Backup Documents 09/23/2025 Item #16D 3 1 6 D 3
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 9.23.2025 BCC
MTG
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Adrienne Meijer Community and Human AM 9/10/2025
Services
2. County Attorney Office—Jeffrey A. County Attorney Office
Klatzkow C(,D q 123 /Z5
3. BCC Office Board of County
Commissioners k1 1 2 5/2 S-
4. Minutes and Records Clerk of Court's Office q dd
7
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is ne ded in the event one of the addressees
above,may need to contact staff for additional or missin7rtnation.
Name of Primary Staff Adrienne Meijer Phone Number 239-252-5229
Contact/ Department
Agenda Date Item was 9/23/2025 Agenda Item Number 16.D. 3
Approved by the BCC
Type of Document LANDLORD PAYMENT AGREEMENTS FOR Number of Original
Attached FOR EIGHT(8)TBRA LANDLORDS Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK AM
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 Yes
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the N/A
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's YES
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE. Ll]
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 c LD 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 L) an option for
Chairman's signature. this line.
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and AKINETA HOLDINGS, LLC
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on $r rc,47u 2311025 and shall end upon 30-days written
notification from either party to the other,or when funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf ofthe eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit,or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT. The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1)current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
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necessary to resolve the situation.
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a)Rental Arrears,Application Fees and/or Deposits: will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions (i.e., same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz,org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www.sam.gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers, or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD's standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K. KINZEL,CLERK COLLIER COUNTY, FLORIDA
'410
6(7,,..f;epty Clerk • BU T L. SAUNDERS, CHAIRMAN
Dated: " . .// ,
(SEAL)
Attest•as'tq,,Chairman's
gtgiture only ,
Approved as to form and Legality:
c0( Jeffrey A, Klatzkow, County Attorney OD
Date: CI123/2c
LAN
BY: C .c,�.
LA LORD OR AUT RIZED SIGNOR
PRINTED NAME:AR-E''E E• OteAT 1 fS ADDRESS: S CP D 1O AV w► L . rr__
hlc pI•f4 flocId a` 3 i r D
u►4IT Lct4`f
•
[25-SOC-01292/1953367/1] 3 I P a g o
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VIOLENCE,DATING VIOLENCE U.S. Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A" Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO. &ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
I. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause" for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf, certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date,to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
Landlord Date
Form HUD-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/ HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/ HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
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(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column I are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection
Water/Sewer
Heating Fuel (specify)
Lights, electric
Cooking Fuel(specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition(as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started. This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
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• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued, to admit guilt, or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties. This prohibition, however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act, whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense, or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however, may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed,religion, sex,handicap, national origin, or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information,therefore the election to receive notices by e-mail is a voluntary option.
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Landlord election:
❑ I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes, from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered, or(b) mailed by certified mail, return receipt requested.
Landlord Address :
Tenant election:
❑ I, ,the tenant, agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a) personally delivered, or(b)mailed by certified mail, return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative)
By:
(Signature/Date) (Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)
(Signature/Date)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and TEEN, LLC
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on ei 23 2n25 and shall end upon 30-days written
notification from either party to t e other,or vhen funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit,or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT. The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1) current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
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necessary to resolve the situation.
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a) Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions (i.e., same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www.sam.gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers,or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD's standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
Pe'41°C
puty Clerk B L. SA ND RS, CHAIRMAN
Dated:--gq/ 4L C ✓
(SEAL) ;
" AtteS#•as'fhairman s
't1 ature only
Approved as to form and Legality:
By: ea_ACCD:60?)-e:—.
