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Backup Documents 05/27/2025 Item #11A PresentationCollier County Behavioral Health Center Agreements Recommendation that the Board of County Commissioners review and consider for approval and execution: 1) a Fourth Amendment to Vacant Land Contract with David Lawrence Mental Health Center, Inc., to modify the Collier County Standard Form Long -Term Lease and include an Operating Agreement exhibit governing Behavioral Health Center operations; and 2) an Amendment to the Naming Rights Agreement to clarify use of funds acquired with naming rights. May 27, 2025 Agenda Item 11.A Project Team •* DAVID LAWRENCE -� Co per CoNnty pL(' FOR CELNTENRS HAVIORAL John Dunnuck Executive Director of Facilities and Community Redevelopment Areas Brian Delony, PE Director Facilities Management Claudia Roncoroni, Project Manager Scott Burgess, CEO Nancy Dauphinais, COO Mary Ann Guerra, CCO Prime Consultant Ryan S. Richards, AIA, LEED AP Javier Salazar, AIA Hunton : . • Healthcare Consultant Maurizio Maso, AIA Hernan Rivera, AIA Alex Jordan, AIA �w DEANGELI5 DIAMOND Construction Manager Reggie Morgan, COO, Principal Eric Brackin, CHIC Project Executive John Hagan, Chief Estimator Healthcare Brian Winslett Senior Project Manager Collier County Mental Health and Addiction Ad Hoc Advisory Committee (C-3A BLUE ZONES PROJECT' CPHIRI NMion I Alliance on Mental Illness (now under the auspices of the Collier Coalition for Healthy Minds) t� ccPs � WARRIOR HWMES * DAVID LAWRENCE p �C C EFOR EN �T EHR�S �c HUNGER& HOMELESS aOALIToON NCH j 1%L GREATER • E• NAPLES ~' CHAMBER C� LEE HEALTH Caring People, Inspiring Health. ��� 11?LP 1W ���cam 9l healthcare Ed 0 network COLLIER COMMUNITY FOUNDATION" 1CMS1 �l • •:; :: THE HOUSING ALLIANCE NAPLES SENIOR CENTER �5l sT. MATTHEW'S HOUSE' Project Location Project is located off Golden Gate Pkwy., east of David Lawrence Center and Corpus Christi Chapel (Diocese of Venice in Florida). A 1� Project Site Church L Golden Gate Parkway Existing David Lawrence Center Complex Collier County Behavioral Health Center- Rendering - Exteriors North & West Elevations - Looking Southeast Contract Timeline - Agreement between Collier County & DLC May 25, 2021 BCC app, macs Vacant Land Contract and Agreement to Operate & Lease the Behavioral Health with David Lawrence Centers (DLC) I= April 23, 2023 BCC apti, mvub Second Amendment to Vacant Land Contract • Extend by one year the time the County has to obtain entitlements and SDP approval April 12, 2022 BCC approves First Amendment to Vacant Land Contract • Terminate and release the Long -Term Lease and Operating Agreement and provide that the Lease be executed after closing of the real property. • Extend deadline to acquire entitlements and SDP approval and shift such responsibility to the County. December 10, P411 PZAi BCC approval of Naming Rights May 14, 2024 BCC Approves third Amendment to Vacant Land Contract • Extend by one year the time the County has to obtain entitlements and SDP approval; deadline is June 24, 2025. May 2025 County obtains any remaining permits May 27, 2025 Obtain BCC Approval of 4t" Amendment to Vacant Land Contract, modify Long -Term Lease, provide Exhibit C - CRF Operating Terms, and amend Naming Rights Agreement mmrp'lm Land closing, lease back to DLC and construction commencement • the Fourth Amendment to Vacant Land Contract with David Lawrence Mental Health Center, Inc., to modify the Collier County Standard Form Long -Term Lease and include an Operating Agreement exhibit governing Behavioral Health Center operations; and, an Amendment to the Naming Rights Agreement to clarify use of funds acquired with naming rights. low -E — i' -7 our AL AY • Replaces the previously approved Lease (originally attached as Exhibit A to the Vacant Land Contract) • Name. Clarifies that the Facility will operate as a Central Receiving Facility to be formally known as the "Behavioral Health Center." • Default. Addition of a new term related to the Operating Agreement, stating that failure to comply with the terms of the Operating Agreement shall constitute a Default by Lessee pursuant to the terms of the Lease, unless otherwise specified in the Operating Agreement. • Maintenance. Clarifies that the County shall be responsible for replacement of building systems at the end of their expected useful life, rather than day-to- day maintenance. • Insurance. Adjusts Lessee's insurance requirements upwards pursuant to requirements set forth by the County's Risk Management Department. !