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Backup Documents 11/14/2023 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 0 3 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. %ttach to original document. 1 he completed routing slip and original documents are to he forwarded to the County:Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must he receised in the County Attorney Office no later than\londay preceding the Hoard meeting. **NEW** ROUTING SLIP Complete routing lines#I through#2 as appropriate for additional signatures.dates.and/or information needed. If the document is already. complete ssith the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Lisa N. Carr Community and Human LNC 11/8/2023 Services 2. County Attorney Office County Attorney Office Di) ( 1 /23 3. BCC Office Board of County I Commissioners RI-4V l i/f tl iz 3 4. Minutes and Records Clerk of Court's Office (t ,tt ism PRIMARY CONTACT INFORMATION Normally the primary contact is the person ss ho 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 Lisa N. Carr,Grants Coordinator 11, Phone Number 239-252-2339 Contact/Department Community and Human Services Division Agenda Date Item was July 119 2023 Agenda Item Number 1 6.D.3 Approved by the BCC Type of Document Recommendation to(1)approve the Collier Number of Original 2 Attached County PY 2023 One-Year Action Plan for Documents Attached U.S. Department of Housing& Urban Development Community Development Block Grant, HOME and Emergency Solutions Grants Programs, including the reprogramming of prior year funds and estimated program income and funding approval agreements PO number or account number if document is n/a 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) I. Does the document require the chairman's original signature? YES 2. Does the document need to be sent to another agency for additional signatures? If yes, LNC: 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 I.NC signed by the Chairman,with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's LNC 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 LNC document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's I.NC signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip LNC should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 07/I 1/2023 and all changes made during the meeting have been incorporated in the attached document. The County r/ Attorney's Office has reviewed the changes, if applicable. 1 ' W6- I:Forms/County Forms!BCC Forms/Original Documents Routing Slip \k WS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 9. Initials of attorney verifying that the attached document is the version approved by the 17A fs not i BCC,all changes directed by the BCC have been made,and the document is ready for the an option for Chairman's signature. this line. 160 Instructions These are the funding award agreements related to 7/11/23 Board approved item that now requires the Chairman's signature. 1) Return one signed original copy to: Lisa N. Car Grants Coordinator II Collier County Government I Community and Human Services 3339 E. Tamiami Trail, Bldg. H, Suite 211 Naples, FL 34112 1:Forms/County Forms/BCC Forms/Original Documents Routing Slip W WS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 DocuSign Envelope ID:8697AF14-460E-45B2-ADCE-935ED6713DC6 1 b D 3 Funding Approval and HOME Investment Partnerships Agreement U.S. Department of Housing and Urban Title II of the National Affordable Housing Act Development Assistance Listings#14.239-HOME Investment Partnerships Program Office of Community Planning and Development 1. Grantee Name(must match the name associated with 3b.) 2. Grant Number(Federal Award Identification Number(FAIN)) and Address M23UC120217 County of Collier 3a Tax Identification Number 3b. Unique Entity Identifier(formerly DUNS): 3339 Tamiami Trl E 596000558 JWKJKYRPLLU6 Suite 211 4.Appropriation Number 5. Budget Period Start and End Date Naples,FL 34112-536 86 3/6 0205 FY 2023 through FY 2031 6. Previous Obligation(Enter"0"for initial FY allocation) $0 a. Formula Funds $ b. Community Housing Development Org.