Jeffrey A, Klatzkow, County Attorney
Date: I/Z3
LANDLORD
BY: � AUTHORIZED(For Teen LLC)
LANDLO AUTHORIZED SIGNOR
PRINTED NAME: TEEN LLC
ADDRESS: 155 Bartram Mkt Dr#135-267
St Johns, FL 32259
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VIOLENCE,DATING VIOLENCE U.S. Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A" Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO. &ADDRESS
1680 Alameda Dr, Naples,
Joey Lavarco TEEN LLC FL 34120
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is 08/01/2025 . This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause" for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf, certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date, to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
'")` (For TEEN LLC) 09/03/2025
Landlord Date
Form HUD-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
1680 Alameda Dr, Naples
Joey Lavarco TEEN LLC FL 34120
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/ HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/ HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County, effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on 8/01/2025and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$ 5,396.60
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
IIPAGE
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16D3
(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column 1 are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection T
Water/Sewer T
Heating Fuel (specify) Electric T
Lights, electric T
Cooking Fuel (specify) Electric T
Other(specify) Lawn maintenance 0
Refrigerator 0
Stove/Range 0
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition (as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started. This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
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• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued, to admit guilt, or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties. This prohibition, however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act, whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense, or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however, may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed, religion, sex, handicap, national origin, or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information, therefore the election to receive notices by e-mail is a voluntary option.
3IPAG
1 6 D 3
Landlord election:
I I, TEEN LLC , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes, from the tenant by e-mail.
I designate the following e-mail address for receipt of notices: ops@fortunaterra.com
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a) personally delivered, or(b)mailed by certified mail,return receipt requested.
Landlord Address :
Tenant election:
❑ I, ,the tenant, agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a) personally delivered, or(b)mailed by certified mail, return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME: TEEN LLC
(Type or Print Name of Tenant Representative)
By: Vivek V lyer
(Signature/Date) (Type or Print Name of Landlord Representative)
By: II
(Type or Print Name of Tenant Representative) (Signature/Date) U ‘} l,an, 09/03/2025
(Signature/Date)
4I
16D 3
HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and KIRK SANDERS
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA): •
1, This agreement shall begin on S•Pk.hbrl 231 2025 and shall end upon 30-days written
notification from either party to the other,or when funding for this program is no longer available,
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf,
4, The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements.During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit, or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
• remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT.The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (I)current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
[25-SOC-01292/1953367/1 J 1 ( P a g e
16D3
necessary to resolve the situation,
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows: •
(a)Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions(i.e.,same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD's authorized
representative:
13, If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD,with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www,sam,gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers, or INDIVIDUAL OWNERS must submit an
E-Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement,
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement,
H.Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19, Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1] 2 I P a g e
16D 3
20, Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD's standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
• ,
4 eputy Clerk B R L. SAUND RS, CHAIRMAN
Dated: (; ,,� ��
(SEAL)
Attest as to Chairman's
signature only
Approved as to form and Legality:
By:
Jeffrey ef A,Klatzkow,County Attorney CV
Date: 61/23/ 25.--
LANDLORD
BY:
LAN LORD OR AUTHORIZED SIGNOR
PRINTED NAME: I k-
ADDRESS: d's f lit/ r 7-11ecc 4 v
4/41lcf o/i'cJ.A
3 7 d'7o 7,2-o
[25-SOC-01292/1953367/1] 3 I P a g e
16D 3
VIOLENCE,DATING VIOLENCE U.S.Department of Housing QM8 Approval No,2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A"Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO. &ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is . This Lease Addendum shall
continue to be in effect until the Lease is terminated,
VAWA Protections
1, The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause"for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2, The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf,certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking,Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date, to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
Landlord Date
Form 1111I3-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/ HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
'IMAGE
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16D 3
(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column I are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
_ .
Garbage Collection
Water/Sewer
Heating Fuel (specify)
Lights, electric
Cooking Fuel(specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition(as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started.This may be done by
providing Collier County with a copy of the required notice to the Tenant.The THRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
21PAGE
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1 6 D 3
• Proof of activity of a controlled substance for any household member •
• A felony conviction of a crime that is violent or sexual in nature •
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner •
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253, •
(1) Agreement to be sued. Agreement by the tenant to be sued,to admit guilt,or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with •
the lease. •
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties.This prohibition, however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act, whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense,or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however,may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed, religion, sex,handicap,national origin,or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information, therefore the election to receive notices by e-mail is a voluntary option.
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Landlord election:
0 I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes,from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑I do not agree to receive notices by a-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered,or(b) mailed by certified mail, return receipt requested.
