Backup Documents 09/23/2025 Item #16D 2 16D2
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Parker Smith Community and Human PS 09/18/2025
Services
2. County Attorney Office County Attorney Office CL7
9123 /es-
3. BCC Office Board of County
Commissioners �5 1 '�
4. Minutes and Records Clerk of Court's Office /
SIR �
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 information.
Name of Primary Staff Parker Smith.Grants Coordinator I, / Phone Number 239-252-6141
Contact/ Department Community and Human Services
Agenda Date Item was September 23, 2025 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document Recommendation to approve and authorize Number of Original 5—2 I0162
Attached the Chairman to sign the Second Documents Attached Amendment and 3
Amendment to Community Development MIT22-001
Block Grant Mitigation subrecipient Amendment
agreement#I0162&MIT22-001
PO number or account
number if document is N/A
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? PS
2. Does the document need to be sent to another agency for additional signatures? If yes, PS
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 PS
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 PS
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 PS
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 PS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip PS
should be provided to the County Attorney Office at the time the item is input into SIRE. CGS
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 2/28/2023 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County 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 G L' an option for
Chairman's signature. this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16D2
*** ONLY USE FOR AGREEMENTS***
Instructions
1) Return signed originals to:
Vanessa Collier
State and Federal Grants Manager
Collier County Government I Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 213
Naples, FL 34112
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16D2
Docusign Envelope ID:F941 B76G28D9-4168-9A94-8F9906275E61
Commerce Agreement Number: 10162
AMENDMENT TWO
TO THE FEDERALLY FUNDED
COMMUNITY DEVELOPMENT BLOCK GRANT
MITIGATION PROGRAM (CDBG-MIT)
SUBRECIPIENT AGREEMENT
On August 4,2022,the State of Florida, Department of Commerce ("Commerce") and the Collier County
Board of Commissioners, Florida ("Subrecipient") entered into agreement 10162 ("Agreement").
Commerce and the Subrecipient may individually be referred to herein as a "Party" or collectively as the
"Parties."
WHEREAS,Section 5, Modification of Agreement, of the Agreement provides that any amendment to the
Agreement shall be in writing executed by the Parties thereto;and
WHEREAS the Agreement was previously amended on May 18,2025; and
WHEREAS the Parties wish to amend the Agreement as set forth herein.
NOW THEREFORE, in consideration of the mutual covenants and obligations set forth herein,the receipt
and sufficiency of which are hereby acknowledged, the Parties agree to the following:
1. Attachment A, Project Description and Deliverables, is hereby deleted in its entirety and replaced
with the attached:
2. All other terms and conditions of the Subrecipient Agreement not otherwise amended remain in full
force and effect.
Remainder Left Intentionally Blank
•
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Dacuslgn Envelope ID:F941B7BC-28D9-41B8-9A14-8F990B275E61
Commerce Agreement Number: 10162
IN WITNESS HEREOF, by signature below, the Parties agree to abide by the terms, conditions, and
provisions of Commerce Agreement Number 10162,as amended.This Amendment is effective on the date
the last Party signs this Amendment.
COLLIER COUNTY BOARD OF FLORIDA DEPARTMENT OF COMMERCE
COMMISSIONERS
SIGNED: SIGNED:
eoief
BURT L.SAUNDERS J.ALEX KELLY
CHAIRMAN SECRETARY
DATE: 1/Z(1)/23' DATE:
Approved as to form and legal sufficiency,subject
only to full and proper execution by the Parties.
AT1.,,°�` 1'
fi:, ''' ' A . I K 7 , CLF IC OFFICE OF GENERAL COUNSEL
�,. FLORIDA DEPARTMENT OF COMMERCE
Attest a lig, hayrman's
By:
s1tli dturevttly Approved Date:
is
is
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Date revised CAO
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Docus&gn Envelope ID:F941B7BC-28D9-41B8-9A14-8F990B275E61
Commerce Agreement Number: 10162
Attachment A—Project Description and Deliverables
1. PROGRAM DESCRIPTION: In April 2018,the U.S. Department of Housing and Urban Development
(HUD)announced the State of Florida, Department of Economic Opportunity(DEO)would receive
$633,485,000 in funding to support long-term mitigation efforts following declared disasters in 2016 and
2017 through HUD's Community Development Block Grant Mitigation (CDBG-M11) program. Awards
were distributed on a competitive basis targeting HUD designated Most Impacted and Distressed (MID)
Areas, primarily addressing the Benefits to Low-to-Moderate Income (LMI) National Objective,
Additional information may be found in the Federal Register,Vol. 84,No. 169.
The Florida Department of Economic Opportunity has apportioned the Federal Award to include the
following initiatives: Critical Facility Hardening Program$75,000,000; General Planning Support Program
$20,000,000; General Infrastructure Program $475,000,000; and State Planning and Administration
$63,485,000.
This award has been granted under the Critical Facility Hardening Program. Projects eligible for funding
under this program must harden critical buildings that serve a public safety purpose for local
communities.
Critical buildings include:
• Potable water facilities
• Wastewater facilities
• Police departments
• Fire departments
• Hospitals
• Emergency operation centers
• Emergency shelters
2. PROJECT DESCRIPTION:The Collier County Board of County Commissioners, Florida has been
awarded Two Hundred Sixteen Thousand Five Hundred Fifty-Two Dollars and Zero Cents($216,552.00) in
CDBG-MIT (Community Development Block Grant- Mitigation) funding for mitigation efforts to harden
the Healthcare Network Marion E. Fether Medical Center against wind, heat,and water damage through
the Collier County would like to request a reduction in scope to 43 windows (size 2' x 2' and 4'x 4') that
are compliant with Florida Building Codes. The Marion E. Fether Medical Center is part of the Collier
County's Healthcare Network, which serves as the largest primary care provider in Collier County and
provides healthcare services to communities of greatest need.Specifically,58%of their patients fall under
the Federal Poverty Level (FPL), 71 % are under 200% of FPL, and 39% of adult patients are uninsured.
Additionally,Collier County is designated as a Medically Underserved Area (MUA),meaning its population
does not have quantitative access to primary care providers. Subsequently, the Healthcare Network
serves as a vital instrument to the health of Collier County citizens before, during, and immediately after
a natural disaster. Replacing 43 windows with impact glazing material will solidify the facility's ability to
with stand, wind, heat, or water damage after a storm and immediately respond to the needs of their
population, 61.84%of which are designated as low to moderate income residents. The team overseeing
this project consists of the Facilities Department of Healthcare Network under the direction of the Project
Manager,who is working in coordination with Collier County,and selected contractor(s),
3. SUBRECIPIENT RESPONSIBILITIES:
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Docusign Envelope ID:F941 B7BC-2800.41 B8-9A14.8F9908275E61
Commerce Agreement Number: 10162
A. Complete and submit the below items to Commerce within thirty(30) calendar days of execution
of the agreement:
1. Organizational chart with contact information.
2. Job descriptions for Subrecipient's employees,contracted staff,vendors, and contractors. If
staffing changes,there must be a submittal stating the names and job descriptions on the
monthly report deadline.
1 Attachment B, Project Budget—Develop and submit to Commerce a detailed budget for
implementation of the project.
4. Attachment C,Activity Work Plan—Develop and submit to Commerce a detailed timeline for
implementation consistent with the milestones outlined in the Mitigation Program
Guidelines.
Should any changes to the organizational chart, Attachment B or Attachment C be deemed
necessary, an updated plan must be submitted to Commerce with your monthly report for review
and approval by the Commerce Grant Manager.
B, Develop and submit a copy of the following policies and procedures to the Commerce Grant
Manager for review and approval within thirty (30) calendar days of Agreement execution. The
Commerce Grant Manager will provide approval in writing prior to the policies and procedures
being implemented.
a. Procurement policies and procedures that incorporate 2 CFR 200.317-327.
b. Administrative financial management policies,which must comply with all applicable HUD
CDBG-MIT and State of Florida rules.
c. Quality assurance and quality control system policies and procedures that comply with all
applicable HUD CDGB-MIT and Commerce policies.
d. Policies and procedures to detect and prevent fraud,waste and abuse that describe how
the subrecipient will verify the accuracy of monitoring policy indicating how and why
monitoring is conducted, the frequency of monitoring policy, and which items will be
monitored, and procedures for referring instances of fraud,waste and abuse to HUD IOG
Fraud Hotline (phone: 1-800-347-3735 or email hotline@hudoig.gov).
