage 45 I Packet Pg. 688 I 16.D.6.b FAIN # B-20-UW-12-0016 Federal Award Date 09/22/2020 Federal Award A enc HUD CFDA Name Community Development Block Grant -CV CFDA/CSFA# 14.218 Total Amount of Federal Funds Awarded $1,170,800.39 Subrecipient Name Collier Health Services, Inc., dba Healthcare Network DUNS# 085019511 FEIN 59-1741277 R&D NA Indirect Cost Rate NA Period of Performance 04/01/2021 — 03/30/2023 Fiscal Year End 3/31 Monitor End: 05/31/2023 m 3 FIRST AMENDMENT TO 4) AGREEMENT BETWEEN COLLIER COUNTY, FLORIDA w AND c Collier Health Services, Inc. dba Healthcare Network N CDBG-CV Healthcare Services > This AMENDMENT is made and entered into as of this! day of by and between Collier County, a political subdivision of the State of Florida (COUNTY) having its principal address at 3339 E Tamiami Trail, Suite 211, Naples, FL 34112 and Collier Health Services Inc., dba Healthcare Network (SUBRECIPIENT), a private non-profit organization having its principal office at 1454 Madison Ave, Immokalec, FL 34142. 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 April 27, 2021, Agenda Item 16.D.3, the COUNTY entered into an Agreement with Collier Health Services, Inc. dba Healthcare Network to further undertake the responsibilities and obligations of the Community Development Block Grant (CDBG) - CV Program. COLLIER HEALTH SERVICES, INC. dba HEATHCARE NETWORK CD-CV21.01 Case Management Healthcare Services for Low to Moderate Income Residents OW) Pago I Packet Pg. 689 1 I 16.D.6.b WHEREAS, the parties wish to amend the Agreement by adding a third project component for case management technology, reallocate the budget, modify the language in payment deliverables and remove the Uniform Relocation Act Policy as a required policy as it does not apply. 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 Stru^t' Thr-eare deleted; Words Underlined are added. PART f cv m The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required X as a condition of providing CDBG-CV assistance as provided herein and, as determined by Collier County w Community and Human Services (CHS) Division, perform the tasks necessary to conduct the program as o follows: N Project Name: COVID Case Management Healthcare Services Description of project and outcome: Collier Health Services Inc will provide a case management/care navigation program to serve the needs of our most vulnerable patients who have been diagnosed or are at risk for contracting COVID-19 in an effort to minimize disease severity and acute and/or chronic complications. Project Component One: Staffing — Salary costs Project Component Two: Testing and Testing Supplies Project Component Three: Technology including, but not limited to laptops, software, subscriptions/member fees, cell phones and services, and/or equipment and supplies. COLLIER HEALTH SERVICES, INC. dba HEATHCARE NETWORK CD•CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 2 oo Packet Pg. 690 11 I 16.D.6.b I 1.1 GRANT AND SPECIAL CONDITIONS A. Within sixty (60) calendar days of the execution of this Agreement, the SUBRECIPIENT must deliver, to CHS for approval, a detailed project schedule for the completion of the project. B. The following resolutions and policies must be submitted within sixty (60) days of this Agreement: Affirmative Fair Housing Policy Affirmative Action/ Equal Opportunity Policy Conflict of Interest Policy Procurement Policy Sexual Harassment Policy ® Section 3 Policy ® Section 504/ADA Policy ® Fraud, Waste, and Abuse Policy ® Limited English Proficiency Policy (LEP) ® Violence Against Women Act (VAWA) Policy ® LGBTQ Policy PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component One: Staffing-- Salary costs $950,000.00 $898,375.00 Project Component Two: Testing and Testing Supplies $220 800 9 Project Component Three: Technology includingt but not limited to $ 51,625.00 laptops, software, subscriptions/member fees, cell phones and services and/ore ui ment and sup2lies. Total Federal Funds: 1 $1 170,800.39 COLLIER HEALTH SERVICES, INC. dha HRATHCARE NETWORK CD-CV2 t-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 3 0.40 Packet Pg. 691 I 16.D.6.b C. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component One: Staffing Submission of supporting documents Submission of — Salary costs must be provided as backup, as evidenced monthly invoices no by Exhibit B, signed and dated later than the 20`s day timesheets, check stubs, payroll registers, of the following bank statements/cancelled checks and any month other additional documentation as requested. 