Landlord Address :
Tenant election: •
❑ I, ,the tenant, agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by a-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a)personally delivered,or(b)mailed by certified mail,return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative)
By:
(Signature/Date) (Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)
(Signature/Date)
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1 6 D 3
HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and WALTHAM RIVER'S EDGE, LLC.
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on stpfir ndu 2. 2.o25 and shall end upon 30-days written
notification from either party to the other,or when funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit, or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT. The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1)current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
[25-SOC-01292/1953367/1] 1 i P a g e
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necessary to resolve the situation.
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a) Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions(i.e., same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www_sarmov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers,or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1] 2 I P a g e
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all eases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD's standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
• r0•
Jerk B .SA D R , IRMAN
15 Dated a 200106
(SEM"? .A sf' 1Ghairman's
'•signattge only
Approved as to form and Legality:
CtuDa96_, __,.
Cf Jeffrey A,Klatzkow,County Attorney CP
Date: q/23/24-
•
LANDLORD
BY:
LANDLORD OR AUTHOR _ED SIGNOR
PRINTED NAME: ^D K •�-v.
ADDRESS: 9,1 9 3 .i-`hetc.T.A wn-t
[25-S0C-01292/1953367/1] 3 I P a g e
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VIOLENCE,DATING VIOLENCE U.S. Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A" Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO. &ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is . This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause" for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf, certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date,to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
Landlord Date
Form HUD-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/ HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/ HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(l)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
1IPAG
16D3
(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column 1 are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection
Water/Sewer
Heating Fuel (specify)
Lights, electric
Cooking Fuel (specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition (as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started. This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
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• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued,to admit guilt, or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties. This prohibition, however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act, whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense, or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however, may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed, religion, sex, handicap, national origin, or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information, therefore the election to receive notices by e-mail is a voluntary option.
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Landlord election:
❑ I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes, from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered,or(b)mailed by certified mail, return receipt requested.
Landlord Address :
Tenant election:
❑ I, ,the tenant, agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a)personally delivered, or(b)mailed by certified mail, return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative)
By:
(Signature/Date) (Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)
(Signature/Date)
41 -° AGE
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between. Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and COMMUNITY ASSISTED AND SUPPORTIVE LIVING INC.
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on St it.oer 2 2.02.5 and shall end upon 30-days written
notification from either party to the other,or hen funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with nececcary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements.During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit,or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) ,rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program.This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT. The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1)current amount owed(broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
[25-SOC-01292/1953367/1] 1 1 P a g e
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necessary to resolve the situation.
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a)Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions(i.e.,same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD'S authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14, The LANDLORD,with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http:/!www.saM.go.y.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers,or INDIVIDUAL OWNERS must submit an
E-Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants,unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1] 2 Page
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD'S standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
Deputy Clerk B L. SA , CHAIRMAN
Dated v: AqII
(SEAL)
Attesto'citairmanb
• .ssgnatur'e only •t
Approved as to form and Legality:
•
By:
�Jeffrey A,Klatzkow, County Attorney CLD
Date: Q/23/26-
LANDLORD "..\
BY:
LANDLI•ID OR AUTHORIZED SIGNOR
PRINTED NAME: Yea 14 E II 42.r
ADDRESS: Z,911 Fv�.I4vt)L RD(
SofeicGl4j FC.3 ,1 ).3 `7
[25-SOC-01292/1953367/1] 3 I a'' :-, e 4'
1 6 D 3
VIOLENCE,DATING VIOLENCE U.S.Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A"Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO. &ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is . This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause"for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf, certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date, to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
9103/D03
Lan ord Date
Form HUD-91067
(9/2008)
1 6 D 3
HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. &ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
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(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column 1 are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection
Water/Sewer
Heating Fuel(specify)
Lights,electric
Cooking Fuel(specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition(as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started.This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
2IPAGF
1 6 D 3
• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued,to admit guilt,or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties.This prohibition,however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act,whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense,or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however,may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed,religion,sex,handicap,national origin,or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information, therefore the election to receive notices by e-mail is a voluntary option.
3IPAGE
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Landlord election:
O I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83,Florida Statutes, from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail.I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered,or(b)mailed by certified mail,return receipt requested.
