Backup Documents 04/23/2024 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 0 2
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. Wendy Klopf Community and Human lY'k 04/23/2024
Services
2. County Attorney Office County Attorney Office n JuJ
3. BCC -Office Board of County
Commissioners al6y 15/ yt /Z1
4. Minutes & Records Clerk of Court's Office r 1 14.24'/4
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wendy Klopf/CHS Phone Number 252-2901
Contact/ Department
Agenda Date Item was 04/23/2024 Agenda Item Number 16D2
Approved by the BCC
Type of Document SHIP SHCON23-01 Amendment HfH-New Number of Original 1
Attached Construction Assistance Documents Attached
PO number or account 4klfit
number if document is _ Op
to be recorded a
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? WK
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be WK
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the WK
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 WK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 04/23/2024 and all changes made during WK snot
the meeting have been incorporated in the attached document. The County 0 D an option for
Attorney's Office has reviewed the changes,if applicable. is line.
9. Initials of attorney verifying that the attached document is the version approved by the is not
BCC,all changes directed by the BCC have been made,and the document is ready for the op- 'or
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
1602
Grant-SHIP FY 2023-2024
Agreement#: SHCON-23-001
Activity: SHIP New Construction
Assistance
SPONSOR: Habitat for Humanity of
Collier County,Inc.
CSFA#: 40.901
Total Award Amount:$2,000,000700
$3,500,000.00
UEI#: MLUZYT83P4Z9
FEIN: 59-1834379
Period of Performance: July 1,2020
through June 30,2026
Fiscal Year End: June 30th
Monitoring End: September 30,2026
FIRST AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY
AND
HABITAT FOR HUMANITY OF COLLIER COUNTY,INC.
New Construction Assistance Program
THIS AMENDMENT is made and entered into this 093rd day of /_'t.),i �
2024, by and between Collier County, a political subdivision of the State of Flori a, (COUNTY)
having its principal address as 3339 Tam iami Trail East,Suite 213,Naples FL 34112,and Habitat
for Humanity of Collier County, Inc. (SPONSOR), a not-for-profit corporation existing under
the laws of the State of Florida,having its principal office at 11145 Tamiami Trail East,Naples,
FL 34113.
WITNESSETH
WHEREAS,the Fiscal Year 2022-2025 Local Housing Assistance Plan,as amended,was
adopted by the Board of County Commissioners on April 26,2022,Resolution No.2022-68A and
WHEREAS, on October 10, 2023, Agenda Item 16.D.3, the County entered into an
Agreement with Habitat for Humanity of Collier County, Inc. to administer the State Housing
Initiatives Partnership (SHIP)New Construction Assistance program; and
WHEREAS,the parties wish to further amend the Agreement to increase the total funding
amount.
NOW,THEREFORE, in consideration of the mutual promises and covenants contained
herein,the parties hereto agree to amend the Agreement as set forth below.
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1602
Words Struck ough are deleted; Words Underlined are added
* *
1.4 PROJECT DETAILS
A. Project Description/Budget
Description State Amount
Project Component 1: Construction of new residential $2 080,08&08
housing units ($50,000.00 per unit) $3.500.Q00.00
Total State Funds
ggg30g8700
$3.509.000.00
* * *
1.6 AGREEMENT AMOUNT
The COUNTY agrees to make available THREE MILLION FIVE
HUNDRED THOUSAND DOLLARS and ZERO CENTS ($3.5880,008:00
$3,500,000.00) for use by the SPONSOR, during the term of the Agreement (hereinafter,
shall be referred to as the"Funds").
* * *
1.8 NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, or 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:Lisa N. Carr, Grants Coordinator II
Wendy Klonf. Grapts Coordinator I
Collier County Government
Community and Human Services _
3339 Tamiami Trail East, Suite 213
Naples,FL 34112
Email to:
listheafr-@eelliefeeiiiityfhgey
wendy.klopf@colliercountyfl.aov
Telephone: 239-252 2339 2901
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1602
SPONSOR ATTENTION: Rev.Lisa B.Lefkow, CEO
Habitat for Humanity of Collier County, Inc.
11145 Tamiami Trail East
Naples, FL 34113
Email to: llefkow@,habitatcollier.org
Telephone: 239-775-0036
[Signature Page to Follow]
3
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SIICON-23-001
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16 02
* * *
IN WITNESS WHEREOF,the SPONSOR and the COUNTY,have each respectively,by an authorized
person or agent,hereunder set their hands and seals on the date first written above.
A F1'bST: AS TO COUNTY:
CRYSTAL K. KINZEL, CLERK BOARD OF COUNTY COMMISSIONERS OF
COLLIER CO TY, FLORIDA
Ij"-u411
Attest as,`Deputy Clerk By:
a
* signature only CH HALL, Chairman
4 Date: �1 Z. 3l Z Y
Dated:
( AL)
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AS TO SPONSOR:
WI E&SES HABITAT FOR HUMANITY OF COLLIER
,2
2 COUNTY,INC
Witness#1 Signature
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,(\ /� 44. L lb a V. LISA B.LEFKO , EO
Wit-de-Ss itr etrf-,��_ss#1 Pr nted Name
Date: , lc9a 0-0,;_q-
itnes ignature
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Witness#2 Printed Name
Approved as to form and legality:
OttAIL V f OV
Derek D. Perry �\)'
Assistant County Attorney
Date: t1 1 ZS 1 2
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