Backup Documents 05/13/2025 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 5.13.25 BCC MTG
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. Carolyn Noble Community and Human CN 4.23.25
Services
2. County Attorney Office— County Attorney Office �/
3. BCC Office Board of County �A'i sl 3
"/
Commissioners C)) 4, 4 3
4. Minutes and Records Clerk of Court's Office f � 106
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 info ation.
Name of Primary Staff Carolyn Noble Phone Number 239-450-5186
Contact/ Department
Agenda Date Item was 5.13.25 BCC Mtg Agenda Item Number 16.D.4.
Approved by the BCC
Type of Document 3 CCSO AMENDMENT#2 Number of Original 3 DOCUMENTS
Attached 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 original signature STAMP OK CN
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 N/A
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 YES
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 IYry,r,y 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 /4/. an option for
Chairman's signature. this line.
1 6D 4
CFSA Name: Opioid Settlement Fund
CFSA#: 60.355
OPIOID Settlement: FY 2024-2028
Agreement#: 2024-03 CCSO Opioid
Activity: Opioid Abatement Settlement_
CONTRACTOR: Collier County
Sheriff's Office
Total Award Amount: $ ,080:00
$3,150,000.00
UEI #: JDQEQ2KWN966
FEIN: 59-6000561
Period of Performance: 05/01/2024-
9/30/2028
Fiscal Year End: 9/30
Monitoring End: 12/2028
SECOND AMENDMENT TO AGREEMENT BETWEEN
COLLIER COUNTY
AND
COLLIER COUNTY SHERIFF'S OFFICE
Opioid Settlement Funds
This Amendment,is made and entered into this 13 day of nu
2025, by and between Collier County, a political subdivision of the State of Florida,
("COUNTY")having its principal address as 3339 Tamiami Trail East,Naples, FL 34112,and the
COLLIER COUNTY SHERIFF'S OFFICE ("SUBRECIPIENT"), authorized to do business under
the laws of the State of Florida, having its principal office at 3319 Tamiami Trail East, Naples,
Florida 34112.
WHEREAS, on June 22, 2021 (Agenda Item #16.K.8) meeting, the Board of County
Commissioners (Board) approved Resolution No. 2021-136 supporting the terms and conditions
of the Memorandum of Understanding(MOU)provided by the Office of Attorney General, which
set forth a framework of a unified plan for the proposed allocation and allowable uses of Settlement
Funds to mitigate the harmful effects of the opioid epidemic (the "Florida Plan"). Resolution No.
2021-136 further authorized the County to execute formal agreements to implement the Florida
Plan.
WHEREAS, on April 11, 2023, the Board approved the initial City/County allocation in
the amount of$289,151.06 (Agenda Item # 16.D.5) and the Regional Abatement fund allotment
in the amount of$2,628,842.15 on June 13, 2023, (Agenda Item #16.D.3). On June 25, 2024, the
Board approved its second year allocation(Agenda Item#16.D.7), in the amount $633,277.95 for
City/County and $1,241,219.04 for Regional Abatement received on January 1, 2024 and
recognized and interest payment of$1,310.30 for Regional Abatement received on April 24,2024.
1
Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement
CA
16D4
A request for approval of Year 3 allocations of Opioid Settlement Funds in the amount of
$1,942,240.64 ($399,277.79 City/County and $1,542,962.85 Regional Abatement) and the
necessary Budget Amendment is being presented to the Board on April 22, 2025.
RECITALS
WHEREAS, on November 12, 2024, Agenda Item #16.D.6, the COUNTY and
SUBRECIPIENT entered into an agreement for SUBRECIPIENT to provide opioid and substance
abuse treatment, and other related programs and services to assist in alleviating the impacts of the opioid
crisis as listed on Exhibit B,with priority given to Schedule A(CORE Strategies),attached and incorporated
herein by reference.
WHEREAS, on February 25, 2025, Agenda Item #16.D.2, the Board approved
Amendment#1 to update language and funding amounts.
WHEREAS,the Parties desire to amend the Agreement to update payment deliverables to
reflect a revised subcontractor agreement for MAT services,add component#4:outreach activities
(Laced & Lethal), add funding for component#4 in the amount of$300,000, and update language
in payment deliverables supporting documentation and exhibits D and E.
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 modify the Agreement as follows:
Words Struckough are deleted; Words Underlined are added.
Project Name: Opioid Settlement Funds
Description of project and outcome: To provide opioid and substance abuse treatment,and
other related programs and services to assist in alleviating the impacts of the opioid crisis
as listed on Exhibit B, with priority given to Schedule A (CORE Strategies), attached and
incorporated herein by reference.
