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Backup Documents 10/14/2025 Item #16C 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 C 1. TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. County Attorney Office CAO /tL b 'O/1/4 2. Board of County Commissioners Office BOCC (• 135 tY# 51 , ioI y 3. Minutes and Records Clerk of Court's Office 1l 10 1526 4. Send via email to: V kezia.domond(tr;col l ier.gov PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Kezia Domond Contact/ Department Grants Coordinator I 2885 S. Horseshoe Dr 252-2743 Agenda Date Item was 10.1 ^ .2025 Agenda Item Number 16.C.01 Approved by the BCC �F Type of Document Grant Agreement Number of Original 1 Attached V g Documents Attached PO number or account number if document is N/A to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature STAMP OK Certified KD 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 KD 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 KD 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 KD signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into SIRE. KD 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 10.14.2025 and all changes made during the meeting have been incorporated in the attached document. The County nGp Attorney's Office has reviewed the changes,if applicable. l• 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made,and the document is ready for the CM Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16C1 STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Standard Grant Agreement This Agreement is entered into between the Parties named below,pursuant to section 215.971,Florida Statutes: 1. Project Title(Project): Agreement Number: Collier County - Palm River Public Utility Renewal Project L0019 2. Parties State of Florida Department of Environmental Protection, 3900 Commonwealth Boulevard Tallahassee,Florida 32399-3000 (Department) Grantee Name: Collier County Entity Type: Local Government Grantee Address: FEID: 596000558-007 3299 Tamiami Trail E.Suite 303,Naples,FL 34112 (Grantee) 3. Agreement Begin Date: Date of Expiration: July 1,2024 June 30,2029 4. Project Number: Project Location(s): LatlLon (26.2788, (!fdifferent from Agreement Number) g' -81.7844) Project Description: the Grantee will construct new potable water distribution system(s),new wastewater collection system(s),and new stormwater system (s)as needed in the Palm River Neighborhood. 5. Total Amount of Funding: Funding Source? Award tis or Line-Item Appropriations: Amount per Source(s): E State ❑Federal LP,GAA LI 1732A,FY 24-25,GR $ 3,000,000.00 S 3,000,000.00 ❑ State ❑Federal $ E State ❑Federal $ 0 Grantee Match 1 $ Total Amount of Funding±Grantee Match, if any: $ 3.000.000.00 6. Department's Grant Manager Grantee's Grant Manager Name: Arianna Kolesar Name: Diana Dueri or successor or successor Address: Florida Dept.of Environmental Protection Address: Collier County Board of County Commissions 3900 Commonwealth Blvd.,MS 3570 3339 Tamiami Trial E.Suite 303 Tallahassee,FL 32399-3000 Naples,FL 34112 Phone: 850-245-2948 Phone: (239)252-4218 Email: Arianna.Kolesarta`.FloridaDEP.gov Email: Diana.dueri@colliercountyfl.gov 7. The Parties agree to comply with the terms and conditions of the following attachments and exhibits which are hereby incorporated by reference: Attachment 1: Standard Terms and Conditions Applicable to All Grants Agreements E Attachment 2: Special Terms and Conditions E Attachment 3:Grant Work Plan E Attachment 4: Public Records Requirements E Attachment 5: Special Audit Requirements ❑ Attachment 6: Program-Specific Requirements ❑ Attachment 7:Grant Award Terms(Federal)'Copy available at https://facts.fldfs.com,in accordance with section 215.985.P.S. O Attachment 8: Federal Regulations and Terms(Federal) O Additional Attachments(if necessary): E Exhibit A: Progress Report Form O Exhibit B: Property Reporting Form E Exhibit C: Payment Request Summary Form O Exhibit D:Quality Assurance Requirements 0 Exhibit E: Advance Payment Terms and Interest Earned Memo O Exhibit F:Common Carrier or Contracted Carrier Attestation Form PUR1808(State) DEP Agreement No. L0019 C,0 Rev.6/14/24 16C O Exhibit H: Non-Profit Organization Compensation Form(State) O Exhibit I: Forced Labor Attestation Form O Additional Exhibits(if necessary): 8. The following information applies to Federal Grants only and is identified in accordance with 2 CFR 200.331 (a)(1): Federal Award Identification Number(s)(FAIN): Unique Entity Identifier(UEI): Federal Award Date to Department: Federal Award Project Description: Total Federal Funds Obligated by this Agreement: Federal Awarding Agency: Award R&D? 0 Yes ON/A IN WITNESS WHEREOF,this Agreement shall be effective on the date indicated by the Agreement Begin Date unless another date is specified in the grant documents. Collier County GRANTEE Grantee Nam By, #....irgrottorted4— Z�I o/i y - (, ut torized Signature) Date Signed Burt L.Saunders,Chairman Print Name and Title of Person Signing State of Florida Department of Environmental Protection DEPARTMENT By. Secretary or Designee Date Signed Angela Knecht,Director,Division of Water Restoration Assistance Print Name and Title of Person Signing ✓�Additional signatures attached on separate page. ATTEST CRYSTAL K.KINZ . ,CLERK BY. .. tfost as to Chairman's signature,,only DEP Agreement No. L0019 CAO Rev.6/14/24 Digitally signed by Angela Knecht Date: 2025.10.24 16:58:58 -04'00' Arianna Kolesar Digitally signed by Arianna Kolesar Date: 2025.10.24 