Backup Documents 09/23/2025 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 ® 1
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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Melissa Juarez Community and Human MJ 9/18/2025
Services
2. County Attorney Office County Attorney Office
CC) q/z3/Lf
3. BCC Office Board of County
Commissioners by, I `1/ 3
4. Minutes and Records Clerk of Court's Office g
09126,
PRIMARY CONTACT INFORMATION 1
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 information.
Name of Primary Staff Melissa Juarez,Grants Coordinator/ r 252-2590
Contact/Department
Agenda Date Item was 9/23/2025 Agenda Item Number 16.D.1.
Approved by the BCC
Type of Document 1ST AMENDMENT BETWEEN COLLIER Number of Original 3 CyILs
Attached COUNTY AND COLLIER HEALTH Documents Attached
SERVICES, INC. D/B/A HEALTHCARE
NETWORK
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 MJ
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 MJ
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 MJ
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. G,L�
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 QM 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 C,CD an option for
Chairman's signature. this line.
16D1 ,
FAIN # B-20-UW-12-0016
Federal Award Date 09/22/2020
Federal Award Agency HUD
CFDA Name Community Development
Block Grant-CV
CFDA/CSFA# 14.218
Total Amount of Federal ,$225,000.00
Funds Awarded
Subrecipient Name Collier Health Services, Inc.
d/b/a Healthcare Network
DUNS# 085019511
FEIN 59-1741277
R&D NA
Indirect Cost Rate NA
Period of Performance 4/1/2025 —7/1/2026
Fiscal Year End 3/31
Monitor End: 12/2026
FIRST AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA
AND
Collier Health Services,Inc. d/b/a Healthcare Network
CDBG-CV Community Health Planning
THIS AMENDMENT is made and entered into this 123 day ofiSetk,itrj 2125, 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 !Collier Health Services, Inc. d/b/a Healthcare
Network (SUBRECIPIENT), a;private non-profit organization'having its principal office at 1454 Madison
Avenue, Immokalee, FL 34142.
WHEREAS, the COUNTY has entered into an Agreement with the United States Department of
Housing and Urban Development(HUD)for a grant for the execution and implementation of 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), codified as 42 USC 5301 et. se. and
subject to 24 CFR Part 570; 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 j2019-2020 2021 20221for the
CDBG Program on!June 25, 2019 May 28, 20211 Agenda Item,16.D.2 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 2019-2020 -1-
2022 Annual Action Plan,on April 21,2020, with a 5-day Citizen Comment period from April 21, 2020,
to April 26, 2020; and
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WHEREAS, on May 12, 2020 242-11, Agenda Item #16.F.1(f))1, the Board ratified the County
Manager's action to amend the 12019-202d One-Year Action Plan to recognize CDBG COVID-19 funding.
On November 10, 20201, Agenda Item F#16.D.8, the Board approved another substantial amendment
recognizing further CDBG COVID-19 funding, bringing the total amount to l$4,232,728 respectively
WHEREAS,the COUNTY established a program to provide assistance to qualified agencies from
its Community Development Block Grant (Program) due to the circumstances of the COVID-19 health
crisis; and
WHEREAS, the SUBRECIPIENT, based on the information provided, is qualified to receive
funding from the Collier County CDBG-CV program; and
WHEREAS, the COUNTY and SUBRECIPIENT wish to set forth the responsibilities and
obligations of each in undertaking the CDBG-CV project—CD-CV21-09 - Community Health IPlan7. and
WHEREAS,on April 8,2025,Agenda Item 16.D.8,the COUNTY entered into an Agreement(the
"Agreement") with SUBRECIPIENT which set forth the responsibilities and obligations of each in
undertaking the CDBG-CV project—CD-CV21-09- Community Health Plan; and
WHEREAS, the parties wish to amend the agreement, incorporated herein by reference, to revise
the project component and payment supporting documentation, update the language to Grant and Special
Conditions, Grant Control Requirements, Terms and Conditions, and General Provisions, as well as the
addition of new Exhibit H.
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.
Words Struck Through are deleted; Words Underlined are added.
PART I
SCOPE OF WORK
* * *
Project Component One: Increase education to the community to address strategic health planning
to include but not limited to healthcare access, preventative care and responsiveness through
supporting the salaries(not including benefits)of two full-time equivalent(FTE)positions: one(1)
healthcare worker and one (1) data analyst. Activities to may include but are not limited to
conducting training sessions, providing outreach materials and best practice infographic, analyzing
data in support of developing a comprehensive community risk map, and any other supporting
activities related to increasing the awareness of healthcare access, preventative care and future
public health emergencies.
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Quarter One Project Component Two: Prepare and distribute community health partner meeting
schedule along with stakeholder/community meeting calendar dates to include no less than 12
throughout the agreement term. Meet with community stakeholders to develop an interagency
protocol.
practice infographic.
Quarter Two Project Component Three: Provide a copy of Develop a best practice infographic and
a list of receipients receiving best practices infographic. Review summary of community needs
assessment with stakeholder and document their input. Provide documentation of stakeholder
analysis. summary of survey results. Conduct 3 community health partner/stakeholder meetings
and provide meeting minutes, agenda and sign-in sheet.
Quarter Three Project Component Four: Develop a Community Risk map based on previous
discussions, federal SANAM reports, and outreach survey of community needs. Conduct 3
community health partner/stakeholder meetings along with the first draft of the Community Health
Implementation Plan and draft executive summary. Provide meeting minutes, agenda and sign-in
sheet community health partner/stakeholder meetings.
Quarter Four Project Component Five: Provide and facilitate 3 community health partner/
stakeholder meetings to include minutes, agenda, and sign-in sheet. Final draft of the Community
Health Implementation Plan and final draft executive summary. Outreach effort summary.
Quarter Five Project Component Six: A summary report on outreach efforts conducted by CHSI.
Conduct 3 Community health partner/stakeholder meeting minutes,agenda,sign-in sheet,and final
CHSI board- approved Community Health Plan with final Executive Summary.
1.1 GRANT AND SPECIAL CONDITIONS
A. Within sixty (60) calendar days of the execution of this Agreement, the SUBRECIPIENT
must deliver to CHS for approval, a detailed project schedule for the completion of the
project.
B. The following resolutions and policies must be submitted within sixty (60) days of this
Agreement:
❑ Affirmative Fair Housing Policy
Conflict of Interest Policy(COI)and related COI Forms
Procurement Policy
❑ Uniform Relocation Act Policy
Sexual Harassment Policy
1❑ Section 3 Policy
❑ Section 504/ADA Policy
Fraud, Waste, and Abuse Policy
❑ Limited English Proficiency Policy(LEP)
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►1 Violence Against Women Act(VAWA) Policy
C. Conflict of Interest—SUBRECIPIENT must have written conflict of interest policies. The
CDBG-CV Program distinguishes between two types of conflict of interest: one related to
organizations that carry out the project (recipients or subrecipients), and another specific
to individuals involved in providing services and day-to-day project operations.