�i • Statement of Work. States that the Facility will be used as a central receiving facility for individuals needing evaluation or stabilization under the Baker Act, Marchman Act, or other crisis ` services defined in ss. 394.67(18)-(19), F.S. • Scope of Services. Details the operating hours of the Facility, number of beds, types of services rendered, and compliance with certain existing agreements and guidelines. • Furniture, Fixtures and Equipment. DLC shall be responsible for the purchase and procurement of all furniture, fixtures and equipment for the Facility for the duration of the Lease. This obligation includes any security -video management systems and cameras, artwork, and medical equipment. • Licensure and Accreditation. Ensures that required licensure and accreditation by various agencies are obtained by DLC, with proof provided to the County within 30 days of receipt. Further provides that if DLC loses any such licensure or qualification, DLC must reinstate within 30 days or be in violation of the Operating Agreement. 0 • Collaboration. Allows for continued collaboration between the Parties, wherein DLC may present evidence -based alternatives to the standards in the Operating Agreement every 3 years to account for changes in the ` mental health field. Either party may terminate the Lease if the parties cannot reach an agreement over operational standards after reasonable diligence and negotiation. • Performance Measures and Penalties. Requires that certain performance measures are met as part of DLC's service delivery, and provides for certain penalties for noncompliance and nonperformance, which include submittal of Corrective Action Plan, and scheme for withholding of grant funds for continued non-performance. • Funding. States that Collier County is not responsible for operational funding of the Facility beyond specific state -required local match obligations. If other governmental or philanthropic funding sources fall short, DLC may request deficit funding from the County, which the Board may approve, adjust the level of service, or deny funding. If the Board declines to make adjustments to the level of service and denies funding, either party may terminate the Lease. • Administrative Provisions. Includes various administrative provisions related to qualified staffing, data sharing, data reporting, incident reports, records review, safety and security, signage, and compliance with laws. 0 • Termination. Two termination scenarios: • 1) If after reasonable diligence and good faith negotiation, the Board does not agree to changes to standards in the Operating Agreement based on evidence -based findings presented by DLC on a 3 year basis, either party may terminate the Lease. • 2) If there is a deficit in funding and the Board declines to make adjustments to the level of service and denies funding, either party may terminate the Lease. • Should the Lease be terminated, DLC will have the ability purchase the Facility for the greater of fair market value, established by appraisal, or the tax dollar expenditure by the County for construction of the building, in which case the County will also convey the land back to DLC. DLC must make the decision to purchase the Facility within 6 months of receipt of the Notice of Termination. • DLC's failure to exercise its option to purchase will result in the County retaining both the Facility and the land it sits on. • There is no termination right for failure to meet performance measures. Instead, DLC will be subject to a penalty scheme for noncompliance, which consists of Corrective Action Plans and continued monitoring. If continued noncompliance persists, the Board may withhold certain grant money. • The Lease does not contain any termination rights outside of standard default provisions. Failure to comply with the Operating Agreement, outside of what is otherwise outlined herein, shall be considered a default. Neither party may seek monetary damages for default under the Operating Agreement. 0A 10 • Includes new terms regarding the use of naming rights proceeds and reporting: • Fund the Facility's furniture, fixtures, and equipment • Any excess proceeds generated through naming rights must be used solely for operational expenses for the Facility over the term of the Lease. • Provide for annual reporting of receipts, disbursements and the current balance of funds generated through the naming rights campaign. • Requirement to maintain complete and accurate records to support reporting and make the records available for inspection. 