16:22:14 -04'00' Amanda Peck Digitally signed by Amanda Peck Date: 2025.10.24 16:29:22 -04'00' 6C1 STATE OF FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION Special Audit Requirements (State and Federal Financial Assistance) Attachment 5 The administration of resources awarded by the Department of Environmental Protection (which may be referred to as the "Department'; "DEP', "FDEP"or "Grantor', or other name in the agreement)to the recipient(which may be referred to as the "Recipient', "Grantee"or other name in the agreement)may be subject to audits and/or monitoring by the Department of Environmental Protection,as described in this attachment. MONITORING In addition to reviews of audits conducted in accordance with 2 CFR Part 200, Subpart F-Audit Requirements, and Section 215.97, F.S., as revised (see"AUDITS" below), monitoring procedures may include, but not be limited to, on-site visits by DEP Department staff, limited scope audits as defined by 2 CFR 200.425, or other procedures. By entering into this Agreement,the recipient agrees to comply and cooperate with any monitoring procedures/processes deemed appropriate by the Department of Environmental Protection. In the event the Department of Environmental Protection determines that a limited scope audit of the recipient is appropriate,the recipient agrees to comply with any additional instructions provided by the Department to the recipient regarding such audit. The recipient further agrees to comply and cooperate with any inspections, reviews, investigations, or audits deemed necessary by the Chief Financial Officer(CFO)or Auditor General. AUDITS PART I: FEDERALLY FUNDED This part is applicable if the recipient is a State or local government or a non-profit organization as defined in 2 CFR §200.330 1. A recipient that expends S1,000,000 or more in Federal awards in its fiscal year, must have a single or program-specific audit conducted in accordance with the provisions of 2 CFR Part 200,Subpart F.EXHIBIT 1 to this Attachment indicates Federal funds awarded through the Department of Environmental Protection by this Agreement. In determining the federal awards expended in its fiscal year,the recipient shall consider all sources of federal awards, including federal resources received from the Department of Environmental Protection. The determination of amounts of federal awards expended should be in accordance with the guidelines established in 2 CFR 200.502-503. An audit of the recipient conducted by the Auditor General in accordance with the provisions of 2 CFR Part 200.514 will meet the requirements of this part. 2. For the audit requirements addressed in Part I,paragraph I,the recipient shall fulfill the requirements relative to auditee responsibilities as provided in 2 CFR 200.508-512. 3. A recipient that expends less than S1,000,000 in federal awards in its fiscal year is not required to have an audit conducted in accordance with the provisions of 2 CFR Part 200, Subpart F-Audit Requirements. If the recipient expends less than $1,000,000 in federal awards in its fiscal year and elects to have an audit conducted in accordance with the provisions of 2 CFR 200, Subpart F-Audit Requirements, the cost of the audit must be paid from non-federal resources (i.e., the cost of such an audit must be paid from recipient resources obtained from non-federal entities). 4. The recipient may access information regarding the Catalog of Federal Domestic Assistance(CFDA)via the Internet at https://sam.gov/content/assistance-listings. Attachment 5 010 l of 6 t3GS-DEP 55-215 revised 11/19/24 t6C1 " PART II: STATE FUNDED This part is applicable if the recipient is a nonstate entity as defined by Section 215.97(2), Florida Statutes. 1. In the event that the recipient expends a total amount of state financial assistance equal to or in excess of $750,000 in any fiscal year of such recipient (for fiscal years ending June 30, 2017, and thereafter), the recipient must have a State single or project-specific audit for such fiscal year in accordance with Section 215.97, F.S.; Rule Chapter 691-5, F.A.C., State Financial Assistance; and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General. EXHIBIT 1 to this form lists the state financial assistance awarded through the Department of Environmental Protection by this agreement. In determining the state financial assistance expended in its fiscal year, the recipient shall consider all sources of state financial assistance, including state financial assistance received from the Department of Environmental Protection, other state agencies, and other nonstate entities. State financial assistance does not include federal direct or pass-through awards and resources received by a nonstate entity for Federal program matching requirements. 2. In connection with the audit requirements addressed in Part II,paragraph 1;the recipient shall ensure that the audit complies with the requirements of Section 215.97(8), Florida Statutes. This includes submission of a financial reporting package as defined by Section 215.97(2), Florida Statutes, and Chapters 10.550 (local governmental entities)or 10.650(nonprofit and for-profit organizations),Rules of the Auditor General. 