Backup Documents 12/10/2024 Item #16D15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1 5
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. Parker Smith Community and Human PS 12/05/2024
Services +
2. County Attorney Office County Attorney Office 1ZI�z1-61
3. BCC Office Board of County
Commissioners CI(4 /71 t6I (gig.
4. Minutes and Records Clerk of Court's Office 314 /vt12
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 Parker Smith. Grants Coordinator I, Phone Number 239-252-6141
Contact/ Department Community and Human Services
Agenda Date Item was December 10, 2024 Agenda Item Number 16.D.15
Approved by the BCC
Type of Document Recommendation to approve and authorize Number of Original 2 ec e.$
Attached third amendment to the agreement between Documents Attached
Collier County and FL Dept.Of Historical
Resources
PO number or account NEED SIGNED ORIGINALS
number if document is N/A
to be recorded BACK ASAP!!!
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? PS
2. Does the document need to be sent to another agency for additional signatures? If yes, PS
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 PS
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 PS
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 PS
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 PS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip PS
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 ott-2.71BrtOtTInd all changes made during ,A . N/A is not
the meeting have been incorporated in the attached document. The County . 1 an option for
Attorney's Office has reviewed the changes,if applicable. I Z fiti J .¶ this line.
9. Initials of attorney verifying that the attached document is the version a proved by the /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. this line.
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
16D15
*** ONLY USE FOR AGREEMENTS***
Instructions
1) Return signed originals to ASAP:
Parker Smith
Grants, Coordinator I
Collier County Government I Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 213
Naples, FL 34112
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
16D15
Collier County Board of County Commissioners
23.h.sc.100.039
This Amendment is between the State of Florida, Department of State, Division of Historical Resources
hereinafter referred to as the"Division"and Collier County Board of County Commissioners, hereinafter referred
to as the"Grantee".
The parties entered into a grant agreement for the implementation of a Special Category grant, for Restoration and
Interpretation of the Historic Mar-Good Cottages. The parties now mutually desire to amend certain terms and
conditions of the grant agreement.
In consideration of the covenants contained herein, it is agreed:
All section of the original grant agreement not specifically amended by this or a prior written amendment and all
prior written amendments are hereby reaffirmed.
The following sections are hereby revised as follows:
Original Length of Agreement
7/1/2022 -12/31/2024
Amended Length of Agreement
7/1/2022-6/30/2025
Additional Conditions
12. Grant Reporting Requirements:
j)Tenth Report is due by January 31, for the period ending December 31 (third year of the grant period).
k) Eleventh Report is due by April 30, for the period ending March 31 (third year of the grant period).
1) Final Report. The Grantee must submit a Final Report to the Division within one month of the Grant Period End
Date set forth in Section 2 above. All final reports must document the completion of all deliverables/tasks,
expenses and activities that occurred by the Grant Period End Date. The Grantee may expend funds only for
allowable costs resulting from obligations incurred during the specified agreement period. Expenditures of state or
federal financial assistance must be in compliance with the laws, rules, and regulations applicable to expenditures
of state and federal funds, including, but not limited to, this Agreement, the Reference Guide.for State
Expenditures, 2 CFR Part 200.
Page: 1 EC)
t 6 D 15
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By: (IAA/6k
Chris Hall, Chairman Authorized official for the Division
Date: 12 (Q Z Division Authorized official Signature Date
ATTEST:
CRYSTAL K. KINZEL, CLERK OF
THE CIRCUIT COURT &
COMPTROLLER
Deputy Clerk
Attest innal!,S :
signaturs'ri,
Appro ed as o form and legality:
Sally 'A karma
is• C unty Attorney ;' 0
Pa!uc:2
(sCAQ