SUBRECIPIENT shall have written policies related to both types of conflicts of interest.
With respect to the use of CDBG-CV funds to procure services, equipment, supplies, or
other property,the SUBRECIPIENT shall comply with 2 CFR part 200. With respect to all
other decisions involving the use of CDBG-CV funds, the following restrictions shall
apply: No person who is an employee, agency consultant, officer, or elected or appointed
official of the Subrecipient and who exercises or has exercised any functions or
responsibilities with respect to assisted activities, or who is in a position to participate in a
decision-making process or gain inside information with regard to such activities, may
obtain a person or financial interest or benefit from the activity, or have an interest in any
contract, subcontract, or agreement with respect thereto, or the process thereunder, either
for himself or herself or for those with whom he or she has family or business ties, during
his or her tenure for one year thereafter. If a conflict or a potential or perceived conflict of
interest is to occur,the SUBRECIPIENT must contact the COUNTY to determine whether
an exception will be allowed as prescribed by the applicable federal regulations.
D. E Annual Subrecipient Training — !All SUBRECIPIENT staff assigned to the
administration and implementation of the Project established by this Agreement
shall attend the CHS-sponsored Annual Subrecipient Fair Housing training, except
those who attended the training in the previous year. In addition, at least one staff
member shall attend all other CHS-offered Subrecipient training, relevant to the
Project, as determined by the Grants Coordinator, not to exceed four (4) sessions.
Requests for exemption, under this special condition, must be submitted to the
Grant Coordinator, in writing, at least 14 days, prior to the training.
PROJECT DETAILS
E. D-Project Description/Project Budget
Description Federal Amount
Project Component One: Salaries(not including benefits) of two full-time $75,000.00
equivalent(FTE) positions: one(1) healthcare worker err
and one (1) data analyst.
Quarter One Project Component Two: Prepare and distribute community $25,000.00
health partner meeting schedule with 12 stakeholder/community meeting
calendar dates. Meet with community stakeholders to develop an
interagency protocol. Develop and provide copies of the initial survey
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and survey distribution list. Develop and prepare for distribution best
pmetiee-ifif-egfaphie,
Quarter Two Project Component Three: Provide a copy of Develop a best $25,000.00
practice infographic and a list of recipients receiving best practices
infographic. Review summary of community needs assessment with
stakeholder and document their input. Provide documentation of
stakeholder analysis. sum-m-apfef-sufve-y-Festrks7 Conduct community
health partner/stakeholder meetings and provide meeting minutes, agenda
and sign-in sheet.
Quarter Three Project Component Four: Develop a Community Risk map $25,000.00
based on previous discussions, federal SANAM reports, and outreach
survey of community needs. Conduct community health
partner/stakeholder meetings along with the first draft of the Community
Health Plan Implementation and draft executive summary. Provide
meeting minutes, agenda and sign-in sheet, community health partner/
stakeholder meetings.
Quarter Four Project Component Five: Provide and facilitate community $25,000.00
health partner/stakeholder meetings to include minutes, agenda, and
sign-in sheet. Final draft of the Community Health Implementation Plan
and final draft executive summary. Outreach effort summary.
Quarter Five Project Component Six: A summary report on outreach $50,000.00
efforts conducted by CHSI. Community health partner/stakeholder
meeting minutes, agenda, sign-in sheet, and final CHSI board- approved
Community Health Plan with final Executive Summary.
Total Federal Funds: $225,000.00
G. F: Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies as stated in this Within sixty (60) days of
Policies(Section 1.1) Agreements Agreement executior>I
Insurance Insurance Certificate Within 30 days of Agreement
execution and Annually within
thirty (30)days of renewal;
Detailed Project Schedule Not Applicably Not Applicable
Project Plans and Specifications Not Applicable' Not Applicable
Subcontractor Log Subcontractor Log Not Applicable
Quarterly Progress Report Exhibit d Due on the 10th day following
the end of the quarter.
Fair Housing Calls Report Not Applicable Not Applicable
Section 3 Report Not Applicable Not Applicable
Davis-Bacon Act Certified Not Applicable Not Applicable
Payroll
Annual Audit Monitoring Exhibit E Annually, within 60 days after
Report FY end
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Financial and Compliance !Audit, Management Letter, and Annually: nine (9) months after
Audit Supporting Documentation) FY end for Single Audit OR
one hundred eighty(180) days
after FY end
Continued Use Certification Not Applicable !Not Applicable 1
Capital Needs Assessment Plan [Not Applicable Not Applicable
Program Income Reuse Plan Not Applicable Not Applicable;
Collier County Inventory Form Exhibit F Not Applicable
Conflict of Interest Form Subrecipient/DeveloperNendor !Upon execution of the
Conflict of Interest Disclosure agreement, for all employees
Form provided by COUNTY who work on activities
associated with the grant,and
upon hiring of all new
employees
Whistleblower Protections !Exhibit H Upon execution of the
Certification agreement, for all employees
who work on activities
associated with the grant, and
upon hiring of all new
employees
Affidavit Regarding Labor and Affidavit provided by COUNTY Upon execution of the
Services(Trafficking) Agreement.
H. G: Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component One: Salaries Submission of supporting documents Quarterly invoices
(not including benefits)of two must be provided as backup, as due on the 10th day
full-time equivalent(FTE) evidenced by Exhibit B,timesheets, following the end of
positions: one(1)healthcare payroll registers/summary, and any other the quarter.
worker to perf rm educatio+and additional documentation as requested.
outreach. One (1) data analyst. Payment will be on a
Cost Reimbursement
basis.
Quarter One Project Component Submission of supporting documents Quarterly invoices
Two: Prepare and distribute must be provided as backup, as due on the 10th day
community health partner meeting evidenced by Exhibit B,copy of the following the end of
schedule along with n t ^' ^ a st !but on ' st, the quarter.
stakeholder/community meeting copy of stakeholder/community calendars
calendar dates. Meet with dates, agenda, meeting minutes, a copy of
community stakeholders to stakeholder/community list and contact Payment will be on a
develop an interagency protocol. information, Fixed Price basis.
Develop and provide copies of the Elfaft-deetiment and any other additional
initial survey and survey documentation as requested.
distribution list. Develop and
prepare for distribution best
practice infographic.