Landlord Address :
Tenant election:
O I, ,the tenant, agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a)personally delivered, or(b)mailed by certified mail,return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative) Co ru w,µ n l 1.7 AV fir'f'c,ef 4,401 Zfey a r rr' (,f w t
By: Snb .E e'r
(Signature/Date) (Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)A ®qicfoa)r
(Signature/Date)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and MHP BEMBRIDGE LLC
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on Se ,ler 231 Zo2S and shall end upon 30-days written
notification from either party to the other,or when funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit, or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT.The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information:(1)current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
[25-SOC-01292/1953367/1] 1 1 P a g e
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1 6 D 3
necessary to resolve the situation.
I I. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a) Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions(i.e.,same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY, and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in"active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www.sam.gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers,or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1 J 2 I P a g e
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD'S standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
j_
.40,4r441,40--
4 1Jevuty Clerk BL L. SAUND RS, CHAIRMAN
Ail Dated: 7 .�*��"�
(SEAL) —__..
Attest as to Chairman's
signature only I
Approved as to form and Legality:
By:J7 ( 0
t�Jeffrey A, Klatzkow, County Attorney v
Date: 9/23 12S-
LANDLORD
MHP BEMBRIDGE, LLC, a Florida limited liability
company
By: MHP Bembridge Member, LLC, a.Florida limited
liability company, its M agin ber
By:
Christopher Shea resident
Address:777 Brickell Avenue, Suite 1300
Miami,FL 33131
[25-SOC-01292/1953367/1 j 3 1 p a g e
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VIOLENCE,DATING VIOLENCE U.S. Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A" Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO.&ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is . This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause" for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf,certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date,to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
Landlord Date
Form HUD-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/ HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/ HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
IIPAGE
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(2) After the Tenant has moved from the dwelling unit, the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column I are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection
Water/Sewer
Heating Fuel (specify)
Lights, electric
Cooking Fuel (specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition(as determined by Section 8 Housing Quality Standards/NSPIRE).
1. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started. This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
2 : PAGE
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• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued, to admit guilt, or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties. This prohibition, however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act,whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense, or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant, however, may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant (other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed,religion,sex, handicap, national origin,or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information,therefore the election to receive notices by e-mail is a voluntary option.
3 1 P . GE
1 6 D 3
Landlord election:
❑ I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes, from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
0 I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered,or(b)mailed by certified mail,return receipt requested.
Landlord Address :
Tenant election:
0 I, ,the tenant,agrees to receive notices required by the rental agreement
or under part II of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail.I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address, which takes effect upon
delivery of such notice.
0 I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a)personally delivered,or(b)mailed by certified mail, return receipt requested.
Tenant Address:
TENANT SIGNATURES LANDLORD SIGNATURES
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative)
By:
(Signature/Date) (Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)
(Signature/Date)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and MHP FL VII, LLLP.
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
I. This agreement shall begin on 5ep .h nits 23 2425 and shall end upon 30-days written
notification from either party to the other,or when funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TB RA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit, or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT.The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1) current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3-day notice and(3)amount
[25-SOC-01292/1953367/1] 1 1 P a g e
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necessary to resolve the situation.
11. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a) Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions(i.e., same payment due
date,grace period, and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will be signed by COUNTY. and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in "active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www.sam.gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers,or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY,or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall be attached to all leases entered
into with TBRA funded tenants, unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1] 2 1 F a g e
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20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD'S standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
Lxii
t,
„, ,, -
,fibi,,, .
t. I)eRuty C erk B L. SAUND RS. CHAIRMAN
Dated: "9 A
(SEAL) Y.
Attg t es`td Chairman's
signature only
Approved as to form and Legality:
DI.Lei_____
Cu rjiBy•___
CLU
Jeffrey A,Klatzkow, County Attorney
Date: q/23/26--
LANDLORD
MHP FL VII,LLLP, a Florida limited liability
limited partnership
By: MHP FL VII SLP, LLC, a Florida limited
liability company, its special • •.tncr
y• Christopher ' ar, President
Address: 777 Brickell Ave., Suite 1300
Miami, FL 33131
[25-SOC-01292/1953367/1] 3 I p a ; e
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OVD
(800z/6)
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asnuo `ioaluoo s juuual aql aapun uosiad lap ao lsanB icuu JO piogasnoq muuual e jo aagwaw
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1 6 D 3
HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM (TBRA)
LANDLORD PAYMENT AGREEMENT
THIS AGREEMENT is entered into between Collier County Board of County Commissioners, hereinafter
referred to as the COUNTY and MHP COLLIER LTD.
hereinafter referred to as the LANDLORD.