(CHDO)Competitive $ 7. Budget Approved by the Federal Awarding Agency/Current Transaction(+or-) $844,948.00 a. Formula Funds $844,948.00 1. CHDO(For deobligations only) $ 2. Non-CHDO(For deobligations only) $ b. CHDO Competitive Reallocation or Deobligation $ 8. Revised Obligation $ a. Formula Funds $ b. CHDO Competitive Reallocation $ 9. Special Conditions(check a plicable box) 10. Federal Award Date(HUD Official's Signature Date) ® Not applicable j Attached (mm/dd/yyyy) 1'1///2023 11. Indirect Cost Rate* 12. Period of Performance Start and End Date Administering Agencv/Dept. Indirect Cost Rate Direct Cost Base Date in Box#10-09/30/2032 _% *If funding assistance will be used for payment of indirect costs pursuant to 2 CFR —% 200, Subpart E-Cost Principles, provide the name of the department/agency, its —% indirect cost rate(including if the de minimis rate is charged per 2§CFR 200.414),and —% the direct cost base to which the rate will be applied. Do not include cost rates for subrecipients. This Agreement between the Department of Housing and Urban Development(HUD)and the Grantee is made pursuant to the authority of the HOME Investment Partnerships Act (42 U.S.C. 12701 et seq.).The Grantee's approved Consolidated Plan submission/Application,the HUD regulations at 24 CFR Part 92(as is now in effect and as may be amended from time to time)and this HOME Investment Partnership Agreement,form HUD-40093,including any special conditions,constitute part of this Agreement. Subject to the provisions of this Agreement,HUD will make the funds for the Fiscal Year specified,available to the Grantee upon execution of this Agreement by the parties.All funds for the specified Fiscal Year provided by HUD by formula reallocation are covered by this Agreement upon execution of an amendment by HUD,without the Grantee's execution of the amendment or other consent. HUD's payment of funds under this Agreement is subject to the Grantee's compliance with HUD's electronic funds transfer and information reporting procedures issued pursuant to 24 CFR 92.502.To the extent authorized by HUD regulations at 24 CFR Part 92,HUD may,by its execution of an amendment,deobligate funds previously awarded to the Grantee without the Grantee's execution of the amendment or other consent.The Grantee agrees that funds invested in affordable housing under 24 CFR Part 92 are repayable when the housing no longer qualifies as affordable housing.Repayment shall be made as specified in 24 CFR Part 92.The Grantee agrees to assume all of the responsibility for environmental review,decision making,and actions,as specified and required in regulation at 24 CFR 92.352 and 24 CFR Part 58. The Grantee must comply with the applicable requirements at 2 CFR part 200 that are incorporated by the program regulations,as may be amended from time to time.Where any previous or future amendments to 2 CFR part 200 replace or renumber sections of part 200 that are cited specifically in the program regulations,activities carried out under the grant after the effective date of the part 200 amendments will be governed by the 2 CFR part 200 requirements as replaced or renumbered by the part 200 amendments. The Grantee shall comply with requirements established by the Office of Management and Budget(OMB)concerning the Universal Numbering System and System for Award Management(SAM)requirements in Appendix Ito 2 CFR part 200,and the Federal Funding Accountability and Transparency Act(FFATA)in Appendix A to 2 CFR part 170. The Period of Performance for the funding assistance shall begin on the date specified in item 12 and shall end on September 1St of the 5th fiscal year after the expiration of the period of availability for obligation.Funds remaining in the account will be cancelled and thereafter not available for obligation or expenditure for any purpose.Per 31 U.S.C.1552.The Grantee shall not incur any obligations to be paid with such assistance after the end of the Period of Performance. The Grantee must comply with the requirements of the Build America,Buy America(BABA)Act,41 U.S.C.8301 note,and all applicable rules and notices,as may be amended,if applicable to the Grantee's infrastructure project.Pursuant to HUD's Notice, "Public Interest Phased Implementation Waiver for FY 2022 and 2023 of Build America,Buy America Provisions as Applied to Recipients of HUD Federal Financial Assistance"(88 FR 17001),any funds obligated by HUD on or after the applicable listed effective dates,are subject to BABA requirements,unless excepted by a waiver. 13. For the U.S.Department of HUD(Name and Title of Authorized Official) 14.Signature 15. Date David A.Noguera,CPD Director a d a l/1/2'/2023 16. For the Grantee(Name and Title of Authorized Official) /'f7.$ig Lure 18. Date Rick LoCastro,Chairman / - //l/Zo 7 3 Collier County Board of County Commissioners _ �+ 19. Check one: ® Initial Agreement ❑Amendment# 20. Funding Information: Source Year of Funds Appropriation Code PAS Code Amount 2023 86 3/6 0205 HMF(M) $844,946.00 2016 86X0205-16 HMF $ 2.00 Total (D) $844,948.00 ;-ATTEST: CLERK *Y0 Tel. K.