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Quarter Two Project Component Submission of supporting documents Quarterly invoices
Three: Develop must be provided as backup, as due on the 10th day
a best practice infographic and a evidenced by an Exhibit B, Best practices following the end of
list of recipients receiving best infographic draft document, infographic the quarter.
practices infographic. Review distribution list, ,
summary of community needs copy of community needs assessment Payment will be on a
assessment with stakeholder and with stakeholder analysis, community Fixed Price basis.
document their input. Provide health partner/stakeholder meeting
documentation of stakeholder minutes, agenda and sign-in sheet and
analysis. summary ofs„rvey any other additional documentation as
results. Conduct community requested.
health partner/stakeholder
meetings and provide meeting
minutes, agenda and sign-in sheet.
Quarter Three Project Component Submission of supporting documents Quarterly invoices
Four: Develop a Community Risk must be provided as backup, as due on the 10th day
map based on previous evidenced by Exhibit B, Community following the end of
discussions, federal SANAM Risk map, stakeholder/community the quarter.
reports, and outreach survey of meeting minutes, agenda and sign-in
community needs. Conduct sheet:documentation, Community Health Payment will be on a
community health Implementation Plan first draft, Fixed Price basis.
partner/stakeholder meetings Community Health Implementation Plan
along with the first draft of the first draft executive summary, and any
other additional documentation as
Community Health requested
Implementation Plan and draft
executive summary. Provide
meeting minutes, agenda and
sign-in sheet community health
partner/stakeholder meetings.
Quarter Four Project Component Submission of supporting documents Quarterly invoices
Five: Provide and facilitate must be provided as backup, as due on the 10th day
community health partner/ evidenced by Exhibit B, following the end of
stakeholder meetings to include stakeholder/community meeting minutes, the quarter.
minutes, agenda, and sign-in agenda and sign-in sheet documentation,
sheet. Final draft of the final draft Community Health Payment will be on a
Community Health Implementation plan, final draft Fixed Price basis.
Implementation Plan and final Community Health Implementation Plan
draft executive summary. executive summary, and any other
Outreach effort summary. additional documentation as requested.
Quarter Five Project Component Submission of supporting documents Quarterly invoices
Six: A summary report on must be provided as backup, as due on the 10th day
outreach efforts conducted by evidenced by Exhibit B, following the end of
CHSI. Community health partner/ stakeholder/community meeting the quarter.
stakeholder meeting minutes, documentation, and the final approved
plan with a final executive summary.
agenda, sign-in sheet, and final
CHSI board- approved Summary report of outreach efforts and Payment will be on a
Fixed Price basis.
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Community Health Plan with any other additional documentation as
final Executive Summary. requested.
1.3 AGREEMENT AMOUNT
The COUNTY shall reimburse SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks, as accepted and approved by CHS.
SUBRECIPIENT may not request disbursement of CDBG-CV funds until funds are needed
for eligible costs; and all disbursement requests must be limited to the amount needed at the
time of the request. SUBRECIPIENT may expend funds only for allowable costs resulting
from obligations incurred during the term of this Agreement. Invoices for work performed are
required every month quarter. If no work has been performed during that metith quarter, or if
the SUBRECIPIENT is not yet prepared to send the required backup, a$0 invoice is required.
Explanations may be required if two consecutive mehths quarters of $0 invoices are
submitted. Payments shall be made to the SUBRECIPIENT, when requested, as work
progresses but not more frequently than once per month. Reimbursement will not occur if
SUBRECIPIENT fails to perform the minimum level of service required by this Agreement.
* * *
PART II
GRANT CONTROL
REQUIREMENTS
* * *
2.2 RECORDS AND DOCUMENTATION
J. SUBRECIPIENT shall take reasonable cybersecurity and other measures to safeguard
information including protected personally identifiable information (PII) and other types of
information in accordance with 2 CFR 200.303(e).This includes information that HUD or the
COUNTY designates as sensitive, or other information the COUNTY considers sensitive and
is consistent with applicable Federal, State, and Local laws regarding privacy and
responsibility over confidentiality.
K. 3- SUBRECIPIENT shall provide the public with access to public records on the same terms
and conditions that the COUNTY would provide the records,and at a cost that does not exceed
the cost provided in Chapter 119, Florida Statutes or as otherwise provided by law.
SUBRECIPIENT shall ensure that exempt or confidential public records that are exempt from
public records disclosure requirements are not disclosed except as authorized by 2 CFR
200.337 and 2 CFR 200.338.
L. 1c Notwithstanding any provision in the Grant Documents to the contrary, the
SUBRECIPIENT agrees that the failure or delay by the COUNTY in giving any notice or
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statement hereunder or under any other Grant Document, or any inaccuracy therein or
incompleteness thereof, shall not in any way alter or affect the absolute and unconditional
obligation of the SUBRECIPIENT to pay and perform, in full, the obligations set forth
hereunder, but any action taken or not taken by the SUBRECIPIENT as direct result of such
lack or delay of notice, or of the SUBRECIPIENT's good faith reliance upon a material
inaccuracy therein or the material incompleteness thereof,as the case may be, shall not in and
of itself, and to the extend thereof, constitute an Event of Default hereunder, so long as the
SUBRECIPIENT does not otherwise have or receive notice or knowledge of the material
contents or substance of such notice, or of the intended substance of any inaccurate or
incomplete notice, as the case may be, and the SUBRECIPIENT acts, at all times, in good
faith.
PART III
TERMS AND CONDITIONS
* * *
3.19 AFFIRMATIVE ACTION
SUBRECIPIENT agrees that it shall be committed to carry out an Affirmative Action Program
pursuant to the COUNTY's specifications, in keeping with the principles as provided in President's
Executive Order 11246 of September 24, 1966.Prior to the award of Funds, SUBRECIPIENT shall
submit to the COUNTY for approval, its plan for an Affirmative Action Program. The Affirmative
Action Program will need to be updated throughout the continued use period and must be submitted
to the COUNTY within 30 days of any update/modification.
3.19 3.20 CONFLICT OF INTEREST
The SUBRECIPIENT covenants that no person under its employ, who presently exercises any
functions or responsibilities in connection with the Project, has any personal financial interest,
direct or indirect, in the Project areas or any parcels therein, which would conflict in any manner
or degree with the performance of this Agreement,and that no person having any conflict of interest
shall be employed by or subcontracted by SUBRECIPIENT. The SUBRECIPIENT covenants that
it will comply with all provisions of 24 CFR 570.611 "Conflict of Interest," 2 CFR 200.318, and
the State and County statutes,regulations,ordinances,or resolutions governing conflicts of interest.
All SUBRECIPIENT employees who work on activities associated with this Agreement shall
complete the Subrecipient/DeveloperNendor Conflict of Interest Disclosure Form(Exhibit I-j)prior
to execution of this Agreement. Any employees hired later during the period of performance for
this Agreement who will work on activities associated with this Agreement shall also complete and
submit to the COUNTY the Conflict of Interest Disclosure Form.