The undersigned LANDLORD hereby agrees to the following conditions in order to receive LANDLORD
payments from the COUNTY under the HOME Tenant Based Rental Assistance Programs(TBRA):
1. This agreement shall begin on Scitewitt 23 ZolS and shall end upon 30-days written
notification from either party to the other,or When funding for this program is no longer available.
2. The COUNTY agrees to provide the LANDLORD with a list of names and contact information for
all COUNTY personnel authorized to commit TBRA funds. The LANDLORD will only accept
payment commitment from authorized COUNTY personnel. Changes (additions/deletions)to the
authorized personnel list must be approved in writing by an authorized COUNTY representative.
3. The LANDLORD agrees to provide COUNTY with contact information for authorized
representatives to resolve a crisis and/or supply the County with necessary payment information on the
client's behalf.
4. The LANDLORD agrees to provide the COUNTY with copy of all leases and modifications or
amendments for each eligible TBRA program participant.
5. The COUNTY agrees to provide payments directly to the LANDLORD on behalf of the eligible TBRA
program participant and as long as the grantor and COUNTY regulations does not prohibit payment.
6. The LANDLORD assures that no household receiving TBRA assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement LANDLORD agrees to give the COUNTY a copy
of any notice to the program participant to vacate the housing unit, or complaint used under state or
local law to commence an eviction action against the program participant.
7. The LANDLORD assumes that eligible households on whose behalf TBRA assistance is received
will not be discriminated against.
8. The LANDLORD understands that only eligible activities listed under 24 CFR 92.209 (a) , rental
assistance and security deposits,are to be paid with TBRA funds.
9. The LANDLORD agrees to accept the TBRA rental assistance payments each month by the
COUNTY paid directly to the LANDLORD on behalf of the TENANT as long as the tenant
remains eligible for assistance under the TBRA program. This payment shall be credited by the
LANDLORD toward the monthly rent payable by the TENANT.The balance of the monthly rent
shall be paid by the TENANT.
10. The LANDLORD agrees to assist the COUNTY in verifying the TBRA program participant's
information and to make timely commitments to resolve any crisis situation.Subject to the
LANDLORD's privacy requirements,the LANDLORD agrees to provide the COUNTY with the
following detailed TBRA program participant information: (1)current amount owed (broken
down by month)(2)due date/eviction dates informal eviction notice/3- day notice and(3)amount
[25-SOC-01292/1953367/1 j 1 i P a g e
1 6 D 3
necessary to resolve the situation.
II. In accordance with the Florida Local Government Prompt Payment Act,the COUNTY agrees to
provide payment to the LANDLORD as follows:
(a) Rental Arrears,Application Fees and/or Deposits:will be dispersed by the COUNTY
within 60 days from the date of the COUNTY's approval of the program participant's
eligibility if the rental assistance is a valid TBRA program expenditure.
(b)Ongoing rental assistance:will be disbursed by the COUNTY for eligible TBRA
recipients in accordance with the rental agreement as issued by the LANDLORD on behalf
of the program participant under the same terms and conditions (i.e.,same payment due
date,grace period,and late penalty requirements).
(c) COUNTY's promise to pay can only be issued after a TBRA participant has been
certified as Eligible under the TBRA program.
12. This LANDLORD Agreement will he signed by COUNTY, and LANDLORD's authorized
representative.
13. If a TBRA payment to the LANDLORD cannot be applied to a TBRA program participant's
account,the funds will be returned to the COUNTY.
14. The LANDLORD, with the exception of INDIVIDUAL OWNERS, must be in "active" status
with the State of Florida: http://sunbiz.org/search.html. The LANDLORD's name must
also be verified against the System for Award Management website at http://www.sam.gov.