Project Component One: Medication/Pharmacy Supplies in Support of MAT (Schedule
A, Section F)
Project Component Two: 1 Contracted FTE Registered Nurse(RN)and 1 Contracted FTE
Advanced Registered Nurse Practitioner(ARNP) (Schedule A, Section F).
Project Component Three: Supplies and Equipment(Schedule A, Section F).
Project Component Four: Outreach Activity — Laced & Lethal: public service media
campaign(Schedule B, Section G).
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Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement CAO
16D4
1.3 PROJECT DETAILS
A. Project Description/Budget
Description Years 1 & 2 Year 3 Year 4 Year 5 TOTAL
FY's 23/24 FY 25/26* FY 26/27* FY 27/28* AMOUNT
and 24/25 contingent contingent contingent AWARDED*
upon-allocation upon allocation upon allocation contingent
ability availability availability upon
allocation
availability
Project Component I: Medication $822,000 $272,000 $535,000 $440,000
in Support of MAT(Schedule A,
Section F).
Project Component 2: 1 Contracted $323,000 $323,000 $60,000 $55,000
FTE Registered Nurse(RN) and I
Contracted FTE Advanced
Registered Nurse Practitioner
(ARNP)(Schedule A, Section F),
Project Component 3: Supplies and $ 5,000 $ 5,000 $ 5,000 $ 5,000
Equipment(Schedule A, Section F)
Project Component 4: Outreach $140,000 $50,000 $50,000 $60,000
Activity: Laced & Lethal-public
service media campaign (Schedule
B, Section G) .
Total Regional Abatement Opioid $1,150,000.00 $600,000.00 $600,000.00 $500,000.00
Funds $1,290,000.00 $650,000.00 $650,000.00 $560,000.00 ; $3,150,000.00
D. Payment Deliverables for the period retroactive to May I,2024—September 30.2024
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 1: Submission of Exhibit D along with proof of Monthly invoices due by the
Medication/Pharmacy Supplies in submission of DCF 837 file, or acceptable 30'' of the month following
Support of MAT(Schedule A, DCF document, invoices, cancelled checks month of service
Section F). and/or bank statements and any other
additional documentation as requested.
Project Component 2: 1 Contracted Submission of Exhibit D along with Monthly invoices due by the
FTE Registered Nurse(RN) and 1 timesheets, payroll documentation, proof of 3011' of the month following
Contracted FTE Advanced submission of DCF 837 file, or acceptable month of service
Registered Nurse Practitioner DCF document, invoices, cancelled checks
(ARNP)(Schedule A, Section F) and/or bank statements and any other
additional documentation as requested
Project Component 3: Supplies and Submission of Exhibit D along with proof of Monthly invoices due by the
Equipment(Schedule A, Section F) submission of DCF 837 file, (or acceptable 30`1' of the month following
DCF document), invoices, cancelled checks month of service
and/or bank statements and any other
additional documentation as requested
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Collier County Sheriff's Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement CAO
16D4
D. Payment Deliverables for the period retroactive to October 1,2024—September 30, 2026
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component I: Submission of Exhibit D along with proof of Monthly invoices due by the
Medication/Pharmacy Supplies in submission of DCF 837 file, or acceptable 30th of the month following
Support of MAT(Schedule A, DCF document, invoices, cancelled checks month of service
Section F). and/or bank statements and any other
additional documentation as requested.
Project Component 2: I Contracted Submission of Exhibit D along with Monthly invoices due by the
FTE Registered Nurse(RN)and 1 time5hccts, payroll documentation, proof of 30'h of the month following
Contracted FTE Advanced submission of DCF 837 file, or acceptable month of service
Registered Nurse Practitioner DCF document, invoices, cancelled checks
(ARNP)(Schedule A, Section F) and/or bank statements and any other
additional documentation as requested
Project Component 3: Supplies and Submission of Exhibit D along with proofof Monthly invoices due by the
Equipment(Schedule A, Section F) submission of DCF 837 file,(or acceptable 30th of the month following
DCF nent-},invoices,cancelled checks month of service
and/or bank statements and any other
additional documentation as requested
Project Component 4: Outreach Submission of Exhibit D along with Monthly invoices due by the
Activity: Laced & Lethal—public submission of invoices, cancelled checks 30th of the month following
service media campaign (Schedule and/or bank statements, summary of media month of service
B Section G) buys and any other additional
documentation as requested
1.5 AGREEMENT AMOUNT
The COUNTY agrees to make available
THREE MILLION
ONE HUNDRED FIFTY THOUSAND DOLLARS AND ZERO CENTS
($3,150,000.00),this agreement allows for all costs incurred retroactive to May 1,2024
for use by CONTRACTOR, during the term of the AGREEMENT (hereinafter, shall be
referred to as the Funds).
