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Backup Documents 09/26/2023 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date Community and Human 1. Zuleyka Garay Services ZG 8/17/2023 2. County Attorney Office—DDP County Attorney Office )0 I l iZ$)23 Board of County 3. BCC Office Commissioners Pr/5/ `f/Ze1/Z3 Clerk of Court's Office 4. Minutes and Records V903 9: 0 PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Contact/ Department Zuleyka Garay,Grants Coordinator 239-252-2590 Agenda Date Item was Agenda Item Number Approved by the BCC 9/26/2023 16.D. Type of Document AGREEMENT BETWEEN COLLIER COUNTY Number of Original Attached AND SHELTER FOR ABUSED WOMEN AND Documents Attached 3 CHILDREN. PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature ZG 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. ZG 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. ZG 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. ZG 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into MT. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! ZG 8. The document was approved by the BCC on above date and all changes made during ^ P the meeting have been incorporated in the attached document. The County kJ/) Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. 6D1 FAIN# 1B-19-UC-12-0016 B-20-UC-12-0016 B-21-UC-12-0016 B-22-UC-12-0016 Federal Award Date 10/2022 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of $587,206.00 Federal Funds Awarded $765,557.00 Subrecipient Name The Shelter for Abused Women & Children, Inc. UEI# FKA1 VKEREQF4 FEIN 59-2752895 R&D NA Indirect Cost Rate NA Period of Performance October 1,2022—April 30,2024 Fiscal Year End 6/30 Monitor End: 6/2029 FIRS**AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA AND The Shelter for Abused Women & Children, Inc. CDBG Grant Program—Construction/Rehabilitation This AMENDMENT is made and entered into as of thisZG day of SEPTE14&(2023, by and.between Collier County, a political subdivision of the State of Florida ("COUNTY") having its principial address at Tamiami Trail East,Naples FL 34112,and The Shelter for Abused Women & Children, Inc. ("SUBRECIPIENT"), a private non-profit organization having its principal office at P.O. Box 10102,Naples, FL 34101 RECITALS WHEREAS, on June 22, 2021, Agenda Item No. 16.D.4, the COUNTY entered into an Agreement with the United States Department of Housing and Urban Development (HUD) to administer the Community Development Block Grant (CDBG) Construction and Rehabilitation Program in certain areas of Collier County, pursuant to Title 1 of the Housing and Community Development Act of 1974 (as amended); and WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board") approved the Collier County Consolidated Plan— One-year Action Plan for Federal Fiscal Year i[23-SOC-01074/1808523/1]The Shelter for Abused Women and Children,Inc. CD22-02 Roof Replacement-Phase I and/or Phase I0 Page 1 C�O 1 6D 1 2022-2023 for the CDBG Program with Resolution 2022-110 on June 28, 2022 — Agenda Item No. 16.D.4; 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 2022-2023 Annual Action Plan, on May 25, 2022, with a 30-day Citizen Comment period from May 25, 2022, and June 25, 2022; and WHEREAS, on June 28, 2022 (Agenda Item No. 16.D.4)., The COUNTY entered into an Agreement for awarding a Community Development Block Grant(CDBG)Program to Shelter for Abused Women & Children, Inc; and WHEREAS, the parties wish to increase the project budget to cover the rising cost of construction and installation; and NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the parties agree to amend the Agreement as follows. Words Struck-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 Name j Design and Installation of New Roof-Phase I and/or Phase II Description of Project/Outcome: CHS, as an administrator of the CDBG program, will make available CDBG FY 2019-2020, 2020-2021, 2021-2022 and,. 2022-2023 funds up to the gross amount of$587,206.00$765,557.00 to The Shelter for Abused Women& Children, Inc. to fund the design and replacement of the facility roof. The project may be completed in phases as funding is available and funds may be used in all or part of each phase. [Space Intentionally Left Blank] 1[23-SOC-01074/1808523/l]The Shelter for Abused Women and Children,Inc. CD22-02 Roof Replacement-Phase I and/or Phase Ilj Page 2 Gr'. 1 6D 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Project Component 1:Design and installation $587,206.00 of a new roof,Phase I and/or Phase II to $765,557.00 include but not limited to permits,fees, materials, installation, design, and construction related costs or fees. Total Federal Funds: $587,206.00 $765,557.00 * * * * * 1.4 AGREEMENT AMOUNT The COUNTY agrees to make available FIVE HUNDRED EIGHTY SE-V IIOUSANB TWO HUNDRED AND SIX DOLLARS AND ZERO CENTS ($587,206.00) SEVEN HUNDRED SIXTY-FIVE THOUSAND, FIVE HUNDRED FIFTY-SEVEN DOLLARS AND ZERO CENTS ($765,557.00) for use by the SUBRECIPIENT, during the term of the Agreement(hereinafter, shall be referred to as the Funds). 1.7 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. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending.All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below,unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION: Jutly-SizeusZuleyka Garay, Grant Coordinator Collier County Government Community and Human Services Division 3339 Tamiami Trail East,Suite 213 Naples,Florida 34112 Email: Zulevka.Garav(Colliercountvfl,gov Telephone: (239)252-2590 * * * * * [Signature Page to Follow] [23-SOC-01074/1808523/1]The Shelter for Abused Women and Children,Inc. CD22-02 Roof Replacement-Phase I and/or Phase I)j Page 3 C�Q 1 6D 1 IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY, have each respectively, by authorized person or agent, hereunder set their hands and seals on the date first Written above. ATTEST: AS TO COUNTY: CRYS A :4 4 }' ZEL, CLERK it , BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA Attu,a to.Chaim is 3e' uty Clerk (1.----2 signature only By: RICK LOCASTRO, CHAIRPERSON Dated: 9/4/010423 3 (SEAL) Date: -S EP r. ZG 1 2 4 2 3 AS TO SUBRECIPIENT SSES: THE SHELTER FOR ABUSED WOMEN& CHILDREN,INC. s#1 gnature 7. 7--/-•—*A Al i K1 By: Witness#1 Printed Name Linda Oberhaus,CEO W. ess# Signature Date: q/2//./3 Ac( (.Q4,Q 1 [Please provide evidence of signing authority] Witness#2 Printed Name Approved to form and legality: 0114 Z) ti� Derek . Perry ,\\`L� Assistant County Attorney RP Date: SE'er- 28 , ZoZ3 [23-SOC-01074/1808523/11 The Shelter for Abused Women and Children,Inc. CD22-02 Roof Replacement-Phase I and/or Phase II Page 4 ,*Q