Backup Documents 04/14/2026 Item #16D 6ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 D 6 k
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 Addressees (List in routing order)
Office
Initials
Date
1. Parker Smith
Community and Human
PS
4/09/2026
Services
2. County Attorney Office
County Attorney Office
CLD
(4 /z,-
f
3. BCC Office
Board of County
Commissioners
4. Minutes and Records
Clerk of Court's Office
sr�
y115
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees
above, may need to contact staff for additional or missing information.
Name of Primary Staff
Parker Smith, Grants Coordinator
252-6141
Contact / Department
Agenda Date Item was
6
Agenda Item Number
16.D.6
Approved by the BCC
2
Type of Document
AMENDMENT # 1 tO AGREEMENT
Number of Original
3
Attached
BETWEEN COLLIER COUNTY AND
Documents Attached
IMMOKALEE CRA
PO number or account
PLEASE NOTE THIS ITEM IS
number if document is
CO -ITEM WITH 16.L.1
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
1.
Does the document require the chairman's original signature
PS
2.
Does the document need to be sent to another agency for additional signatures? If yes,
N/A
rovide the Contact Information(Name; Agency; Address; Phone on an attached sheet.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
PS
signed by the Chairman, with the exception of most letters, must be reviewed and signed
by the Office of the County Attorney.
4.
All handwritten strike -through and revisions have been initialed by the County Attorney's
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
PS
sip -nature 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.
�L
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8.
The document was approved by the BCC on above date and all changes made during
N/A is not
the meeting have been incorporated in the attached document. The County
C(��
an option for
Attorne '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
an option for
Chairman's signature.
this line.
FAIN #
B-25-UC-12-0016
B-24-UC-12-0016
B-23-UC-12-0016
B-22UC-12-0016
a 21 11r i 2 -04i 6
Federal Award Date
10/2024
Federal Award Agency
HUD
CFDA Name
Community
Development Block
Grant
CFDA/CSFA#
14.218
Total Amount of Federal
Funds Awarded
$225,310.00
Subrecipient Name
Collier County
Community
Redevelopment Agency
(Immokalee)
UEI#
JWKJKYRPLLU6
FEIN
59-6000558
R&D
NA
Indirect Cost Rate
NA
Period of Performance
10/01 /2024 , 19{3
06/ 1 /2027H
Fiscal Year End
9/30
Monitor End:
10/2032
SECOND AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY
AND
Collier County Community Redevelopment Agency (Immokalee)
CDBG Grant Program —Construction
THIS AMENDMENT is made and entered into this Iq day of AorI I 2026, by and between
Collier County, a political subdivision of the State of Florida, ("COUNTY") having its principal address at 3339
Tamiami Trail East, Suite 213, Naples FL 34112, and Collier County Community Redevelopment Agency
(Immokalee) ("SUBRECIPIENT"), a Community Redevelopment Organization having its principal office at 750
South 511 Street, Suite C, Immokalee, FL 34142.
RECITALS
WHEREAS, the COUNTY has entered into an Agreement with the United States Department of Housing
and Urban Development (HUD) for a grant to execute and implement a Community Development Block Grant
(CDBG) Program in certain areas of Collier County, pursuant to Title I of the Housing and Community
Development Act of 1974 (as amended); and
WHEREAS, the Board of County Commissioners of Collier County ("Board") approved the Collier
County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 2024-2025 for the CDBG Program with
Resolution 2024-138 on July 23, 2024— Agenda Item 16.13.4 ; and
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WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning
the preparation of various Annual Action Plans, the COUNTY advertised the 2024-2025 Annual Action Plan, on
June 17, 2024, with a 30-day Citizen Comment period from July 3, 2024 to August 3, 2024; and
WHEREAS, the SUBRECIPIENT has submitted a proposal for participation in the Collier County CDBG
program; and
WHEREAS, the COUNTY and SUBRECIPIENT wish to set forth the responsibilities and obligations of
each in undertaking the CDBG project — (CD24-02) First Street Corridor Pedestrian Safety - Construction.
WHEREAS, on September 10, 2024, Agenda Item 16.D.3, the COUNTY entered into an Agreement (the
"Agreement") with SUBRECIPIENT which set forth the responsibilities and obligations of each in undertaking the
CDBG project — (CD24-02) First Street Corridor Pedestrian Safety - Construction
and
WHEREAS, on February 11 2025 Agenda Items 16 D 3 the Board of County Commissioners (Board)
approved the First Amendment between Collier County and the Collier County Community Redevelopment Agency
(Immokalee) CDBG project — (CD24-02) First Street Corridor Pedestrian Safety -Construction
WHEREAS, the parties wish to amend the Agreement to extend the period of performance reduce the
federal funding amount to support the reprogramming of remaining, funds update language add Exhibits and add
Addendum 1.
NOW, THEREFORE, in consideration of foregoing Recitals and other good and valuable consideration,
the receipt and sufficiency of which is hereby mutually acknowledged, the parties agree to amend the Agreement
as follows.
Words Struck Through are deleted; Words Underlined are added.
PART
SCOPE OF WORK
SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required as a
condition of providing CDBG assistance as provided herein and, as determined by Collier County Community and
Human Services (CHS) Division, perform the tasks necessary to conduct the program as follows:
Project Name: First Street Corridor Pedestrian Safety — Phase I Construction
Description of project and outcome: CHS, as an administrator of the CDBG program, will make available
FY 2021-2022, FY 2022-2023, FY 2023-2024 and FY 2024-2025 CDBG funds up to the gross amount of
$401,371.00 $225,310.00 to Collier County Redevelopment Agency (Immokalee) to fund Phase I
construction of the First Street Corridor Pedestrian Safety Construction project, to include lighting and
crosswalk signals, in Immokalee, FL. Phase 1 addresses the southern segment without right-of-way
encroachments.
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Project Component One: Complete First Street Corridor Pedestrian Safety Phase I Construction project
including all labor, design, construction, permitting, materials, freight charges, and all other costs and fees.
1.1 GRANT AND SPECIAL CONDITIONS
B. SUBRECIPIENT must submit the following policies and procedures to CHS within sixty (60) days
of execution of this Agreement. For policies that were established more than three (3) years prior to
the date of this Agreement, SUBRECIPIENT must also provide the date of the last review for each
patio-Y.