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national objective. Project Component Two: Testing Submission of supporting documents Submission of and Testing Supplies must be provided as backup, as evidenced monthly invoices no by receipts, invoices, credit card later than the 2011 day statements, bank statements and any other of the following additional documentation as requested. month 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national objective. Project Component Three: Submission of supporting documents Submission of must be provided as backup, as evidenced Technology including but not monthly invoices no limited to laptops, software, by Exhibit B. receipts, invoices, credit card statements, bank statements, cancelled checks and any other additional later than the 201 day subscriptions/member fees, of the following month cell phones and services, and/or equipment and supplies. documentation as requested, 10% retaina a will be held from each pay request until final monitoring clearance and achievement of the national ob' ective. Signature Page to Follorw COLLIER HEALTH SERVICES, INC. dM HEATHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Law to Moderate Income Residents Page 4 Packet Pg. 692 11 I 16.D.6.b 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: CRYSTAL K: KIN ZEL, Af#est as to C tilr mat ± BOARD OF CO COM IONE OF CLERK COLL R ORIDA By: C' ric 1WIL AM L. MCDANIEL JR., CH IRMAN' Dated: MA.rt'k%. 20 G2� (SEAL) Date: 3 a), 'COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK By: AMI RAZNOFF, HIE I ANCIAL OFFICER Date: Approved as to form and legality: W� Jennifer A. Belpedio Assistant County Attorney Date: I ' 1 COLLIER HEALTH SERVICES, INC. dba H) ATHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 5 m 3 U aD x w Packet Pg. 693 1 16.D.6.c FAIN # B-20-UW-12-0016 Federal Award Date 09/22/2020 Federal Award Agency HUD CFDA Name Community Development Block Grant -CV CFDA/CSFA# 14.218 Total Amount of Federal Funds Awarded $1,170,800.39 Subrecipient Name Collier Health Services, Inc. dba Healthcare Network UEI# GPXBQKU6AJA5 FEIN 59-1741277 R&D NA Indirect Cost Rate NA Period of Performance 04/01/2021-03/30/2023 Fiscal Year End 03131 Monitor End: 05/31/2023 SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COLLIER HEALTH SERVICES, INC. dba HEALTHCARE NETWORK CDBG-CV Healthcare Services This AMENDMENT is made and entered into as of this 12� day of S 2022, by and between Collier County, a political subdivision of the State of Florida ("COUNTY") and Collier Health Services, Inc. dba Healthcare Network ("SUBRECIPIENT"), a private non-profit organization having its principal office at 1454 Madison Ave, Immokalee, FL 34142 existing under the laws of the State of Florida. RECITALS 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 April 27, 2021, Agenda Item 16.D.3, the COUNTY entered into an Agreement with Collier Health Services, Inc. dba Healthcare Network. to administer the Community Development Block Grant (CDBG-CV) COVID Case Management Healthcare Services Program; and COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK [22-SOC-00940] CD-CV21-01 Words stricken are deletions; Case Management Healthcare Services for Low to Moderate Income Residents Page 1 words underlined are additions, ,O Packet Pg. 694 16. D.6.c WHEREAS, the parties wish to amend the Agreement and the attached Exhibit C, incorporated herein by reference, to include the language 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 Struelr. Thro 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 CDBG 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: COVID Case Management Healthcare Services Description of Project/Outcome: Collier Health Services, Inc. will provide a case management/care navigation program to serve the needs of our most vulnerable patients who have been diagnosed or are at risk for contracting COVID-19 in an effort to minimize disease severity and acute and/or chronic complications. Project Component One: Staffing — Salary costs Project Component Two: Testing and Testing Supplies Project Component Three: Technology including, but not limited to, laptops, software, subscriptions/member fees, cell phones and services, and/or equipment and supplies. Project Component Four: Personal Protective Equipment (PPE) — Costs associated with purchase, freight, delivery and use of PPE including but not limited to masks loves hand sanitizes and face shields, x x x 1.1 GRANT AND SPECIAL CONDITIONS A. Within sixty (60) calendar days of the execution of this Agreement, the SUBRECIPIENT must deliver to CHS for approval, a detailed project schedule for the completion of the project. COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK [22-SOC-00940] Co-CV21-0i Words stricken are deletions; Case Management Healthcare Services for Low to Moderate Income Residents words underlined are additions. Page 2 — �10 Packet Pg. 695 16. D.6.c B. The following resolutions and policies must be submitted within sixty (60) days of this Agreement; ® Affirmative Fair Housing Policy ® Affirmative Action/ Equal Opportunity Policy ® Conflict of Interest Policy (COI) and related COI Forms ® Procurement Policy ❑ Uniform Relocation Act Policy ® Sexual Harassment Policy �Seetion3 Paliey ® Section 504/ADA Policy ® Fraud, Waste, and Abuse Policy ® Limited English Proficiency Policy (LEP) ® Violence Against Women Act (VAWA) Policy ® LGBTQ Policy 1.2 PROJECT DETAILS A, Project Description/Project Budget Description Federal Amount Project Component One: Staffing— Salary $898,LlTP,3 i70 costs $498,375.00 Project Component Two: Testing and $220,zzv,800 39 Testing Supplies J420,800.39 Project Component Three; Technology $51,625.,N including, but not limited to, laptops, $31,625.00 software, subscriptions/member fees, cell phones and services, and/or equipment and supplies Project Component Four: Personal $220,000.00 Protective Equipment (PPE) — Purchase, delivcry and use of PPE includingbut ut not limited to masks, gloves, hand sanitizes and face shields Total Federal Funds: $1,170,800,39 COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK CI]-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 3 [22-SOC-009401 Words stricken are deletions; words underlined are additions. Packet Pg. 696 16. D.6.c C. Payment Deliverables Payment Deliverable Payment Supporting Submission Schedule Documentation Project Component One: Submission of supporting Submission of monthly Staffing — Salary costs documents must be provided invoices no later than the 201h as backup, as evidenced by day of the following month. Exhibit B, signed and dated tirneshects, check stubs, payroll registers, bank statements/cancelled checks and any other additional documentation as requested. 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national Objective Project Component Two: Submission of supporting Submission of monthly Testing and Testing Supplies documents must be provided invoices no later than the 20`h as backup, as evidenced by day of the following month, receipts, invoices, credit card statements, bank statements and any other additional documentation as requested. 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national objective. Project Component Three: Submission of supporting Submission of monthly Technology including but not documents must be provided invoices no later than the 20"' limited to laptops, software, as backup, as evidenced by day of the following month. subscriptions/member fees, Exhibit B, receipts, invoices, cell phones and services, credit card statements, bank and/or equipment and statements, cancelled checks supplies and any other additional documentation as requested. 10% retainage will be held from each pay request until final monitoring clearance and achievement of the national objective. COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK [22-SOC-00940] CD-CV21-01 Words stricken are deletions; Case Management Healthcare Smices for Low to Moderate Income Residents words underlined are additions. Page 4 >v� LO W M LO N m a� x w 0 N U 0 U Fn x U m to N 0 z w a r c m E r r a Packet Pg. 697 16. D.6.c Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component 4: Personal Protective Equipment (PPE) — Purchase, Submission of supporting Submission of monthly invoices no later than the 20" documents must be provided as backup, as evidenced by day of the following month. delivet;v and use of PPE includin, but not limited to receipts and/or invoices, credit card statements (if applicable), bank statements masks, doves, hand sanitizer and face shields or cancelled checks and and, other additional documentation as requested. 10% retainat?e will be held froin each pay request until final monitoring clearance and achievement of the national objective. 3.14 PROGRAM GENERATED INCOME Purchase of Equipment; Equipment under the SUBRECIPIENT'S control that was acquired or improved. in whole or in part, with CDBG-CV funds shall be used to meet one of the CDBG-CV National Objectives ursuant to 24 CFR 570.208 during, the continued use period, as referenced in section 3.14 (Grant Closeout Procedures) of this Agreement. If the SUBRECIPIENT sells, transfers dis oses of or otherwise fails to continue to use the CDBG-CV-assisted a ui meat in a manner that meets a CDBG-CV National Objective, the SUBRECIPIENT shall pay the COUNTY an amount caual to the current fair market value of the eauipment. less the Dercentaae of non- CDBG-CV funds used to acquire the equipment. Eauiument no loneer needed by the SUBRECIPIENT for CDBG-CV eligible activities under this Agreement shall be: (a) transferred to the COUNTY for use elsewhere in the CDBG-CV program, or U retained by the SUBRECIPIENT after compensating the COUNTY an amount eaual to the current fair market value of the eauipment. less the uercentaee of non-CDBG-CV funds used to acquire the equipment. U 6 m 0 U M r C m E c m E a x U LO W M LO N d a� x w 0 N U 0 U x U m N 0 z w a r c a� E r r a [Sig)iatur•e Page and Attached Exhibit C to Follow] COLLIER HEALTH SERVICES, INC. I IEALTHCARE NETWORK [22-SOC-00940] CD-CV2I-01 Words stricken are deletions; Case Management Healthcare Services for Low to Moderate Income Residents words underlined are additions. Page 5� Packet Pg. 698 16.D.6.c 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. AT,T cLtygA Ks'KINZEL, CLERK + 7 -d , e ut rk sVs,to'CU. , n_ Dated: M&aa (SEAL) WITNESSES: Witness #1 Sigr Witness # ame W' esss11#2 ature W� Witness #2 Printed Name as to form and legality: Derek D. Perry Assistant County Attorney Date: 10 Gt 2 2- cb� AS TO COUNTY; BOARD OF CO COLLIER COLS COMMISSIONERS OF C' WI IAM L. MCDANIEL, JR., CHAIRPERSON Date: SE PT- Z 7, Z o z -Z- AS TO SUBRECIPIENT: COLLIER HEALTH SERVICES, INC. dba HEALTH�NETWORK By: TAN41 RAZNOFF HIEF FI ANCIAL OFFICER Date: 4, [Please provide evidence of signing authority] Attachments: Exhibit C - Quarterly Performance Report Data COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 6 as 3 U a) x w [22-SOC-00940] Words stricken are deletions; words underlined are additions. 