C. Attend fraud related training offered by HUD OIG to assist in the proper management of the
CDBG-MIT grant funds when available.
D. Upload required documents into a system of record provided by Commerce.
E. Maintain organized subrecipient agreement files and make them accessible to Commerce or its
representatives, upon request.
F. Comply with all terms and conditions of the Subrecipient Agreement, Mitigation Program
Guidelines,Action Plans,Action Plan amendments, and Federal,State, and local laws.
G, Provide copies of all proposed procurement documents to Commerce ten (10) business days prior
to posting as detailed in Attachment D of Subrecipient Agreement. The proposed procurement
documents will be reviewed and approved by the Commerce Grant Manager. Should the
• procurement documents require revisions based on state or federal requirements, Subrecipient
will be required to postpone procurement and submit revised documents for review and
approval.
H. Provide the following information on a quarterly basis within ten (10)calendar days after the end
of each quarter: Monthly and Quarterly Reports as detailed in Attachment G.
I. Close out report will be due no later than sixty(60) calendar days after this Agreement ends or is
otherwise terminated.
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Docusign Envelope ID:F94187BC-28D9-4188-9A14-8F990B275E61
Commerce Agreement Number: 10162
J. Subrecipient shall provide pictures to document progress and completion of tasks and final
project.
4. ELIGIBLE TASKS AND DELIVERABLES:
A. Deliverable 1—Construction Subrecipient shall:
1. Obtain appropriate permitting,
2. Purchase, install, remove and properly dispose of 43 exterior windows and replace with new
impact glazing system windows of like dimensions and in compliance with Florida Building
Codes standards and local,state,and federal building codes.
3, Repair affected areas resulting from subparagraph A.2. above by apply molding, patching
interior drywall and sills, and repair exterior stucco walls and touch up paint.
5. DELIVERABLES:
Subrecipient agrees to provide the following services as specified:
Deliverable No.1 Construction
Tasks Minimum Level of Service Financial Consequences
Subrecipient shall complete task as Subrecipient may request Failure to complete the Minimum
detailed in Section 4,A of this Scope reimbursement upon completion of Level of Service as specified shall
of Work activities in accordance with Section result in non-payment for this
4.A of this Scope of Work in the deliverable for each payment
following increments: 10%,20%, request.
30%, 40%, 50%, 60%, 70%, 80%,
90%,and 100%, evidenced by
submittal of the following
documentation:
1) AIA forms G702 and G703, or
similar accepted Commerce
form,completed by a licensed
professional certifying to the
percentage of project
completion;
2) Photographs of project in
progress and completed; and
3) Invoice package in accordance
with Section 7 of this Scope of
Work,
Total Deliverable 1 Cost:$216,552.00
TOTAL PROJECT COST NOT TO EXCEED$216,552.00
6. COMMERCE RESPONSIBILITIES:
A. Monitor the ongoing activities of Subrecipient to ensure all activities are being performed in
accordance with the Agreement to the extent required by law or deemed necessary be Commerce
in its discretion.
B. Assign a Grant Manager as a point of contact for Subrecipient.
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Docusign Envelope ID:F941B7BC-28D9-4188-9A14.8F990B275E61
Commerce Agreement Number: 10162
C. Review Subrecipient's invoices described herein and process them on a timely basis,
D. Commerce shall monitor progress, review reports, conduct site visits, as Commerce determines
necessary at Commerce's sole and absolute discretion,and process payments to Subrecipient,
7. INVOICE SUBMITTAL:
Commerce shall reimburse the Subrecipient in accordance with Section 5, above. In accordance
with the Funding Requirements of s. 215.971(1), F.S. and Section (20) of this Agreement, the
Subrecipient and its subcontractors may only expend funding under this Agreement for allowable
costs resulting from obligations incurred during this Agreement. To be eligible for
reimbursement, costs must be in compliance with laws, rules and regulations applicable to
expenditures of State funds, including, but not limited to, the Reference Guide for State
Expenditures (https://www.mvfloridacfo.com/docs-sf/accounting-and-auditing-libraries/state-
agencies/reference-guide-for-state-expenditures.pdf).
A. Subrecipient shall provide one invoice per month for services rendered during the applicable
period of time as defined in the deliverable table. In any month in which deliverables have
not been completed,the Subrecipient will provide notice that invoicing will not be submitted.
B. The following documents shall be submitted with the itemized invoice:
1. A cover letter signed by Subrecipient's Agreement Manager certifying that the costs being
claimed in the invoice package: (1)are specifically for the project represented to the State
in the budget appropriation;(2)are for one or more of the components as stated in Section
5,DELIVERABLES,of this SCOPE OF WORK;(3)have been paid;and(4)were incurred during
this Agreement.
2. Subrecipient's invoices shall include the date, period in which work was performed,
amount of reimbursement, and work completed to date;
3. A certification by a licensed professional using AIA forms G702 and G703, or their
substantive equivalents,certifying that the project,or a quantifiable portion of the project,
is complete. Include if applicable to your program
4. Photographs of the project in progress and completed work;
5. A copy of all supporting documentation for vendor payments; and
6. A copy of the bank statement that includes the cancelled check or evidence of electronic
funds transfer. The State may require any other information from Subrecipient that the
State deems necessary to verify that the services have been rendered under this
Agreement.
C. If the Subrecipient is a county or municipality that is a rural community or rural area of
opportunity as those terms are defined in section 288.0656(2), F.S., the payment of submitted
invoices may be issued for verified and eligible performance that has been completed in
accordance with the terms and conditions set forth in this Agreement to the extent that federal
or state law, rule, or other regulations allows such payments. Upon meeting either of the criteria
set forth below,the subrecipient may elect in writing to exercise this provision.
1. A county or municipality that is a rural community or rural area of opportunity as those
terms are defined in section 288.0656(2), F.S.,that demonstrates financial hardship; or
2. A county or municipality that is a rural community or rural area of opportunity as those
terms are defined in section 288.0656(2), F.S., and which is located in a fiscally
constrained county, as defined in section 218.67(1), F.S. If the Subrecipient meets the
criteria set forth in this paragraph,then the Subrecipient is deemed to have demonstrated
financial hardship.
D. The Subrecipient's invoice and all documentation necessary to support payment requests must
be submitted into Commerce's Subrecipient Enterprise Resource Application (SERA). Further
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Docusign Envelope ID:F941 B78C-28D9-4188-9A14-8F990B275E61
Commerce Agreement Number: 10162
instruction on SERA invoicing and reporting, along with a copy of the invoice template, will be
provided upon execution of the agreement.
—Remainder Left Intentionally Blank
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FAIN# N/A
Federal Award Date February 4, 2021
Federal Award Agency HUD
CFDA Name Community
Development Block
Grants/State's program
&Non-Entitlement
Grants in Hawaii
• CFDA/CSFA# 14.228
Total Amount of $206,ycov 24vvv
Federal Funds Awarded $216,552.00
Subrecipient Name Collier health
Services,Inc. dba
Healthcare Network
UEI# GPXBQKU6AJA5
FEIN 59-1741277
R&D NA
x .
Indirect Cost Rate NA
• Period of Performance August 4,2022—
August 3,2026
Fiscal Year End 3/31
Monitor End: August 3, 2031
SECOND AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA
AND
• Collier Health Services, Inc. dba Healthcare Network
This AMENDMENT is made and entered into as of this riay of SeptIl b 2025,
by and between Collier County, a political subdivision of the State of Florida (COUNTY) and
Collier Health Services, Inc. dba Healthcare Network (SUBRECIPIENT), a private non-profit
organization having its principal office at 1454 Madison Ave. W., Immokalee, FL 34142.