`Kw est as to got'I pBrk Page 1 form HUD-40093 signature at. DocuSign Envelope ID: BA551DEB-C2F2-4035-B6C2-1DEFFF7A60D9 Funding Approval/Agreement U.S.Department of Housing and Urban Development 16 0 Title I of the Housing and Community Office of Community Planning and Development Development Act(Public Law 930383) Community Development Block Grant Program OMB Approval No.2506-0193 HI-00515Rof20515R exp 1/31/2025 1.Name of Grantee(as shown in item 5 of Standard Form 424) 3a.Grantee's 9-digit Tax ID Number 3b.Grantee's 9-digit DUNS Number County of Collier 596000558 JWKJKYRPLLU6(UEI) 2.Grantee's Complete Address(as shown in item 5 of Standard Form 424) 4.Date use of funds may begin 3339 Tamiami Trl E 10/01/2023 Suite 211 5a.Project/Grant No.1 6a.Amount Approved Naples,FL 34112-5361 B-23-UC-12-0016 $2,574,633.00(by this action) 5b.Project/Grant No.2 6b.Amount Approved Grant Agreement: This Grant Agreement between the Department of Housing and Urban Development(HUD)and the above named Grantee is made pursuant to the authority of Title I of the Housing and Community Development Act of 1974,as amended,(42 USC 5301 et seq.).The Grantee's submissions for Title I assistance,the HUD regulations at 24 CFR Part 570(as now in effect and as may be amended from time to time),and this Funding Approval,including any special conditions,constitute part of the Agreement. Subject to the provisions of this Grant Agreement,HUD will make the funding assistance specified here available to the Grantee upon execution of the Agreement by the parties. The funding assistance specified in the Funding Approval may be used to pay costs incurred after the date specified in item 4 above provided the activities to which such costs are related are carried out in compliance with all applicable requirements. Pre-agreement costs may not be paid with funding assistance specified here unless they are authorized in HUD regulations or approved by waiver and listed in the special conditions to the Funding Approval. The Grantee agrees to assume all of the responsibilities for environmental review,decision making,and actions,as specified and required in regulations issued by the Secretary pursuant to Section 104(g)of Title I and published in 24 CFR Part 58. The Grantee further acknowledges its responsibility for adherence to the Agreement by sub- recipient entities to which it makes funding assistance hereunder available. U.S.Department of Housing and Urban Development(By Name) Grantee Name(Contractual Organization) David A.Noguera County of Collier Title Title CPD Director Chairman Signature Date(mm/dd/yyyy) Sig OF COUN ERS Date(mm/dd/yyyy) r—oau8wned by: RC X Rauic, 1454ut,1^a 11/2/2023 X O�' J 11 120 23 —BFbbA/9681b b9. Rick LoCastro airman 7.Category of Title I Assistance for this Funding 8.Special Conditions 9a.Date HUD Received Submission 10.check one Action: (check one) (mm/dd/yyyy) ®a.Orig.Funding None 9b.Date Grantee Notified Approval Entitlement,Sec 106(b) ZX Attached (mm/dd/yyyy) ❑b.Amendment 9c.Date of Start of Program Year Amendment Number 10/01/2023 11.Amount of Community Development Block Grant FY 2023 FY 2022 a.Funds Reserved for this Grantee b.Funds now being Approved $2,508,958.00 $65,675.00 c.Reservation to be Cancelled (11a minus 11b) 12a.Amount of Loan Guarantee Commitment now being 12b.Name and complete Address of Public Agency Approved n/a N/A Loan Guarantee Acceptance Provisions for Designated Agencies: The public agency hereby accepts the Grant Agreement executed by the Department of Housing and Urban 12c.Name of Authorized Official for Designated Public Agency Development on the above date with respect to the above n/a grant number(s) as Grantee designated to receive loan Title guarantee assistance,and agrees to comply with the terms and conditions of the Agreement, applicable regulations, n/a and other requirements of HUD now or hereafter in effect, Signature pertaining to the assistance provided it. n/a HUD Accounting use Only Effective Date Batch TAC Program Y A Reg Area Document No. Project Number Category Amount (mm/dd/yyyy) F 1 5 3 — — —1 7 6 — — — — Y Project Number Amount Proiect Number Amount Date Entered PAS Date Entered LOCCS Batch Number Transaction Code Entered By Verified By (mm/dd/yyyy) (mm/dd/yyyy) CLERK Z. L, 24 CFR 570 form HUD-7082(5/15) ;tignature only. DocuSign Envelope ID: BA551DEB-C2F2-4035-B6C2-1DEFFF7A60D9 1603 8. Special Conditions. (a) The period of performance and single budget period for the funding assistance specified in the Funding Approval ("Funding Assistance") shall each begin on the date specified in item 4 and shall each end on September 1, 2030. The Grantee shall not incur any obligations to be paid with such assistance after September 1, 2030. (b) The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Agreement, provided that the rate(s) described comply with 2 CFR part 200, subpart E. Administering Direct Department/Agency Indirect cost rate Cost Base % % % Instructions: The Recipient must identify each agency or department