0 Packet Pg. 699 16. D.6.c EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and Information System (IDIS). The COUNTY reports information on a quarterly basis. To facilitate in the preparation of such reports, SUBRECIPIENT shall submit the information contained herein within ten (10) days of the end of each calendar quarter. At COUNTY's discretion, SUBRECIPIENT may be required to enter the information collected on this exhibit into an online grant management system. Subrecipient Name: oilier Health Services, Inc. dba Healthcare Network I 71DISM. Project Title: , OVID Case Management Healthcare Services Program Contact: Telephone Number: Activity Reporting Period Report Due Date October 151— December 31 It January 1011 January IS' —March 3151 April 1011 April I" — June 301'' July 10" July PL —September 30" October I0"' REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period): 12/31/XX 3/31M 6/301IJ:XI 9/30�XXI Pleas cumt C e note: The HUD Program year begins October I, 2020 September 30, 2023. Each quarterly report must include dative data beginning from the start of the program year October I, 2020;. Please list the outcome goal(s) from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since (October 1, 202d, Outcome Goals: list the outcome goal(s) from your approved application and SUBRECIPIENT Agreement Outcome 1: At least 75% of staff time will be providing case management services. Outcome 2: At least 4-,9A9 500 unduplicated LMC persons will be served. Must document that at least 51 % of persons served are low -to moderate_ income persons or households. Outcome 3: Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: One Manager of Case Management, 4— Three Case Managers, One Community Social Worker will be hired specifically to focus on case management services and continuity of care. m a� x w [22-SOC-00940] Words stricken are deletions; words underlined are additions. cto Packet Pg. 700 16. D.6.c Outcome 2: t least 4-,000 SEIO LME persons will be served. Outcome 3: 0ocumentation will be kept of the low to moderate income persons served on a quarterly basis. 2, Is this project still in compliance with the original project schedule: Yes 'EJ No If No, Explain: 3. Since October 1, 2020; of the persons assisted, how many... Answer ONLY for Public Facilities & Infrastructure Activities *03 Matrix Codes a. ...now have new access (continuing) to this service or benefit? b. ...now have improved access to this service or benefit? C. ...now receive a service or benefit that is no longer substandard? Total 4. What funding sources did the SUBRECIPIENT apply for this period? Section 108 Loan Guarantee CDBG-CV Other Consolidated Plan Funds HOME Other Federal Funds ESG HOPWA Total IEntitleinelit Funds 5. What is the total number of UNDUPLICATED Persons (LMC) or Households (LMH) served this QUARTER, if applicable? Answer question 5a or 5b; NOT both For LMC activities: people, race/etlinicity, and income data are reported by persons. For LMH activities: households, race/ethnicity, and income level are reported by households, regardless the number of persons in the household. a. I Total No. Persons/Adults served (LMC) Quarter Total No. of Persons Total No. persons served under 18 (LMC) Quarter Total No. of Persons [22-SOC-00940] Words stricken are deletions; words underlined are additions. 0 Packet Pg. 701 16. D.6.c b. Total No. of Households served Total No. of female head of household (LMh4) 6. What is the total number of UNDUPLICATED clients served since ,October IL if applicable? Answer question 6a or 6b, NOT both For LMC activities: race/ethnicity and income data are reported by persons. a. Total No. Persons/Adults served (LMC) i Total No. Persons served under 18 (LMC) YTD Total: tQ YTD Total b. Total No. Households served (LMH) Total No. female head of household (LMH) YTD Total YTD Total Complete EITHER question 7 or 8, NOT both Complete question 7a and 7b if your program only serves clients in one or more of the listed HUD Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY (LMC) Quarter (LMC) YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of ENDUPLICATED served this quarter who fall into each presumed benefit persons served since �Dctober 1 who fall into each category (tlie total should equal the total in question 96a presumed benefit category (the total should equal the oi, 6b): total in question #6a or 6b): a Presumed Benefit Activities Only (LMC) QTR b Presumed Benefit Activities Only (LMC) YTD Abused Children ELI i Abused Children ELI Homeless ELI Homeless Person ELI Person Migrant Farm LI Migrant Farm Workers LI Workers Battered LI