The COUNTY agrees to maintain documentation of verification that the business name of the
LANDLORD on this agreement is the same as the legal business name on the State of Florida
System for Award Management website. The LANDLORD must submit the E-VERIFY
Memorandum of Understanding for Employers, or INDIVIDUAL OWNERS must submit an
E- Verify waiver.
15. The LANDLORD agrees to maintain documentation of verification that the owner's name or
business names of the LANDLORD on this agreement is the same name as that name on the
Collier County Property Appraiser, unless designated through a property management
agreement.
16. COUNTY does not assume any responsibility for,or liability to,any person injured as a result
of LANDLORD's action or failure to act in connection with the implementation of this
agreement or as a result of any other failure to act by the LANDLORD.
17. LANDLORD is not the agent of COUNTY, and this agreement does not create any
relationship between COUNTY and any lender to LANDLORD or suppliers, employees,
contractors or subcontractors used by LANDLORD in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or a
third-party to enforce any provision of this agreement or to assess any claim against COUNTY. or
LANDLORD under this Tenant Based Rental Assistance Agreement.
19. Exhibit A,attached hereto and incorporated by reference,shall he attached to all leases entered
into with TBRA funded tenants,unless similar language covering VAWA requirements is
already in the LANDLORD's standard lease.
[25-SOC-01292/1953367/1] 21 P a u e
CAO
16D3
20. Exhibit B,attached hereto and incorporated by reference,shall be attached to all leases entered into with
TBRA funded tenants, unless similar language covering the tenant protections as stipulated in the
attached lease addendum is already in the LANDLORD's standard lease.
IN WITNESS THEREOF,the parties hereto have caused this agreement to be executed by their undersigned officials
as duly authorized.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
CRYSTAL K.KINZEL,CLERK COLLIER COUNTY,FLORIDA
, Deputy Clerk B L. SAUND R , CHAIRMAN
Dated; T s0A5
(SEAL)
Atp tastoChairman's
signature only
Approved as to form and Legality:
��((B�y: C—" ��II �
Nlhieffrey A. Klatzkow, County Attorney lam'
Date: 9/03/OS—
LANDLORD
MHP COLLIER LTD,a Florida limited partnership
By: MHP Collier SLP, LLC, a a limited liability
company, its speci p r
By:
Christopher Shea , resident
Address: 777 Brickell Ave., Suite 1300
Miami, FL 33131
[25-SOC-01292/1953367/1] 3 I P a g e
CA')
1 6 D 3
VIOLENCE,DATING VIOLENCE U.S. Department of Housing OMB Approval No.2502-0204
OR STALKING and Urban Development Exp.6/30/2017
Office of Housing
"Exhibit A" Lease Addendum
VIOLENCE AGAINST WOMEN AND JUSTICE DEPARTMENT REAUTHORIZATION ACT OF 2005
TENANT LANDLORD UNIT NO.&ADDRESS
This lease addendum adds the following paragraphs to the Lease between the above referenced
Tenant and Landlord.
Purpose of the Addendum
The lease for the above referenced unit is being amended to include the provisions of the
Violence Against Women and Justice Department Reauthorization Act of 2005 (VAWA).
Conflicts with Other Provisions of the Lease
In case of any conflict between the provisions of this Addendum and other sections of the Lease,
the provisions of this Addendum shall prevail.
Term of the Lease Addendum
The effective date of this Lease Addendum is . This Lease Addendum shall
continue to be in effect until the Lease is terminated.
VAWA Protections
1. The Landlord may not consider incidents of domestic violence, dating violence or stalking as
serious or repeated violations of the lease or other"good cause" for termination of assistance,
tenancy or occupancy rights of the victim of abuse.
2. The Landlord may not consider criminal activity directly relating to abuse, engaged in by a
member of a tenant's household or any guest or other person under the tenant's control, cause
for termination of assistance, tenancy, or occupancy rights if the tenant or an immediate
member of the tenant's family is the victim or threatened victim of that abuse.