of the Recipient that will carry out activities under the grant,the indirect cost rate applicable to each department/agency(including if the de minimis rate is used per 2 CFR §200.414(f)), and the type of direct cost base to which the rate will be applied (for example, Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. (c) In addition to the conditions contained on form HUD 7082,the grantee shall comply with requirements established by the Office of Management and Budget (OMB) concerning the Dun and Bradstreet Data Universal Numbering System (DUNS); the System for Award Management(SAM.gov.); the Federal Funding Accountability and Transparency Act as provided in 2 CFR part 25, Universal Identifier and General Contractor Registration; and 2 CFR part 170, Reporting Subaward and Executive Compensation Information. (d) The grantee shall ensure that no CDBG funds are used to support any Federal, State, or local projects that seek to use the power of eminent domain, unless eminent domain is employed only for a public use. For the purposes of this requirement, public use shall not be construed to include economic development that primarily benefits private entities. Any use of funds for mass transit, DocuSign Envelope ID: BA551DEB-C2F2-4035-B6C2-1DEFFF7A60D9 16B3 railroad, airport, seaport or highway projects as well as utility projects which benefit or serve the general public (including energy-related, communication- related, water- related and wastewater-related infrastructure), other structures designated for use by the general public or which have other common-carrier or public-utility functions that serve the general public and are subject to regulation and oversight by the government, and projects for the removal of an immediate threat to public health and safety or brownfield as defined in the Small Business Liability Relief and Brownfields Revitalization Act(Public Law 107-118) shall be considered a public use for purposes of eminent domain. (e) The Grantee or unit of general local government that directly or indirectly receives CDBG funds may not sell,trade, or otherwise transfer all or any such portion of such funds to another such entity in exchange for any other funds, credits or non-Federal considerations, but must use such funds for activities eligible under title I of the Act. (f) E.O. 12372-Special Contract Condition -Notwithstanding any other provision of this agreement, no funds provided under this agreement may be obligated or expended for the planning or construction of water or sewer facilities until receipt of written notification from HUD of the release of funds on completion of the review procedures required under Executive Order(E.O.) 12372, Intergovernmental Review of Federal Programs, and HUD's implementing regulations at 24 CFR Part 52. The recipient shall also complete the review procedures required under E.O. 12372 and 24 CFR Part 52 and receive written notification from HUD of the release of funds before obligating or expending any funds provided under this agreement for any new or revised activity for the planning or construction of water or sewer facilities not previously reviewed under E.O. 12372 and implementing regulations. (g) CDBG funds may not be provided to a for-profit entity pursuant to section 105(a)(17)of the Act unless such activity or project has been evaluated and selected in accordance with Appendix A to 24 CFR 570 - "Guidelines and Objectives for Evaluating Project Costs and Financial Requirements." (Source - P.L. 113-235, Consolidated and Further Continuing Appropriations Act, 2015, Division K, Title II, Community Development Fund). (h) The Grantee must comply with the requirements of the Build America, Buy America(BABA) Act, 41 USC 8301 note, and all applicable rules and notices, as may be amended, if applicable to the Grantee's infrastructure project. Pursuant to HUD's Notice, "Public Interest Phased Implementation Waiver for FY 2022 and 2023 of Build America, Buy America Provisions as Applied to Recipients of HUD Federal Financial Assistance" (88 FR 17001), any funds obligated by HUD on or after the applicable listed effective dates, are subject to BABA requirements, unless excepted by a waiver. DocuSign Envelope ID: EFEE2DFA-5537-48A8-BBBA-17CBAC9249A9 16 D . Funding Approval/Agreement U.S. Department of Housing and Urban Development Emergency Solutions Grants Program Office of Community Planning and Development Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act, 42 U.S.C. 11371 et seq. Assistance Listing Number 14.231 1. Recipient Name and Address 2. Unique Federal Award Identification Number: County of Collier E-23-UC-12-0016 3339 Tamiami Trl E Suite 211 3.Tax Identification Number: 596000558 Naples,FL 34112-5361 