Backup Documents 03/11/2025 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP s D 2
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. Julie Chardon Community and Human JC 3-G -5
Services
2. County Attorney Office County Attorney Office 00 „p S i n 11„z5
3. BCC Office Board of County
Commissioners 13.546 *(? S
4. Minutes and Records Clerk of Court's Office
iftc'
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Julie Chardon,Grants Coordinator V 252-5770
Contact/ Department
Agenda Date Item was 03/11/2025 Agenda Item Number 16.D.a
Approved by the BCC
Type of Document FIRST AMENDMENT BETWEEN COLLIER Number of Original 3 Originals
Attached COUNTY AND BAKER SENIOR CENTER Documents Attached
NAPLES,INC.
� �
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 JC
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 JC
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 fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JC
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 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 N/A is not
the meeting have been incorporated in the attached document. The County 0 n to an option for
Attorney's Office has reviewed the changes,if applicable. �/ this line.
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 0 or an option for
Chairman's signature. this line.
16D2
FAIN# B-24-UC-12-0016
Federal Award Date EST-10/24
Federal Award Agency HUD
CFDA Name Community
Development Block
Grant
CFDA/CSFA# 14.218
Total Amount of Federal $55,000.00
Funds Awarded
Subrecipient Name BAKER SENIOR
CENTER NAPLES,
INC.
UEI# WF52AFSKKT26
FEIN 45-3980909
R&D NA
Indirect Cost Rate NA
Period of Performance 10/01/2024-09/30/2025
Fiscal Year End 6/30
Monitor End: 12/2025
FIRST AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY
AND
BAKER SENIOR CENTER NAPLES,INC.
CDBG Grant Program—Public Services //
THIS AMENDMENT is made and entered into this I i day of l�Arch 2025, by and
between Collier County, a political subdivision of the State of Florida, ("COUNTY")having its principal
address at 3339 Tamiami Trail East, Suite 213, Naples FL 34112, and BAKER SENIOR CENTER
NAPLES,INC.(Subrecipient),a private non-profit organization having its principal office at 6200 Autumn
Oaks Lane,Naples,Florida 34119-8633.
RECITALS
WHEREAS, the COUNTY has entered into an Agreement with the United States Department of
Housing and Urban Development(HUD)for a grant to execute and implement 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); and
WHEREAS, the Board of County Commissioners of Collier County ("Board") approved the
Collier County Consolidated Plan—One-year Action Plan for Federal Fiscal Year 2024-2025 for the CDBG
Program with Resolution 2024-138 on July 23,2024—Agenda Item 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 2024-2025 Annual
[25-GRC-01602/1919705/1]
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
GQ0
16D2
Action Plan,on June 17,2024,with a 30-day Citizen Comment period from July 3,2024 to August 3,2024;
and
WHEREAS,the SUBRECIPIENT has submitted a proposal for participation in the Collier County
CDBG program; and
WHEREAS, the County and Subrecipient wish to set forth the responsibilities and obligations of
each in undertaking the CDBG project — (PS24-04) Aging in Place with Dignity: Case Management
Services for Older Adults.
WHEREAS, on September 10, 2024, Agenda Item 16.D.3, the COUNTY entered into an
Agreement (the "Agreement") with SUBRECIPIENT which set forth the responsibilities and obligations
of each in undertaking the CDBG project— (PS24-04) Aging in Place with Dignity: Case Management
Services for Older Adults; and
WHEREAS,the parties wish to amend the agreement, incorporated herein by reference,to
include the language as stated below.
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.
1. Sections 1.1 and 1.2 are hereby amended as follows:
Words Struck Through are deleted; Words Underlined are added.
PART I
SCOPE OF WORK
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: Aging in Place with Dignity: Case Management Services for Older Adults
Description of project and outcome: CHS, as an administrator of the CDBG program, will make
available CDBG FY 2024-2025 funds up to the gross amount of$55,000.00 to Baker Senior Center
Naples, Inc. to be used to support the salary for one (1) geriatric case manager and the necessary
supplies and equipment to support low-to moderate-income adults. Activities may include but are
not limited to conducting intake assessments, assessing an individual's needs, developing
short/long-term comprehensive customized care plans, addressing emotional concerns such as
stress and anxieties, making home visits to evaluate living conditions, assisting with emergency
[25-GRC-01602/1919705/11 •
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
GPO
16D2
financial needs to prevent eviction/homelessness/unhealthy living conditions, and other vital
activities to support aging in place.
Project Component One: Salary for one(1) geriatric case
manager to support low-to moderate-income adults.
Project Component Two: Supplies to include but not limited to laptops,software/member fees,cell
phone and cell phone service, to support the geriatric case manager.
1.1 GRANT SPECIAL CONDITIONS
A. SUBRECIPIENT must submit the following resolutions and policies to the COUNTY
within sixty(60)days of execution of this Agreement:
• Affirmative Fair Housing Policy
• Affirmative Action/Equal Opportunity Policy
• Conflict of Interest Policy(COI)and related COI Forms
❑ Procurement Policy
❑ Uniform Relocation Act(URA)Policy
• Sexual Harassment Policy
❑ Section 3 Policy
• Section 504/ADA Policy
• Fraud, Waste,and Abuse Policy
• Language Assistance and Planning Policy(LAP)
• Limited English Proficiency Policy(LEP)
• Violence Against Women Act(VAWA)Policy
• LGBTQ Policy
* * * * * * * * * * * * *
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component 4-One: CDBG funds will be usod to support the sSalary for one $55,000.00
(1)geriatric case manager to support low-to moderate-income adults. $46,695.00
an individual's needs, developing short/long term comprehensive customized care
plans,addressing emotional concerns such as stress and anxieties,making home visits
to evaluate living conditions, assisting with emergency financial needs to prevent
[25-GRC-01602/1919705/1,
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
GPO
16D2
eviction/homelessness/unhealthy living conditions, and other vital activities to
Gupport aging in place.