RECITALS
WHEREAS, the COUNTY has entered into an Agreement with the State of Florida Department
•
of Commerce(DOC)for a grant for the execution and implementation of a
Community Development Block Grant Mitigation (CDBG-M1T) Program in certain areas of Collier
County, pursuant to Title I of the Housing and Community Development Act of 1974(as amended); and
WHEREAS, on July 14, 2020,the Board of County Commissioners ("Board")approved Agenda
Item 16D.6—the"After-the-Fact"submittal of five(5)applications to the-14149(DOC); and
!Collier Health Services,Inc.dba Healthcare Network
M1722.001
Marion E.Fether Medical Center Hardening Page 1
•
C(,
16D2
WHEREAS, on February 4, 2021, the DEO DOC awarded CDBG-MIT funds to four (4) of the
five(5)submitted applications; and
WHEREAS,on June 28,2021,the Board accepted the four(4) awards under Agenda Item 16.117
including the Marion E. Fether Medical Center Hardening; and
WHEREAS, all CDBG-MIT activities carried out by SUBRECIPIENT will: (I) meet the
definition of mitigation activities; for the purpose of this funding, mitigation activities are defined as those
activities that increase resilience to disasters and reduce or eliminate the long-term risk of loss of life,injury,
damage to and loss of property, and suffering and hardship,by lessening the impact of future disasters;(2)
address the current and future risks as identified in DEO's DOC's Mitigation Needs Assessment of most
impacted and distressed area(s); (3) be CDBG-eligible activities under Title I of the Housing and
Community Development Act of 1974 (HCDA) or otherwise eligible pursuant to a waiver or alternative
requirement; and (4)meet a National Objective, including additional criteria for mitigation activities and a
Covered Project;and
WHEREAS, CDBG-MIT Funds made available for use by the SUBRECIPIENT under this
Agreement constitute a subaward of the DEO DOC Federal award,the use of which must be in accordance
with requirements imposed by Federal statutes, regulations, and the terms and conditions of the DEO's
DOC's Federal award; and
WHEREAS, the COUNTY and SUBRECIPIENT wish to set forth the responsibilities and
obligations of each in undertaking the CDBG-MIT project—(MIT22-01)Marion E. Fether Medical Center
Hardening;
WHEREAS, pursuant to Public Law (P.L.) P.L 115-123 Bipartisan Budget Act of 2018 and
Additional Supplemental Appropriations for Disaster Relief Act of 2018 (approved February 9,2018),and
P.L. 116-20 Supplemental Appropriations for Disaster Relief Requirements Act, 2019 (approved June 6,
2019), Division B, Subdivision I of the Bipartisan Budget Act of 2018, P.L. 115-56, the "Continuing
Appropriations Act,2018";and the requirements of the Federal Register(FR)notices entitled"Allocations,
Common Application, Waivers, and Alternative Requirements for Community Development Block Grant
Mitigation Grantees", 84 FR 45838 (August 30, 2019) and "Allocations, Common Application, Waivers,
and Alternative Requirements for Community Development Block Grant Disaster Recovery Grantees"
(CDBG Mitigation) 86 FR 561 (January 6, 2021); (hereinafter collectively referred to as the "Federal
Register Guidance"), the U.S. Department of Housing and Urban Development(hereinafter referred to as
• "HUD")has awarded Community Development Block Grant-Mitigation(CDBG-MIT)funds to DEO DOC
for mitigation activities authorized under Title I of the Housing and Community Development Act of 1974
(HCDA)(42 United States Code(U.S.C)section 5301)and applicable implementing regulations at 24.CFR
part 570 and consistent with the Appropriations Act; and
WHEREAS, on December 13, 2022, Agenda Item 16.D.7, the Board approved the CDBG-MIT
sub-award agreement with Collier Health Services, Inc. dba Healthcare Network; and
Collier Health Services,inc.dba Healthcare Network
MlT22.001
Marion E.Father Medical Center Hardening Page 2
CA
16D2
WHEREAS, on August 27, 2024,Agenda Item I6.D.2,the Board approved the First Amendment
to the CDBG-MIT sub-award between Collier County and Collier Health Services, Inc. dba Healthcare
Network; and
WHEREAS,the COUNTY and SUBRECIPIENT wish to amend the Agreement to update Part 1
Scope of Work, Section 1.1 Grant and Special Conditions, Section 1.2 Project Details, Added Section 1.5
Leverage Funds, update Section 2.1 Audits, update Section 2.2 Record Retention, update Section 2.6
Reports, and update Exhibits C-1 to current format.
NOW,THEREFORE, in consideration of the mutual benefits contained herein, it is agreed by the
Parties to amend the Agreement as follows:
Words Struck Through are deleted; Words Underlined are added.
PART I
SCOPE OF WORK
This award has been granted under the Critical Facility Hardening Program. Projects eligible for
funding under this program must harden critical buildings that serve a public safety purpose for local
communities, Critical buildings include potable water facilities, wastewater facilities, police departments,
fire departments, hospitals,emergency operation centers, and emergency shelters.
Subrecipient shall, in a satisfactory and proper manner and consistent with any standards required
as a condition of providing CDBG-MIT assistance as provided herein and,as determined by Collier County
Community and Human Services (CHS) Division, perform the tasks necessary to conduct the program as
follows:
Project Name: Marion E. Fether Medical Center Hardening
Description of project and outcome: Collier Health Services, Inc. dba Healthcare Network serves
as a vital instrument to the health of Collier County citizens before,during,and immediately after a natural
disaster. Replacing moors and 54 43 windows with impact glazing material at the Marion E. Fether
Medical Center will solidify the facility's ability to withstand wind, heat,or water damage during and after
a storm and allow immediate response to the needs of the community;61.84 percent of which are designated
as low-to moderate-income residents. The project is estimated to begin upon execution of this Agreement
and completed within 48 months at a cost of$206,210.00$216,552.00. There are no leveraged or matching
funds included in this project.The team overseeing this project consists of the Collier Health Services,Inc.
dba I-tealthcare Network Facilities Department under the direction of the Project Manager,who is working
in coordination with Collier County,and selected contractor(s).
Project Component One: Construction
• Obtain appropriate permitting.
Collier Health Services,Inc.dba Healthcare Network
MIT22.001
Marion E.Fether Medical Center Hardening Page 3
16D2
• Purchase, install remove and properly dispost dispose of 7 doors and 59 43 exterior
windows and replace with new insulated/impact system deers—and windows of like
dimensions and incompliance with Florida Building Codes standards and local, state and
federal building codes.
• Repair affected areas resulting from removal/installation by applying molding, patching
interior drywall and sills,and repair exterior stucco walls and touch up paint
The property will be deed restricted for five(5)years commencing on the date of initially meeting
one of the National Objectives, in accordance with 24 CFR 570.505, if applicable.
1.1 GRANT AND SPECIAL CONDITIONS
D. 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
D:E. Limited English Proficiency: Persons who, as a result of national origin, do not speak
English as their primary language and who have limited ability to speak, read,write, or
understand English("limited English proficient persons"or"LEP persons") may be entitled
to language assistance under Title VI in order to receive a particular service, benefit, or
encounter. In accordance with Title VI of the Civil Rights Act of 1964 (Title VI) and its
implementing regulations, the SUBRECIPIENT agrees to take reasonable steps to ensure
meaningful access to activities funded with HUD Funds by LEP persons. Any of the
following actions could constitute "reasonable steps", depending on the circumstances:
acquiring translators to translate vital documents; advertisements or notices;acquiring
interpreters for face to face interviews with LEP persons; placing advertisements and notices
in newspapers that serve LEP persons; partnering with other organizations that serve LEP
populations to provide interpretation, translation, or dissemination of information regarding
the project; hiring bilingual employees or volunteers for outreach and intake activities;
contracting with a telephone line interpreter service; etc.
1.1 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal
Amount
Project Component 1: Construction $206,210.00
Obtain appropriate permitting. $216,552.00
Purchase, install remove and properly dispost of 7 doors and 59 dispose of 43
exterior windows and replace with new insulated/impact deers-and windows
;Collier Health Services,Inc.dba Healthcare Network
MIT22.001
Marion E.Tether Medical Center Hardening Page 4;
16D2
of like dimensions and incompliance with Florida Building Codes standards
and local, state and federal building codes.
Repair affected areas resulting from removal/installation by applying
molding, patching interior drywall and sills, and repair exterior stucco walls
and touch up paint.