❑Affifmative Fair Housing Policy
® Affirmative Action/Equal Employment Opportunity Policy
® Conflict of Interest Policies (COI) (Organization and Individuals) and related Forms
® Procurement Policv
® Uniform Relocation Act (URA) Policy
® Davis Bacon Policy
® BABA Policy
® Sexual Harassment Policy
® Section 3 Policy
® Section 504/ADA Policy
® Fraud, Waste, and Abuse Policy
® Language Assistance and Planning Policy (LAP)
® Limited English Proficiency Policy (LEP)
❑ Violence Against Women Act (VAWA) Policy
® Drug -Free Workplace Policy
® Grievance Policy (staff and clients) (24 CFR 570.607
® Termination Policy (24 CFR 570.607) (staff and clients)
® Confidentiality Policy (200.303LZ
® Information Technology Policy (200.303)
Whistleblower Protections Policy (41 USC 4712)
® Monitoring and Reporting Policy (200.329)
® Record Retention Policy (570.506)
® Code of Ethics Policy
D. Conflict of Interest — SUBRECIPIENT must have written conflict of interest policies The CDBG
Program distinguishes between two types of conflict of interest: one related to organizations that carry out
the project (recipients or subrecipients) and another specific to individuals involved in providing services
and da y-ty o d4y project operations. SUBRECIPIENT shall have written policies related to both types of
conflicts of interest.
With respect to the use of CDBG funds to procure services equipment supplies or other property, the
SUBRECIPIENT shall comply with 2 CFR part 200.318, 24 CFR 570.611, and all state and County statues,
regulations, ordinances or resolutions governing conflicts of interest. With respect to all other decisions
involving the use of CDBG funds, the following restrictions shall apply: No person who is an employee,
agency consultant, officer, or elected or appointed official of the SUBRECIPIENT and who exercises or
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has exercised any functions or responsibilities with respect to assisted activities or who is in a position to
participate in a decision -making process or gain inside information with regard to such activities may
obtain a person or financial interest or benefit from the activity, or have an interest in any contract
subcontract, or agreement with respect thereto, or the process thereunder, either for himself or herself or
for those with whom he or she has family or business ties, during his or her tenure for one year thereafter.
If a conflict or a potential or perceived conflict of interest is to occur, the SUBRECIPIENT must contact
the COUNTY to determine whether an exception will be allowed as prescribed by the applicable federal
regulations.
In addition, SUBRECIPIENT will not employ or subcontract any person having any conflict of interest.
SUBRECIPIENT covenants that it will comply with all Federal Conflict of Interest, 2 CFR 200.318, and
State and County statutes regulations ordinances or resolutions governing conflicts of interest All
SUBRECIPIENT staff who work on activities associated with this Agreement shall complete the
Subrecipient/Developer/Vendor Conflict of Interest Disclosure Form prior upon execution of this
Agreement. Any employees hired later, during the period of performance for this Agreement who will work
on activities associated with this Agreement shall also complete and submit to the COUNTY the Conflict
of Interest Disclosure Form.
SUBRECIPIENT will notify the COUNTY, in writing and seek COUNTY approval prior to entering into
any contract with an entityowned in whole or in part by a covered person or an entity owned or controlled
in whole or in part, by the SUBRECIPIENT. The COUNTY may review the proposed contract to ensure
that the contractor is qualified, and the costs are reasonable. Approval of an identity of interest contract will
be in the COUNTY'S sole discretion. This provision is not intended to limit SUBRECIPIENT'S ability to
self -manage the projects using its own employees.
E. D- Annual Subrecipient Training — All SUBRECIPIENT staff assigned to the administration and
implementation of the Project established by this Agreement shall attend the CHS-sponsored Annual
SUBRECIPIENT Fair Housing training, except those who attended the training in the previous year.
In addition, at least one staff member shall attend all other CHS-offered SUBRECIPIENT training,
relevant to the Project, as determined by the Grants Coordinator, not to exceed four (4) sessions.
Requests for exemption, under this special condition, must be submitted to the Grant Coordinator, in
writing, at least 14 days, prior to the training.
F. I— Limited English Proficiency — Persons who, as a result of national origin, do not speak English as
their primary language and who have limited ability to speak, read, write, or understand English
("limited English proficient persons" or "LEP persons") may be entitled to language assistance under
Title VI of the Civil Rights Act of 1964 (Title VI) in order to receive a particular service, benefit, or
encounter. In accordance with Title VI and its implementing regulations, SUBRECIPIENT agrees to
take reasonable steps to ensure meaningful access to activities funded with HUD Funds by LEP persons.
Any of the following actions could constitute "reasonable steps," depending on the circumstances:
acquiring translators to translate vital documents; advertisements or notices; acquiring interpreters for
face-to-face interviews with LEP persons; placing advertisements and notices in newspapers that serve
LEP persons; partnering with other organizations that serve LEP populations to provide interpretation,
translation, or dissemination of information regarding the project; hiring bilingual employees or
volunteers for outreach and intake activities; contracting with a telephone line interpreter service; etc.
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G. li Build America, Buy America — SUBRECIPIENT must comply with the requirements of the Build
America, Buy America (BABA) Act, 41 USC 8301 note, and all applicable rules and notices, as may
be amended, if applicable to the SUBRECIPIENT's infrastructure project. Pursuant to HUD's Notice,
"Public Interest Phased Implementation Waiver for FY 2022 and 2023 of Build America, Buy America
Provisions as Applied to Recipients of HUD Federal Financial Assistance" (88 FR 17001), any funds
obligated by HUD on or after the applicable listed effective dates, are subject to BABA requirements,
unless excepted by a waiver. All infrastructure project contracts and subcontracts must contain Buy
America Preference (BAP) compliance requirements for product and material purchases, the
requirement to maintain records that verify compliance with the BAP, and that any project -specific
waiver be approved prior to purchasing products or materials not produced in the U.S.
If BABA is applicable to this Agreement, SUBRECIPIENT shall maintain a BABA construction
checklist, product certification letter(s), and other supporting documentation or BABA waiver, as
applicable, and provide such documentation, as requested by CHS.
1.2 PROJECT DETAILS
A. Project Description/Project Budget
pescription I Federal Amount
Project Component 1: Complete First Street Corridor Pedestrian Safety Phase I $401;371:00
Construction project including all labor, design (including construction $225,310.00
administration), construction, permitting, materials, freight charges, and all other
costs and fees.
Total Federal Funds:
B. National Objective
$401,971.00
$225,310.00
The CDBG program Funds awarded to Collier County must benefit low- to moderate -income persons
(LMI). As such, SUBRECIPIENT shall ensure that all activities and beneficiaries meet the definition of.