Battered Spouses LI Spouses U 6 m U M r c m E c m E Q Fn 2 U Lo W rn N d 3 V a� x w 0 N U 0 L) 2 U m N 0 Z W a r c m E t R w r Q [22-SOC-00940] Words strieken are deletions; words underlined are additions. Packet Pg. 702 16. D.6.c Persons w/HIV/AIDS LI Elderly Persons LI or MOD i Illiterate Adults LI Severely Disabled Adults LI Quarter Total Persons w/HIV/AIDS LI Elderly Persons LI or MOD Illiterate Adults LI Severely Disabled Adults LI i YTD Total L Complete question 8a and 8b if any client in your program does not fall into a Presumed Benefit category. Other Beneficiary Data: Income Range Other Beneficiary Data: Income Range Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this Quarter who fall into each income category persons served since [October II, (YTD) who fall into (tire total should equal the total in question #6): each income category (the total should equal the total in question #6): a ELI Extremely Low Income (0-30%) b ELI Extremely Low Income (0-30%) I,I Low Income (31-50%) Ll Low Income MOD Moderate Income (51-801/6) MOD Moderate Income (51-80%) NON-L/M Above Moderate Income (>801/6) NON-L/M Above Moderate Income (>80%) Quarter Total YTD Total LE Is this project in a Low/Mod Area (LMA)? YES NO Was project completed this quarter? YES NO Ifyes, complete all of this section 9. Date project completed Block Group Census Tract Total Beneficiaries LoN1/Mod Beneficiaries Low/Mod Percentage 0 10 i0 Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, U 6 m 0 U M r C d E C m E a 2 U [22-SOC-009401 Words stricken are deletions; words underlined are additions. Packet Pg. 703 16. D.6.c I0. Racial & Ethnic Data (if applicable) Please indicate how many UNDUPLICATED Please indicate how many UNDUPLICATED clients clients served this Quarter fall into each race served since betober I kYTD) fall into each race category. category. In addition to each race category, please In addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic. ('Total Race cohtana Hispanic. {'Total Race cohnnn should equal the total in should equal the total in question 6.) question 6.) a. RACE E'FHNICI'1'Y b. RACE ETHNICITY [HISPANIC /HISPANIC White White 0 Black/African American Black/African American Asian Asian American Indian/Alaska American Indian/Alaska Native Native Native Hmvaiian/Other Pacific Islander 011i Native Hmvaiian/Other Pacific Islander Black/African American & Black/African American &White White American Indian/Alaska American Indian/Alaska Native & Native & Black/African Black/African American American Other Multi -racial Other Multi -racial Name: Signature: Title: Your typed name here represents your electronic signature d c� X W [22-SOC-00940] Words stricken are deletions; words underlined are additions. Packet Pg. 704 16.D.6.d +AIN # B-20-UW- 12-00 1 Federal Award Date ,09/22/2020, Federal Award Agency oub, CFDA Name ',Community Development Block Grant -CV CFDA/CSFA# 114.218 Total Amount of Federal Funds Awarded > s $1,296,425.39 Subrecipient Name ',Collier Health Services, Inc. dba Healthcare Network UEI# �GPXBQ1,--U6AJA5 FEIN 59-1741277 R&D A Indirect Cost Rate A Period of Performance E04/01/2021-03/o, n�2 09/30/2023 Fiscal Year End ,03/31 Monitor End: ns« 12/30/2023 THIRD' AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND 'COLLIER HEALTH SERVICES, INC. d/b/a HEALTHCARE NETWORK CDBG-CV Healthcare Services This AMENDMENT is made and entered into as of this a day of J 2023 by and between Collier County, a political subdivision of the State of Florida ("COUNTY") and d/b/a Healthcare Network'("SUBRECIPIENT"), a Florida Not for Profit Corporation, having its principal office at'1454 Madison Ave, Immokalee, FL 34142 !, RECITALS 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 seq, and subject to 24 CFR Part 570; ' WHEREAS, on April 27, 20211, Agenda Item 16.D.3, the COUNTY entered into an Agreement with Collier Health Services, Inc. d/b/a Healthcare Networld to administer the 'Community Development Block Grant (CDBG-CV) Case Management Healthcare Services Program, WHEREAS, on March 8, 2022, Agenda Item 16.D.11, the COUNTY entered into the First Amendment with Collier Health Services, Inc. dba Healthcare Network to further undertake ,COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK CD-CV21-01 123-SOC-010501 Case Management Healthcare Services for Low to Moderate Income Residents Page 1 �p Packet Pg. 705 16.D.6.d the responsibilities of the Case Management Healthcare Services program by adding a technology component, reallocating the budget and revising payment deliverables. WHEREAS, on September 27, 2022, Agenda Item 16.D.1, the COUNTY entered into the Second Amendment with Collier Health Services, Inc. d/b/a Healthcare Network to add a fourth project component for personal protective equipment and update the Exhibit C Quarterly Report requirements. WHEREAS, on February 16, 2023, the County Manager signed the request for extension of the termof the agreement to July 30, 2023. WHEREAS, on May 23, 2023, Agenda Item 1 I.A., the COUNTY approved the use of Community Development