11 Recommendation This project was included as a Surtax Community Priority. If the Board wishes to proceed with the construction of this Facility, the following actions are required: 1) approve and execute a Fourth Amendment to Vacant Land Contract with David Lawrence Mental Health Center, Inc., to modify the Collier County Standard Form Long -Term Lease and include an Operating Agreement exhibit governing Behavioral Health Center operations; and 2) approve and execute an Amendment to the Naming Rights Agreement to clarify use of funds acquired with naming rights. Questions? Collier County Behavioral Health Center CFPUD I 8, PLANNING A. One security officer shall always be present within Tracts 43, 50 and/or 66 of the Golden Gate Parkway Institutional Subdistrict. B. The County shall build a bus shelter within or adjacent to the Golden Gate Parkway Institutional 5u bdistrict. C. Applicant shall cause to be constructed a ten -foot wall along the eastern and northern borders of the Golden Gate Parkway Institutional Subdistrict, subject to the cooperation of the owner of Tract 59, with an additional 6-foot fence or ten -foot wall on the western Subdistrict boundary. D. David Lawrence Center shall create a Security Plan with the Collier County .Sheriff's Office that shall be approved by the Board of County Commissioners. This Security Plan shall also include best practices regarding security cameras. E. Transportation shall be offered to every client being discharged and best reasonable efforts made to ensure clients are brought to an off -site location, F. David Lawrence Central shall hold monthly open meetings with the neighborhood. The date, time and location of the meetings shall be posted on the David Lawrence Center website. PUDZ-PL20220002221 Golden Gate Parkway Institutional District 14 DLC/BHSC Bed Count Summary AFTER new Facility is Built JUN E 2023 VERSION ` 0 45 45 ADULT CSU MEDICARE INPATIENT 0 15 15 ACUTE IN PATIENT _0 15 15 ADULT ESAC 12 12 CHILMU 1$ 0 15 CHILD ESAO 3 a 3 D E70N 15 0 0 15 FU7URECAPACITY 30 30 TOTAILEEDS 63 87 ISO Source: DLC April25, 2025 R new Facility is Built L 2025 VERSION ADULT CSUTAD DICTION RECEIVINGIDETOX 0 45 45 M ED I CARE INPATI E NI ACUTE INPATIENT ADULT ESAC 0 0 0 15 15 12 15 15 12 CHILI] CSU 30 0 6 j 0 6 0 30 6S o CH1.ILD E$AC DET SUD TREATMENT BEDS (RES IVIPHP and CRO35ROADS) 42 0 42 __ TOTAL REDS 78 165 _. 15 DLC/CRF Pro Forma Summary IDLC/CRF Pro-Fornia Suniniary FY25 FY26 FY27 (1) FY28 FY29 FY30 FY31 FY32 STATE SAMH FUNDING 4,473,732 4,607,944 4,154,024 4,700,.564 4,747,569 4,79.5,045 4,842,995 4,891,425 OTHER GOVT. FUNDING 2,211,898 1,808,551 2,347,197 2,347,187 2,347,197 2,19.5,187 2,19.5,187 2,19.5,197 ALL OTHER REVENUES 3,848,974 5,274,178 8,310,320 8,443,806 8,579,961 8,718,840 8,860,497 9,004,985 TOTAL FUNDING 10,534,504 11,590,683 1.5,311,530 15,491,.555 15,674,717 1.5,709,072 1.5,898,579 15,091,.599 7% 11% 31 1% 1 0% 1% 1% PERSONNEL EXPENSES 7,598, 13 9,042,099 11,09.5,085 11,315,985 11,543,326 11,774,193 12,009,676 12,249,870 OPERATING EXPENSES 1,420,1357 1,43.5,157 2,055,321 2,106,529 2,148,760 2,191,73.5 2,235,570 2,280,281 DISTRIBUTED INDIRECT COSTS 2,353,925 2,401,004 2,881,204 2,938,828 2,%7,505 3,057,5.57 3,118,708 3,181,092 TOTAL OPERATING EXPENSES 11,473,341 11,878,2.59 15,041,510 15,352,442 16,589,691 17,023,485 17,363,955 17,711,234 9 4% 3.5 a 2 2 2 2 a 2% OperatianaIIncorne/([deficit) 1 (938,837)1 (187,576; 1 730,030" 1 (570,8 ) (1,014,974) (1,314,413; 1,465,276 1,619,635) DLC Pro Forma May 7, 2025 Potential Additional Funding Sources identified by DLC Potential Additional Revenue Sources FY27 Enhanced LIP Potential via CCSO solution 7931.193 DIDID Hospital Program Revenue 2,50,000 Flaming Rights Fundraising for CRF Operations 2,50,000 Potential Community Partner Contributions and/or Grants to CRF (Hospitals, Bus-nesses, Rr ivate/Cora m u n ity Fou n d at- o n s, etc.) 100,000 Tota I P ote nti a I Ad d iti o n a I Rene n u e: 1, 393,193 Based on the DLC pro forma dated May 7, 2025 17 • The County is responsible only for capital replacement of major building systems, such as the roof, HVAC, electrical systems, and facility utilities, once they reach the end of their expected useful life. These assets are anticipated to have lifespans ranging from 10 to 40 years, requiring an annual capital reserve of approximately CountyFiscal$460,000. • For FY 2025 the Board has committed approximately $3.054 pp Y act million to support DLC operations. The sources include $1,719,500 1 m p from the General Fund, $522,000 from Opioid Settlement Funds, and $812,800 from SURF grant funding. SURF funds will not be available after FY25. (County support for CRF & non-CRF services net of SURF funding is approx. $2.2M) • FY25 General Fund funding ($1,719,500) includes $303,999, which was identified as non -recurring at the time of approval. The DLC pro forma includes this funding in future years. • On May 7, 2025, the David Lawrence Center (DLC) submitted a financial pro forma for Central Receiving Facility (CRF) operations covering FY25 through FY32. • The pro forma identifies several new revenue sources of approx. $1.4M per year. Sources include enhanced Low Income Pool (LIP) DLCPro funding through partnerships with the Sheriff's Office, hospital Direct Payment Program, naming rights proceeds, and contributions Formafrom community partners. • After including these funding sources, the CRF pro forma projects an operating deficit of approximately $730,100 in FY27, coinciding with the Facility's phased opening. Over the next five years the annual deficit is projected to grow to $1,619,600. 