Backup Documents 09/09/2025 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 7
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 9.09.25 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 8.20.25
Services
2. County Attorney Office— County Attorney Office q fq Izc
3. BCC Office Board of County
Commissioners 63 4y /1 `if 2 5
4. Minutes and Records Clerk of Court's Office l
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 tion.
Name of Primary Staff Carolyn Noble Phone Number 239-450-5186
Contact/ Department
Agenda Date Item was 9.09.25 BCC Mtg Agenda Item Number 16.D.7
Approved by the BCC
Type of Document 3 ORIGIANL DLC OPIOID ABATEMENT Number of Original 3 ORIGINAL
Attached AMENDMENT#3 Documents Attached DOCUMENTS
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
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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. Cl,�
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 G'LT) 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 OD an option for
Chairman's signature. this line.
16D7
CFSA Name: Opioid Settlement Fund
CFSA#: 60.355
OPIOID Settlement FY 2024-2028
Agreement#: 2024-01 DLC Opioid
Activity: Opioid Abatement Settlement
SUBRECIPIENT: David Lawrence Mental
Health Center,Inc.
Total Award Amount: $2,184,690.00
UEI#: PBE3LMA8J4YI
FEIN: 59-2206025
Period of Performance: 10/1/2024—
9/30/2028
Fiscal Year End: 6/30
Monitoring End: 12/2028
THIRD AMENDMENT TO AGREEMENT BETWEEN
COLLIER COUNTY
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
d ba
DAVID LAWRENCE CENTER
Opioid Settlement Funds
This Amendment,is made and entered into this t day of � tc,,,,bel ,
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
DAVID LAWRENCE MENTAL HEALTH CENTER,INC.("SUBRECIPIENT"),authorized to do
business under the laws of the State of Florida, having its principal office at 6075 Bathey Lane,
Naples, Florida 34116.
WHEREAS, during 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; and
WHEREAS, on April 11, 2023 (Agenda Item # 16.D.5), the Board approved the initial
City/County allocation in the amount of$289,151.06 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
(Agenda Item#16.D.7),the Board approved its second-year allocation,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.
On April 22, 2025 (Agenda Item #16.D.6), the Board approved its third-year allocation in the
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David Lawrence Mental Health
2024-0 I Amendment#3 CAO
Opioid Settlement
1 6D 7
amount of$399,277.79 for City/County and $1,542,962.85 for Regional Abatement, received on
February 14, 2025 and January 28, 2025, respectively.
RECITALS
WHEREAS, on December 10, 2024 (Agenda Item #16.D.16), the COUNTY and
SUBRECIPIENT entered into an agreement for SUBRECIPIENT to provide outreach services,
increase the utilization of medication assisted treatment (MAT), support crisis stabilization,
detoxification inpatient services, and residential treatment beds, and facilitate a centralized call
center(the "Agreement"); and
WHEREAS, on February 25, 2025 (Agenda Item #16.D.3), the Board approved
Amendment #1 to the Agreement to update language from contractor to subrecipient due to
assignment of a Catalog of State Financial Assistance (CFSA) number, clarify City/County, and
Regional Abatement funding amounts,remove the word `purchase' from the agreement name,and
clarify the language of`target' on Exhibit E; and
WHEREAS,on July 8, 2025 (Agenda Item#16.D.8),the Board approved Amendment#2
to the Agreement to update language as required by the grantor agency; and
WHEREAS, the Parties desire to amend the Agreement to update fixed price/unit cost
components and reimbursement rates per the approved CFBHN/DCF rates effective beginning July 1,2025,
and language supporting the component description.
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-Through are deleted; Words Underlined are added.