$206,210.00
$216,552.00
Total Federal Funds: UO67240704
$216,552.00
SUBRECIPIENT will accomplish the following checked project tasks:
❑ Pay all closing costs related to property conveyance
❑ Maintain beneficiary income certification documentation, and provide to the County as
requested Maintain and retain at SUBRECIPIENT location, beneficiary income
certification documentation, using Exhibit D as amended, or CHS-approved presumed
benefit documentation, and provide to the County as requested
• Maintain and provide National Objective Documentation, and provide to COUNTY, as
requested
Provide Quarterly Reports on project progress, Activity Work Plan, Budget, and updated
organization chart if applicable.
1 Provide Quarterly Leverage Funds Reports
Provide Quarterly Fair Housing Calls Report
Provide Quarterly the resolution/ordinances, name and contact information of Fair
Housing, EEO/AA, and Section 504/ADA Coordinator and a copy of the published
information or email address for SUBRECIPIENT's website. Establish a system to log all
Fair Housing, EEO/AA,and Section 504/ADA complaints and submit quarterly.
Ensure attendance by a representative from executive management at scheduled
partnership meetings,as requested by CHS
• Ensure attendance by SUBRECIPIENT and General Contractor at Pre-Construction
meetings, prior to SUBBRECIPIENT issuing Notice to Proceed (NTP)to contractor
Provide monthly construction and rehabilitation progress reports until completion of
construction or rehabilitation, note any staffing changes with job descriptions, Activity
WorkPlan f .,d Budget
• Identify Lead Project Manager
Provide Site Design and Specifications
Submit Change Orders for CHS approval prior to SUBRECIPIENT authorizing work
Comply with Davis-Bacon Labor Act Standards and maintain supporting documentation
J� Comply with BABA Act and maintain supporting documentation
Comply with Section 3 reporting requirements and maintain supporting documentation
Provide weekly certified payroll throughout construction and rehabilitation
• Comply with Uniform Relocation Act(URA), if necessary
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z ❑ Ensure applicable numbers of units are Section 504/ADA accessible
Ensure the applicable continued use period for the project is met
C. Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Insurance Insurance Certificate Within 10 days of Agreement
execution and Annually
(immediately upon renewal)
Staffing Plan Organization Chart and Job Quarterly, unless staffing
Descriptions for employees, changes occur off cycle, then
contracted staff,vendors, and report in monthly progress
contractors report. Due within 5 days prior
to month end
Special Grant Condition Policies Policies as stated in this Within 10 days of Agreement
(Section 1.1) Agreement execution
is
Activity Work Plan Project Schedule(Exhibit D) Monthly,within 5 days of prior
month end
Fair Housing Log Develop Tracking Spreadsheet Quarterly,within 5 days of prior
for eatiannts complaints that quarter end
includes: Coordinator contact
name and information; attach
•
ordinance ordinance/resolution
(Log must include Fair
Housing/EEO/504 complaints)
Detailed Project Budget Exhibit C Monthly, within 5 days of prior
month end
Project Plans and Specifications _ Site Plans and Specifications Prior to procurement
Procurement Documents(Bid Independent Cost Estimate, After completion of
Packet) * Method of Procurement, Bid Environmental Review,and
Advertisement, Solicitation prior to advertising solicitation.
Packet. Advertisement not to occur until
package is approved by DEO
Florida Commerce.
Subcontractor Log Subcontractor Log Initially at construction start,
and quarterly thereafter
Monthly Progress Report Monthly and Quarterly Reports Monthly report(Exhibit E)due
(Exhibits E and H respectively) by the 5th of each month;
Exhibit E• Subject to Updates by mrte..ry Rep its(Ex►,ibit H)
Florida Commerce duo by the 5th of Jan/Apr'
Oct. Both reports arc to be
Quarterly Progress Report Quarterly Reports; Exhibit H; Quarterly Report due by the 5th
Subject to Updates by Florida of each respective quarter
Commerce (January/April/July/October)
Section 3 Compliance Report Exhibit F; Subject to Updates by Monthly Quarterly,due by the
Florida Commerce 5th of each month.
Davis-Bacon Act Certified Weekly Certified Payroll Weekly, within 7 days following
Payroll reports, forms,and supporting issuance of payroll checks
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Program Deliverable Deliverable Supporting Submission Schedule
Documentation
documentation required to be
submitted through the County
electronic certified payroll
system LCP Tracker.
Annual Audit Monitoring Exhibit G Annually within 60 days after
Report the end of the fiscal year
Financial and Compliance Audit Audit, Management Letter,and Annually;9 months after FY
Supporting Documentation end for Single Audit OR 180
days after FY end
Continued Use Certification Continued Use Affidavit, if Annually,for five(5)years after
applicable Project Closeout
Capital Needs Assessment Plan Plan approved by the COUNTY Initial Plan due after
construction completion.
Annually throughout the
continued use period
Conflict of Interest Form Subrecipient Conflict of Interest Upon execution of the
Disclosure Form agreement for all employees
who work on activities
associated with the grant and
upon hiring all new employees
Whistleblower Protections Exhibit I Upon execution of the
Affidavit agreement for all employees
who work on activities
associated with the grant and
upon hiring of all new
employees
*SUBRECIPIENT's Notice to Proceed may be withheld if procurement deliverables are not submitted in
fi a timely manner,as stated in Section 1.2,C, Performance Deliverables. SUBRECIPIENT must submit to
the COUNTY, for approval, all Change Orders required during the project. Failure to submit Change
is Orders in a timely manner may result in delay or withholding of payment, as well as, a cease work order
until all change orders have been reviewed and approved, at which time a new Notice to Proceed will be
issued.
D. Payment Deliverables
•
•
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component 1: Construction Submission of supporting documents Within 5 calendar
Obtain appropriate permitting. must be provided as backup along days after the end of
with pay requests (Exhibit B),as each month.
Purchase, install remove and evidenced by AlA or similar
properly dispost dispose of 7--deers document,canceled check and/or
and 59 43 exterior windows and bank statements,copy of any
replace with new insulated/impact permits,invoices and any other
windows of like dimensions and additional documentation as
incompliance with Florida Building requested.
Codes standards and local, state and
federal building codes. The County will pay up to 90% of
the total grant award or project
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Repair affected areas resulting from costs,whichever is lower. The
removal/installation by applying remaining 10% of the award or
molding, patching interior drywall project costs will be released upon
and sills, and repair exterior stucco final monitoring clearance and
walls and touch up paint. meeting a National Objective. For
clarity,the County will not withhold
10% on each payment request.
SECTIONS 1.4 THRU 1.8 ARE NOW RENUMBERED SEQUENTIALLY BEGINNING WITH
"AGREEMENT AMOUNT"AND ENDING WITH 1.8"NOTICES"
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available TWO HUNDRED SIX THOUSAND,TWO HUNDRED
AND FORTY DOLLARS AND 00 CENTS TWO HUNDRED AND SIXTEEN THOUSAND,
FIVE HUNDRED AND FIFTY-TWO DOLLARS ($206,210.00$216,552,00) for use by
SUBRECIPIENT,during the term of the Agreement(hereinafter,shall be referred to as the Funds).
Modification to the Budget and Scope may only be made if approved in advance. Budgeted fund
shifts among line items shall not be more than 10 percent of the total Funding amount and shall not
signify a change in scope. Fund shifts that exceed 10 percent of the Agreement amount shall only
be made with Board of County Commissioners(Board)approval.
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-MIT 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
eveiy month. If no work has been performed during the month, or if SUBRECIPIENT is not yet
•
prepared to send the required backup,a$0 invoice is required. Explanations will be required if two
consecutive months of$0 invoices are submitted. Payments shall be made to 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.
COUNTY will pay SUBRECIPIENT funds available under this Agreement based on information
submitted by SUBRECIPIENT and consistent with any approved budget and COUNTY policy
concerning payments. With the exception of certain advances, payments will be made for eligible
expenses actually incurred by SUBRECIPIENT, and not to exceed actual cash requirements.
Payments will be adjusted by CHS in accordance with advance fund and program income balances
available in SUBRECIPIENT accounts. in addition,COUNTY reserves the right to liquidate funds
available under this Agreement for costs incurred by COUNTY on behalf of SUBRECIPIENT.