19 • Collier County is not responsible for operational costs beyond specific state -required local match obligations. • If funding sources fall short, DLC may request additional Facility fundin from the Count . g y Funding • The Board may approve, adjust the level of service, or deny Shortfalls funding. • If the Board declines to adjust the level of service and denies funding, either party may terminate the Lease. 20 FY 2025 County Funding for David Lawrence Mental Health Center Funding Source FY 2025 Total Gen Fund $ 1,71%500 Opioid Funding $ 522,000 SLFRF $ 8129800 Tota 1 $ 390549300 DLC/CRF Ongoing County Funding in DLC Proforma DLCJCRF Pro -Forma - County Funding Summary County Funding for DLC 2025 2026 2027 2028 2029 2030 Opioid Settlement - Local Government Line 516,570 522,023 522,023 522,023 522,023 522,023 State Mandated - Recurring 1,415,500 1,415,500 1,457,965 1,457,965 1,457,965 1,457,965 State Mandated - Non -Recurring 1 303,999 1 303,999 1 303,999 1 303,999 1 303,999 1 303,999 Total County Funding 2,236,069 2,241,522 2,283,987 2,283,987 2,283,987 2,283,937 DLCiCRF Funding Distribution 2025 2026 2027 2028 2029 2030 CRF Funding (3) 946,085 948,811 1,272,499 1,272,499 1,272,499 1,120,500 Non-CRF Funding 1,289,985 1,292,711 1,011,488 1,011,488 1,011,488 1,163,488 Total County Funding 2,236,069 2,241,522 2,283,987 2,283,987 2,283,987 2,283,987 Based on the DLC pro forma dated May 7, 2025, which assumes continuation of $309,999 in non -recurring funding. 22 October 26, 2021 Design Services Solicitation Ranking is approved by the Board LI Project Timeline (1 of2) March 3, 2022 March 14, 2023 Design Services CMAR Contract is awarded to Preconstruction on RG Architects November 9, 2021 CMAR Solicitation Ranking is approved by the Board Services agreement is approved by the Board Em March 15, 2022 NTP to RG Architects is issued April 7, 2023 NTP For Preconstruction June 27, 2023 BCC approves 87 Beds and a $43.9M estimated construction cost Services is issued to DeAngelis Diamond March 12, 2024 BCC Project update: proceed with design for 87 beds with a revised estimated construction cost of $49.9M Project Timeline (2of2) September 2024 November 14, 2024 Construction Surtax Committee Documents (90%) review is underway, permits are submitted, and Addenda are August 28, 2024 Construction Documents Package (90%) is shared with main stakeholders issued Meeting for funding validation September/October 2024 Permits comments are issued, drawings are finalized (100%), project is priced and GMP is developed December 10, 2024: BCC Project update November 2024: CM delivers GMP CM Pre - Construction phase ends. January 14, 2025: BCC approval of GMP for site and building (87 beds) Collier County Behavioral Health Center- Patient Safety Risk Assessment Plan 0 z z LEVEL IA PATIENT SAFETY RISK ASSESSMENT LEVEL II LEVELIVA LEVELIVB LEVEL IA LEVEL IE LEVEL IA tt OBSERVATION PERIODIC OBSERVATION COMPLETELY ALONE OPPORTUNITY FOR SELF -HARM (PRIVACY) LEVELVA LEVEL VB THESE ARE AREAS WHERE PATIENTS ARE NOT ALLOWED, SUCH AS STAFF AND SERVICE AREAS AND THE NURSE STATION OR PATIENT LAUNDRY ROOM. LEVELIB THESE ARE AREAS WHERE PATIENTS ARE UNDER CONSTANT SUPERVISION OR WHERE PATIENTS ARE ESCORTED UNDER DIRECT SUPERVISION. LEVEL II AREAS WHERE PATIENTS ARE HIGHLY SUPERVISED AND LEFT ALONE FOR ONLY VERY SHORT PERIODS. NOALCOVES OR BLIND SPOTS. SUITABLE FOR ACTIVITY ROOMS USED ONLY WITH STAFF PRESENT, SUCH AS ACTIVITY THERAPY ROOMS AND GROUP ROOMS. LEVEL III AREAS WHERE PATIENTS MAY SPEND TIME WITH MINIMAL SUPERVISION. TELEVISION VIEWING ROOMS AND OTHER INFORMAL NON -STRUCTURED ACTIVITY SPACES LIKE LOUNGES AND DAY ROOMS, LEVEL IVA AREAS WHERE PATIENTS SPEND A GREAT DEAL OF TIME ALONE WITH MINIMAL OR NO SUPERVISION, SUCH AS PATIENT ROOMS (SEMI -PRIVATE AND PRIVATE). LEVEL IVB LEVELIB LEVELIII AREAS WHERE PATIENTS SPEND A GREAT DEAL OF TIME ALONE WITH MINIMAL OR NO SUPERVISION, SUCH AS PATIENT TOILETS. .a.::;:a LEVEL VA AREAS WHERE STAFF INTERACT WITH NEWLY ADMITTED PATIENTS WHO PRESENT UNKNOWN RISKS OR WHERE PATIENTS MAY BE IN HIGHLY AGITATED CONDITION CREATE UNIQUE ISSUES THAT FALL OUTSIDE THE RANGES DESCRIBED IN LEVELS I THROUGH IV AND REQUIRE SPECIAL CONSIDERATIONS FOR THE SAFETY OF BOTH PATIENTS AND STAFF. SUCH AREAS INCLUDE EXAMINATION ROOMS AND ADMISSION ROOMS. LEVEL VB AREAS WHERE STAFF INTERACT WITH NEWLY ADMITTED PATIENTS WHO PRESENT UNKNOWN RISKS OR WHERE PATIENTS MAY BE IN HIGHLY AGITATED CONDITION CREATE UNIQUE ISSUES THAT FALL OUTSIDE THE RANGES DESCRIBED IN LEVELS 1 THROUGH IV AND REQUIRE SPECIAL CONSIDERATIONS FOR THE SAFETY OF B07H PATIENTS AND STAFF. SUCH AREAS INCLUDE SECLUSION ROOMS. Al I PATIENT SAFETY MSK ASSESSMENT -OVERALL LEVEL VB -ENT BAFEtt RISK LEGEND ■ LEVEL N ❑ LEVELIB ❑LEVEL ➢ ❑ LEVEL III ❑ LEVEL NA ■LEVELIVB ❑LEVELVA LEVELVS DLOL &WfffA_�S �CdITerCouTrty COLLIER