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The SUBRECIPIENT will notify the COUNTY, in writing, and seek COUNTY approval prior to
entering into any contract with an entity owned in whole or in part by a covered person,or an entity
owned or controlled in whole or in part by the SUBRECIPIENT. The COUNTY may review the
proposed contract to ensure that the contractor is qualified, and the costs are reasonable.Approval
of an identity of interest contract will be in the COUNTY's sole discretion. This provision is not
intended to limit SUBRECIPIENT's ability to self-manage the projects using its own employees.
SUBRECIPIENT shall establish Conflict of Interest reporting requirements for its board membr;,
members and staff to report their participation as a beneficiary in the program supported by this
Agreement. Such reporting shall also incorporate reporting the participation of their family
members who include a spouse or civil union partner, member of the same household, parent
(including step- and in-law) grandparent (including step- and in-law), child (including step-) or
grandchild (including step-), sibling(including step- and in-law), cousin, aunt, or uncle.
Any possible conflict of interest on the part of the SUBRECIPIENT, its employees, or its
contractors shall be disclosed to CHS in writing, provided however, that this paragraph shall be
interpreted in such a manner so as not to unreasonably impede the statutory requirement that
maximum opportunity be provided for employment of and participation of low- and moderate-
income residents of the project target area.
3.20 3.21 BYRD ANTI-LOBBYING AMENDMENT
The COUNTY and SUBRECIPIENT certify that it will not, and has not, used Federally
appropriated Funds to pay any person or organization for influencing or attempting to influence the
award of Federal Funds, as covered by 31 USC 1352, and more fully described in Section 4.54 of
this Agreement. Contractors who apply or bid for an award of $100,000 or more shall file the
required certification.
3.21 3.22 CONDITIONS FOR RELIGIOUS ORGANIZATIONS
CDBG-CV funds may be used by religious organizations or on property owned by religious
organizations only in accordance with requirements set forth in Section 24 CFR 570.200(j). The
SUBRECIPIENT shall comply with First Amendment Church/State principles as follows:
A. It will not discriminate against any employee or applicant for employment based on
religion, and will not limit or give preference in employment to persons based on religion.
B. It will not discriminate against any person applying for public services based on religion,
and will not limit such services or give preference to persons based on religion.
C. It will retain its independence from Federal, State, and Local governments and may
continue to carry out its mission, including the definition, practice, and expression of its
religious beliefs,provided it does not use direct CDBG-CV funds to support any inherently
religious activities, such as worship, religious instruction, or proselytizing.
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D. It shall not use Funds for the acquisition, construction, or rehabilitation of structures to the
extent that those structures are used for inherently religious activities. Where a structure is
used for both eligible and inherently religious activities, CDBG-CV funds may not exceed
the cost of those portions of the acquisition, construction, or rehabilitation that are
attributable to eligible activities, in accordance with the cost accounting requirements
applicable to CDBG-CV funds in this part. Sanctuaries, chapels, or other rooms that a
CDBG-CV funded religious congregation uses as its principal place of worship, however,
are ineligible for CDBG-CV funded improvements.
3,22 3.23 INCIDENT REPORTING
If services to clients are to be provided under this Agreement, the SUBRECIPIENT and any
subcontractors shall report to the COUNTY knowledge or reasonable suspicion of abuse, neglect,
or exploitation of a child, aged person, or disabled person.
During the term of this Agreement, SUBRECIPIENT must report to the COUNTY in writing,
within one business day of occurrence,any substantial,controversial,or newsworthy incidents.The
Collier County Incident Report Form (Exhibit G) shall be used to report all such incidents.
3.24 DUPLICATION OF EFFORT
SUBRECIPIENT certifies that costs for work to be performed under this Agreement and any
subcontract do not duplicate any costs charged against any other contract, subcontract, or other
source, in accordance with 48 CFR 1331.205-70. SUBRECIPENT agrees to advise the COUNTY
in writing of any other contract or subcontract it has performed or is performing which involves
work directly related to the purpose of this Agreement.
372-3 3.25 SEVERABILITY
Should any provision of the Agreement be determined to be unenforceable or invalid, such
a determination shall not affect the validity or enforceability of any other section or part
thereof
344 3.26 MISCELLANEOUS
The SUBRECIPIENT and the COUNTY each binds itself, its partners, successors, legal
representatives, and assigns of such other party in respect to all covenants of this
Agreement.
The SUBRECIPIENT represents and warrants that the financial data, reports, and other
information on the Project and the SUBRECIPIENT furnished to the COUNTY by the
SUBRECIPIENT are accurate and complete, and as to financial disclosures, fairly
represent the financial position of the SUBRECIPIENT.
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SUBRECIPIENT understands that client information collected under this Agreement is
private and the use or disclosure of such information,when not directly connected with the
administration of the COUNTY'S or SUBRECIPIENT's responsibilities with respect to
services provided under this Agreement, is prohibited unless written consent is obtained
from such person receiving service and, in case of a minor, that of a responsible
parent/guardian.
The SUBRECIPIENT certifies that it has the legal authority to receive the funds under this
Agreement and that its governing body has authorized the execution and acceptance of this
Agreement. The SUBRECIPIENT also certifies that the undersigned person has the
authority to legally execute and bind the SUBRECIPIENT to the terms of this Agrement.
The section headings and subheadings contained in this Agreement are included for
convenience only and shall not limit or otherwise affect the terms of this Agreement.
The Grant Documents shall be construed in accordance with and governed by the laws of
the State of Florida, without giving effect to its provisions regarding choice of laws.
All activities authorized by this Agreement shall be subject to and performed in accordance
with the provisions of the terms and conditions of the Agreement between the COUNTY,
the Regulations, all applicable federal, state, and municipal laws, ordinances, regulations,
orders, and guidelines, including but not limited to any applicable regulations issued by
CHS.
Electronic Signatures. This Agreement, and related documents entered into in connection
with this Agreement are signed when a party's signature is delivered by facsimile, e-mail,
or any other electronic medium. These signatures must be treated in all respects as having
the same force and effect as original signatures.
3.25 3.27 WAIVER
The COUNTY'S failure to act with respect to a breach by SUBRECIPIENT does not waive
its right to act with respect to subsequent or similar breaches. The COUNTY'S failure to
exercise or enforce any right or provision shall not constitute a waiver of such right or
provision.