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Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement
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EXHIBIT D
COLLIER COUNTY COMMUNITY& HUMAN SERVICES
SECTION I: REQUEST FOR PAYMENT
Contractor Name: Collier County Sheriff's Office
Contractor Address: 3319 Tamiami Trail East,Naples, FL 34112
Project Name: Opioid Settlement Funds
Project No: 2024-03 CCSO Opioid Payment Request#
Total Payment Minus Retainage
Period of Availability: 05/01/2024 through 09/30/2028
Period for which the Agency has incurred the indebtedness through
SECTION II: STATUS OF FUNDS
CONTRACTOR 1 CHS Approved
1. Agreement Amount Awarded $?858900.00 $2,850,000.00
S3.1 50.000.00 $3,150,000.00
2. Total Amount of Previous Requests $ $
3. Amount of Today's Request(Net of Retainage, if $ $
applicable)
4. Current Agreement Balance (Initial Agreement $ $
Amount Award request)(includes Retainage)
By signing this report, 1 certify to the best of my knowledge and belief that this request for payment is true,complete
and accurate, and the expenditures, disbursements and cash receipts are for the purposes and objectives set forth in
the term and conditions of the State award. 1 am aware that any false, fictitious, or fraudulent information, or the
omission of any material fact,may subject me to criminal,civil,or administrative penalties for fraud,false statements,
false claims or otherwise(U.S.Code Title 18, Section 1001 and Title 31, Sections 3729-3730 and 3801-3812;and/or
Title VI, Chapter 68, Sections 68.081-083, and Title XLVI Chapter 837, Section 837-06) or Florida Statutes, Title
XLVI, 817.155.
Signature Date
Title
5
Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement
16D4
EXHIBIT E
QUARTERLY PROGRESS REPORT
Subrecipient Name: Collier County Sheriff's Office
Report Period:
Fiscal Year:
Project Number:
Organization:
Project:
Contact Name:
Contact Number:
DESCRIPTION QUARTER QUARTER QUARTER QUARTER CUMULATIVE YEARLY
1 2 3 4 TOTAL TARGET *
Total Number of 40
Inmates Starting MAT
Program (NEW)
MAT Services - # of
inmates receiving
Vivitrol (injectable)
MAT Services- #of
inmates receiving
Sublocade(injectable)
MAT Services -# of
inmates receiving
Brixadi (injectable)
Other MAT
Medication services
not specified above
(this number includes
those inmates started
on induction phase;
but not yet on
injectable)
Total Number of I 40
Inmates continued on
the MAT Program
(this number includes
those who are arrested
while on MAT or those
already in jail on the
MAT Program)
MAT Services - # of
inmates receiving
buprenorphine/
suboxone/subutex
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Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment t12 I' 1
Opioid Settlement a�7
1 -6-:1-4
DESCRIPTION QUARTER QUARTER QUARTER QUARTER CUMULATIVE YEARLY
1 2 3 4 TOTAL TARGET *
MAT Services-# of
inmates receiving
Methadone
MAT Services-#of
inmates receiving
Vivitrol (injectable)
MAT Services-#of
inmates receiving
Sublocade(injectable)
MAT Services-# of
inmates receiving
Brixadi (injectable)
Total Number of 80
Inmates on MAT
(includes New and
Continuations)
Number of Outreach
Activities(media
spots)—Laced &
_Lethal
*These are projections only and are not subject to a reduction in funds should they not be met.
I hereby certify the above information is true and accurate.
Name:
Signature:
Title:
Your typed name here represents your electronic signature
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Collier County Sheriffs Office
2024-03 CCSO Opioid Amendment#2
Opioid Settlement CAA
1 6 D 4
IN WITNESS WHEREOF, the SUBRECIPIENT and the 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 N,LEL, CLERK
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
Deputy Clerk
Attest s to Chairm'an's, By: ,
signature onl B T L. SAUNDERS, CHAIRPERSON
Dated: 56 &2
EA ) Date: 5 1312 5
AS TO SUBRECIPIENT:
WITNES ES:
i eatze...-A
COLLER COUNTY SHERIFF'S OFFICE
Witn ss#1 Signat '1
By. _/m
Arie4 A/2- _ KEVI.a:��� : �i K, SHERIFF
Witness#1 Printed Name
� 0 Date: ,/� /D•- ct "
Witne Sign ture
[Please provide evidence of signing authority]
Witness#2 Printed Name
Approv.; .' t '. IA- • gality
1- 114
Jeffrey f :tzko ")unty Attorney
8
Collier County Sheriff's tee
2024-03 CCSO Opioid Amendment 42
('AC)
Opioid Settlement