COUNTY BEHAVIORAL HEALTH CENTER Collier County Behavioral Health Center- Rendering - Exteriors South & West Elevations - along Golden Gate Pkwy looking east �i L' s- i' RG 8rady� � r Z•" Y _ ra _ r= I _ tar 4t �M JA �E A Collier County Behavioral Health Center- Rendering - Exteriors North & West Elevations - Looking Southeast mar Collier County Behavioral Health Center- Rendering - Exteriors South & East Elevations - Along Golden Gate Pkwy Looking North Collier County Behavioral Health Center- Rendering - Exteriors South & West Elevations - along Golden Gate Pkwy looking east Collier County Behavioral Health Center- Rendering - Exteriors Main Exterior Entrance - west elevation F F- r. Y1���' Collier County Behavioral Health Center- Rendering - Exteriors lie in F m;j O West Elevation EXTERIOR PAINT COLOR EXTERIOR PAINT COLOR EXTERIOR PAINT COLOR SW7570-EGRET WHITE SW7045- INTELLECTUAL GRAY SW7046-ANONYMOUS ■O on ■■ .. .. ...�� oil EXTERIOR PAINT COLOR - ACCENT SW 6465 - SPEARMINT ® Huntons FY 2025 County Funding for David Lawrence Mental Health Center FY 2025 Total CRF NON-CRF Funding Source $ 11719,500 $ 11139,800 $ 579,700 Gen Fund Funding $ 5229000 $ 522,000 Opioid Funding $ 812,800 $ 5509000 $ 2629800 SURF $ 390549300 $ 292119800 $ 8429500 Ed Morton - Comments DLC Chairman of the Board Scope of Services a. The CRF will be open 24 hours a day, seven days a week; b. David Lawrence shall provide 87 beds, comprised of (but subject to reallocation depending on client demand and as approved by the County Manager or his/her designee): i. 45 dually licensed Baker Act and Marchman Act Crisis Stabilization beds; ii. 30 licensed psychiatric hospital beds capable of serving Medicare patients; and iii. 12 Emergency Behavioral Health Assessment Center (ESAC) observation beds Scope of Services (cont'd) c. The CRF will act as a single drop-off location for law enforcement for individuals in need or in crisis, including those who require the use of the Florida Mental Health Act (Baker Act) and Substance Use Crisis Services (Marchman Act); d. Receive individuals on voluntary and walk-in basis for crisis care and emergency behavioral health services; e. Make available initial crisis assessments, triage, and related services; f. Follow the MOU/ Transportation Plan entered into between DLC and the Collier County Sheriffs Office on June 27, 2023, as may be updated or renewed from time to time; and g. Comply withal[ applicable Department of Children and Families (DCF) evidence -based guidelines, as the same may be amended from time to time. Annual Performance Measures a. 100% of persons who walk into the CRF requesting screening services shall be screened as soon as practicable, but shall not exceed 24 hours; b. 100% of persons brought into the CRF involuntarily by law enforcement under Baker Act will be evaluated. Appropriate admission to the CRF or other Crisis Stabilization Unit/Inpatient units will be provided upon evaluation and determination by DLC staff that is medically required; c. 100% of persons brought in involuntarily under the Marchman Act will be evaluated. Appropriate admission to the CRF or other Crisis Stabilization Unit/ Inpatient units will be provided upon evaluation and determination by David Lawrence staff that admission is medically required; d. A minimum of 95% of persons determined by the assessment process to need outpatient services will be offered an appointment with an appropriate provider within seven (7) business days of the assessment; Annual Performance Measures (cont'd) e. A minimum of 80% of persons referred to outpatient services who provide correct contact information but do not present for their scheduled appointment will receive afollow-up outreach attempt within seventy-two (72) business hours following the scheduled appointment, and offered 1 alternative appointment; f. 90% of clients are provided with a client satisfaction questionnaire at discharge; g. No more than 40% CSU and Addiction Receiving Facility readmissions within thirty (30) calendar days for customers referred internally for post CSU discharge services; h. Drop-off processing time by law enforcement officers for admission to crisis services are maintained at an average of the greater of (i) no more than 15 minutes or (ii) as established by DCF from time to time; and i. The total number of admissions annually is at least 500 admissions. PUD Commitments 8. PLANNING A. One security officer shall always be present within Tracts 43, 50 and/or 66 of the Golden Gate Parkway Institutional Subdistrict. B. The County shall build a bus shelter within or adjacent to the Golden Gate Parkway Institutional Subdistrict. C. Applicant shall cause to be constructed a ten -foot wall along the eastern and northern borders of the Golden Gate Parkway Institutional Subdistrict, subject to the cooperation of the owner of Tract 59, with an additional 