* *
1.3 PROJECT DETAILS
A. Project Description/Budget
Description I Year 1 Year 2 Year 3 Funding Year 4 TOTAL
Funding Funding (FY26/27) Funding AMOUNT
(FY24/25) (FY25/26) *contingent (FY27/28) AWARDED
*contingent upon allocation *contingent *contingent upon
upon availability upon allocation
allocation allocation availability
availability availability
Project Component 1: $104,178.81 $107,304.18 $110,523.31 $113,839.00
Staffing to include .5 FTE
Nurse and .5 FTE Outreach
Specialist (Schedule A,
#A, #B and#E) Cost
Reimbursement
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David Lawrence Mental Health
2024-01 Amendment#3 CAO
Opioid Settlement
1 6D
Project Component 2: $70,777.28 $70.777.28 $99,524.82 $70,777.28
Detox and/or Crisis
Support Bed Days
(Schedule A, #A, Schedule
B, #A, B & #C). Fixed
Price/Unit Cost*
Project Component 3: $288,099.98 $288,099.97 $384,133.30 $288,099.97
Crisis Hotline/Call Center
Availability (Schedule B,
#A and #B). Fixed Price/
Unit Cost*
Project Component 4 : $59,036.93 $55,818.57 $55,818.57 $17,880.75
Residential /Inpatient
Treatment Bed Days
(Schedule A, #A, Schedule
B, #A and#B) Fixed
Price/Unit Cost*
Total Funds $522,093.00 $522,000.00 $650,000.00 $490,597.00 $ 2,184,690.00
City/County ($343,918.54 ($384,133.30 ($288,099.97 ($1,538,244.81
Funds City County City-County City-County Total City-
Funds/ Funds/ Funds/ County Funds/
$178,081.46 $265,866.70 $202,497.03 $646,445.19
Regional Regional Regional Total Regional
Funds) Funds) Funds) Funds)
*Those Fixed Price/Unit Cost Components and Reimbursement Rates shall be based on the approved
CFBHN/DCF Rates, Subcontract Number QG009-24, accompanying
amendments and supported in the Carisk Portal on the"Covered Services Funding Tool"
* * *
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David Lawrence Mental I lealth
2024-01 Amendment#3 LAU
Opioid Settlement
EXHIBIT D
COLLIER COUNTY COMMUNITY& HUMAN SERVICES
SECTION I: REQUEST FOR PAYMENT
Contractor Name: David Lawrence Mental Health Center. Inc.
Contractor Address: 6075 Bathey Lane,Naples, FL 34116
Project Name: Opioid Settlement Funds Project No: 2024-01 DLC Opioid
Total Payment Request Payment Request#
Period of Availability: 10/01/2024 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. Total Amount of Previous Requests $ $
3. Amount of This Request $ $
4.Current Agreement Balance $ $
-- —
Activity Units of Service Rate Total Invoiced for
Effective 7.1.2025- this Month
6.30.26
Overdose/Community Education Nurse N/A N/A
Outreach Specialist N/A N/A
Outreach Activities N/A N/A
Crisis Hotline Support/Emergency Services $8A2
Hours $84.54
Crisis Stabilization Bed Days $633.13
$638.61
Detox Bed Days $1 18.99
$425.98
Residential/Inpatient Bed Days $323.19
$333.11
Total Requested
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 XLV1 Chapter 837, Section 837-06)or Florida Statutes, Title XLVI, 817.155.
Signature Date
Title
4
David Lawrence Mental Health
2024-0I Amendment#3 CA n
Opioid Settlement
1 6 D 7
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 K. KIN LERK
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
ePiiity Clerk
?,otte.ops0 .,41-17741 5 By: 4 "Tedhab•AZ--
'W-rnottorilv
B L. SAUN -RS, CHAIRPERSON
Dated: 91kity75-
(SEAL) Date: 771/0_5
AS TO SUBRECIPIENT:
INE ES:
DAVID LAWRENCE MENTAL HEALTH
CENTER, INC,
Witness#1 Signatui
i\\ SW.co By.
Witness #1 Printed Name I SCOT' GESS, PRAIDENT& CEO
ness 42 gnature Date:
VA13 f\6 [Please provide evidence of signing authority]
Witness M2 Printed Name
Approved as to form and legality:
Courtney L. DaSilva
Assistant County Attorney 0°‘
Date: Vq/Z5
5
David Lawrence Mental Health
2024-01 Amendment#3 CAO
Opioid Settlement