Block Grant -CV to support the continuation of the Collier Health Services, Inc. Community Health Workers to address health disparities within the community. WHEREAS, the parties wish to anIend the Agreement by reallocating fiends from current grant funded resources to support the staffing costs of the Community Health Workers to address mental health and substance abuse in low to moderate areas of the community which they are already serving', and 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 Strueli Through 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 CDBG 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 Naine: ECOVID Case Management Healthcare Services Description of Projeet/Outeome: Collier Health Services, Inc. will provide a case management/care navigation program for medical and mental health/substance abuse services to serve the needs of our most vulnerable patients who have been diagnosed or are at risk for contracting GOVID- 9 communicable diseases during or after the pandemic in an effort to minimize disease severity and acute and/or chronic complications.! �roject Component One: Staffing -- Salary costs COLLIERHLALTHSERVICES, MC. IIEALTHCARENETGVORK CB-CV21-oI [23-SOC-010501 Case Management Healthcare Services for Low to Moderate Income Residents Page 2 C�P Packet Pg. 706 16.D.6.d Project Component Two: Testing and Testing Supplies Project Component Three: Technology including, but not limited to, laptops, software, subscriptions/member fees, cell phones and services, and/or equipment and supplies. Project Component Four: Personal Protective Equipment (PPE) — Costs associated with purchase, freight, delivery and use of PPE including but not limited to masks, gloves, hand sanitizes and face shields. 1.1 GRANT AND SPECIAL CONDITIONS B. The following resolutions and policies must be submitted within sixty (60) days of this Agreement: ® Affirmative Fair Housing Policy ® Affirmative Action/ Equal Opportunity Policy ® Conflict of Interest Policy (COI) and related COI Forms ® Procurement Policy ❑ Uniform Relocation Act Policy ® Sexual Harassment Policy ❑ Section 3 Policy ® Section 504/ADA Policy ® Fraud, Waste, and Abuse Policy ® Limited English Proficiency Policy (LEP) ® LGBTQ Policy 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component One: Staffing — Salary costs' $624,000.00 Project Component Two: esting and $420,800.39 Jesting Su lie Project Component Three: �echnology �,$31,625.00 including, but not limited to, laptops, software, subscriptions/member fees, cell phones and services, and/or equipment and su lien ;COLLIER HEALTH SERVICES, INC. HEALTHCARE NETwORK CD-CV21-01 (23-SOC-01050] Case Management Healthcare Services for Low to Moderate Income Residents Page 3 C,�p Packet Pg. 707 16.D.6.d Project Component Four: Personal ;$220,000.00 Protective Equipment (PPE) -- Purchase, delivery and use of PPE including but not limited to masks, gloves, band sanitizes and face shields Total federal Funds: �00 $1,296,�125,39 1.2 PERIOD OF PERFORMANCE SUBRECIPIENT services shall begin on beginning March 1, 2020 for all pre award costs and term of agreement shall begin April 1, 2021 and shall end on Mafelcrx ✓0,2 - - September 30, 2023, unless terminated earlier, in accordance with provisions of Paragraph 39 Defaults, Remedies, and Termination. In accordance with 2 CFR 200 Subpart E-Cost Principles and Section 215.97(l)(d) Florida Statutes, the SUBRECIPIENT may expend funds authorized by this Agreement only for allowable costs resulting from obligations incurred during the specific Agreement period. If the SUBRECIPIENT complies with all requirements set forth herein, this Agreement shall terminate {Marsh 30, 2 September 30, 2023), whereupon all SUBRECIPIENT obligations for repayment of funds shall cease. Notwithstanding the foregoing, the COUNTY expressly reserves and does not waive its sights to recover any damages arising from or relating to the SUBRECIPIENT's breach of any of the Grant Documents, including but not limited to this Agreement and/or any attachments hereto which occurred in whole or in pail before said termination. The County Manager or designee may extend the term of this Agreement for a period of Lip to 180 days after the end of the Agreement. Extensions must be authorized, in writing, by formal letter to the SUBRECIPIENT. 