6-foot fence or ten -foot wall on the western Subdistrict boundary. D. David Lawrence Center shall create a Security Plan with the Collier County Sheriff's Office that shall be approved by the Board of County Commissioners. This Security Plan shall also include best practices regarding security cameras. E. Transportation shall be offered to every client being discharged and best reasonable efforts made to ensure clients are brought to an off -site location. F. David Lawrence Center shall hold monthly open meetings with the neighborhood. The date, time and location of the meetings shall be posted on the David Lawrence Center website. BEFORE new Facility is Built 30 45** ADULT/CHILD CSU** E SAC 3 3 D ETOX 15 15 TOTAL BEDS 48 63 **After Hurricane Ian, DLC was granted atemporary waiver from DCF to operate 15 additional designated Children's CSU beds until completion of the new CRF. AFTER new Facility is Built • • ADULT CSU 0 45 45 MEDICARE INPATIENT 0 15 15 ACUTE INPATIENT 0 15 15 ADULT E SAC 0 12 12 CHILD ESAC/CSU + FUTURE ADULT SUD CAPACITY 78 0 78 TOTAL BEDS 78 87 165 History • June 2021: County approves contract to acquire approximately 5.15 acres of land, at no cost to the county, proximate to DLC's outpatient services for the Behavioral Health Center site • February 2023: PUD approved for Behavioral Health Center to allow up to 102 beds in a one-story building • December 2024: DLC offers and county approves a multi -million dollar opportunity for FF&E and yearly operating costs in Naming Rights Agreement • January 2025: County approves SDP for a 58,416 square feet, 87-bed Behavioral Health Center, including 10' walls on north and east boundaries of property • January 2025: County approves construction contract for 87-bed Behavioral Health Center • Projection for 2027: 102 new beds between the Behavioral Health Center and DLC campus added to county's supply FISCAL PROJECTIONS 4.1.25 Y-e a r e ri-d i ng Y loa r en -ding 3D-Jun-24 30-lurv-25 Total Income (lass) 1 $2,345, 503j Year -ending: 3O-J u ri--2--G (W4r341 M Vasmr imrfdirM 3>3-lkar1--d� 1 $83GrGG1] Ylma r iend i rbg Ye-ar -ending: Y-ear -mrrdi rrg 'fomar imrrd ing Ylmar emnrd ing: 30-lun-2B 3#-J u rr-2-9 30-Jun-30 3O-J un-31 3A3L-1 u rr-2k2 [$2,534,232} t$2r917,HG) [$3, i r318 M (OA91,57z) 1$3,809A3$) 1$4.3-D7,4,64) 5.7.2025 FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 Opt,rationallncuine (933,637) (167,57Gj (73(1,08(1) (870,886) (1,014,974) (1,314,41.3) (1,465,276) (1,619,635) SUPPLY OF NEW MENTAL HEALTH BEDS FOR COLLIER COUNTY �qc EXISTING 63 BEHAVIORAL HEALTH 87 +24 CENTER OPENING DLC BUILD OUT 78 +78 TOTAL 102 new From April 25, 2025 County Staff/DLC meeting AFTER new Facility is Built JUNE 2023 VERSION • • • : • 0010 ADULT CSU 0 45 45 MEDICARE INPATIENT 0 15 15 ACUTE INPATIENT 0 15 15 ADULT ESAC 0 12 12 CHILD CSU 15 0 15 CHILD ESAC 3 0 3 DETOX 15 0 15 FUTURE CAPACITY 30 0 30 TOTAL BEDS 63 87 150 AFTER new Facility is Built APRIL 2025 VERSION • • Variance June 2023 to April 2025 • : • • • ADULT CSU/ADDICTION RECEIVING/DETOX 0 45 45 0 MEDICARE INPATIENT 0 15 15 0 ACUTE INPATIENT 0 15 15 0 ADULT ESAC 0 12 12 0 CHILD CSU 30 0 30 15 CHILD ESAC 6 0 6 3 D ETOX 0 0 0 -15 SUD TREATMENT BEDS (RES IV/PHP and CROSSROADS) 42 0 42 12 TOTAL BEDS1 78 87 165 15 LEASE 9_ Net I-t-ase. T is a fWly aet lease- with IAssee nnpmsible for A costs. fees aad charges conce=g the Prenusm except with rest to Lesser- s obhgatims un&f paragraph 10. Accer&y: Lessee sha1 promptly pay When due and to any de1ifl acy as appEcable. all costs. fen, tomes_ bush removal semcM asses.menN ttility charges., and obligatims of any k i ad that relate to the P`reniis _ Lessee will - and hold LesseThanailess qua mar all J i J J' &% T - M .i T1 i i J .J M OPERATING AGREEMENT FUNDING, David Lawrence shall also seek operational funding from other sources, including, but not limited to, excess proceeds generated bythe Naming Rights Agreement, as applicable, and governmental funding sources such as grants and Medicaid reimbursement, for operation of the CRF. It is understood and agreed by the parties that the projected revenues to operate the CRF include the current levels of Federal, State and Collier County government funding. If sources of revenue for operation of the CRF from the Federal Government, State Government or Collier County are reduced, DLC may submit a request for deficit operational funding of the CRF to the County. The request must be accompanied by correspondence by DLC requesting financial support for operation of the CRF from the participating hospital system(s), municipalities in Collier County, philanthropic organizations which have previously pledged funding commitments for operation of the CRF, and the local school district, and the stakeholder's response, if any, received within 30 days of the date of DLC's correspondence. The County Manager will present the funding request