3. The Landlord may request in writing that the victim, or a family member on the victim's
behalf, certify that the individual is a victim of abuse and that the Certification of Domestic
Violence, Dating Violence or Stalking, Form HUD-91066, or other documentation as noted
on the certification form, be completed and submitted within 14 business days, or an agreed
upon extension date,to receive protection under the VAWA. Failure to provide the
certification or other supporting documentation within the specified timeframe may result in
eviction.
Tenant Date
Landlord Date
Form HUD-91067
(9/2008)
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HOME INVESTMENT PARTNERSHIP PROGRAM OR HOME-ARP
TENANT BASED RENTAL ASSISTANCE PROGRAM(TBRA)
LEASE ADDENDUM
TENANT LANDLORD UNIT NO. & ADDRESS
This lease addendum adds the following paragraphs to the Lease between the Tenant and
Landlord referred to above.
A. Purpose of the Addendum. The lease for the above-referenced unit is being
amended to include the provisions of this addendum because the Tenant has been
approved to receive rental assistance under the Collier County HOME/HOME-ARP
Tenant Based Rental Assistance Program. Under the Rental Assistance Program,
Collier County (County) will make monthly payments in accordance to program
terms to the Landlord on behalf of the Tenant.
The Lease has been signed by the parties on the condition that the Collier County and
Landlord will promptly execute a HOME/HOME-ARP Landlord Rental Agreement.
This Lease shall not become effective unless the Agreement has been executed by
both the Landlord and the County,effective the first day of the term of the Lease.
B. Conflict with Other Provisions of the Lease. In case of any conflict between the
provisions of this Addendum and other sections of the Lease, the provisions of this
Addendum shall prevail.
C. Terms of the Lease. The term shall begin on and shall continue until:(1)
the Lease is terminated by the Landlord in accordance with applicable state and local
Tenant/Landlord laws; (2) the Lease is terminated by the Tenant in accordance with
the Lease terms or by mutual agreement during the term of the Lease; or (3)
termination of the HOME/ HOME-ARP Rental Assistance Program Contract by the
County.
D. Rental Assistance Payment. Each month the County will make a rental assistance
payment to the Landlord on behalf of the Tenant. This payment shall be credited by
the Landlord toward the monthly rent payable by the Tenant. The balance of the
monthly rent shall be paid by the Tenant.
E. Security Deposit
(1) The Landlord shall receive a Security Deposit in the amount of$
The Landlord will hold this security deposit during the period the Tenant
occupies the dwelling unit under the Lease. The Landlord shall comply with
state and local laws regarding interest payments on security deposits.
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(2) After the Tenant has moved from the dwelling unit,the Landlord may, subject to
state and local laws, use the security deposit, including any interest on the
deposit, as reimbursement for rent or any other amounts payable by the tenant
under the Lease. The Landlord will give the Tenant a written list of all items
charged against the security deposit and the amount of each item. After
deducting the amount used as reimbursement to the Landlord, the Landlord shall
promptly refund the full amount of the balance to the Tenant.
(3) Security Deposit in conjunction with rent at the same address- The amount of a
security deposit may not exceed the equivalent of two month's rent for the unit.
F. Utilities and Appliances. The utilities and appliances listed in Column 1 are
provided by the Landlord and included in the rent. The utilities and appliances listed
in Column 2 below are not included in the rent and are paid separately by the Tenant.
UTILITY/APPLIAN Included in Rent Tenant Paid
CE
Garbage Collection
Water/Sewer
Heating Fuel (specify)
Lights, electric
Cooking Fuel (specify)
Other(specify)
Refrigerator
Stove/Range
G. Household Members. The Tenant may not permit other persons to join the
Household without notifying the County and obtaining the Landlord's permission.
H. Housing Quality Standards/NSPIRE. The Landlord shall maintain the dwelling
unit, common areas, equipment, facilities and appliances in decent, safe, and sanitary
condition(as determined by Section 8 Housing Quality Standards/NSPIRE).