4. Unique Entity Identifier:JWKJKYRPLLU6 5. Fiscal Year(yyyy): 2023 6. Previous Obligation(Enter"0"for initial Fiscal Year allocation) $0 7. Amount of Funds Obligated or Deobligated by This Action(+or-) $211,534 8. Total Amount of Federal Funds Obligated $211,534 9. Total Required Match 10.Total Amount of Federal Award Including Match 11.Start Date of Recipient's 12.Date HUD Received Recipient's 13. Period of Performance and Program Year 10/01/2023 Consolidated Plan Submission 9/19/2023) Budget Period Start Date/Federal Award Date(the date listed in Box 19 for initial Fiscal Year allocation) (mm/dd/yyyy) 11/2/2023 14.Type of Agreement(check applicable box) 15.Special Conditions and Requirements ❑X Initial Agreement(Purpose#1—Initial Fiscal Year allocation) E Not applicable ®Attached X ❑ Amendment(Purpose#2—Deobligation of funds) 16.Period of Performance and Budget Period End Date(24 months ❑ Amendment(Purpose#3—Obligation of additional funds) after the date listed in Box 13)(mm/dd/yyyy) 1 1/1/2025 General Terms and Conditions:This Agreement between the U.S.Department of Housing and Urban Development(HUD)and the Recipient is made pursuant to the authority of Subtitle B of Title IV of the McKinney-Vento Homeless Assistance Act(42 U.S.C. 11371 et seq.)and is subject to the applicable appropriations act for the specified Fiscal Year. The Recipient's Consolidated Plan submissions(including the Recipient's approved annual Action Plan and any amendments completed in accordance with 24 CFR Part 91),the Emergency Solutions Grants Program regulations at 24 CFR Part 576(as now in effect and as may be amended from time to time),and this Agreement,including any special conditions attached to this Agreement,constitute part of this Agreement. Subject to the terms and conditions of this Agreement,HUD will make the funds for the specified Fiscal Year available to the Recipient upon execution of this Agreement by the Recipient and HUD. The funds may be used for costs incurred before the Budget Period under the conditions specified in HUD Notice CPD-23-01 or another prior written approval by HUD,or if the Recipient is not covered by Notice CPD-23-01,under the condition that the costs are otherwise allowable and were incurred on or after the date listed in box 11,the date listed in box 12,or 90 calendar days before the date in box 13(whichever is later).The Recipient agrees to assume responsibility for environmental review,decision making,and action under 24 CFR Part 58;except that if the Recipient is a state and distributes funds to a unit of general local government,the Recipient must require the unit of general local government to assume that responsibility and must comply with the state's responsibilities under 24 CFR 58.4. To the extent authorized by applicable law,HUD may,by its execution of an amendment,deobligate funds under this Agreement without the Recipient's execution of the amendment or other consent.The Recipient must comply with the applicable requirements at 2 CFR part 200,as may be amended from time to time.Where any previous or future amendments to 2 CFR part 200 replace or renumber sections of part 200 that are cited specifically in 24 CFR part 576,activities carried out under the grant after the effective date of the part 200 amendments will be governed by the part 200 requirements as replaced or renumbered by the part 200 amendments. The Recipient must comply with the Award Term in Appendix A to 2 CFR Part 25,"System for Award Management and Universal Identifier Requirements,"and the Award Term in Appendix A to 2 CFR Part 170,"Reporting Subaward and Executive Compensation Information."If the amount in Box 8 exceeds$500,000,the Recipient must comply with Appendix XII to 2 CFR part 200—Award Term and Condition for Recipient Integrity and Performance Matters.The Recipient must comply with the requirements of the Build America,Buy America(BABA)Act,41 USC 8301 note,and all applicable rules and notices,as may be amended,if applicable to the Recipient's infrastructure project.Pursuant to HUD's Notice,"Public Interest Phased Implementation Waiver for FY 2022 and 2023 of Build America,Buy America Provisions as Applied to Recipients of HUD Federal Financial Assistance"(88 FR 17001),any funds obligated by HUD on or after the applicable listed effective dates,are subject to BABA requirements,unless excepted by a waiver. Nothing in this Agreement shall be construed as creating or justifying any claim against the federal government or the Recipient by any third party. 