®
LMA — Low/Mod Area Benefit
❑
LMC — Low/Mod Clientele Benefit
❑
LMH — Low/Mod Housing Benefit
❑
LMJ — Low/Mod Job Benefit
LMA: Must document that at least 51 percent of the residents are LMI persons, based on HUD
determined eligible census tracts. Failure to achieve the national objective under this Agreement will require
repayment of the CDBG investment for this Agreement.
LMC: Must document that at least 51 percent of persons served, are low- to moderate -income
persons or households, in order to meet a CDBG National Objective. Failure to achieve the national
objective under this Agreement will require repayment of the CDBG investment for this Agreement.
LMH: Must document providing or improving permanent residential structures, which upon
completion will be occupied by LMI households. Structures with three or more units must contain at least
51 percent occupied by LMI households, and structures with less than three units must be occupied by 100
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percent LMI households. Failure to achieve the national objective under this Agreement will require
repayment of the CDBG investment for this Agreement.
LMJ: Must document job creation and retention. The LMI benefit national objective addresses
activities designed to create or retain permanent jobs, at least 51 percent of which (computed on a full-time
equivalent basis) will be made available to or held by LMI persons. Failure to achieve the national objective
under this Agreement will require repayment of the CDBG investment for this Agreement.
C. Performance Deliverables
Program Deliverable
Deliverable Supporting
Submission Schedule
Documentation
Insurance
Exhibit A - Insurance Certificate
Within 30 days of Agreement
execution and Annually within
thirty (30) days of renewal
Special Grant Condition Policies
Policies as stated in this
Within sixty (60) days of
(Section 1.1)
Agreement
Agreement execution
Detailed Project Schedule
Project Schedule
Within sixty (60) days of
Agreement execution
Project Plans and Specifications
Site Plans and Specifications
Prior to procurement
Draft Procurement Documents
Independent Cost Estimate
Within 90 days of Agreement
(Bid Packet)*
(ICE), Method of Procurement
execution
(MOP), Bid Advertisement, and
Solicitation Packet
Subcontractor Log
Subcontractor Log
Initially at construction start,
and quarterly thereafter
Quarterly Progress Report
Exhibit C
Quarterly reports. Annually
after closeout.
Section 3 Report
Certification Forms and
Submitted with Quarterly
Supporting Documentation
Report for period ending 9/30
Fair Housing Calls Report
Not Applicable
Not Applicable
Complaint Logs
EEO and Incident Log
Quarterly; within 10 days
following the end of the quarter.
Annually after closeout.
Leverage Funds Report
Exhibit C-I
Upon submission of the final
ay request in Neighborly.
Davis -Bacon Act Certified
Weekly Certified Payroll
Weekly within 7 days following
Payroll
reports, forms, and supporting
issuance of payroll checks or
documentation
non performing work weeks
Annual Audit Monitoring
Exhibit E
Annually, within 60 days after
Report
FY end
Financial and Compliance Audit
Audit, Management Letter, and
Annually: nine (9) months after
Supporting Documentation
FY end for Single Audit OR one
hundred eighty (180) days after
FY end
Continued Use Certification
Continued Use Affidavit, if
Annually, for five (5) years after
applicable
Project Closeout
Capital Needs Assessment Plan
Plan approved by the COUNTY
Initial Plan due after
construction completion.
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Annually throughout the
continued use period
Program Income Reuse Plan
Plan Approved by the COUNTY
Not Applicable
Subrecipient/DeveloperNendor
Exhibit F
Upon execution of the
Agreement, for all employees
Conflict of Interest Disclosure
Form
who work on activities
associated with the grant and
upon hiring of all new
employees who will work on
activities associated with the
rg ant.
Whistleblower Protections
Certification — Organization
Exhibit G
Upon execution of the
Agreement, and prior to
execution of all subsequent
Amendments.
Whistleblower Protections
Certification — Sponsor Staff
Exhibit G-1
Upon execution of the
Agreement, for all employees
who work on activities
associated with the grant and
upon hiring of all new
employees who will work on
activities associated with the
rt
Affidavit Regarding Labor and
N/A
N/A
Services (Trafficking
Anti -Discrimination, Fair
Housing, and Equal Opportunity
Exhibit H
Within 30 days of execution of
this Agreement, and annually
Certification
throughout the affordability
ep riod.
Never Contract with the Enemy
N/A
N/A
Certification
Certification of Drug -Free
Workplace
Exhibit I
Within 30 days of Agreement
execution and annually
throughout the affordability
eriod.
Consent to Verify Immigration
NIA
N/A
Status (SAVE)
1.3 PERIOD OF PERFORMANCE
SUBRECIPIENT services shall begin on October 1, 2024 and shall end on , 2_ June 1, 2027, unless
terminated earlier in accordance with provisions of Paragraph 3.8, Defaults, Remedies, and Termination. Any Funds
not obligated by the expiration date of this Agreement shall automatically revert to the COUNTY.
The County Manager or designee may extend the term of this Agreement for a period of up to 180 days after the
end of the Agreement, following receipt of SUBRECIPIENT's written request submitted at least 30 days prior to
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agreement period of performance end date. Extensions must be authorized, in writing, by formal letter to the
SUBRECIPIENT.
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available FOUR 14UNDrDiED AND ONE; THOUSAND SAND T� REF HU NDRFD ND
,T.
SEVR4TV ONE DOLLARS AND ZERO CENTS ($401,37
TWO HUNDRED TWENTY-FIVE
THOUSAND, THREE HUNDRED TEN DOLLARS AND ZERO CENTS ($225 310 00). for use by
SUBRECIPIENT during the term of the Agreement (hereinafter, shall be referred to as the "Funds").
Modification to the Budget and Scope may only be made if approved in advance. Budgeted Fund shifts among line
items may be approved administratively by CHS for up to 10 percent (10%) of the total funding agreement and
shall not signify a change in scope. Fund shifts that exceed 10 percent (10%) shall require formal amendment and
approval by the Board of County Commissioners (Board).
1.8 NOTICES
Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial
courier, personal delivery, or sent by facsimile or other electronic means. Either party may change the
address to which notices are to be sent to it by giving written notice of such change to the other party in the
manner herein provided for giving notice. Any notice, request, instruction, or other document delivered or
sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written
communications under this Agreement shall be addressed to the individuals in the capacities indicated
below, unless otherwise modified by subsequent written notice.