*
PART IV
GENERAL PROVISIONS
* * *
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4.15 Executive Order 11625 and U.S. Department of Housing and Urban Development Circular
Letter 79 15 which prescribes goal percentages for participation of minority businesses in
Community Development Block Grant Contracts.
program for minority business enterprise.
https://www.arehives.gov/federal register/codification/executive order/11625.html
44-5 4.16 The SUBRECIPIENT agrees to comply with the non-discrimination in employment and
contracting opportunities laws, regulations, and executive orders referenced in 24 CFR 570.607,
as revised by Executive Order 13279. The applicable non-discrimination provisions in Section
109 of the Housing and Community Development Act(HCDA) are still applicable.
24 CFR 570.607:
https://www.ecfr.gov/cgi-bin/text-
idx?SID=9eae3f8eaa99I f0411 f383b74003bcb I&mc=true&node=pt24.3.570&rgn=div5#se24.3
.570 1607
E.O. 13279: https://www.govinfo.gov/content/pkg/WCPD-2002-12-16/pdf/WCPD-2002-12-16-
Pg2156.pdf
444 4.17 Public Law 100-430 - the Fair Housing Amendments Act of 1988.
https://www.ncbi.nlm.nih.gov/pubmed/12289709
447 4.18 2 CFR 200 et seq - Uniform Administrative Requirements, Cost Principles, and Audit
requirements for Grants and Agreements.
https://www.ecfr.gov/cgi-bin/text-idx?tpl=/ecfrbrowse/Title02/2cfr200_m ain_02.tp l
4:1-8 4.19 2 CFR 200.15 Never contract with the enemy. Federal agencies, recipients, and
subrecipients are subject to the guidance implementing Never Contract with the Enemy in 2 CFR
part 183.
https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I I/part-200/subpart-C/section-200.215
https://www.ecfr.gov/current/title-2/subtitle-A/chapter-I/part-183
4 9-4.20 2 CFR 200.216 — Prohibition on certain telecommunications and video surveillance
services or equipment. COUNTY and SUBRECIPIENT are prohibited from obligating or
expending loan or grant funds to: 1) procure or obtain; 2) extend or renew a contract to procure
or obtain;3)enter into a contract(or extend or renew a contract)to procure or obtain equipment's,
services, or systems that use(s) covered telecommunications equipment or services as a
substantial component of any system, or as critical technology as part of any system.
4 24-4.21 Immigration Reform and Control Act of 1986
https://www.eeoc.gov/eeoc/history/35th/thelaw/irca.htm I
4—1-4.22 Prohibition of Gifts to COUNTY Employees-No organization or individual shall offer or
give, either directly or indirectly, any favor, gift, loan, fee, service, or other item of value to any
COUNTY employee,as set forth in Chapter 112, Part III, Florida Statutes, Collier County Ethics
Ordinance No. 2004-05, as amended, and County Administrative Procedure 5311.
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Florida Statutes-
https://www.lawserver.com/law/state/florida/statutes/florida statutes_chapter_112_part_iii
Collier County-
http://www.colliergov.net/home/showdocument?id=35137
43 4.23 Order of Precedence - In the event of any conflict between or among the terms of any of
the Contract Documents, the terms of the Agreement shall take precedence over the terms of all
other Contract Documents, except that the terms of any Supplemental Conditions shall take
precedence over the Agreement. To the extent any conflict in the terms of the Contract
Documents cannot be resolved by application of the Supplemental Conditions, if any, or the
Agreement, the conflict shall be resolved by imposing the more strict or costly obligation under
the Contract Documents upon the Contractor at Owner's discretion.
443 4.24 Venue-Any suit of action brought by either party to this Agreement against the other party,
relating to or arising out of this Agreement, must be brought in the appropriate federal or state
courts, in Collier County, FL which courts have sole jurisdiction on all such matters. (No
reference required for this item).
444 4.25 Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this
Agreement to resolve disputes between the parties, the parties shall make a good faith effort to
resolve any such disputes by negotiation. Any situations when negotiations, litigation, and/or
mediation shall be attended by representatives of SUBRECIPIENT with full decision-making
authority and by COUNTY'S staff person who would make the presentation of any settlement
reached during negotiations to COUNTY for approval. Failing resolution, and prior to the
commencement of depositions in any litigation between the parties arising out of this Agreement,
the parties shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit
Court Mediator certified by the State of Florida. Should either party fail to submit to mediation
as required hereunder, the other party may obtain a court order requiring mediation under §
44.102, Florida Statutes. The litigation arising out of this Agreement shall be adjudicated in
Collier County, Florida, if in state court; and the US District Court, Middle District of Florida, if
in federal court. BY ENTERING INTO THIS AGREEMENT, COLLIER COUNTY AND THE
SUBRECIPIENT EXPRESSLY WAIVE ANY RIGHTS EITHER PARTY MAY HAVE TO A
TRIAL BY JURY OF ANY CIVIL LITIGATION RELATED TO, OR ARISING OUT OF,
THIS AGREEMENT.
https://www.flsenate.gov/Laws/Statutes/2012/44.102
4.25 4.26 The SUBRECIPIENT agrees to comply with the following requirements:
a. Clean Air Act, 41 USC 7401, et seq. https://www.govinfo.gov/content/pkg/USCODE-
2010-tit1e42/htm l/USCODE-2010-title42-chap85.htm
https://www.law.cornell.edu/uscode/text/42/chapter-85
b. Federal Water Pollution Control Act, 33 USC 1251, et seq., as amended.
https://www.govinfo.gov/contentlpkg/USCODE-2011-title33/pdf/USCODE-2011-tit1e33-
chap26.pdf
https://www.law.comell.edu/uscode/text/33/chapter-26
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4:26 4.27 In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 USC
4002 and 24 CFR 570.605 Subpart K),the SUBRECIPIENT shall assure that for activities located
in an area identified by FEMA as having special flood hazards,flood insurance under the National
Flood Insurance Program is obtained and maintained. If appropriate, a letter of map amendment
(LOMA) may be obtained from FEMA, which would satisfy this requirement and/or reduce the
cost of said flood insurance.
https://www.law.corne I l.edu/cfr/text/24/570.605
4 4.28 The SUBRECIPIENT agrees that any construction or rehabilitation of residential structures
with assistance provided under this Agreement shall be subject to the HUD Lead-Based Paint
Poisoning Prevention Act, found at 24 CFR 570.608, Subpart K.
https://www.gpo.gov/fdsys/granule/CFR-2000-title24-vo13/CFR-2000-tit1e24-vol3-sec570-608-
id 163
1.28 4.29 The SUBRECIPIENT agrees to comply with the Historic Preservation requirements set
forth in the National Historic Preservation Act of 1966, as amended (16 U.S.C. 470) and the
procedures set forth in 36 CFR Part 800, Advisory Council on Historic Preservation Procedures
for Protection of Historic Properties, insofar as they apply to the performance of this Agreement.