17. For the U.S.Department of HUD(Name,Title,and Contact Information of 18.Signature 19.Date(mm/dd/yyyy) Authorized Official) David A. Noguera,CPD Director kf3 - 11/2/2023 20. For the Recipient(Name and Title of Authorized Official) 21. i nature 22. Date(mm/dd/yyyy) Rick LoCastro, Chairman Collier County Board of County Commissioners 61 /I I / Zb Z3 Funding Information(HUD Accounting Use Only): - PAS Code:SOE Program Code:SOE - Region:04 Appropriation Number: 1192 Appropriation Symbol:86 3/50192 - - Office: Miami FYI: M :ATTEST'. N4 ''CRYSTAL K. 1 ZZEL, CLERK tfritails signature only. DocuSign Envelope ID: EFEE2DFA-5537-48A8-BBBA-17CBAC9249A9 1 6 O 3 Special Conditions and Requirements for FY 2023 ESG Program Indirect Cost Rate The Recipient shall attach a schedule of its indirect cost rate(s) in the format set forth below to the executed Agreement that is returned to HUD. The Recipient shall provide HUD with a revised schedule when any change is made to the rate(s) described in the schedule. The schedule and any revisions HUD receives from the Recipient shall be incorporated herein and made a part of this Agreement, provided that the rate(s) described comply with 2 CFR part 200, subpart E. Instructions: The Recipient must ident each agency or department of the Recipient that will carry out activities under the grant, the indirect cost rate applicable to each department/agency (including if the de minimis rate is used per 2 CFR§200.414(9), and the type of direct cost base to which the rate will be applied(for example, Modified Total Direct Costs (MTDC)). Do not include indirect cost rates for subrecipients. Recipient Direct Department/Agency Indirect cost rate Cost Base DocuSign Envelope ID:EFEE2DFA-5537-48A8-BBBA-17CBAC9249A9 D 3 Special Conditions and Requirements for FY 2023 ESG Program Serving Youth Who Lack 3rd Party Documentation or Live in Unsafe Situations Notwithstanding any contrary requirements under the McKinney-Vento Homeless Assistance Act or 24 CFR part 576, youth aged 24 and under who seek assistance (including shelter, services or rental assistance) shall not be required to provide third-party documentation that they meet the homeless definition in 24 CFR 576.2 as a condition for receiving assistance; and unaccompanied youth aged 24 and under(or families headed by youth aged 24 and under) who have an unsafe primary nighttime residence and no safe alternative to that residence shall be considered homeless for purposes of assistance provided by any private nonprofit organization whose primary mission is to provide services to youth aged 24 and under and families headed by youth aged 24 and under. ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i €a B 3 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 1. Tracey Smith Community and Human TS 11/08/2023 Services 2. County Attorney Office—DDP County Attorney Office 00e ' I' r Z3 3. BCC Office Board of County Commissioners PL 1 1l/i 23 4. Minutes and Records Clerk of Court's Office It 1/1)-)) 7 5' PRIM ARY CONTACT INFORMATION Cir 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 Tracey Smith,Grants Coordinator 252-1428 Contact/ Department Agenda Date Item was 11/14/2023 Agenda Item Number I 1 O 3 Approved by the BCC �p Type of Document AMENDMENT #4 BETWEEN COLLIER Number of Original 3 t!o eS Attached COUNTY AND COLLIER HEALTH Documents Attached r°� SERVICES INC DB/A HEALTHCARE NETWORK 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 N/A 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be Yes signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final ne otiated contract date whichever is applicable. 6. tabs are placed on the appropriate pages indicating where the Chairman's TS signature and initials are required. 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 SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on above date and all changes made during i the meeting have been incorporated in the attached document. The County (� Attorney's Office has reviewed the changes,if applicable. �✓ 9. Initials of attorney verifying that the attached document is the version approved by the pr BCC,all changes directed by the BCC have been made,and the document is ready for the j�� Chairman's signature. 61:15 FAIN# IB-20-UW-12-0016 Federal Award Date 09/22/20201 Federal Award Agency HUD CFDA Name Community Development Block Grant-CV CFDA/CSFA# 14.218 Total Amount of $1,296,425.39 Federal Funds Awarded Subrecipient Name Collier Health Services,Inc. dba Healthcare Network UEI# GPXBQKU6AJA5 FEIN 59-1741277 R&D NA Indirect Cost Rate NA Period of Performance 04/01/2021-09/30/2023 06/30/2024 Fiscal Year End 03/31 Monitor End: 12/30/2023 09/30/2024 !FOURTH 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 19f day of /iovc,.,u v 2023 by and between Collier County, a political subdivision of the State of Florida ("COUNTY") and Collier Health Services, Inc. dba Healthcare Network I("SUBRECIPIENT"), 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. Se. and subject to 24 CFR Part 570 ; WHEREAS, on April 27, 2021, Agenda Item 16.D.3, the COUNTY entered into an Agreement with Collier Health Services, Inc. d/b/a Healthcare Networkl. 