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Final invoices are due no later than 90 days after the end of the Agreement. Work performed during
the term of the program but not invoiced within 90 days after the end of the Agreement may not be
processed without written authorization from the Grant Coordinator.
CHS may withhold any pay request until approved by Cl-IS for grant compliance and adherence to
any and all applicable Local, State, or Federal requirements, including timely submission of
Performance Deliverables contained in Section 1.2.C. Late submission of deliverables or evidence
of project inactivity may cause payment suspension of any open pay requests until the required
deliverables are received or substantial project progression occurs, as determined by CHS. Except
where disputed for noncompliance, payment will be made upon receipt of a properly completed
invoice,and in compliance with sections 218,70-218.80, Florida Statutes, otherwise known as the
"Local Government Prompt Payment Act."
1.5 LEVERAGE FUNDS
Leverage funds must be identified, tracked, and verifiable in the SUBRECIPIENT's records.
Resources must be fully identified and described in the Agreement and the approved budget
submitted with the application. Resources must also meet the following criteria to be allowable as
leverage:
a. Expenditures of leverage funds or resources are permitted only for eligible activities
and allowable costs under the cost principles specified by the OMB Circulars
referenced in this Agreement. Expenditures must be necessary and reasonable for
proper and efficient accomplishment of project or program objectives.
b. Leverage resources committed on one project may not be used as leverage for any other
project or program.
c. Leverage resources must represent newly created resources covering expenditures that
would not be incurred if the award were not made.
d. Leverage resources may not be Federal funds under a different award, except where
Federal statute allows their use for cost sharing(such as the Community Development
Block Grant program).
e. Third-party cash or in-kind contributions offered as leverage require a commitment
letter on company letterhead signed by the individual who is in a position to commit
the in-kind contribution.The contribution is only allowable if not utilized towards cost
sharing dollars.
1`.
is
1.6 COST PRINCIPLES
Payments to SUBRECIPIENT are governed by the Federal grant management rules for
cost allowability, found at 2 CFR 200 Subpart E-Cost Principles. For the purposes of this
section (Section 1.5-Cost Principles) of this Agreement, SUBRECIPIENT is defined as
described in 2 CFR 200.93. Accordingly, payments will be made on a cost reimbursement
basis. Each request for reimbursement shall identify the associated project and approved
project task(s) listed under this Scope of Work. SUBRECIPIENT may only incur direct
costs that may be attributed specifically to the project(s) referenced above, as defined in 2
CFR 200.413. SUBRECIPIENT must provide adequate documentation for validating costs
incurred. Payments to SUBRECIPIENT'S contractors and vendors are conditioned upon
compliance with the procurement requirements provided in 2 CFR 200.318-200.327.
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Allowable costs incurred by Subrecipients and Contractors shall comply with 2 CFR
Subpart E-Cost Principles. The SUBRECIPIENT will use adequate internal controls and
maintain necessary source documentation for all costs incurred and adhere to any other
accounting requirements included in this Agreement.
1.7 CITIZEN COMPLAINTS
The goal of the DEO DOC is to provide an opportunity to resolve citizen complaints in a timely
manner,usually written with fifteen (15)business days of the receipt of the complaint as expected
by HUD, if practicable, and to provide the right to participate in the process and appeal a decision
when there is a reason for an applicant to believe its application was not handled according to
program policies. All applications, guidelines,and websites will include details on the right to file
a complaint or appeal to the process for filing a complaint or beginning an appeal.
The SUBRECIPENT will handle citizen complaints by:
(a) Conducting investigations, as necessary;
(b) Finding a resolution; or
(c) Conducting follow-up actions.
Program Appeals
Applicants may appeal program decisions related to one of the following activities:
(a) A program eligibility determination;
(b) A program assistance award calculation; or
(c) A program decision concerning housing unit damage and the resulting program outcome.
Citizens may file a written complaint or appeal with the Office of Long-Term Resiliency by email
at CDBG DDR@deo.myfolirda.com CDBG-DR@commerce.fi.gov or by mail to the following
address"
Attention; Office of Long-Term Resiliency
Florida Department of Economic Opportunity Commerce
107 East Madison Street
The Caldwell Building, MSC 420
Tallahassee, Florida 3239
1.8 NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage
prepaid), commercial courier, personal delivery, or sent by facsimile or other electronic
means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery
or sending. All notices and other written communications under this Agreement shall be
addressed to the individuals in the capacities indicated below, unless otherwise modified
by subsequent written notice.
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COLLIER COUNTY ATTENTION: Parker Smith,Grant Coordinator
Collier County Government
Community and Human Services Division
i 3339 Tamiami Trail East, Suite 213
Naples,Florida 34112
Email: Parker.Smithacolliercountyfl.gov
Telephone: (239)252-6141
SUBRECIPIENT ATTENTION: Tami Raznoff,VP of Fiscal Affairs and CFO
Collier Health Services, Inc.dba Healthcare Network
1454 Madison Ave. W.
Immokalee, Florida 34142
Email: traznoff@healthcareswfl.org
Telephone: (239)658-3001
PART II
GRANT CONTROL
REQUIREMENTS
2.1 AUDITS
During the term of this Agreement, SUBRECIPIENT shall submit to the COUNTY an Annual
Audit Monitoring report(Exhibit G)no later than 60 days after SUBRECIPIENT'S fiscal year end.
In addition, SUBRECIPIENT shall submit to the COUNTY a financial and compliance Single
Audit report, Management Letter, and supporting documentation nine (9) months (or audited
financial statements, one hundred eighty(180)days for Subrecipients exempt from Single Audit)
after the SUBRECIPIENT'S fiscal year end. The COUNTY will conduct an annual financial and
programmatic review.
SUBRECIPIENT must fully clear any deficiencies noted in audit reports within 30 days after its
receipt of the report. SUBRECIPIENT's failure to comply with the above audit requirements will
constitute a violation of this Agreement and may result in the withholding of future payments.
SUBRECIPIENT hereby agrees to obtain an annual agency audit conducted in accordance with
current COUNTY policy concerning Subrecipient audits and 2 CFR 200.501
Federal Award amounts expended shall be determined in accordance with guidelines established
by 2 CFR Part 200, Subpart F-Audit Requirements.
2.2 RECORDS AND DOCUMENTATION
SUBRECIPIENT shall maintain sufficient records, in accordance with 24 CFR 570.506, to
determine compliance with the requirements of this Agreement,the CDBG Program,and all other
applicable laws and regulations. This documentation shall include but is not limited to, the
following:
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}
A. All Records required by CDBG-MIT regulations.
B.
would be required by the COUNTY in order to perform the service. Public records that
ordinarily and necessarily would be required by the COUNTY to perform the service.
C. SUBRECIPIENT shall make available to the COUNTY or CHS at any time upon request,all
reports, plans,surveys, information, documents,maps, books, records,and other data
procedures developed, prepared,assembled, or completed by SUBRECIPIENT for this
Agreement. Materials identified in the previous sentence shall be in accordance with
generally accepted accounting principles(GAAP), procedures, and practices, which
sufficiently and properly reflect all revenues and expenditures of Funds provided directly or
indirectly by this Agreement, including matching funds and Program Income. These records
shall be maintained to the extent of such detail to properly reflect all net costs,direct and
indirect labor, materials, equipment,supplies and services, and other costs and expenses of
whatever nature for which reimbursement is claimed under the provisions of this Agreement.
D. Upon completion of all work contemplated under this Agreement,copies of all documents and
records relating to this Agreement shall be surrendered to CHS, if requested. In any event,
SUBRECIPIENT shall keep all documents and records in an orderly fashion, and in a readily
accessible, permanent, and secured location for six (6) state fiscal years after final closeout of
this Agreement (all reporting requirements are satisfied and final payments have been
received), as prescribed in 2 CFR 200.334, 24 CFR 570.493, and 24 CFR 570.502(a)(7)(ii).
However, if any litigation,claim,or audit is started before the expiration date of the six(6)year
period, the records will be maintained until all litigation, claim, or audit findings involving
these records are resolved. If SUBRECIPIENT ceases to exist after the closeout of this
Agreement, it shall notify the COUNTY in writing, of the address where the records are to be
kept,as outlined in 2 CFR 200.337. SUBRECIPIENT shall meet all requirements for retaining
public records and transfer, at no cost to COUNTY, all public records in SUBRECIPIENT'S
possession upon termination of the Agreement, and destroy any duplicate, exempt, or
confidential public records that are released from public records disclosure requirements. All
records stored electronically must be provided to the COUNTY in a format that is compatible
with the COUNTY'S information technology systems.