1.3 AGREEMENT AMOUNT "The COUNTY agrees to make available ONE MILLION ONE 14UNDRED SEVgNT-)( T4409c n ND EIGHT urAID Erg DOLLARS AND 39 CENTS ONE MILLION TWO HUNDRED NINETY SIX THOUSAND FOUR HUNDRED TWENTY FIVE DOLLARS AND 39 CENTS ($4,470,800W $1,296,425.39 for use by the SUBRECIPIENT, during the term of the Agreement (hereinafter, referred to as the "Funds"). ['Vgnature Pcrge to F01101vj COILIERIIIAITNISIRVICES,INC.IIGAI,TIICARCNEaTWORK CD-CV21-01123-SOC-01050] Case Management Healthcare Services Ibr Low to Moderate Income Residents j Page 4 C� Packet Pg. 708 16.D.6.d IN WITNESS WHEREOF, the SUHRi:ClIII ENT and the COUNTY, have each respectively, by authorized person or agent, hereunder set their hands and seals on the date first written above. ATI'FS'r: CRYSTAL K. KINZHL, CLERK , Deputy Clerk Dated: (SEAL) WITNESSES: Witness #I Signature Mo r{2 a,"Saj,e--i Witn s MI Printed N e iyt�ness 42 Signature _ 1 I ! et l; vvt Skc tot k- � itness 02 Printed Name Approved as to form and legality: 0 Derck D. Perry \,tiro Assistant County Attorney ro Date: AS TO COUNTY: 130ARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA BY: RICK LOCASTRO, CHAIRPF.RSOI, Ulric: AS TO SUBRECiPIENT: COLLIER HEALTH SERVICES. INC. dlb/a H(:AUI'HCARI? NETWORK By: [I'AMI RA a 01'F, VHILF FINANCIAL, OFFICER Datc: j!'le(ise provide evidence gftigtiing audmi-r{v1 k'O{.I.Ir:RlnfAl.IfiSliftvlCININC. IIUAIJHCARIiNI-11VORK CI)-CVZId11127•Suc•di{nsuj cost M"Renteto flemikere sen•icee AW I.0w to Midefete Iemeac Residents ►cola+ S C,p` Packet Pg. 709 16.D.6.d EXHIBIT B COLLIER COUNTY COMMUNITY & HUMAN SERVICES SECTION I: REQUEST FOR PAYMENT SUBRECIPIENT Name: Collier Health Services, Inc. dba Healthcare Network SUBRECIPIENT Address: 1454 Madison Ave, Imnokalee, FL 34142 Project Name: COVID Case Management Healthcare Services Project No: CD-CV21-01 Payment Request # Total Payment Minus Retainage Period of Availability: 04101/2021 through W « '' � 09/30/2023 Period for which the Agency has incurred the indebtedness through SECTION It: STATUS OF FUNDS Subrecipient CHS Approved 1, Grant Amount Awarded $ $ 2. Total Amount of Previous Requests $ $ 3. Amount of Today's Request (Net of Retainage, if applicable) $ $ 4. Current Grant Balance (Initial Grant Amount Award request) (includes Retainage) $ $ I certify that this request for payment has been made in accordance with the terms and conditions of the Agreement between the COUNTY and us as the SUBRECIPIENT, To the best of my knowledge and belief, all grant requirements have been followed. Signature Title Authorizing Grant Coordinator Supervisor (Approval required $15,000 and above) Date Authorizing Grant Accountant Division Director (Approval Required $15,000 and above) COLLIER HEALTH SERVICES, INC, HEALTHCARE NETWORY CD-CV21-01 [23-SOC-01050J Case Management Healthcare Services for Low to Moderate Income Residents Page G Packet Pg. 710 16.D.6.d EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA The COUNTY is required to submit Performance Reports to HUD through the Integrated Disbursement and Information System (IDIS). The COUNTY reports information on a quarterly basis. To facilitate in the preparation of such reports, SUBRECIPIENT shall submit the information contained herein within ten (10) days of the end of each calendar quarter. At COUNT Y's discretion, SUBRECIPIENT may be required to enter the information collected on this exhibit into an online grant management system. Subrecipient Name: ,Collier Health Services, Inc. dba Date: Healthcare Network Project Title: ,COVID Case Management Healthcare IDIS #: ,637 Services Program Contact: Telephone Number: Activity Reporting Period Report Due Date October V --- December 3111 January loth January 111 — March 3151 Aril I Ott, April 151— June 30' July loth Jul I` — Se hmnber 301h October 10"' REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period): 12/31� ) j 3/3 11XX 61301 9/30i Please mote: The HUD Program year begins;October 1, 2020 ;September 30 2023. Each quarterly report must include cumulative data beginning from the start of the program year;October 1, 2020t. I. Please list tine outcome goal(s) from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since October 1 2020. a. Outcome Goals: list the outcome oats from your approved application and SUBRECIPIENT Agreement Outcome 1. At least 75% of staff time will be providing case management services. Outcome 2: At least 4-;000 500 unduplicated LNIG persons will be served. Must document that at least S 1% of ersons served are low -to moderate income persons or households. Outcome 3: Delivery of a minirnam of 6 outreach events. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: ,One Manager of Case Management,A- Three Case Managers, One Connmunity Social Worker will be hired specifically to focus on case management services and continua of care. Outcome 2: lAt least-1;000 SOO IMF persons will be served. Outcome 3: Documentation will be kept of the low to moderate income persons served on a quarterly basis. 2. 1 Is this project still in compliance with the original project schedule: Yes [J No If No. Explain: 3. Since;October 1, 2020.; of the persons assisted, how many... Answer ONLY for Public Facilities & Infrastructure Activities 'j03 Matrix Codes a. ...now have new access(continuing) to this service or benefit? b. ...now have improved access to this service or benefit? c. ...now receive a service or benefit that is no longer substandard? Total 4. What funding sources did the SUBRECIPIENT apply for this eriod? Section 108 Loan Guarantee $ ! CDBG-CV $ Other Consolidated Plan Funds $ HOME $ Other Federal Funds $ ESG $ $ HOPWA $ Total Entitlement $', ;COLLIER HEALTH SERVICES, INC. HEALTHCARENITWORK CD-CV21-01 [23-SOC-010501 Case Management Healthcare Services for Low to Moderate