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Agenda 07/08/2025 Item #16D 6 (Third Amendment between the Collier County Sheriff’s Office and Collier County to update language throughout the Agreement as required by the grantor agency)7/8/2025 Item # 16.D.6 ID# 2025-2099 Executive Summary Approve and authorize the Chairman to sign the Third Amendment between the Collier County Sheriff’s Office and Collier County to update language throughout the Agreement as required by the grantor agency. (Fund 1850 and 1852). OBJECTIVE: To ensure the continued use of Florida Opioid Settlement Funds in addressing the opioid epidemic and advancing Collier County's strategic objective of enhancing access to health, wellness, and human services. CONSIDERATIONS: The National Opiate Litigation filed by the State of Florida and various local governments against pharmaceutical companies has resulted in numerous settlements, to be distributed to the State of Florida over multiple years (“Settlement Funds”). At the 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. On November 12, 2024, Agenda Item #16.D.6, the County and the Collier County Sheriff’s Office entered into an agreement to implement a Medication-Assisted Treatment (MAT) program in the County jail. On February 25, 2025, Agenda Item #16.D.2., the Board approved Amendment #1 to update language in the agreement and reallocate funding. On May 13, 2025, Agenda Item #16.D.4, the Board approved Amendment #2 to update payment deliverables, language and Exhibits, add outreach activities, and add funding. Amendment #3 will: • Update/Add language in sections: o Section 1.1 Special conditions: to add requirement for Labor and Trafficking Service o Section 1.3 Project details to add the Conflict of Interest Form and Whistleblower Affidavit o Section 1.5 Agreement amount to clarify budget shifts between line items o Section 2.2 Records and documentation to identify the County’s records custodian o Section 3.9 Agency recognition/sponsorships to include the Department of Children and Families o Section 3.18 Incident reporting: defining what are reportable incidents o Add Section 1.6 Overpayment and offsets o Section 4.13 Add Unauthorized Aliens o General provisions add Sections 4.13, and 4.19-31 o Exhibit A Change to correct name of attachment and add the attachment o Exhibit B add to agreement (left blank originally) o Exhibit E revise language in reporting descriptions Advances Collier County's strategic objective of enhancing access to health, wellness, and human services. FISCAL IMPACT: The recommended actions described in this Executive Summary have no new Fiscal impact. The funding for the purchase agreement associated with this item is budgeted in the Opioid Abatement Grant Fund (1850), Project 44059-Qualified, and Opioid Subsidy Grant Fund (1852) project 44085-City/County. GROWTH MANAGEMENT IMPACT: No Growth Management impact is associated with this item. LEGAL CONSIDERATIONS: This item has been approved in terms of form and legality and requires a majority vote for Board approval. -JAK Page 2432 of 4096 7/8/2025 Item # 16.D.6 ID# 2025-2099 RECOMMENDATIONS: Approve and authorize the Chairman to sign the Third Amendment between the Collier County Sheriff’s Office and Collier County to update language throughout the agreement as required by the grantor agency. (Fund 1850 and 1852). PREPARED BY: Carolyn Noble, Grants Coordinator, Community & Human Services Division. ATTACHMENTS: 1. EXECUTED CCSO Opioid Abatement Agreement 2. EXECUTED CCSO 2024-03 Amendment #1 16D2 3. EXECUTED Amendment #2 CCSO 16D4 4. Amendment 3 Signed by Sheriff Page 2433 of 4096 Page 2434 of 4096 Page 2435 of 4096 Page 2436 of 4096 Page 2437 of 4096 Page 2438 of 4096 Page 2439 of 4096 Page 2440 of 4096 Page 2441 of 4096 Page 2442 of 4096 Page 2443 of 4096 Page 2444 of 4096 Page 2445 of 4096 Page 2446 of 4096 Page 2447 of 4096 Page 2448 of 4096 Page 2449 of 4096 Page 2450 of 4096 Page 2451 of 4096 Page 2452 of 4096 Page 2453 of 4096 Page 2454 of 4096 Page 2455 of 4096 Page 2456 of 4096 Page 2457 of 4096 Page 2458 of 4096 Page 2459 of 4096 Page 2460 of 4096 Page 2461 of 4096 Page 2462 of 4096 Page 2463 of 4096 Page 2464 of 4096 Page 2465 of 4096 Page 2466 of 4096 Page 2467 of 4096 Page 2468 of 4096 Page 2469 of 4096 Page 2470 of 4096 Page 2471 of 4096 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: $2,8-50,000.00 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 13th day of /74 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 Page 2472 of 4096 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 Struck T-hrough 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). 