IF SUBRECIPIENT HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, IT SHALL CONTACT THE
CUSTODIAN OF PUBLIC RECORDS AT 239-252-2679,
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Angel.Bates(u7colliercountygl.gov, 3299 Tamiami Trail E, Naples FL
34112.
2.6 REPORTS
Reimbursement may be contingent upon the timely receipt of complete and accurate reports
required by this Agreement,and on the resolution of monitoring findings identified pursuant to this
Agreement, as deemed necessary by the County Manager or designee. Reports showing lack of
project activity may result in withholding of payment or issuance of a Notice of Noncompliance.
During the term of this Agreement, SUBRECIPIENT shall submit monthly and quarterly progress
reports to the COUNTY on the 5th day of every month (Monthly report) for the prior month, and
the 5th day of Jan/April/July/October for the prior quarter end.The progress reports include but are
not limited to, accomplishments within past month/quarter, issues or risks with resolutions, and
projected activities to be completed within the following month/quarter.Exhibit E,Monthly Report,
and Exhibit G, Quarterly Report Monthly Quarterly Repe rt, should he used to fulfil this
requirement. Other reporting requirements may be required by the County Manager or designee if
the Program changes,the need for additional information or documentation arises,or if legislative
amendments are enacted. Reports and/or requested documentation not received by the due date
shall be considered delinquent and may be cause for default and termination of this Agreement.
* *
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.
* * *
(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 OF
COLLIER UNTY, FLORIDA
tom,, ► By: , ��
e la Cler J SA DE S CHAIRPERSON
Dated: _ Date: 1/ 23 1 zS
Attest a$j • an's
signature only
WITNE AS TO SUBRECIPIENT:
COLLIER HEALTH SERVICES,INC. D/B/A
Witness#1 Signature HEALTHCARE NETWORK
Mg C75 - cutx,//7
Witn ss#1 Printed Name By: 1
TAMI RAZNOF , RESIDENT OF FISCAL,
AFFAIRS AND CHIEF FINANCIAL OFFICER
Witness#2 Signature
..C(..1L- Date: 4)-5
Witness#2 Printed Name
[Please provide evidence of signing authority]
Approved as to form and legality:
Courtney L. DaSilva 1/
Assistant County Attorney
Date: 9f2,3/25
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PART V
EXHIBITS
Eithibit-C
Project Budget
Agreement Modificati
on
SsTumbem�i Number:
AetivittAPfejeet National OVECRs2TE pc nia e
CDBC
bee'
SlumCDBC
tletli<I D criptiee ;,MI & 8 F LI MI BC Seeree Total
13` /Nigh t-Need LAII Antaunt Funds x FtWEIS
t
1. Project Impkmentation _
b _ _ — _ _ _
3Construetion
4
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Administration
Rimming
• b f
a,) b
Source s Oahe..Funds Amount
1.
2.
3.
4.
•
Name:
Signature:
Title:
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Exhibit C—Project Budget
Subrecipient Collier County,FL CDBG-DR MIT
Program:
Project Name: Marion E.Fether Medical Center Hardening County; Cornet
Agreement No: MIT22-001 Version No.:
Commerce Award: $216,552.00
Period of Agreement 08/04/2022—08/03/2026 Leverage Funding:
Total Project Budget: $216.552.00
Please provide below,a breakdown of the Project by Deliverables and Tasks.The table should closely match the Deliverables and
funds listed in Attachment A of your Agreement.
Leverage Funds Instructions:
- Funds have to be used FIRST if funding is obtained through a Government entity(DEP,FEMA...)
- Funds can be spread out by Deliverables for other fundings.They will still need to be used FIRST for that specific
Deliverable.
'
Tasks Description CDBG-MIT Leverage Total
Funding Funding
Deliverable#1:Construction $216,552.00 g $216,552.00
1 Obtain appropriate permitting
2 Purchase.install,remove,and properly dispose of 43
exterior windows and replace with new
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insulated/impact glazing_system doors and windows
of like dimensions and in compliance with Florida
Building Codes standards and local and state
building codes.
Repair affected areas resulting from B.2.above by
3 applying molding,patchinginterior drywall and sils,
and repair exterior stucco walls and touch up paint.
Total Project Cost $ 5
*Sources of Leverage Funds Amount
1.
*Leverage Funding will have to be used FIRST.Please provide documentation of Leverage being specifically allocated to
THIS project.
Submitted by:
Date
JUSTIFICATION:
Please provide below a brief summary of why a revised Attachment B is being submitted
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Exhibit D Activity Work Plan
Subreeipi Activity Project
ent Bodgeti
Agreement Modification
Number,: Date-Pregared= Number:
Estimated Estimated
Start-Date End-Date
Units-te lie Ends-te-be
(mertthly (menthly ." Completed Requested
car) car) by the by-the
"End Date" "End Date'
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Name:
Sigaate:
Title.
b
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Exhibit D—Activity Work Plan
CDBG-MIT Programz Critical Facility Hardening Program(CFHP) Version No.:
Subrecipient County: Collier
Project Name: MID Area: State-MID
Agreement No: I0162 National Objective: LMA
Commerce Award: $216,552.00
Period of Agreement Leverage Funding: Q
Total Project Budget: $216.552.00
Please provide below,a breakdown of the Project by Deliverables and Tasks.The table should closely match the Deliverables and
funds listed in Attachment A of your Agreement.List ONLY the Estimated Funds that will be requested as detailed in your
Agreement.
Please DO NOT list the breakdown or usage of Leverage Funds.Attachment B will be used to document Leverage Funding usage.
TIMELINE*- PROJECTION**—
Current/anticipated Funds reimbursement
progress request
Deliverable(s)and/or Task(s)Description I re
Actual/ Actual/ Estimated Estimated
Anticipate Anticipate Reimbursed Request
d Start d End Funds Date
Date Date
Deliverable Construction: Obtain Appropriate Permitting
1 Tasks 1
Deliverable Construction:Purchase.Install',Remove and Properly
1 Tasks 2 Dispose of 43 Windows and Replace with new
insulated/impact glazing system windows with like
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dimensions and in compliance with Florida Building Codes
j and Local.State,and Federal codes.
Deliverable Construction:Repair affected areas resulting-from
1 Tasks 3 removal/installation by applying �patchingmolinterior
drywall and sills,and repair exterior stucco walls and touch
up paint
Total Period of performance:
JUSTIFICATION:
Please provide below a brief summary of why a revised Attachment C is being submitted
Submitted by: Date:
*Actual Date supersede Anticipated date.
**Actual Date and Reimbursed supersede Anticipated date.
Highlight section Green when Reimbursement has ACTUALLY been made/processed,or task completed
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Ron DeSantis Dane Eagle
GOVERNOR SECRETARY
FLORIDA DEPARTM ENT of
ECONOMIC OPPORTUNITY
EXHIBIT E
Monthly Progress Report
it •
Prefect—Tit-let
Grant Manager name Primary project manager
Contact Information. CM Phone # / CM cmai# Phone# / Emai}
DEO Office of Long Term Title
Resiliency
Activity Reporting Period : Month Year
�A�nA.uppdate of this report shall be submitted to DEO ten 1 n; 0) cafcda;days after the d o enf ea-et montti
Section One Financ al Data;
Amount Funds used this funds used.to Balance
period date Remaining
Leverage Funds (A)
CDBC MIT Funds
(B)
TOTAL Project
Funds (A I B)
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Sectio ee __ Is sk that ha be faced ith 1 t' :
+—
• *--Has the Project.Budget changed?
�— Ycs ❑ Ne (II
Has the Activity Work Plan changed?
*— " Ycs ❑ Ne El
--Has the Timeline changed?
* If answered"Yes", please submit-thc ct tiled T and lwc Ycs Ne ❑
fA¢ilestenes^},
—Wcrc there any Staffing changes?
3.—If answered"Yes',please submit th
Ycs ❑ N-e❑
+
- --Were there Equipment Transferred/Disposed?