Page not found
https://www.achp.gov/sites/default/fi les/regulations/2017-02/regs-rev04.pdf
In general, this requires concurrence from the State Historic Preservation Officer for all
rehabilitation and demolition of historic properties that are fifty years old or older or that are
included on a Federal, State, or Local historic property list.
https://www.nps.gov/histoty/local-law/nhpa1966.htm
414.30 The SUBRECIPIENT must certify that it will provide drug-free workplaces, in accordance
with the Drug-Free Workplace Act of 1988 (41 USC 701).
https://www.gpo.gov/fdsys/granule/USCODE-2009-title41/USCODE-2009-title41-chap 10-
sec701
4:39 4.31 The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred,
suspended, proposed for debarment, declared ineligible, or voluntarily excluded from
participation in this transaction by any Federal Department or agency; and the SUBRECIPIENT
shall not knowingly enter into any lower tier contract,or other covered transaction,with a person
who is similarly debarred or suspended from participating in this covered transaction as outlined
in 24 CFR 570.609, Subpart K.
https://www.archives.gov/federal-register/codification/executive-order/12549.html
4 4.32 The SUBRECIPIENT agrees to comply with the following OMB Circulars whichever is
applicable and agrees to adhere to the accounting principles and procedures required therein,
utilize adequate internal controls, and maintain necessary source documentation for all costs
incurred. These requirements are enumerated in 2 CFR 200, et seq.
4.32 4.33 Single Audits shall be conducted annually, in accordance with 2 CFR 200.501, and shall
be submitted to the COUNTY nine(9)months after the end of the SUBRECIPIENT's fiscal year.
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The SUBRECIPIENT shall comply with the requirements and standards of 2 CFR 200 Subpart
F, Section 500. SUBRECIPIENTS exempt from Single Audit requirements shall submit financial
statements to the COUNTY one hundred eighty (180) days after the end of the
SUBRECIPIENT'S fiscal year. Per 2 CFR 200.345, if this Agreement is closed out prior to the
receipt of an audit report, the COUNTY reserves the right to recover any disallowed costs
identified in an audit after such closeout.
https://www.ecfr.gov/cgi-bin/text-
idx?SID=5a78addefff9a535e83 fed3010308aef&mc=true&node=se2.1.200 1344&rgn=div8
4.33 4.34 Any real property acquired by the SUBRECIPIENT for the purpose of carrying on the
projects stated herein,and approved by the COUNTY in accordance with the Uniform Relocation
Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR 24.101, shall be
subject to the provisions of CDBG including, but not limited to, the provisions on use and
disposition of property. Any real property within SUBRECIPIENT control, which is acquired or
improved, in whole or part, with CDBG funds in excess of$25,000, must adhere to the CDBG
Regulations at 24 CFR 570.505.
https://www.gpo.gov/fdsys/granule/CFR-1999-title49-vol 1/CFR-1999-title49-voll-sec24-101
https://www.govinfo.gov/app/details/CFR-2012-title24-vo13/CFR-2012-title24-vo13-sec570-
505
44 4.35 As provided in § 287.133, Florida Statutes, by entering into this Agreement or performing
any work in furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers,
subcontractors and consultants who will perform hereunder, have not been placed on the
convicted vendor list maintained by the State of Florida Department of Management Services
within the 36 months immediately preceding the date hereof.
This notice is required by § 287.133 (3)(a), Florida Statutes.
http://www.leg.state.fl.us/Statutes/index.cfrn?App_mode=Display_Statute&Search_String=&U
RL=0200-0299/0287/Sections/0287.133.html
4.35 4.36 No Federal appropriated funds have been paid or will be paid, by or on behalf of the
undersigned, to any person for influencing or attempting to influence an officer or employee of
any agency, a Member of Congress, an officer or employee of Congress, or an employee of a
Member of Congress, in connection with the awarding of any Federal contract, the making of
any Federal grant,the making of any Federal loan,the entering into of any cooperative agreement,
and the extension, continuation, renewal, amendment, or modification of any Federal contract,
grant, loan, or cooperative agreement. If any funds, other than Federal appropriated funds have
been paid or will be paid to any person for influencing or attempting to influence an officer or
employee of any agency, a Member of Congress, an officer or employee of Congress, or an
employee of a Member of Congress, in connection with this Federal contract, grant, loan, or
cooperative agreement, the undersigned shall complete and submit Standard Form-LLL,
"Disclosure Form to Report Lobbying",in accordance with its instructions.The undersigned shall
require that the language of this certification be included in the award documents for all sub-
awards at all tiers (including subcontracts, sub-grants, contracts under grants, loans, and
cooperative agreements)and that all SUBRECIPIENTS shall certify and disclose accordingly.
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1.36 4.37 Travel reimbursement will be based on the U.S. General Services Administration (GSA)
per diem rates in effect at the time of travel.
https://www.gsa.gov/portal/content/104877
1.10 Equal access in accordance with the individual's gender identity in community planning
and development programs, per 24 CFR 5.106.
6nSi�c�uimrcTcrcc��crrr��vpm-czz acccrorr�
4.38 Housing Counseling, including homeownership counseling or rental housing counseling, as
defined in §5.100, required under or provided in connection with any program administered by
HUD shall be provided only by organizations and counselors certified by the Secretary under 24
CFR part 214 to provide housing counseling,consistent with 12 U.S.C. 1701 x,per 24 CFR 5.111.
https://www.ecfr.gov/current/title-24/subtitle-B/chapter-I1/subchapter-B/part-214/subpart-D
4.39 HUD Final Rule—Implementation of the Violence Against Women Reauthorization Act of 2013
which applies for all victims of domestic violence, dating violence, sexual assault, and stalking,
regardless of sex, gender identity, or sexual orientation, and which must be applied consistent
with all nondiscrimination and fair housing requirements.
https://www.federalregister.gov/documents/2016/11/16/201.6-25 888/violence-against-women-
reauthorization-act-of-2013-implementation-in-hud-housing-programs
4.40 Any rule or regulation determined to be applicable by HUD.
4.41 Florida Statute 448.095 Employment Eligibility. Per Florida Statute 448.095(3), all Florida
private employers are required to verify employment eligibility for all new hires beginning
January 1,2021. Eligibility determination is not required for continuing employees hired prior to
January 1, 2021.
http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-
0499/0448/O448.htm I
For purposes of satisfying the requirement of this condition regarding verification of employment
eligibility, the SUBRECIPIENT shall participate in, and use, E-Verify (www.e-verify.gov),
provided an appropriate person authorized to act on behalf of the recipient(or subrecipient)uses
E-Verify (and follows the proper E-Verify procedures, including in the event of a "Tentative
Non-confirmation" or a "Final Non-confirmation") to confirm employment eligibility for each
hiring for a position in the United States that is or will be funded(in whole or in part)with award
funds.