Project Component Two: Supplies, to include but not limited to: laptops, $8,305.00
software/member fees,cell phone and cell phone service,to support the geriatric case
manager.
Total Federal Funds: $55,000.00
* * * * * * * * * * * * *
C. Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Insurance Exhibit A-Insurance Certificate Within 30 days of Agreement
execution and annually within
thirty(30)days of renewal.
Special Grant Condition Policies Policies as stated in this Within sixty(60)days of
(Section 1.1) Agreement Agreement execution.
Detailed Project Schedule Not Applicable Not Applicable.
Project Plans and Specifications Not Applicable Not Applicable.
Procurement Documents(Bid Not Applicable Not Applicable.
Packet) *
Subcontractor Log Not Applicable Not Applicable.
Quarterly Progress Report Exhibit C Quarterly,within 10 days following
the end of the quarter.
Fair Housing Calls Report Fair Housing Call Log Quarterly,within 10 days following
the end of the quarter.
Section 3 Report Not Applicable Not Applicable.
Complaint Logs EEO,AA and Incident Log Quarterly,within 10 days following
the end of the quarter.
Leverage Funds Report Exhibit C-1 Due upon submission of the final
pay request in Neighborly
Davis-Bacon Act Certified Not Applicable Not Applicable.
Payroll
Annual Audit Monitoring Exhibit E Annually,within 60 days after FY
Report end.
Financial and Compliance Audit Audit,Management Letter, and Annually:nine(9)months after FY
Supporting Documentation end for Single Audit OR one
hundred eighty(180)days after FY
end.
Continued Use Certification Not Applicable Not Applicable. Annually through
2030
Capital Needs Assessment Plan Not Applicable Not Applicable.
Program Income Reuse Plan Not Applicable Not Applicable.
[25-GRC-01602/1919705/1]
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
P�
G
161) 2
Equipment Tracking Form Exhibit F Annually,for five(5)years
throughout the continued use
period.
D.Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 4-One: CDBG Submission of supporting documents Submission of
funds will be used to support the must be provided as backup,as evidenced monthly payment
salary for one(1)geriatric case by timecards,payroll registers/summary, requests due within-30
manager to support low-to canceled checks or banking documents, days after ef-the prior
moderate-income adults. Exhibit B,and any other additional month.
documentation as requested.
10%retainage will be withheld with each
request for payment and will be released
upon completion of activities and final
closeout monitoring.
Project Component Two: Submission of supporting documents Submission of
Supplies to include but not must be provided as backup,as evidenced monthly payment
limited to laptops, by invoices,receipts. canceled checks or requests due 30 days
software/member fees,cell phone banking documents,Exhibit B,and any after the prior month.
and cell phone service,to support other additional documentation as
the geriatric case manager. requested.
10%retainage will be withheld with each
request for payment and will be released
upon completion of activities and final
closeout monitoring.
Final 10 percent retainage will be paid upon completion of final monitoring clearance and documentation
of meeting the National Objective. SUBRECIPIENT'S failure to achieve the National Objective will
require repayment of the CDBG investment under this Agreement.
* * * * * * * * * * * * *
2. Exhibit F is hereby amended as set forth in Exhibit F attached hereto and incorporated herein.
3. Except as set forth herein,the Agreement remains in full force and effect.
Remainder of Page Intentionally Left Blank
(Signature Page to Follow)
[25-GRC-01602/1919705/1]
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
GP0
16D2
IN WITNESS WHEREOF,the SUBRECIPIENT and COUNTY,have each respectively,by an authorized
person or agent,hereunder set their hands and seals on the date first written above.
ATTEST: AS TO COUNTY:
CRYSTAL K. K EL,CLERK
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY,FLORIDA
, Deputy Clerk
Attest as t airman's By: dirt
sign-+ re only _ : - B R SAUNDE S, CHAIRPERSON
Dated: AO 1t ..Zig
-- (SAAL) Date: ft4412 • 11 T'i I Zf ? 5
WITNESSES:
AS TO SUBRECIPIENT:
_ O r \' BAKER SENIOR CENTER NAPLES,INC.
Witness 1 Signature
--"4/ 37\ /77 (,-1-15y‘,..)
C1 ss#1 Printed Name By:
("..--- .2—C--..\_) c_ c......_ DR. J F T/CEO
itness#2 Signature Date: 2---)._ 2(32 j
�~ :-V,2_\--%
Pleaseprovide evidence ofsigning authority]
Witness#2 Printed Name g
Ap ro ed a to n nd legality:
Derek D. Perry \�\�.
Assistant County Attorney ✓�,
Date: MAI • f TK 1 2_6 Z'-I •
[25-GRC-01602/1919705/1]
BAKER SENIOR CENTER NAPLES,INC. AMENDMENT#1
PS24-04
Aging in Place with Dignity:Case Management Services for Older Adults
GPO
16D2
EXHIBIT F
Collier County Inventory Form
Subrecipient Name:
Subrecipient Address:
Project Name:
Project Number
Date:
Ac uisition %.Federal Serial Nubmar or A Expected Date of
Grant FAIN Name of Title Holder 5 Cost location Use Condition Description of item nto Date of Disposition(if Sale Price Status
Dee funding other ID IventoryM Retirement applicable)
(It applicable)