COLLIER COUNTY ATTENTION: Miss aar-e Parker Smith, Grant Coordinator I
Collier County Government
Community and Human Services Division
3339 Tamiami Trail East, Suite 213
Naples, Florida 34112
Email _ Parker.Smith2collier.g_ov
Telephone: 229) 252 2590 239-252-6141
SUBRECIPIENT ATTENTION: john Dunnueli-,414
Michael McNees, Executive Director
Collier County Community Redevelopment Agency
750 South 5"' Street, Suite C
Immokalee, Florida 34142
Email:
M ichacl. McNccs(d,col lier.l*oy
Telephone: (239) 252-8846
ATTENTION: Christie Betancourt. Assistant Division Director
Collier County Community Redevelopment Agency (Immokalee)
750 South 5" Street, Suite C
Immokalee, Florida 34142
Email: Christie Betancourt c colliereountvfl. =ov
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Telephone: (239) 285-7647
Remainder of Page Intentionally Left Blank
PART II
GRANT CONTROL
REQUIREMENTS
2.2 RECORDS AND DOCUMENTATION
D. Upon completion of all work contemplated under this Agreement, copies of all documents and
records relating to this Agreement shall be surrendered to CHS, if requested. In any event,
SUBRECIPIENT shall keep all documents and records in an orderly fashion, and in a readily
accessible, permanent, and secured location for three (3) years after the date of COUNTY'S
submission of the final perfornance and evaluation report to HUD, as prescribed in 2 CFR 200.334,
24 CFR 570.490 and 24 CFR 570.502(a)(7)(ii). However, if any litigation, claim, or audit is started
before the expiration date of the three (3) year period, the records will be maintained until all
litigation, claim, or audit findings involving these records are resolved. If SUBRECIPIENT ceases
to exist after the closeout of this Agreement, it shall notify the COUNTY in writing, of the address
where the records will be kept, as outlined in 2 CFR 200.337. SUBRECIPIENT shall meet all
requirements for retaining public records and transfer, at no cost to COUNTY, all public records in
SUBRECIPIENT'S possession upon termination of the Agreement, and destroy any duplicate,
exempt, or confidential public records that are free from public records disclosure requirements.
All records stored electronically must be provided to the COUNTY in a format that is compatible
with the COUNTY'S information technology systems.
IF SUBRECIPIENT HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, IT SHALL CONTACT THE
CUSTODIAN OF PUBLIC RECORDS AT 239 252 267-
239-252-5837,
Aneel.PeralaCirkollieneov, 3299 Tamiami Trail East, Naples, FL 34112.
E. SUBRECIPIENT shall maintain records showing compliance with the Davis -Bacon Act of 1931,
as amended, including tiles containing contractor payrolls, employee interviews, Davis -Bacon
wage rates, and administrative cross-referencing. SUBRECIPIENT shall maintain records showing
contractor compliance with the Contract Work Hours and Work Safety Law. Similarly,
SUBRECIPIENT shall maintain records showing compliance with Federal purchasing
requirements and other Federal requirements for grant implementation. SUBRECIPIENT shall
maintain records showine compliance with the Davis -Bacon Act of 1931. as amended, includine
files containing contractor payrolls, employee interviews, Davis -Bacon wage rates, and
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administrative cross-referencing. SUBRECIPIENT shall maintain records showing contractor
compliance with the Contract Work Hours and Work Safety Law. Similarly SUBRECIPIENT shall
maintain records showing compliance with Federal purchasing requirements and other Federal
requirements for grant implementation.
SUBRECIPIENT is responsible for the creation and maintenance of income eligible files on clients
served, and documentation that all households are eligible under HUD Income Guidelines. Client
files will be reviewed for compliance at interim and/or closeout monitorings SUBRECIPIENT
agrees that CHS shall he the final arbiter on SUBRECIPIENT'S compliance.
G. SUBRECIPIENT is encouraged to engage in efforts to assure compliance with the Fair Housing
Act (42 U.S.C. §3601 et. seq.) through Fair Housing activities offered to real estate brokers the
general public and other interested parties,• and to track and report Fair Housing calls received
SUBRECIPIENT shall establish a system to log all Fair Housing calls. The system must track the
nature of the calls; actions taken in response to the calls; results of the actions taken; and, if the
caller was referred to another agency, the results obtained by the referral agency. SUBRECIPIENT
must submit this call log to CHS quarterly, no later than 10 calendar days after the end of each
quarter.
H. In accordance with Section 214 of the Housing, and Community Development Act and applicable
HUD CDBG guidance SUBRECIPIENT shall be responsible for completing Systematic Alien
Verification for Entitlements (SAVE) verification for all program beneficiaries prior to the
provision of CDBG-funded assistance. SUBRECIPIENT must ensure that each assisted household
member, including all children and adult household members must meet eligible immigration
status requirements. SUBRECIPIENT shall obtain client consent to verify immigration status from
each household member using Exhibit N. The consent form and documentation of SAVE
confirmation must be maintained in the participant file No CDBG funds maw expended for any
beneficiary until SAVE eligibility has been verified and properly recorded SUBRECIPENT shall
retain all verification records in compliance with state record -keeping requirements and make such
documentation available for monitoring or audit upon request
SUBRECIPIENT shall document how it complied with the National Objective(s), as defined in
24 CFR 570.208. and the eligibility requirement(s) under which funding was received. This
includes special requirements, such as necessary and appropriate determinations as defined in 24
CFR 570.208, income certification, and written agreements with beneficiaries, where applicable.
J. SUBRECIPIENT shall take reasonable cybersecurity and other measures to safeguard information
including protected personally identifiable information (PII) and other types of information in
accordance with 2 CFR 200.303(e). This includes information that HUD or the COUNTY
designates as sensitive, or other information the COUNTY considers sensitive and is consistent
with applicable Federal, State, and Local laws regarding privacy and responsibility over
confidentiality.