Questions about E-Verify should be directed to DHS. For more information about E-Verify visit
the E-Verify website (https://www.e-verify.gov/) or email E-Verify at E-Verify@dhs.gov. E-
Verify employer agents can email E-Verify at E-VerifyEmployerAgentc dhs.gov.
4.42 Florida Statutes 713.20, Part 1, Construction Liens
https://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display Statute&URL=0700-
0799/0713/0713.html
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4.43 Florida Statutes 119.021 Records Retention
http://www.leg.state.fl.us/Statutes/index.cfm?App mode=Display Statute&URL=0100-
0199/0119/Sections/0119.021.html
4.44 Florida Statutes, 119.071, Contracts and Public Records
http://www.leg.state.fl.us/Statutes/index.cfrn?App mode=Display_Statute&URL=0100-
0199/0119/Sections/0119.071.html
4.45 Limited English Proficiency: The SUBRECIPIENT agrees to take reasonable steps to provide
meaningful access to the program/project and activities funded under this Agreement for persons
with limited English proficiency pursuant to information located at http://www.lep.gov.
4.46 Equal Treatment of Faith-Based Organizations: By regulation, HUD prohibits all recipient
organizations from using financial assistance from HUD to fund explicitly religious activities.
The SUBRECIPIENT agrees to avoid such prohibited conduct. For more information, see
https://ojp.gov/about/ocr/partnerships.htm. Discrimination on the basis of religion in
employment is generally prohibited by federal law, but the Religious Freedom Restoration Act
is interpreted on a case-by-case basis to allow some faith-based organizations to receive HUD
funds while taking into account religion when hiring staff. Questions in this regard should be
directed to the Office for Civil Rights.
A. Organizations that are religious or faith-based are eligible, on the same basis as any other
organization,to participate in CDBG-CV.
B. The SUBRECIPIENT may not engage in inherently religious activities, such as worship,
religious instruction, or proselytization as part of the programs or services funded under
CDBG-CV. If the SUBRECIPIENT conducts such activities,the activities must be offered
separately, in time or location, from the programs or services funded under CDBG-CV,
and participation must be voluntary for the program participants.
C. A religious Subrecipient that receives CDBG-CV funding will retain its independence from
Federal, State, and local governments,and may continue to carry out its mission, including
the definition, practice,and expression of its religious beliefs, provided that it does not use
direct CDBG-CV funds to support any inherently religious activities, such as worship,
religious instruction, or proselytization. Among other things, faith-based Subrecipients
may use space in their facilities to provide CDBG-CV funded services, without removing
religious art, icons, scriptures, or other religious symbols. In addition, a Subrecipient
retains its authority over its internal governance, and it may retain religious terms in its
name, select its board members on a religious basis, and include religious references in its
mission statements and other governing documents.
D. The Subrecipient that participates in CDBG-CV shall not, in providing program assistance,
discriminate against aprogram participant or prospective program participant on the basis
of religion or religious belief.
E. If the SUBRECIPIENT voluntarily contributes its own funds to supplement federally
funded activities, the SUBRECIPIENT has the option to segregate the federal funds or
commingle them. However, if the funds are commingled, the requirements listed above
apply to all of the commingled funds.
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4.47 Arrest and Conviction Records: Federal and state laws restrict use of arrest and conviction records
in the employment context, except when specifically authorized. The SUBRECIPIENT agrees
to avoid the misuse of arrest or conviction records to screen applicants for employment or
employees for retention or promotion that may have a disparate impact based on race or national
origin, resulting in unlawful employment discrimination unless use is otherwise specifically
authorized by law. See https://ojp.gov/about/ocr/pdfs/UseofConviction_Advisory.pdf for more
details.
4.48 Byrd Anti-Lobbying Amendment(31 U.S.C. § 1352): The SUBRECIPIENT will not use and has
not used federal appropriated funds to pay at any tier, either directly or indirectly, any person or
organization for influencing or attempting to influence an officer or employee of any agency, a
member of Congress, an officer or employee of Congress, or an employee of a member of
Congress in connection with obtaining any federal contract, grant, or any other award or
subaward covered by 31 U.S.C. § 1352. Each tier shall also disclose any lobbying with nonfederal
funds that takes place in connection with obtaining any federal award or subaward. Such
disclosures are forwarded from tier to tier up to the recipient. The SUBRECIPIENT shall comply
with the lobbying restrictions of the Byrd Anti-Lobbying Amendment (31 U.S.C. § 1352) and
(ii)ensure that its officers,employees and its subcontractors hereunder comply with all applicable
local, state, and federal laws and regulations governing advocacy of and appearances before any
legislative body.None of the funds provided under this Agreement shall be used for publicity or
propaganda purposes designed to support or defeat any legislation pending before local, state, or
federal legislatures.
4.49 False Claim; Criminal, or Civil Violation: SUBRECIPIENT must promptly refer to COUNTY
any credible evidence that a principal, employee, agent,contractor, subgrantee, subcontractor,or
other person has either (i) submitted a false claim for grant funds under the False Claims Act or
(ii)committed a criminal or civil violation of laws pertaining to fraud,conflict of interest,bribery,
gratuity, or similar misconduct involving subaward agreement funds
4.50 Political Activities Prohibited: None of the funds provided directly or indirectly under this
Agreement shall be used for any political activities or to further the election or defeat of any
candidates for public office. Neither this Agreement nor any funds provided hereunder shall be
utilized in support of any partisan political activities or activities for or against the election of a
candidate for an elected office.
4.51 Text Messaging: Pursuant to Executive Order 13513, "Federal Leadership on Reducing Text
Messaging While Driving," 74 Federal Register 51225 (October 1, 2009), HUD encourages
recipients and subrecipients to adopt and enforce policies banning employees from text
messaging while driving any vehicle during the course of performing work funded by HUD and
to establish workplace safety policies and conduct education, awareness, and other outreach to
decrease crashes caused by distracted drivers.