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 the responsibilities of the Case Management Healthcare Services program by adding a technology component, reallocating the budget and revising payment deliverables. (COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 1 ��0 16 03 WHEREAS, on September 27, 2022,Agenda Item 16.D.1, the COUNTY entered into the Second Amendment with Collier Health Services, Inc. dba 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 term of the Agreement to July 30, 2023. WHEREAS, on May 23, 2023, Agenda Item 11.A., the COUNTY approved the use of Community Development Block Grant-CV to support the continuation of Collier Health Services, Inc. dba Healthcare Network's Community Health Workers efforts within the community. WHEREAS, on July 25, 2023, Agenda Item 16.D.6, the COUNTY entered into the Third Amendment with Collier Health Services, Inc. dba Healthcare Network to shift$125,625.00 from administration to the staffing component to continue to support staff salaries of Community Health Workers to address mental health and substance abuse in low to moderate areas of the community which they are already serving and update the Exhibit C Quarterly Report requirements. WHEREAS, on September 6, 2023, the County Manager signed the request for extension of the term of the Agreement to November 29, 2023. WHEREAS, the parties wish to amend the Agreement by amending the period of performance from April, 1, 2021 to June 30, 2024 to support the Community Health Workers salary costs; 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 Struck Through are deleted; Words Underlined are added. PART 1 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 September 30,2023 June 30,2024,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 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 September 30, 2023 June 30, 2024, 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. (COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV2 1-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 2 �Q 1 6 D3 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. . • C, ;) if ,.,� ATTEST: AS TO COUNTY: •,'Afi CRYSTAL K. KINZEL, CLERK BOARD OF COUNTY COMMISSIONERS OF "` • "� COLLIER COUNTY, FLORIDA r `; k0 �� ya Jnk,w, 0 WS`tdI ySGGj�SIIPP alr[na11 S B / signature only. ]RICK LOCASTRO, CHAIRPERSON] Dated: 11 t if)I Zola Date: I I / 1 t/23 (SEAL) WITNESSES: AS TO SUBRECIPIENT: Witness#1 Sig ature COLLIER HEALTH SERVICES, INC. DBA �Ailk 1 a tA�J 1� HEALTHCARE NETWORK Witness Printed e ��By: 4 1TAMI RAIN FF, F FINANCIAL Witness#2 Signature OFFICER]] AciatiAci {ZO f Date: l 0 / 1 90 a--3Witness#2 Printed Name {` [Please provide evidence of signing authority] App • -d as to form and legality: fix„,....17------."\—Th O Derek D. Perry \--).\-/ \41' Assistant County Attorney N4 Date: Nvq- ge 1 Za 2.3 COLLIER HEALTH SERVICES INC HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 3 �Q G Z603 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 Name: COVID Case Management Healthcare Services Project No: CD-CV21-01 Payment Request# Total Payment Minus Retainage Period of Availability: 04/01/2021 through 09/30/2023 June 30,2024 Period for which the Agency has incurred the indebtedness through SECTION II: 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 Date Title Authorizing Grant Coordinator Authorizing Grant Accountant Supervisor(Approval required$15,000 and Division Director(Approval Required above) $15,000 and above) COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 4 tsO 1 6 03 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: (Collier Health Services,Inc.dba Date: Healthcare Network 1 Project Title: ICOVID Case Management Healthcare IDIS#: 637 Services Program Contact: Telephone Number: Activity Reporting Period Report Due Date October 1"—December 31 st January 10th January Pt—March 31" April 10th April 1'—June 30t' July 10th July lst—September 30t' October 10th REPORT FOR QUARTER ENDING:(check one that applies to the corresponding grant period): 12/31/XX 3/31/XX 6/30/X) 9/30/XX Please note: The HUD Program year begins October 1,2020 -September 30,2023 June 30,20241.Each quarterly report must include cumulative data beginning from the start of the program year October 1,2020. 1. Please list the outcome goal(s)from your approved application and SUBRECIPIENT Agreement and indicate your progress in meeting those goals since October 1,20201. a. 