SUBRECIPIENT shall comply with 2 CFR §200.303(e), 2 CFR 4§200.339-200.343, 24 CFR Part
570, and all applicable Federal and State data protection and breach notification laws in
safeguarding information obtained or generated under this Agreement. SUBRECIPIENT shall
notify the COUNTY in writing within twen !-four (24) hours of discovery of any actual or
suspected cvbersecurity incident, data breach, ransomware event, or unauthorized access involving
CDBG-funded systems, personally identifiable information (PI1), protected P11, beneficiary data,
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or records subject to federal oversight by the U.S. Department of Housing and Urban Development
A detailed written incident report shall be submitted within seventy-two (72) hours and
SUBRECIPIENT shall fully cooperate with COUNTY HUD and any authorized investigative
authority, preserving all evidence and providing access to relevant systems and records Failure to
comply with this provision shall constitute a material breach of this Agreement and may result in
suspension of payments, repayment of affected funds termination and any other remedies
permitted under federal grant regulations
K. SUBRECIPIENT shall provide the public with access to public records on the same terms and
conditions that the COUNTY would provide the records, and at a cost that does not exceed the cost
provided in Chapter 1 19, Florida Statutes or as otherwise provided by law. SUBRECIPIENT shall
ensure that exempt or confidential public records that are exempt from public records disclosure
requirements are not disclosed, except as authorized by 2 CFR 200.337 and 2 CFR 200.338
PART III
TERMS AND CONDITIONS
3.13 PURCHASING
SUBRECIPIENT is required to follow Federal Procurement standards (2 CFR 200.318 through 200.327)
and Collier County's Procurement Ordinance 2025-34. A conflict between Federal and COUNTY
requirements will result in the more stringent law being, applied. Current COUNTY purchasing thresholds
are:
Range:
Competition Required
$0 - $10,000
Single Quote
$10,001 - MAO
3 Written Quotes in writing or via COUNTY's bidding
platform
$50,001 - $25 0000
3 Quotes through COUNTY's bidding -platform
250 001+
Formal Solicitation (ITB. REP, etc.)
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All improvements specified in Part I Scope of Work shall be performed by SUBRECIPIENT employees,
or put out to competitive bidding, under a procedure acceptable to the COUNTY and Federal requirements.
SUBRECIPIENT shall enter into contracts with the lowest, responsible, and qualified bidder.
SUBRECIPIENT shall manage and CHS shall monitor contract administration. CHS shall have access to
all records and documents related to the Project.
In accordance with 24 CFR parts 570.202(b)(3) & 570.202(bx4), to the greatest extent practicable,
SUBRECIPIENT shall procure products, similar to Energy Star and Water Sense products and appliances,
that increase the effective use of energy and water in structures.
In accordance with 2 CFR 200.323, SUBRECIPIENT shall procure items that contain the highest
percentage of recovered materials practicable, consistent with maintaining a satisfactory level of
completion, per 2 CFR 200, Appendix 11(J) and 2 CFR 200.323,
SUBRECIPIENT must comply with the requirements of the Build America, Buy America (BABA) Act,
P.L. 117-58 and 41 USC Chapter 83-Buy American, and all applicable rules and notices, as may be
amended, if applicable to the SUBRECIPIENT's infrastructure project. Pursuant to HUD's Notice, "Public
Interest Phased Implementation Waiver for FY 2022 and 2023 of Build America, Buy America Provisions
as Applied to Recipients of the HUD Federal Financial Assistance" (88 FR 17001), any funds obligated by
HUD on or after the applicable listed effective dates are subject to BABA requirements, unless excepted
by a waiver.
https://uscode.house.gov/view xhtmI?path=/preIimCatitle4I/subtitle4/chapter83&edition=prelim
3.16 OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE
SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be subjected to,
discrimination under any activity carried out by the performance of this Agreement based on race, color,
disability, national origin, religion, age, familial status, or sex. The COUNTY will monitor
SUBRECIPIENT policies and practices throughout the term of the Agreement and affordability period to
ensure no discrimination is taking place. Upon receipt of evidence of such discrimination, the COUNTY
shall have the right to tenninate this Agreement.
If SUBRECIPIENT en roes in illegal discrimination it risks False Claims 1 iability when requests for
payment are submitted to the COUNTY. The COUNTY may withhold or reject payment upon evidence of
such discrimination.
To the greatest extent feasible, lower -income residents of the project areas shall be given opportunities for
training and employment. Also, to the greatest extent feasible, eligible business concerns located in or
owned in substantial part by persons residing in the project areas shall be awarded contracts in connection
with the project. SUBRECIPIENT shall comply with Section 3 of the Housing and Community
Development Act of 1968.
3.19 IMMIGRATION REOIREMENTS AND RESTRICTIONS
SUBRECIPIENT must ensure that only citizens and "qualified aliens" (such as lawful permanent residents
refugees, or asvlees) receive CDBG-funded benefits Persons who are undocumented or not lawfully
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present in the U.S. cannot receive Federal funds. However, some services are available to everyone
regardless of immigration status, such as emer encv medical care; short-term, in -kind emergency disaster
relief; public health assistance for immunizations and testing/treatment for communicable diseases, and
certain in -kind services (i.e., soup kitchens or emergency shelters) delivered at the community level through
non-profit charitable organizations.
Qualified aliens who become lawful pennanent residents are barred from Federal means -tested public
benefits for the first five (5) years in the U.S. Means -tested public benefits are defined as need -based
programs where eli ig bility depends on income/resources. Some groups (i.e. refu eg, es. asvlees, and veterans)
are exempt from this waiting period.
Federal funds may not be used in wayspromote or subsidize illegal immigration. This includes policies
known as "sanctuar"policies — local rules or practices that limit cooperation with federal immigration
tion
authorities. SUBRECIPIENT must certifv that its use of CDBG Funds does not conflict with Federal
immigration enforcement. This means SUBRECIPIENT may not have policies or practices that shield
undocumented immigrants from deportation if they are using; CDBG funds.
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3.20 . AFFIRMATIVE ACTION
SUBRECIPIENT agrees that it shall carry out its employment practices in full compliance with all
applicable federal state and local nondiscrimination laws and regulations including Executive Order
14173 and any implementing guidance issued thereunder.
SUBRECIPIENT aff rrns that it will provide equal employment opportunity to all employees and applicants
and will not engage in unlawful discrimination or preferential treatment on the basis of race, color, religion,
sex national origin or any other characteristic protected by applicable law. SUBRECIPIENT further
affirms that its employment decisions shall be based on merit qualifications, and lawful nondiscriminatory
criteria.
SUBRECIPIENT certifies that it does not maintain or implement employment, training, or contracting
programs that violate federal anti -discrimination laws or that provide unlawful preferences based on
protected characteristics.
SUBRECIPIENT shall post notices describing its equal employment opportunity commitments in
conspicuous places available to employees and applicants for employment SUBRECIPIENT'S contracting
officer shall provide notice of these commitments to any labor union or workers' representative with which
it has a collective bargainitp, agreement or other contract or understanding.