Income Residents Page 7 Packet Pg. 711 16.D.6.d Funds 5. What is the total number of UNDUPLICATED Persons (LMC) or Households (LMH) served this QUARTER, if applicable? Answer question Sa or 5b, NOT both For LMC activities: people, race/ethnicity, and income data are reported by persons. For LMH activities: households, race/ethnicity, and income level are reported by households, regardless the number of persons in the household. a. Total No. Persons/Adults served (LMC) 0 Total No. persons served under 18 0 LMC Quarter Total No. of Persons 0 Quarter Total No. of Persons A. Total No. of Households served 0 ToinI No. of female head of household ,0 LMFt 6. What is the total number of UNDUPLICATED clients served since ',October 11, if applicable? Answer question 6a or 6b, NOT both For LMC activities: race/etlinicity and income data are reported by persons. a. Total No. Persons/Adults served (LMC) 0 Total No. Persons served under 18 LMC 0, YTD Total: 0 YTD Total 0 b. Total No. Households served LMH 0 Total No. female head of household (LMH) 0 YTD Total 0 YTD Total 116, Complete EITHER question 7 or 8, NOT both Complete question 7a and 7b if your program gaily serves clients in one or more of the listed 14M Presumed Benefit categories. 7. PRESUMED BENEFICIARY DATA ONLY: PRESUMED BENEFICIARY DATA ONLY LMC Quarter LMC YTD Indicate the total number of UNDUPLICATED persons Indicate the total number of UNDUPLICATED served this ua arter who fall into each presumed benefit persons served since ',October I jvho fall into each category (the total should equal the total in question Ma presumed benefit category (the local should equal the or Fil): total in queslion #Ga of 6h): a Presumed Benefit Activities Onl LMC TR b Presumed Benefit Activities Only LMC YTD 0 Abused Children ELI 0 Abused Children ELI 0, Homeless ELI 0, Homeless Person ELI Person 0 Migrant Farm LI ,0, Migrant Farm Workers LI Workers ,0 Battered LI 0 Battered Spouses LI Spouses 0 Persons LI ,0 Persons vv/HIV/AIDS LI w/HIWAIDS 0 Elderly Persons LI or MOD ,0, Elderly Persons LI or MOD 0 Illiterate Adults LI 0 Illiterate Adults LI ,0 Severely LI ,0, Severely Disabled Adults LI Disabled Adults 0 Quarter Total 0 YTD Total Com lete question 8a and 81b if any client in our program does not fall into a Presumed Benefit category, OtherBeneficiary Data: Income Ran e Other Beneficiary Data: Income Range Indicate the total number of UNDUPLICATED persons served this Quarter who fall into each income categoty Indicate the total number of UNDUPLICATED persons served since',October 11, YTD who fall into ;COLLIER HEALTH SERVICES, INC. HEALTHCARE NETWORK CD-CV21-01 [23-SOC-010501 Case Management Healthcare Services for Low to Moderate Income Residents U 0 00 C V M c m E c m E Q W U Q �® Packet Pg. 712 Page 8 16.D.6.d (the total should equal the total hi question li6): each income category (the total should equal the total ha g nesfion R6): a ELI Extremely Long Income (0-30%) 0 b ELI Extremely Low 0 Income 0-30% LI Low Income (31-5011/o) 101 LI Low Income 0, MOD Moderate Income (51-80%) 0, MOD Moderate Income 0, S 1-80% NON-L/M Above Moderate Income (>80%) 0, NON-LIM Above Moderate D Income >80% Quarter Total 0, YTD Total 01 Is this project in a Lo\v/Mod Area (LIMA)? YES NO Was project completed this quarter? YES NO If yes, complete all of this section 9• Date project completed Block Group Census Tract Total Beneficiaries Low/Mod Beneficiaries Low/Mod Percentage 0 110 10 0 110 Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., Certificate of Completion or Certificate of Occupancy, etc. 10. Racial & Ethnic Data if applicable Please indicate how many UNDUPLICATED Please indicate how many UNDUPLICATED clients clients served this Quarter fall into each race served since 1 ctober I !(YTD) fall into each race category. category. In addition to each race category, please In addition to each race category please indicate how many indicate how many persons in each race category persons in each race category consider themselves consider themselves Hispanic. ('Total Race column Hispanic. (Total Race colttmn should equal the total in should equal the total in qyeqfioi7 6.) qztestion 6. a. RACE ETHNICITY b, RACE ETHNICITY /HISPANIC /HISPANIC White 0 101 White ;0 0 Black/African American 0 0 Black/African American 0 0 Asian 0 0 Asian ;0 0 American Indian/Alaska Native 0, 0, American Indian/Alaska ;0 ,Q Native Native Hawaiian/Other Pacific Islander fl 0 Native Hawaiian/Other Pacific (} 30 Islander Black/African American &White 0' 0 Black/Africarr American & (% 0, White American Indiarr/AlaskaNaiive & 0 American Indian/Alaska 0 0 Black/A&ican American Native & Black/Africanican American Other Multi -racial 0 0 Other Multi -racial 0 Q a o 1D D Nance; Signature: Title. Your typed name Isere represents your• electrorrle signature COLLIERHEALTHSERVICES,INC.HEADUCARENETWORK CD-CV21-01123-SOC-01050) Case Management Healthcare Services for Low to Moderate Income Residents in to as In N rn rn d c .r 3 t 3 U t, m C U co 2 U m CO M C Z W Q c a� E t Q �0 Packet Pg. 713 Page 9