2r).`answered"Yes', p/c ase request a copy of the Equipment
. n instructions from your
rift-the-Equipment Ycs ❑ Ne ❑
Transfer/Disposal form.
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EXHIBIT E — CDBG-MIT
Monthly Progress Report (MPR)
Grant No. - Sub. MT000 - City of Anywhere
Name:
j
Project Title: General Infrastructure Project
Funding Awarded: $0,000,000.00
Agreement Period:_ 01/10/2021 01/09/2025
Primary Points of Grant Manager name Primary project
Contact GM Phone #/ GM email manager
Information: Office of Long-Term Resiliency Phone#/ Email
Title
Activity Reporting Period : MARCH 2024
An update of this report shall be submitted to FioridaCommerce ten (10) calendar days after
the end of each month.
Section One Financial Data:
Amount Funds used Funds used to Balance
this period date Remaining
Leverage
Funds (A)
CDBG-MIT
Funds (B)
TOTAL Project
Funds (A+B)
* PLEASE SUBMIT COPIES OF SUPPORTING DOCUMENTATION FOR
LEVERAGE FUNDS USED TO YOUR GRANT MANAGER ON A MONTHLY BASIS.
Please include the date the first/next invoice will be submitted for this
project and the amount of the invoice:
Date: Amount $
Section Two- Accomplishments within the Past Month:
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A narrative MUST be included
l '
Section Three - Issues or risks that have been faced with resolutions:
{
E4
Section Four Projected activities to be completed within the following
Month:
A narrative MUST be included.
{ Section Five Required Submissions:
Attachment B - Project Budget
➢ Has the Project Budget changed?
Yes ❑ No ❑
➢ If answered"Yes';please submit:
♦ The Revised Attachment B for review and
approval.
♦ The explanation for the chancre.
Attachment C - Activity Work Plan
➢ Has the Activity Work Plan/Project Timeline changed? Yes ❑ No ❑
➢ If answered"Yes';please submit:
♦ The Revised Attachment C for review and
approval,
♦ The explanation for the change.
Staffing Plan
➢ Were there any Staffing changes?
➢ If answered"Yes';please submit the Revised Staffing
Plan which will include the Revised Org Chart and Yes ❑ No ❑
Updated names and Job descriptions.
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•. Equipment Transfer/Disposal and Tracking (If
Construction is part of the Project)
➢ Were there Equipment Transferred/Disposed?
➢ If answered"Yes', please request a copy of the Equipment Yes ❑ No ❑
Transfer/Disposal Form and disposition instructions from
your grant Manager. Complete and submit the Equipment
Transfer/Disposal form.
Yes ❑ No ❑
➢ Any Equipment purchased specifically for this project?
➢ If answered "Yes';please submit an up-to-date Equipment
Inventory Tracking Log listing the current equipment
inventory, equipment service dates, etc. for monitorinq
purposes.
•:• Environmental Review
> Is FULL Environmental Review completed and Approved? Yes No ❑
➢ If "Yes';please provide the AUGF(HUD 7015.16)
Commerce's execution(signed)date on the bottom,
AUGF Date:
➢ If"No',please explain where you are in the
• environmental process:
> Was the AUGF issued with "Special Conditions"? No ❑
Yes
➢ If"Yes", have the Special Conditions been fulfilled?
➢ If"No';please provide the estimated date the
Special Conditions will be fulfilled(MUST be
completed PRIOR to beginning of Constructions):
Date:
Section Six - Construction/Plan Updates: (APPLIES to ALL MIT Agreements)
➢ Have you started Construction (CFHP/GIP) or Plan
Development (GPS)? Yes ❑ No ❑
➢ If"No';please provide Estimated Construction Start Date
below
Date:
➢ If answered"Yes',please answer next 3 questions.
➢ Percentage of Overall Construction/Plan CURRENTLY
completed? (Approximate)
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fE
• Percentage of Overall Construction/Plan EXPECTED to be
completed next month? (Approximate) 0/0
• Have you provided 3 to 5 photos showing Construction or
Planning Activities (Outreach meetings, etc...) progress for Yes ❑ No ❑
this month? -If not,please attach photos to this report.
• Please remember to submit, 3 to 5 different photos
each month showing Construction progress.
➢ Is Construction being split into Phases?
• If"No', please continue to next question.
If answered"Yes';please list how many phases are being procured
for and the date construction was started or anticipated to start?
Phase 1: Title Construction Start
Date (anticipated)
Phase 2: Title Construction Start
Date (anticipated)
F This report was prepared by: Signature and date:
4`.
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11:Z6m: t
Florida Rel,lltld Floridp
rg
Gv
EXHT
CONTRACTORcr MONTHLYCOMIRLIANCE FORMSECTION
vv>t••r�er rare v��v v ^p v e p rrv�r3
Every month, Contractor and all sub-ontrac.or(s) must sign, date, an4 deliver this form to the Grant
Coordinator.
Project Name
Project Location
For the Month of
f: J�irlria
n I have NOT hired any new employees during the month specified.
❑ I have hired Section 3 employees,and/or_non Section 3 employees during the month.
li
❑ I have advertised to fill vacancy(ies)at the site(s)where work is taking place, in connection
residents,from the targeted groups and neighborhoods, to fill any vacancies.
Ti Placed signs or posters in prominent places at project site(s).
❑ Taken photographs of the above item to document that the above step was carried out.
❑
( Authority.
❑ Kept a log of
not hired.
Ti Retained copies of any employment applications completed by Section 3 residents.
U Verification
I have attached proof of all checked items.
hereby certify that the above information is true and correct.
Date
Signature
j Business
€leada-Deiaartraeatef€esaemis
:., OPP0114141Y-I-Galeiwell-aulldiag 1107 E.
Maelisen-Sheet i Tallahassee-F-L-3a388
DE .71 5 850.24 oe-
W W W- .71adeh6—oFo
FLORIDA DEPARTMENT N. EquAt HouslNG
ECONOMIC OPPORTUNITY OPPORTUNITY
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OFLORID
Office of Long-Term Resiliency
COMMERCE QPR-Section Six
CDBG-MIT
Public Facilities and improvements - Non-
Covered
Program:;;;' CDBG-MIT Critical Facility Hardening Program(CFHP)
Name of Subrecipient: Collier County
Project Name: Marion E.Fether Medical Center Hardening
Agreement Number: 10162
Year; J 'Quarter:
Section 3 Accomplishments
Performance Measure Projected This Quarter Total To Date
Total
#of Section 3 Labor Hours
#of Targeted Section 3 Labor Hours
#of Total Labor Hours
Qualitative Section 3 Efforts None to report this quarter
Protect Accomplishments
Performance Measure Protected This Quarter Total To Date
Total
#acres of newly added or improved green
space
#acres of wetlands created
#cubic feet of stormwater storage added
%decrease in affluent discharged
%decrease in area inundated by flooding
%decrease in disruption hours to residents
and
§decrease in NFIP CR5score
%decrease ins road closures in target area
during a_flood
%decrease water surface elevation level
during aftood
r$estimated flood loss avoidance
$Funds allocated for water
management/flood
Funds allocated for water quality,
improvements
%increase in acres of cropland protected
from flooding
%increase in groundwater Infiltration':
%Increase In number of acres converted to
open space
%Increase in pumping capacity
#linear feet of streams restored
#occupied structures in floodplain
#of acres green infrastructure created
#of acres green space created
#of acres green space preserved
#of acres no longer vulnerable to flood events
#'of acres of native vegetation ulanted
of acres with:Improved multiple hazard risk
mapping .
:ofbrownfield acres converted to wetland
#of buildings:(non-residential)
#of containment systems constructed
lof Elevated Structures
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#of fewer outages of critical facilities and
utilities
#ofM en infrastructure projects constructed
#of:greenspace users
#'of Linear feet of Public Improvement
#'of Linear:!Feet of Sewer Lines
#of linear feet of shoreline restored
St of linear feet of stream restored
#of linear feet of,trails constructed
#:of Linear Feet of Water lines,
#of Linear miles'of Public Improvement
#of Non-business Organizations benefitting
Performance Measure Projected This Quarter : Total To Date.