3.21 BYRD ANTI -LOBBYING AMENDMENT
The COUNTY, SUBRECIPIENT, and their contractors certify that they will not, and have not, used
Federally appropriated Funds to pay any person or organization for influencing or attempting to influence
the award of Federal Funds, as covered by 31 USC 1352, and more fully described in Section 4.54 of this
Agreement. Contractors who apply or bid for an award of $100,000 or more shall file the required
certification.
3.22 CONDITIONS FOR RELIGIOUS ORGANIZATIONS
CDBG Funds may be used by religious organizations or on property owned by religious organizations only
in accordance with requirements set in Section 24 CFR 570.2000). SUBRECIPIENT shall comply with
First Amendment Church/State principles as follows:
A. It will not discriminate against any employee or applicant for employment and N01 not limit
employment or give preference in employment to persons based on religion.
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B. It will not discriminate against any person applying for public services and will not limit such
services or give preference to persons based on religion.
C. It will retain its independence from Federal. State, and Local governments and may continue to
carry out its mission, including the definition, practice, and expression of its religious beliefs,
provided it does not use direct CDBG Funds to support any inherently religious activities, such as
worship, religious instruction, or proselytizing. All such activities must be offered separately in
time or location from programs or services funded under CDBG and participation must be
voluntary for program participants In addition all CDBG funds must be accounted for separately
from funds for inherently religious activities
D. It shall not use Funds for the acquisition, construction, or rehabilitation of structures to the extent
that those structures are used for inherently religious activities. Where a structure is used for both
eligible and inherently religious activities, CDBG Funds may not exceed the cost of those portions
of the acquisition, construction, or rehabilitation that are attributable to eligible activities, in
accordance with the cost accounting requirements applicable to CDBG Funds in this part.
Sanctuaries, chapels, or other rooms that a CDBG funded religious congregation uses as its
principal place of worship, however, are ineligible for CDBG funded improvements.
3.23 INCIDENT REPORTING
If SUBRECIPIENT provides services to clients under this Agreement, SUBRECIPENT and any
subcontractors shall report knowledge or reasonable suspicion of abuse, neglect, or exploitation of a child,
aged person, or disabled person to the COUNTY.
During the term of this Agreement, SUBRECIPIENT must report to the COUNTY in writing, within one
business day of occurrence, any substantial, controversial, or newsworthy incidents. The Collier County
Standard Subrecipient Incident Report Form shall be used to report all such incidents.
3.24 DUPLICATION OF EFFORT
SUBRECIPIENT certifies that costs for work to be performed under this Agreement and any subcontract
do not duplicate any costs charged against any other contract subcontract or other source in accordance
with 48 CFR 1331.205-70. SUBRECIPIENT agrees to advise the COUNTY in writing of any other contract
or subcontract it has performed or is performing; which involves work directly related to the purpose of the
is Agreement.
3.25 344SEVERABILITY
Should any provision of this Agreement be determined unenforceable or invalid, such detennination shall
not affect the validity or enforceability of any other section or part thereof.
3.26 3.25 MISCELLANEOUS
SUBRECIPIENT and COUNTY each binds itself, its partners, successors, legal representatives, and
assigns of such other party in respect to all covenants of this Agreement.
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SUBRECIPIENT represents and warrants that the financial data, reports, and other information it furnished
to the COUNTY regarding the Project are accurate and complete, and financial disclosures fairly represent
the financial position of SUBRECIPIENT.
SUBRECIPIENT understands that client information collected under this Agreement is private and the use
or disclosure of such information, when not directly connected with the administration of the COUNTY'S
or SUBRECiPiENT's responsibilities with respect to services provided under this Agreement, is prohibited
unless written consent is obtained from such person receiving service and, in case of a minor, that of a
responsible parent/guardian.
SUBRECIPIENT certifies that it has the legal authority to receive the Funds under this Agreement and its
governing body has authorized the execution and acceptance of this Agreement. SUBRECIPIENT also
certifies that the undersigned person has the authority to legally execute and bind SUBRECIPIENT to the
terms of this Agreement.
The section headings and subheadings contained in this Agreement are included for convenience only and
shall not limit or otherwise affect the terms of this Agreement.
The Grant Documents shall be construed in accordance with and governed by the laws of the State of
Florida, without giving effect to its provisions regarding choice of laws. Any suit or action brought by either
party to this Agreement against the other paqy relating to or arising out of this Agreement must be brought
in the appropriate federal or state courts in Collier County Florida which courts have sole and exclusive
jurisdiction on all such matters
All activities authorized by this Agreement shall be subject to and performed in accordance with the
provisions of the terms and conditions of the Agreement between the COUNTY, the Regulations, all
applicable Federal, State, and Municipal laws, ordinances, regulations, orders, and guidelines, including
but not limited to any applicable regulations issued by the COUNTY.
Electronic Signatures. This Agreement, and related documents entered into in connection with this
Agreement, are signed when a party's signature is delivered by facsimile, e-mail, or any other electronic
medium. These signatures must be treated in all respects as having the same force and effect as original
signatures.
3.27 3-.26 WAIVER
The COUNTY'S failure to act with respect to a breach by SUBRECIPIENT does not waive its right to act
with respect to subsequent or similar breaches. The COUNTY'S failure to exercise or enforce any right or
provision shall not constitute a waiver of such right or provision.
PART IV
GENERAL PROVISIONS
4.15 24 CFR 75 — Regulations outlining requirements of Section 3 of the Housing and Urban Development Act
of 1968, as amended. Compliance with the provisions of Section 3 of the HUD Act of 1968, as amended, and
as implemented by the regulations set forth in 24 CFR 75. and all applicable rules and orders issued hereunder
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prior to the execution of this Agreement, shall be a condition of the Federal financial assistance provided under
this Agreement and binding upon the COUNTY, the SUBRECIPIENT, and any of the SUBRECIPIENT'S
Subrecipients and subcontractors. Failure to fulfill these requirements shall subject the COUNTY, the
SUBRECIPIENT, and any of the SUBRECIPIENT'S Subrecipients and subcontractors, their successors and
assigns, to those sanctions specified by the Agreement through which Federal assistance is provided. The
,SUBRECIPIENT certifies and agrees that no contractual or other disability exists that would prevent
compliance with these requirements.