2 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment 42 Opioid Settlement CAO Page 2473 of 4096 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* upow-alteeation upon allocation upon allocation contingent availability availability upon allocation availability Project Component 1: 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 400.00 600,000.00 : $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: I Contracted Submission of Exhibit D along with Monthly invoices due by the FTE Registered Nurse(RN)and I timesheets, 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 proof of Monthly invoices due by the Equipment(Schedule A, Section F) submission of DCF 837 file, (or acceptable 30''' of the month following DCF document), invoices, cancelled checks month of service and/or bank statements and any other additional documentation as requested 3 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#2 Opioid Settlement CA-0 Page 2474 of 4096 D. Payment Deliverables for the period retroactive to October 1,2024—September 30, 2026 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'h 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 tiosheets 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 proof of , Monthly invoices due by the Equipment(Schedule A, Section F) submission of DCF 837 file,(or acceptable 30'h of the month following DCF document), 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 30'h 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 THOUSAND DOr i ADS AND ZERO G NTS ($2 Qcn nnn nm 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). 4 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment 142 Opioid Settlement Page 2475 of 4096 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 CHS Approved 1. Agreement Amount Awarded 2,850,_A08,0© 3,150,000.00 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,I 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. I 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 Sheriff's Office 2024-03 CCSO Opioid Amendment#2 Opioid Settlement Page 2476 of 4096 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 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 6 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#2 Opioid Settlement r Cl 1 Page 2477 of 4096 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 7 Collier County Sheriffs Office 2024-03 CCSO Opioid Amendment#2 Opioid Settlement Page 2478 of 4096 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: CRYSTA L NZEJ,, CLERK BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA V Deputy Clerk Attest,ps.to Chairrr60's By: 4“,&11Zeolloa"-signMyreonl • SAUNDERS, CHAIRPERSON Dated: 5 /5 2626 EA ) Date: rJ 13 25 AS TO SUBRECIPIENT: WITNES ES: COLLER COUNTY SHERIFF'S OFFICEp„.Witn ss#1 Signat AALBy: Ar. ,) /CN1L KEVI alit : ri K, SHERIFF Witness#1 Printed Name n Date: IDS- cl '----- Witne Sign Lure CIA4-6L:51) ter- Please provide evidence of signing authority] r,141n I;11Ar Witness#2 Printed Name Approv. . 1 is •w J, •- gality ill:— i Jeffrey I .tzko ..'' )unty Attorney 8 Collier County Sheriff's lice 2024-03 CCSO Opioid Amendment#2 Opioid Settlement k dy Page 2479 of 4096 Page 2480 of 4096 Page 2481 of 4096 Page 2482 of 4096 Page 2483 of 4096 Page 2484 of 4096 Page 2485 of 4096 Page 2486 of 4096 Page 2487 of 4096 Page 2488 of 4096 Page 2489 of 4096 Page 2490 of 4096 Page 2491 of 4096 Page 2492 of 4096 Page 2493 of 4096 Page 2494 of 4096 Page 2495 of 4096 Page 2496 of 4096 Page 2497 of 4096 Page 2498 of 4096 Page 2499 of 4096 Page 2500 of 4096 Page 2501 of 4096 Page 2502 of 4096 Page 2503 of 4096 Page 2504 of 4096 Page 2505 of 4096 Page 2506 of 4096 Page 2507 of 4096 Page 2508 of 4096 Page 2509 of 4096 Page 2510 of 4096 Page 2511 of 4096 Page 2512 of 4096 Page 2513 of 4096 Page 2514 of 4096 Page 2515 of 4096 Page 2516 of 4096 Page 2517 of 4096 Page 2518 of 4096 Page 2519 of 4096 Page 2520 of 4096 Page 2521 of 4096 Page 2522 of 4096 Page 2523 of 4096