to the Board of County Commissioners as soon as reasonably practical, and the Board of County Commissioners may (1) approve and fund the amount requested, (2) allow for an adjustment to the level of services proportionate to actual revenue until such time as governmental funding resumes to prior levels to enable a full -service operation, or (3) disapprove both the funding request and adjustment in level of service ("Terminatable Event 2"), in which case the provisions of Section 25 of this Agreement shall apply. NAMING RIGHTS AGREEMENT 3, DLC =demmds and agrees that a]I donatiOnS acquired in consideration for naming a spate within the Behavioral Health Ccater shall be restricted specifically for use within the Behavioral Hcaltb Centoir and for no Ot r r son_ Proceeds gcncrated UmQh mamiiig rights shall initi 9L IN be used to ftind the furniture, ture s and �gMyttleiit for the BchaviorR l Hea Its, ni Exce� cd& hrouu h tnarning rights shall be Lmsed soled for D LC `s pp rat -Owl expgnses for h gya-zal HPalth Corit 4�ycr the to= of the L&asc. For clarification, t'L is N 'pig 'Rights Agreement applies mly to the n=ing rLghl & tO th-c Behavioral licalth Center lei [ding and the donati&ns rcccivcd by DLC for such naming rim_ DLC retains the ri , indcpcnd nt of this arcing Rights Agre�emenr and the Echayiurai Health meter' to grmt nam ing rights in other Lawrmor bulildinp and properties and to mcelve donati Gns irk exchange for those H ghm PUD Commitments --EXHIBIT F 1. GENERAL A. One entity (hereinafter the Managing Entity) shall be responsible for PUD monitoring until closeout of the PUD, and this entity shall also be responsible for satisfying all PUD commitments until close-out of the PUD. At the time of this PUD approval, the Managing Entity is Collier County. Should the Managing Entity desire to transfer the monitoring and commitments to a successor entity, then it must provide a copy of a legally binding document that needs to be approved for legal sufficiency by the County Attorney. After such approval, the Managing Entity will be released of their/its obligations upon written approval of the transfer by County staff, and the successor entity shall become the Managing Entity. As Owner and Developer sell off tracts, the Managing Entity shall provide written notice to County that includes an acknowledgement of the commitments required by the PUD by the new owner and the new owner's agreement to comply with the Commitments through the Managing Entity, but the Managing Entity shall not be relieved of its responsibility under this Section. When the PUD is closed -out, then the Managing Entity is no longer responsible for the monitoring and fulfillment of PUD commitments. B. Issuance of a development permit by a county does not in anyway create any rights on the part of the applicant to obtain a permit from a state or federal agency and does not create any liability on the part of the county for issuance of the permit if the applicant fails to obtain requisite approvals or fulfill the obligations imposed by a state or federal agency or undertakes actions that result in a violation of state or federal law." (Section 125.022, FS) C. All other applicable state or federal permits must be obtained before commencement of the development. 2. TRANSPORTATION A. The maximum total daily trip generation for the proposed CFPUD shall not exceed 139 two-way PM peak hour net new trips based on the land use codes in the ITE Trip Generation Manual in effect at the time of application for SDP/SDPA or subdivision plat approval. 3. ENVIRONMENTAL A. The preservation requirement shall be 10% of the existing native vegetation on -site. (4.3-acres of existing native vegetation x 10% = 0.43-acre preserve requirement) B. At time of development review, a Black Bear Management Plan and the Eastern Indigo Snake Protection Precautions will be provided, if necessary. 4. LIGHTING A. Newly installed site lighting shall be Dark Skies compliant to protect neighboring residential properties from direct glare. 5. UTILITIES A. At the time of application for subdivision Plans and Plat (PPL) and/or Site Development Plan (SOP) approval, as the case maybe, offsite improvements and/or upgrades to the water and/or wastewater collection/transmission system maybe required to adequately handle the total estimated peak hour flow from the project. Whether or not such improvements are necessary, and if so, the exact nature of such improvements and/or upgrades shall be determined during PPL or SOP review. Such improvement and/or upgrades as may be necessary shall be permitted and installed at the developer's expense and may be required to be in place prior to issuance of a certificate of occupancy for any portion or phase of the development that triggers the need for such improvements and/or upgrades. PUD Commitments 6. LANDSCAPING A. An enhanced 15' Type 'B' Buffer