SUBRECIPIENT further agrees to comply with these "Section 3" requirements and to include the following
language in all subcontracts executed under this Agreement:
"The work to be performed under this Agreement is a project assisted under a program providing direct
Federal financial assistance from HUD and is subject to the requirements of Section 3 of the Housing and
Urban Development Act of 1968, as amended (12 U.S.C. 1701). Section 3 requires, to the greatest extent
feasible, opportunities for training and employment be given to low- and very low-income residents of the
project area, and that contracts for work in connection with the project be awarded to business concerns
that provide economic opportunities for low- and very low-income persons residing in the metropolitan
area in which the project is located."
Section 3 requires 25 percent of the total labor hours must be worked by Section 3 workers and 5
percent of the total labor hours must be worked by Targeted Section 3 workers. If SUBRECIPIENT
is unable to meet these benchmarks, efforts taken to meet the requirements must be described.
Examples include holding job fairs, conducting on-the-job training, outreach efforts to public
housing residents, and connecting residents to supportive services.
The Section 3 Neighborhood and Service Area tool identifies the geographic boundaries of a neighborhood
or service area that includes Targeted Section 3 workers employed on a Section 3 project. The tool assists
Section 3 funding recipients, Subrecipients, contractors, and subcontractors to determine the service area or
neighborhood of a HUD -funded Section 3 project. The tool can be found online at the followingIink.
hudexchange.us5.list-
nnanage.com/track/click?u=87d7c8afcO3ba69ee7Od865b9&id=57e 10c9915&e=c09c40af84
SUBRECIPIENT further agrees to ensure that opportunities for training and employment arising in
connection with a housing rehabilitation (including reduction and abatement of lead -based paint hazards),
housing construction, or other public construction project are given to low- and very low-income persons
residing within the metropolitan area in which the CDBG-Funded project is located; where feasible, priority
should be given to low- and very low-income persons within the service area of the project or the
neighborhood in which the project is located. and to low- and very low-income participants in other HUD
programs; and award contracts for work undertaken in connection with a housing rehabilitation (including
reduction and abatement of lead -based paint hazards), housing construction, or other public construction
project to business concerns that provide economic opportunities for low- and very low-income persons
residing within the metropolitan area in which the CDBG-Funded project is located; where feasible, priority
should be given to business concerns that provide economic opportunities to low- and very low-income
residents within the service area or the neighborhood in which the project is located, and to low- and very
low-income participants in other HUD programs.
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SUBRECIPIENT certifies and agrees that no contractual or other legal incapacity exists that would prevent
compliance with these requirements.
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4.29 Immigration Reform and Control Act of 1986
S.1200 - 99th Congress (1985-1986): Immigration Reform and Control Act of 1986 ( Con rg ess.gov j
Libras of Congress. Personal Responsibility and Work Opportunity Reconciliation Act or 1996
(PRWORA). This act exempts non-profit charitable organizations from veri �ing an applicant's
immigration status when applying for federal benefits (8 U.S.C. § 1642(d)).
hops;lit_NvN%.�a%N..corneil.ed►i'uscodc/text-8f t_642.
4.47 Equal Treatment of Faith -Based Organizations: By regulation, HUD prohibits all recipient organizations
from using financial assistance from HUD to fund explicitly religious activities. The SUBRECIPIENT agrees
to avoid such prohibited conduct. For more information, see artnerships.htm.
Discrimination on the basis of religion in employment is generally prohibited by federal law, but the Religious
Freedom Restoration Act is interpreted on a case -by -case basis to allow some faith -based organizations to
receive HUD funds while taking into account religion when hiring staff. Questions in this regard should be
directed to the Office for Civil Rights.
A. Organizations that are religious or faith -based are eligible, on the same basis as any other
organization, to participate in CDBG.
B. The SUBRECIPIENT may not engage in inherently religious activities, such as worship, religious
instruction, or proselytization as part of the programs or services funded under CDBG. If the
SUBRECIPIENT conducts such activities, the activities must be offered separately, in time or
location, from the programs or services funded under CDBG, and participation must be voluntary
for the program participants. In addition, all CDBG funds must be accounted for separately from
funds for inherently religious activities.
C. A religious SUBRECIPIENT that receives CDBG funding will retain its independence from
Federal, State, and local governments, and may continue to carry out its mission, including the
definition, practice, and expression of its religious beliefs, provided that it does not use direct
CDBG funds to support any inherently religious activities, such as worship, religious instruction,
or prose lytization. Among other things. faith -based Subrecipients may use space in their facilities
to provide CDBG funded services, without removing religious art, icons, scriptures, or other
religious symbols. In addition, SUBRECPIENT retains its authority over its internal governance,
and it may retain religious teens in its name, select its board members on a religious basis, and
include religious references in its mission statements and other governing documents.
D. The SUBRECIPIENT that participates in CDBG shall not, in providing program assistance,
discriminate against a program participant or prospective program participant on the basis of
religion or religious belief.
E. If the SUBRECIPIENT voluntarily contributes its own finds to supplement federally funded
activities, the SUBRECIPIENT has the option to segregate the federal funds or commingle them.
However, if the funds are commingled, the requirements listed above apply to all of the commingled
funds.
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4.68 Title VI of the Civil Rights Act of 1964 as amended, Title Viil of the Civil Rights Act of 1968, as amended.
ht��s:1%4� �ii�.ectcurrenG'title _r'4%subtitle _A/pait�l
Executive Order 14173: (Amends/Revokes E.O. 12898, 13583, 13672, 11478, 11246 and Presidential
Memorandum dated October 15, 2016). E.0 14173 prohibits consideration of race, color, sex, sexual
preference, religion, or national origin in ways that violate federal civil rights laws (promoting diversity
and inclusion in the workforce).
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PART V
ADDENDUM 1, HUD POLICY REQUIREMENTS
U.S. Department of Housing and Urban Development — Federal Award Agreement
Addendum 1. Policy Requirements
If applicable:
I. The SUBRECIPIENT shall not use grant funds to promote "gender ideology." As defined in Executive Order
(E.O.) 14168 Defending Women from Gender Ideology Extremism and Restoring B�gical Truth to the
Federal Government.
2. The SUBRECIPIENT agrees that its compliance in all respects with all applicable Federal anti -discrimination
laws is material to the U.S. Government's payment decisions for purposes of section 3729(b)(4) of title 31,
United States Code.
3. The SUBRECIIENT certifies that it does not operate any programs that violate any pplicable Federal anti-
discrimination laws, including Title Vi of the Civil Rights Act of 1964.