4.52 Trafficking in Persons: The SUBRECIPIENT agrees to, at any tier, comply with all applicable
requirements (including requirements to report allegations) pertaining to prohibited conduct
related to the trafficking of persons, whether on the part of the SUBRECIPIENT and any
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employees of the SUBRECIPIENT. The details of the SUBRECIPIENT'S obligations related to
prohibited conduct related to the trafficking of persons are posted at
https://ojp.gov/funding/Explore/ProhibitedConduct-Trafficking.htm.
eCFR :: Appendix A to Part 175, Title 2 --Award Term
Pursuant to Florida Statues 787.06, SUBRECIPIENT attests that it does not use coercion for
labor or services. SUBRECIPIENT shall provide an affidavit, under penalty of perjury, signed
by an officer or representative of the organization attesting that it does not use coercion for labor
services.
http://www.leg.state.fl.us/Statutes/index.cfm?App_mode=Display_Statute&URL=0700-
0799/078 7/Sections/0787.06.htm 1
4.53 Association of Community Organizations for Reform Now (ACORN): The SUBRECIPIENT
understands and acknowledges that it cannot use any federal funds, either directly or indirectly,
in support of any contract or subaward to either ACORN or its subsidiaries, without the express
prior written approval of OJP.
4.54 If the SUBRECIPIENT wishes to enter into a contract with a small business firm or nonprofit
organization regarding the substitution of parties, assignment, or performance of experimental,
developmental, or research work under this funding agreement, the SUBRECIPIENT must
comply with the requirements of 37 CFR Part 401, "Rights of Inventions Made by Nonprofit
Organizations and Small Business Firms Under Government Grants, Contracts,and Cooperative
Agreements," and any implementing regulations issued by HUD.
https://www.ecfr.gov/cgi-
bin/retrieveECFR?gp=&SID=a004b6bf20934ace7a717de761 dc64c0&mc—true&n--pt37.1.401
&r=PART&ty=HTML
4.55 OSHA. Where SUBRECIPIENT employees are engaged in activities not covered under the
Occupational Safety and Health Act of 1970,they shall not be required or permitted to work, be
trained, or receive services in buildings or surroundings or under working conditions which are
unsanitary, hazardous, or dangerous to the participant's health or safety.
4.56 Right to Know. Participants employed or trained for inherently dangerous occupations,e.g., fire
or police jobs, shall be assigned to work in accordance with reasonable safety practices. The
SUBRECIPIENT will comply with all applicable"Right to Know"Acts.
4.57 Whistleblower Protections:
a. In accordance with 2 CFR 200.217 and 41 U.S.C. § 4712, the SUBRECIPIENT may not
discharge, demote, or otherwise discriminate against an employee in reprisal for disclosing
to any of the list of persons or entities provided below, information that the employee
reasonably believes is evidence of gross mismanagement of a federal contract or grant, a
gross waste of federal funds, an abuse of authority relating to a federal contract or grant, a
substantial and specific danger to public health or safety, or a violation of law, rule, or
regulation related to a federal contract (including the competition for or negotiation of a
contract)or grant.
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b. The list of persons and entities referenced in the paragraph above includes the following:
i. A member of Congress or a representative of a committee of Congress;
ii. An Inspector General;
iii. The Government Accountability Office;
iv. A Treasury employee responsible for contract or grant oversight or management;
v. An authorized official of the Department of Justice or other law enforcement agency;
vi. A court or grand jury; or
vii. A management official or other employee of Recipient, contractor, or subcontractor
who has the responsibility to investigate, discover, or address misconduct.
The SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies
provided under 2 CFR 200.217 and 41 U.S.C. § 4712, in the predominant native language of the
workforce.
https://uscode.house.gov/view.xhtm l?req=(title:41%20section:4712%20edition:prelim)
All SUBRECIPIENT employees directly involved with activities associated with this Agreement
shall complete and submit to the COUNTY the Collier County Whistleblower Protections
Certification form (Exhibit H) prior to execution of this Agreement. Any new employees hired
during the period of performance of this Agreement shall also complete and submit the form to the
COUNTY.
ENTIRE AGREEMENT. This Agreement constitutes the entire agreement between COUNTY and
SUBRECIPIENT for the use of Funds received under this Agreement and it supersedes all prior or
contemporaneous communications and proposals, whether electronic, oral, or written between COUNTY
and SUBRECIPIENT with respect to this Agreement.
1. Exhibit H is hereby amended as set forth in Exhibit H attached hereto and incorporated
herein.
2. Except as set forth herein,the Agreement remains in full force and effect.
(Signature Page to Follow)
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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. KINZEL, CLERK
BOARD OF COUNTY COMMISSIONERS
4.
)„IA / COLLIER COUNTY, FLORIDA
Defuty Clerk
Attest as to Ci4Aplowle•--
rrimt's $y;
B R L. S RS, CHAIRPERSON]
Dated: <q. `` , +
.E EA Date: 9 /23/2.5
AS TO SUBRECIPIENT:
WITNESSES:
COLLIER HEALTH SERVICES, INC. d/b/a
HEALTHCAR TWORK .
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RAZNO F, E FINANCIAL
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Witness #2 Signature d_ - �O&5
Date: '6/
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Witness #2 Printed Name [Please provide evidence of signing authority]
Approved as to form and legality:
Cel4Ael _0.-- D
Courtney L. DaSilva O
Assistant County Attorney $/Z67es—
Date: _ q/23/Zc
1COLLIER HEALTH SERVICES,INC.d/b/a HEALTHCARE NETWORK
CD-CV21-09
Community Health Plan AMENDMENT#1 1
CAO
1 6 D 1
EXHIBIT H
COLLIER COUNTY COMMUNITY& HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION
SUBRECIPIENT Name: Collier Health Services, Inc. d/b/a Healthcare Network
SUBRECIPIENT Address: 1454 Madison Avenue, Immokalee, FL 34142
Project Name: CDBG-CV Community Health Planning
Project No: CD-CV21-09
In accordance with 2 CFR 200.217 and 41 U.S.C. § 4712, SUBRECIPIENT may not discharge,
demote, or otherwise discriminate against an employee in reprisal for disclosing to any of the list
of persons or entities provided below, information that the employee reasonably believes is
evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an
abuse of authority relating to a federal contract or grants,a substantial and specific danger to public
health or safety, or a violation of law, rule, or regulation related to a federal contract(including the
competition for or negotiation of a contract) or grant.
The list of persons and entities referenced in the paragraph above includes the following:
• A member of Congress or a representative of a committee of Congress
• An Inspector General
• The Government Accountability Office
• A Treasury employee responsible for contract or grant oversight or management
• An authorized official of the Department of Justice or other law enforcement agency
• A court or grand jury
• A management official or other employee of SUBRECIPIENT,contractor,or subcontractor
who has the responsibility to investigate, discover, or address misconduct
SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies
provided under section 41 U.S.C. § 4712, in the predominant native language of the workforce.
By signing this form, I certify that Subrecipient Name will comply with all Whistleblower rights
and protections for its employees.
Name:
Signature:
Title:
Your typed name here represents your electronic signature
COLLIER HEALTH SERVICES,INC.d/b/a HEALTHCARE NETWORK
CD-CV21-09
Community Health Plan AMENDMENT#1
CAC)