3. If the recipient expends less than$750,000 in state financial assistance in its fiscal year(for fiscal year ending June 30, 2017, and thereafter), an audit conducted in accordance with the provisions of Section 215.97, Florida Statutes, is not required. In the event that the recipient expends less than$750,000 in state financial assistance in its fiscal year,and elects to have an audit conducted in accordance with the provisions of Section 215.97,Florida Statutes.the cost of the audit must be paid from the non-state entity's resources(i.e.,the cost of such an audit must be paid from the recipient's resources obtained from other than State entities). 4. For information regarding the Florida Catalog of State Financial Assistance(CSFA),a recipient should access the Florida Single Audit Act website located at https://apps.fldfs.com/fsaa for assistance. In addition to the above websites, the following websites may be accessed for information: Legislature's Website at http://www.leg.state.fl.us/Welcome./index.cfm, State of Florida's website at http://www.myflorida.com/, Department of Financial Services' Website at http://www.fldfs.com/and the Auditor General's Website at http://www.myflorida.com/audgen/. PART III: OTHER AUDIT REQUIREMENTS (NOTE: This part would he used to spec'any additional audit requirements imposed by the State awarding entity that are solely a matter of that State awarding entity's policy(i.e., the audit is not required by Federal or State laws and is not in conflict with other Federal or State audit requirements). Pursuant to Section 215.97(8), Florida Statutes, State agencies may conduct or arrange for audits of State financial assistance that are in addition to audits conducted in accordance with Section 215.97, Florida Statutes. In such an event, the State awarding agency must arrange for funding the full cost of such additional audits.) PART IV: REPORT SUBMISSION 1. Copies of reporting packages for audits conducted in accordance with 2 CFR Part 200, Subpart F-Audit Requirements,and required by PART I of this form shall be submitted,when required by 2 CFR 200.512,by or on behalf of the recipient directly to the Federal Audit Clearinghouse(FAC)as provided in 2 CFR 200.36 and 200.512 A. The Federal Audit Clearinghouse designated in 2 CFR§200.501(a)(the number of copies required by 2 CFR§200.501(a)should be submitted to the Federal Audit Clearinghouse),at the following address: Attachment 5 CAO 2 of 6 BGS-DEP 55-215 revised 11/19/24 16C1 By Mail: Federal Audit Clearinghouse Bureau of the Census 1201 East 10th Street Jeffersonville. IN 47132 Submissions of the Single Audit reporting package for fiscal periods ending on or after January 1, 2008,must be submitted using the Federal Clearinghouse's Internet Data Entry System which can be found at http://harvester.census.gov/facweb/ 2. Copies of financial reporting packages required by PART II of this Attachment shall be submitted by or on behalf of the recipient directly to each of the following: A. The Department of Environmental Protection at one of the following addresses: By Mail: Audit Director Florida Department of Environmental Protection Office of Inspector General,MS 40 3900 Commonwealth Boulevard Tallahassee, Florida 32399-3000 Electronically: FDEPSingleAuditdep.state.fl.us B. The Auditor General's Office at the following address: Auditor General Local Government Audits/342 Claude Pepper Building, Room 401 1 I 1 West Madison Street Tallahassee, Florida 32399-1450 The Auditor General's website(http://flauditor.gov/)provides instructions for filing an electronic copy of a financial reporting package. 3. Copies of reports or management letters required by PART Ill of this Attachment shall be submitted by or on behalf of the recipient directly to the Department of Environmental Protection at one of the following addresses: By Mail: Audit Director Florida Department of Environmental Protection Office of Inspector General, MS 40 3900 Commonwealth Boulevard Tallahassee. Florida 32399-3000 Electronically: FDEPSingleAudit(a dep.state.fl.us 4. Any reports, management letters, or other information required to be submitted to the Department of Environmental Protection pursuant to this Agreement shall be submitted timely in accordance with 2 CFR 200.512, section 215.97, F.S., and Chapters 10.550 (local governmental entities) or 10.650 (nonprofit and for-profit organizations), Rules of the Auditor General,as applicable. Attachment 5 CAO 3 of 6 BGS-DEP 55-215 revised 11/19/24 16C1 5. Recipients,when submitting financial reporting packages to the Department of Environmental Protection for audits done in accordance with 2 CFR 200, Subpart F-Audit Requirements, or Chapters 10.550 (local governmental entities) and 10.650 (non and for-profit organizations), Rules of the Auditor General, should indicate the date and time the reporting package was delivered to the recipient and any correspondence accompanying the reporting package. PART V: RECORD RETENTION The recipient shall retain sufficient records demonstrating its compliance with the terms of the award and this Agreement for a period of five (5)years from the date the audit report is issued, and shall allow the Department of Environmental Protection, or its designee, Chief Financial Officer, or Auditor General access to such records upon request. The recipient shall ensure that audit working papers are made available to the Department of Environmental Protection, or its designee, Chief Financial Officer, or Auditor General upon request for a period of three (3)years from the date the audit report is issued, unless extended in writing by the Department of Environmental Protection. CAO Attachment 5 4 of 6 BGS-DEP 55-215 revised 11/19/24 1 6 C 1 k a)• •—o / Cn S / V) l.2 / \ Z. \Q /Q / L. 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