I. Termination of Tenancy. The Landlord may evict the Tenant following applicable
state and local laws. The landlord must provide the Tenant with at least 30 days'
written notice of the termination. The Landlord must notify Collier County in
writing within 15 days of when eviction proceedings are started. This may be done by
providing Collier County with a copy of the required notice to the Tenant. The TBRA
program termination clauses applicable to Collier County's policy and procedures are
as follows:
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• Proof of activity of a controlled substance for any household member
• A felony conviction of a crime that is violent or sexual in nature
• Proof of domestic violence
• Physical damage to the unit beyond normal wear and tear
• Failure to pay the Tenant portion of the rent required
• Failure to maintain the unit in a safe and sanitary manner
J. Prohibited Lease Terms. Any provision of the Lease which falls within the
classifications below shall not apply and not be enforced by the landlord/owner per
24 CFR 92.253.
(1) Agreement to be sued. Agreement by the tenant to be sued,to admit guilt, or to a
judgment in favor of the landlord/owner in a lawsuit brought in connection with
the lease.
(2) Treatment of Property. Agreement by the tenant that the landlord/owner may
take, hold or sell personal property of household members without notice to the
tenant and a court decision on the rights of the parties. This prohibition,however,
does not apply to an agreement by the tenant concerning disposition of personal
property remaining in the housing unit after the tenant has moved out of the unit.
The landlord/owner may dispose of this personal property in accordance with
Florida law.
(3) Excusing landlord/owner from Responsibility. Agreement by the tenant not to
hold the landlord/owner or landlord's/owner's agents legally responsible for any
action or failure to act, whether intentional or negligent.
(4) Waiver of Notice. Agreement of the tenant that the landlord/owner may institute a
lawsuit without notice to the tenant.
(5) Waiver of Legal Proceedings. Agreement by the tenant that the landlord/owner
may evict the tenant or household members without instituting a civil court
proceeding in which the tenant has the opportunity to present a defense, or before
a court decision on the rights of the parties.
(6) Waiver of Jury Trial. Agreement by the tenant to waive any right to a trial by
jury.
(7) Waiver of Right to Appeal Court Decision. Agreement by the tenant to waive the
tenant's right to appeal, or to otherwise challenge in court, a court decision in
connection with the lease.
(8) Tenant Chargeable with Cost of Legal Actions Regardless of Outcome.
Agreement by the tenant to pay lawyer's fees or other legal costs even if the
tenant wins in a court proceeding by the landlord/owner against the tenant. The
tenant,however, may be obligated to pay costs if the tenant loses.
(9)Mandatory Supportive Services. Agreement by the tenant(other than a tenant in
transitional housing)to accept supportive services that are offered.
K. Nondiscrimination. The Landlord shall not discriminate against the Tenant in the
provision of services, or in any other manner, on the grounds of age, race, color,
creed, religion, sex, handicap, national origin, or familial status.
L. Notices and Disclosures. All notices or other rental communications may contain time-
sensitive information,therefore the election to receive notices by e-mail is a voluntary option.
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Landlord election:
❑ I, , the landlord or the landlord's agent, agrees to receive notices
required by the rental agreement or under part II of chapter 83, Florida Statutes,from the tenant by e-mail.
I designate the following e-mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the tenant which is
effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the tenant specifying the new e-mail address, which takes effect upon delivery
of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender,
and either(a)personally delivered, or(b)mailed by certified mail, return receipt requested.
Landlord Address :
Tenant election:
❑ I, ,the tenant, agrees to receive notices required by the rental agreement
or under part 11 of chapter 83, Florida Statutes, from the landlord by e-mail. I designate the following e-
mail address for receipt of notices:
I may revoke my agreement to receive notices by e-mail by providing written notice to the landlord which
is effective upon delivery of such written notice and does not affect the validity of any notice that was
previously sent by e-mail. I may update my e-mail address designated for electronic delivery at any time by
providing written notice to the landlord specifying the new e-mail address. which takes effect upon
delivery of such notice.
❑ I do not agree to receive notices by e-mail. All notices must be in writing signed by the sender, and
either(a)personally delivered,or(b)mailed by certified mail, return receipt requested.
Tenant Address:
TENANT SIGNATURES I LANDLORD SIGNATURES
J
By: LANDLORD NAME:
(Type or Print Name of Tenant Representative)
By:
(Signature/Date)
(Type or Print Name of Landlord Representative)
By:
(Type or Print Name of Tenant Representative) (Signature/Date)
(Signature/Date)
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