Backup Documents 10/22/2024 Item #16D 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6D 3
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.
** 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.
2. (Enter your Dept here)
3. County Attorney Office County Attorney Office CS
w(zq
4. BCC Office Board of County CH by MB
Commissioners [s] 1D 2'J/Z`�
5. Minutes and Records Clerk of Court's Office 9 �
" L 3o( .q
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 Madison Bird Phone Number 2939
Contact/Department —/1b eotail AceJ I
Agenda Date Item was 10/22/24 Agenda Item Number / ��
Approved by the BCC b
Type of Document(s) Number of Original 1
Attached G=lo$eo..A �Oleer�.-� Documents Attached
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 signature?(stamped unless otherwise stated) MB
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 legality. (All documents to be signed by MB
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 MB
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 M B
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 MB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is uploaded to the
agenda. 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_10/22/24_and all changes made /A is not
during the meeting have been incorporated in the attached document. The County 05/ an option for
Attorney Office has reviewed the changes, if applicable. this Iine.
9. Initials of attorney verifying that the attached document is the version approved by the / N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the '� an option for
Chairman's signature. .his
I: Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05; 11/30/12;4/22/16;9/10/21
i603
Attachment A
Grant Closeout Agreement
Emergency Solutions Grants under the CARES Act (ESG-CV) Program
Recipient Name: ESG: Collier County-FL
Grant#; E20UW120016
Period of Performance End Date(check one):
December 31, 2023 (ESG-CV grants that do not include reallocated funds)
❑ June 30, 2024(ESG-CV grants that include reallocated funds)
The above referenced grant will have its unliquidated obligations recaptured, if any remain,as soon as
administratively feasible on or after November 1,2024, and the grant closed subject to the recipient's
certifications and obligations under this Grant Closeout Agreement.
The recipient certifies:
I) The grant has performed in accordance with the terms and conditions of the executed grant
agreement,any grant agreement amendment(s), title IV of the McKinney-Vento Homeless
Assistance Act(42 U.S.C. 11371 et seq.)(McKinney-Vento Act),the Emergency Solutions Grants
(ESG) Program regulations(24 CFR part 576), CPD Notices 21-05, 21-08 and 22-06; the
recipient's approved Consolidated Plans and Annual Action Plans, all as reflected in data entered in
IDIS and the Sage HMIS Reporting Repository;
2) there are no known outstanding programmatic or financial issues;
3) all data provided in the table below accurately reflects the exact amounts as shown in the electronic
Line of Credit Control System(eLOCCS)and the Integrated Disbursement and Information System
(IDIS); and
4) the Quarterly Performance Report (QPR) for this grant has been submitted and accepted in the Sage
HMIS Reporting Repository.
Description Amount
1. Total grant amount authorized $3,183,770.00
2. Grant funds disbursed $3,183,770.00
3. Closeout costs/Contingent Liabilities $0.00
4. Unliquidated Obligations (Unused grant funds to be deobligated) $0.00
5. Program income on deposit in financial institutions as of signing this $0.00
closeout agreement
• The recipient agrees to comply with all applicable requirements and continuing responsibilities
identified in the ESG Program regulations(24 CFR part 576),CPD Notices 21-05, 21-08, and 22-
06, including program income requirements(Section 111.D of Notice CPD-21-08) and
recordkeeping requirements (24 CFR 576.500). All records pertaining to each fiscal year of ESG-
CV funds must be retained for the greater of 5 years or the period specified in 24 CFR 576.500(y)
where funds are used for the renovation or conversion of an emergency shelter.
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1 6D3
• The recipient also agrees to comply with all applicable requirements and continuing responsibilities
of the Uniform Administrative Requirements, Cost Principles, and Audit Requirements for Federal
Awards(2 CFR part 200), including Subpart F,except where inconsistent with McKinney-Vento
Homeless Assistance Act or the ESG Program regulations, in which case the McKinney-Vento
Homeless Assistance Act and ESG Program regulations will govern. The requirements and
continuing responsibilities include those related to the management and disposition of property
purchased or renovated with federal funds, retention of and access to records, disallowances of
grant payments, and collection of amounts due after closeout.
• The recipient agrees, if applicable,that any costs paid with funds under this grant that were not
audited previously shall be subject to coverage in the recipient's next single audit, performed in
accordance with Single Audit Requirements(2 CFR Part 200, Subpart F). The recipient
acknowledges that it may he required to pay CPD any disallowed costs based on the results of the
audit or upon additional CPD reviews.
CPD reserves the right to conduct future monitoring of projects funded under this grant, either onsite or
by review of information or copies of documents requested from the recipient. The recipient
acknowledges that a finding of non-compliance resulting from such review and failure to take appropriate
corrective actions satisfactory to CPD may be considered by CPD, as evidence of unsatisfactory
performance in consideration of future grant awards.
Recipients who received grant funds for acquisition or renovation of a Temporary Emergency Shelter are
required to operate the Temporary Emergency Shelter activity in accordance with Notice CPD-21-08 and,
in all other respects,the funding and operation of temporary emergency shelters must comply with the
ESG-CV requirements for emergency shelters under Notice CPD-21-08 and 24 CFR part 576. When the
property is determined no longer necessary or appropriate for use as a temporary emergency shelter, as
defined in Notice CPD-21-08,the property may be converted for use as an emergency shelter as described
in Section 111.E.3,a.(iii) of Notice CPD-21-08 without triggering the disposition requirements in 2 CFR
200,31 1(c). l lowever, when it becomes unnecessary or impracticable to use the property either as
temporary emergency shelter or emergency shelter, as described in Notice CPD-21-08,the owner of the
property must obtain disposition instructions from HUD as provided by 2 CFR 200.31 1(c).
Equipment acquired under one or more ESG-CV grants, that is no longer needed for the ESG-CV
Program,or other activities previously supported by a Federal agency, will be disposed of in accordance
with 2 CFR 200.313(e).
Recip A thorized Date SNAPS Division Date
Representative Signature Director Signature
Chri.5 H4II
Printed Name of Signatory Printed Name of Signatory
Chairman
Title Title
T ,... N Approved as t orm and legality
ATIPT
CRYStAf K":1 I NZFl ,CLERK
*".1;„ ,4 y i•LAILAc_ islant County Attorney us
Attest as to Chairman's
signature only
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