shall be provided along the northern and eastern PUD boundaries, as depicted in Exhibit F-1. The enhancement shall consist of a single row of canopy trees, which shall be a minimum of 12'-14' in height at time of planting; a single row of understory trees, which shall be a minimum of 8' in height at time of planting and shall be spaced 25' on center (alternating the canopy tree spacing); and a 10' solid wall. 100% of the trees and hedge plantings shall be Located on the external side of the wall, so that the plantings are visible from abutting residential development. B. An enhanced 15' Type 'B' Buffer shall be provided along the southern PUD boundary, as depicted in Exhibit F-2. The enhancement shall consist of a single row of canopy trees, which shall be a minimum of 12'-14' in height at time of planting; and a single row of understory trees, which shall be a minimum of 8' in height at time of planting and shall be spaced 25' on center (alternating the canopy tree spacing). 7. ARCHITECTURAL A. There shall be no windows on the second floor facing the adjacent properties to the north or east. B. The facility shall have an enclosed receiving area for client access. Collier County Behavioral Health Center (CRF) Proforma Source: DLC FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 IA. STATE SAMH FUNDING (1) Central Florida Behavioral Health Network 4,473,732 4,607,944 4,654,024 4,700,564 4,747,569 4,795,045 4,842,996 4,891,426 III. OTHER GOVT. FUNDING (1) Other State Agency Funding - - - - - - - - (2) Medicaid (LIP Only) 715,812 859,750 1,074,687 1,074,687 1,074,687 1,074,687 1,074,687 1,074,687 (3) Local Government - State Mandated and Opioid 946,085 948,811 1,272,499 1,272,499 1,272,499 1,120,500 1,120,500 1,120,500 (4) Federal Grants and Contracts - ARP Only 550,001 - - - - - - - (5) In -kind from local government only - - - - - - - - TOTAL GOVERNMENT FUNDING = 2,211,898 1,808,561 2,347,187 2,347,187 2,347,187 2,195,187 2,195,187 2,195,187 IC. ALL OTHER REVENUES (1) 1 st & 2nd Party Payments (included in 3rd Party) - - - - - - - - (2) 3rd Party Payments (except Medicare) 3,714,237 4,238,159 5,202,930 5,306,989 5,413,129 5,521,391 5,631,819 5,744,456 (3) Medicare - - 1,471,371 1,500,798 1,530,814 1,561,430 1,592,659 1,624,512 (4) Contributions and Donations - - - - - - - - (5) Other 134,637 242,825 242,825 242,825 242,825 242,825 242,825 242,825 (6) Potential Revenue - 793,193 1,393,193 1,393,193 1,393,193 1,393,193 1,393,193 1,393,193 TOTAL ALL OTHER REVENUES = 3,848,874 5,274,178 8,310,320 8,443,806 8,579,961 8,718,840 8,860,497 9,004,986 TOTAL ACTUAL FUNDING = 10,534,504 11,690,683 15,311,530 15,491,556 15,674,717 15,709,072 15,898,679 16,091,599 PART II: ACTUAL EXPENSES EXPENSE CATEGORIES IIA. PERSONNEL EXPENSES (1) Salaries 6,436,245 6,758,058 9,323,601 9,510,073 9,700,274 9,894,280 10,092,165 10,294,008 (2) Fringe Benefits 1,262,214 1,284,031 1,771,484 1,806,914 1,843,052 1,879,913 1,917,511 1,955,862 TOTAL PERSONNEL EXPENSES = 7,698,459 8,042,089 11,095,085 11,316,986 11,543,326 11,774,193 12,009,676 12,249,870 IIB. OTHER EXPENSES (1) Building Occupancy 538,753 544,140 879,587 897,179 915,123 933,425 952,093 971,135 (2) Professional Services 96,883 97,852 98,571 100,542 102,553 104,604 106,696 108,830 (3)Travel 93,005 93,935 141,491 144,321 147,207 150,152 153,155 156,218 (4) Equipment 16,500 16,665 17,367 17,715 18,069 18,431 18,799 19,175 (5) Food Services 245,939 248,399 383,776 391,451 399,280 407,266 415,411 423,720 CRF Projections 5.7.2025-Original Collier County Behavioral Health Center (CRF) Proforma Source: DLC FY25 FY26 FY27 FY28 FY29 FY30 FY31 FY32 (6) Medical and Pharmacy 156,418 157,983 255,501 260,611 265,823 271,140 276,562 282,094 (7) Subcontracted Services - - - - - - - - (8)Insurance 100,753 101,761 106,471 108,600 110,772 112,987 115,247 117,552 (9) Interest Paid - - - - - - - - (10) Operating Supplies & Expenses 172,706 174,433 182,558 186,209 189,933 193,731 197,606 201,558 (11) Donated Items - - - - - - - - (12) Other Expense - - - - - - - - TOTAL OTHER EXPENSES = 1,420,957 1,435,167 2,065,321 2,106,628 2,148,760 2,191,735 2,235,570 2,280,281 TOTAL PERSONNEL & OTHER EXPENSES = 9,119,416 9,477,256 13,160,406 13,423,614 13,692,086 13,965,928 14,245,247 14,530,151 IIC. DISTRIBUTED INDIRECT COSTS (b) Administration TOTAL DISTRIBUTED INDIRECT COSTS = 2,353,925 2,401,004 2,881,204 2,938,828 2,997,605 3,057,557 3,118,708 3,181,082 TOTAL ACTUAL OPERATING EXPENSES = 11,473,341 11,878,259 16,041,610 16,362,442 16,689,691 17,023,485 17,363,955 17,711,234 IID. UNALLOWABLE COSTS - - - - - - - - IIE. CAPITAL EXPENDITURES - - - - - - - - TOTAL ALLOWABLE OPERATING EXPENSES = 11,473,341 11,878,259 16,041,610 16,362,442 16,689,691 17,023,485 17,363,955 17,711,234 Operational Income (938,837) (187,576) (730,080) (870,886) (1,014,974) (1,314,413) (1,465,276) (1,619,635) CRF Projections 5.7.2025-Original