Total
#of non-invasive species trees planted on
Project sites
#of properties protected from future flooding
#of properties with access above 100 yr flood
level'
# public facilities
#of pump`stations repaired/replaced
#of reduced hours streets are flooded
#of residents protected from future flooding
#of small water retention devices/systems
installed
'#of storm water projects implemented
#of vacant lots;repurposed
#of water control structures
!paired/replaced
%reduction in emergency maintenance costs
%:reduction`Inenergy costs
%reduction In loss of service
%reduction of sanitary sewer overflows
%reduction of watershed nitrate loading
%reduction of water surface elevation level
Beneficiaries
Projected Projected Proiecte Quarte Total to
Performance Total low d r Date
• Measure Mod Total
#o stf ructures harden
against
future flood events
Date Prepared:
Prepared By:
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Ron DeSantis Dane Eagle
GOVERNOR SECRETARY
FLORIDA DEPARTMENT of
ECONOMIC OPPORTUNITY
SIT H
QUARTERLY PROGRAM REPORT
Project Title:
Grant Manager name Primary project manager
GM Phone # / GM email Phone# / Email
DEO Office of Long Term -tle
Resi+i enley
Activity Reporting Period : QUARTER YEAR
An up dar days after the end of each month.
Section One rin_n_ial Da4a:
t Funds used.this Funds used to date e
fler-ied g
Leverage Funds (A)
CDBG MIT Funds
-(B)
TOTAL Project
Funds (A I B)
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{Attachrnc^t� " �\ n^�
�� r.
,'«
—Were there any Staffing changes since last Quarter?
Ycs ❑ Ne-n
:--Fair Housing(Attachment F)
ftcr fair housing" in its community? This-is a
ee ftien-1=er
Ycs receipt of
*—Submit with this Report a copy of the Surecipicnt's fair housing
CDBG MIT
*—Submit, in the box be o the » „d -F ct if ti funds.
of the Sub ❑
*-- . g Coordinator's
provide, in the box below, the email address for t c home page ❑
*-- lls ant?
,ubtnit to DEO CM on a quarterly basis. ❑
*—Submitentation(as proof)for fair
-reusing activities conducted each quarter.
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3-- ,
-LIiIUI! UUVl GJJ V! CIiG ✓UUi G{.. � .
H_
—Do you Certify that Subrecipient Name and the contractors, Yes C This is a
subcontractors, subrecipients and consultants that it hires with
CDBG MIT funds will abide by the Equal Employment receipt of
Opportunity (EEO) Laws of the United States.?
CDBC MIT
3--Submit with this Report a copy of the Surecipicnt's EEO ❑ funds.
3—Submit, r. the F.o.. elei the .. ..d co.tact of.. ..ten ❑
of the EEO Coordinator.
information from the newspaper where listed OR provide, in the
efew,the email addres5-for--the-Subrecipientvebsite
'
.home-pager ❑
3--Establish a system(spreadsheet)to log all EEO calls and submit ❑
to DEO CM on a quarterly basis.
3--Submit to DEO CM the list of certified minority owned business
enterprises(MBE)and women owned-business enterprises
funded construction activities.
3-- ,
Coordinator:
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Marion E.Fether Medical Center Hardening Page 34
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+_cccti ran nd the A m ith Di abiliti Act
/ADA) (A aehment F)
*—Do you Certify that Subrecipient Name provides access to all YES n
federally funded activities to all individuals, regardless of This is a
handicap? eet en-€ef
❑ receipt of
*.—Submit with this Report a copy of the Su•recipient's Section CDBC MIT
0/n A r solute o ordinanc
t ❑ funds.
�—Submit, in the box be ,
of the S
*----Provide a copy of the-published blished Section 501/ADA Coordinator-%
contact information from the newspaper where listed OR
provide, in the box blew, the email address for the Subrccipicnt ❑
7,etnepage.
—Establish a system(spreadsheet)to log all Section 501/ADA calls
and submit to DEO CM on a quarterly basis,
is
is
*—
i
➢—
website.
•
•
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•:Section 3 (Attachments F, C(6))
—Did Subrecipient Name and the contractors, subcontractors,
Ycs ❑
and moderate income residents for any job openings that exist
on CDBG MIT funded projects in the community? Ne-❑
p —If answered"Ycs', please submit a report addressing the
following:
.---The total number of labor hours mod
El
4—The total number of labor hours worked by Section 3
•werkers:
El
•---The total number of labor hours worked by Targeted Section
":— nstruction is par-ref the Project)
—▪ Is FULL Environmental Review completed and Apt?
5,- If answered"Yes",please take photographs or-video of all Ycs n Pde-❑
with your QI'R. As the construction progresses, additional
photegraph-er-videograP
+_Etti '..t.n ftt Tr...wking /ff-c F tort of the Project)
*-
5-- Yes n Ne-0
equipment-service dates, etc. for monitoring purposes.
.—Esc.,..Q«.. vv..s ccrorrstm-c�aucc Ac rc,
+-
5--Date Sub. is estimating submission of 1
This report was prepared by: .
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EXHIBIT H - CDBG-MIT
Quarterly Progress Report (QPR)
( Grant No. — Sub. MT000 — City of Anywhere
Name:
Project Title: General Infrastructure Project
Funding Awarded: $0,000,000.00
Acireement Period: 01/10/2021 01/09/2025
Primary Points of Grant Manager name Primary project manager
Contact Information: GM Phone #/GM email Phone#/Email
Office of Long-Term Resiliency Title
Activity Reporting Period
An update of this report shall be submitted to FloridaCommerce ten (10) calendar days after the end of
each quarter.
Section One — Financial Data:
Amount Funds used this Funds used Balance Remaining,
period to date
Leverage
Funds (A) *
CDBG-MIT
Funds (B)
TOTAL Project
Funds (A+B)
* PLEASE SUBMIT COPIES OF SUPPORTING DOCUMENTATION FOR LEVERAGE FUNDS
USED TO YOUR GRANT MANAGER ON A MONTHLY BASIS.
Estimated date of first/next invoice and amount:
DATE: AMOUNT: $
Section Two — Accomplishments within the Past Quarter:
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A narrative MUST be included
Section Three - Issues or risks moving project forward (if any):
Section Four - Projected activities to be completed within the following Quarter:
A narrative MUST be included.
qt
{
Section Five - Environmental Review Status:
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➢ Is FLL Environmental Review completed and Approved?
➢ If "Yes'; please provide the AUGF(HUD 7015.16)
Commerce's execution(signed)date on the bottom, Yes ❑ No ❑
AUGF Date:
➢ If"No', please explain where you are in the
environmental process:
➢ Was the AUGF issued with "Special Conditions"?
Yes ❑ No ❑
➢ If"Yes", have the Special Conditions been fulfilled?
Yes ❑ No ❑
➢ If"No';please provide the estimated date the
Special Conditions will be fulfilled(MUST be
completed PRIOR to beginning of Constructions):
Date:
➢ Estimated construction start date:
➢ Percentage of construction complete: Rio
Section Six - Section 3 Reporting (Attachments F, G(6)):
Only provide hours relevant to the current reporting period/quarter.
➢ Name and contact information (phone number and email address) of the Sub-
Recipient's Section 3 Coordinator:
Total # Section 3 Labor Total # Targeted Section 3 Total # labor hours:
Hours: labor hours:
HRS HRS HRS
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E ➢ Did the Subrecipient Name meet the required benchmark Yes ❑ No ❑
of 25% Section 3 labor hours and 5%Targeted Section 3
labor hours?
If answered No please provide a list of qualitative 'best
efforts'made during this quarter as an attachment.
Examples of best efforts can be found in 24 CFR 75.15(b).
r:.
This report was prepared by: Signature of Subrecioient Staff and date:
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EXHIBIT I
COLLIER COUNTY COMMUNITY&HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION
SUBRECIPIENT Name:
SUBRECIPIENT Address:
Project Name:
•
Project No:
In accordance with 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
is • An authorized official of the Department of Justice or other law enforcement agency
• A court or grand juiy
• 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.
I certify that (insert subrecipient name here)
will comply with all whistleblower rights and
protections for its employees.
Name: 161-St-"
Signature:
Title: Ao1rntnijbo"
Your typed name here represents your electronic signature
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