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 relating to medical services under the Chronic Case Management programJ Outcome 2: At least 500 unduplicated persons will be served in the Chronic Case Management program.Must document that at least 51%of persons served in the Chronic Case Management program are low-to moderate- income persons or households _ Outcome 3: Delivery of a minimum of 6 outreach events as it relates to mental health and/or substance abuse services. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: One Manager of Case Management,Three Case Managers,One Community Social Worker will be hired specifically to focus on Chronic eCase mManagement services and continuity of medical care.A maximum of six Community Health Workers will serve persons as it relates to mental health and/or substance abuse services. Outcome 2: At least 500 unduplicated persons will be served in the Chronic Care Management program. Outcome 3: On a quarterly basis,Ddocumentation will be kept of the low-to moderate-income persons served in the Chronic Case Management program.^ a quarterly basis 2. Is this project still in compliance with the original project schedule: Yes n No ❑I If No,Explain: 3. Since October 1,20201;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? 0 b. ...now have improved access to this service or benefit? 0 c. ...now receive a service or benefit that is no longer substandard? 0 Total 0 4. What funding sources did the SUBRECIPIENT apply for this eriod? Section 108 Loan Guarantee $ CDBG-CV $ Other Consolidated Plan Funds $ HOME $ COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 5 �Q V 16D3 Other Federal Funds $ ESG $ $ HOPWA $ $ Total Entitlement $ 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/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) 01 Total No.persons served under 18 (LMC) Quarter Total No.of Persons 0 Quarter Total No.of Persons 0 b. Total No.of Households served 0 Total No.of female head of household 0 (LMH) 6. What is the total number of UNDUPLICATED clients served since October 1,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) Id Total No.Persons served under 18 0 (LMC) 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 0 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 UNDUPLICATED served this quarter who fall into each presumed benefit persons served since'October 1 who fall into each category(the total should equal the total in question#6a presumed benefit category(the total should equal the or 6b): total in question#6a or 6b): a Presumed Benefit Activities Only(LMC)QTR b Presumed Benefit Activities Only(LMC)YTD 0 Abused Children ELI 0 Abused Children ELI 0 Homeless ELI 0 Homeless Person ELI Person Id Migrant Farm LI 0 Migrant Farm Workers LI Workers IO Battered LI 0 Battered Spouses LI Spouses Persons LI 0 Persons w/HIV/AIDS LI w/HIV/AIDS 10 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 8. 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 COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV2 1-01 Case Management Healthcare Services for Low to Moderate Income Residents Page 6 �O 1603 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 1 ,(YTD)who fall into (the 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%) 0 b ELI Extremely Low 0 Income(0-30%) LI Low Income(31-50%) 0 LI Low Income 0 MOD Moderate Income(51-80%) 0 MOD Moderate Income 101 (51-80%) NON-L/M Above Moderate Income(>80%) Q NON-L/M Above Moderate 101 Income(>80%) Quarter Total ;0, YTD Total 101 9. Is this project in a Low/Mod Area(LMA)? YES NO Was project completed this quarter? YES 1 NO 1 If yes, complete all of this section 9. Date project completed Block Group Census Tract Total Beneficiaries Low/Mod Low/Mod Percentage Beneficiaries 0 b b 0 b Date LMA Narrative approved by CHS? What documentation supports project completion? (i.e., 1 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 October 1 (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 column should equal the total in should equal the total in question 6.) question 6.) a. RACE ' ETHNICITY b. RACE ETHNICITY /HISPANIC /HISPANIC White 10I 0 White 0 0 Black/African American 10 0 Black/African American 0 0 Asian 0 0 Asian 0 0 American Indian/Alaska Native 0 0 American Indian/Alaska 0 ;0, Native Native Hawaiian/Other Pacific Islander 0 Native Hawaiian/Other Pacific 0 10 Islander Black/African American&White 0, 0 Black/African American& 0 d White 10 American Indian/Alaska Native& 0 American Indian/Alaska 0 0 Black/African American Native&Black/African American Other Multi-racial 0 Other Multi-racial 0 '0 0 0 0 Name: I Signature: Title: Your typed name here represents your electronic signature !COLLIER HEALTH SERVICES,INC.HEALTHCARE NETWORK CD-CV21-01 Case Management Healthcare Services for Low to Moderate Income Residents 1 Page 7 �(.� Gr