4. The SUBRECIPIENT shall not use any grant funds to fund or promote elective abortions. as required by E.O.
14182. Enforcing the Hyde Amendment.
5. Notwithstanding anything in the NOFO or Application, this Grant shall not be governed by Executive Orders
revoked by E.O. 14154 including E.O. 14008 or NOFO requirements implementing Executive Orders that
have been revoked.
6. The SUBRECIPIENT must administer its grant in accordance with all applicable immigration restrictions and
requirements including the eligibility and verification requirements that apply under Title IV of the Personal
Responsibility and Work Opportunity Reconciliation Act of 1996, as amended (8 U.S.C. 1601-1646)
(PRWORA) and any pplicable requirements that HUD the Attorney General, Or the U.S. Citizenship and
Immigration Services may establish from time to time to comply with PRWORA, Executive Order 14218, or
other Executive Orders or Immigration laws.
7. No SUBRECIPIENT that receives funding under this grant may use that funding in a manner that by design or
effect facilities the subsidization or promotion of illegal immigration or shields illegal aliens from deportation,
including by maintaining policies or practices that materially impede enforcement of federal Immigration
statutes and regulations.
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8. The SUBRECIPIENT must us SAVE or an equivalent verification system approved by the Federal government,
to prevent any Federal public benefit from being provided to an ineligible alien who entered the United States
illegally or is otherwise unlawfully present in the United States.
9. Faith -based organizations may be subrecipients for funds on the same basis as any other organization. The
COUNTY may not in the selection of subrecipients discriminate against an organization based on the
organization's religious character, affiliation, or exercise.
1. Exhibit F is hereby added as set forth in Exhibit F attached hereto and incorporated herein.
2. Exhibit G & G-1 is hereby added as set forth in Exhibit G attached hereto and incorporated herein.
3. Exhibit H is hereby incorporated as set forth in Exhibit H attached hereto and incorporated herein.
4. Exhibit I is hereby incorporated as set forth in Exhibit I attached hereto and incorporated herein.
5. Exhibit J is hereby incorporated as set forth in Exhibit J attached hereto and incorporated herein
6. Exhibit K is hereby incorporated as set forth in Exhibit K attached hereto and incorporated herein.
7. Except as set forth herein, the Agreement remains in full force and effect.
Remainder of Page Intentionally Left Blank
(Signature Page to Follow)
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IN WITNESS WHEREOF, the SUBRECIPIENT and COUNTY, have each respectively, by an authorized person
or agent, hereunder set their hands and seals on the date first written above.
ATTEST: AS TO COUNTY:
CRYSTAL K. KINZEL. CLERK
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
.,�eputy Clerk /
S By:
,i►
DANIEL KO WA , CHAIRPERS(aN
DatedDate:
'SEA) —�
AS TO SUBRECIPIENT:
COLLIER COUNTY COMMUNITY
REDEVELOPM 'Y (IMMOKALEE)
Bv:C'
CRA and Chair
Date: l YIZ6
[Please provide evidence of signing aulhorh);]
Approved as to Form and legality
Co'u ney L. DaSilva
- 01D
Assistant County Attorney jJ V,(ZTG'
Date:
tAC;
6 66, 1911
Exhibit F
Collier Countv Community and Human Services Division (CHS)
Subrecipient/DeveloperNendor Conflict of Interest Disclosure Form
The purpose of this document is to assist in the determination of whether additional restrictions, oversight, or other
conditions might be advisable prior to execution of any contract or providing, assistance. The term -Conflict of
interest" refers to situations in which financial or other personal considerations may compromise, or have the
appearance of compromising, professional judgment in following the rules and regulations applicable to your award
Please Note: A family member is defined as: a spouse, child, stepchild, parent, sibling, domestic partner or relative
by marriage.
Please answer every question in this form and complete the form attachment. if applicable. This form must be
provided to your assigned CHS Grant Coordinator.
Emplovee Name:
SUBRECIPIENT Name:
SUBRECIPIENT Address:
SUBRECIPIENT City, State, Zip Code:
Agreement Number
Funding Source:
Aereement Amount:
A. Familv Relationships:
Does any mployee board member or person in your agency have a family member directly or indirectly involved
or employed with CHS or Collier County that creates a conflict of interest, or the appearance of a conflict under
HUD's Conflict of Interest regulations?
❑ Yes n No (If YES. please complete the attachment)
B. Program Relationships:
Does any employee board member or person in your agency serve or is appointed to an CHS and/or Collier County
Board/Committee that may create a conflict of interest, or the appearance of a conflict under the Conflict of Interest
regulations?
n Yes n No (if YES, please complete the attachment)
Does an employee of CHS and/or Collier County serve on your agency's Board of Directors staff, or in any capacity
which may create a conflict of interest or the appearance of a conflict under the Conflict of Interest regulations?
[ Yes n No (If YES, please complete the attachment
Does any elected official of Collier County serve on the agency's Board of Directors, which may create a conflict
of interest, or the appearance of a conflict under the Conflict of interest regulations?
❑ Yes ❑ No (If YES, please complete the attachment)
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Is any employee board member and/or person as described above in your agency involved in any other activity,
directly or indirectly, with CHS and/or Collier County of that may create a conflict of interest or the appearance of
a conflict under the Conflict of Interest regulations?
n Yes n No (if YES, please complete the attachment)
C. Business Relationships:
Is any employee board member, person in your agency, or a family member involved as an investor, owner,
employee consultant contractor, or board member with an entity that has a contractual relationship with CHS
and/or Collier Count} to provide goods or services sponsor development activities and/or receive referrals from
CHS and/or Collier County?
(- Yes [j No (If YES. please complete the attachment)
I understand that under this agreement no employee board member, person in my agency or family member
involved in morking on the grant program in any capacity, may be involved as an investor, owner, employ
consultant_ contractor, or board member with an entitv that has a contractual relationship with my organization to
provide goods or services sponsor development activities and/or receive referrals.
n Yes n No
I hcn�e read and understand the Conflict of Interest Disclosure Form. I have disclosed all information required by
this disclosure i 'anv, in an attached statement. I agree to comply with any conditions or restrictions imposed by,
the CHS and/or Collier County to reduce or eliminate actual andior potential conflicts of interest. 1 will update this
disclosure form promptly, if relevant circumstances change. I understand that this Disclosure is not a confidential
document.
If U.S. HUD determines that a conflict of interest exists, this contract may be voided and terminated, and you
may be required to return any and all funding allocated, whether used or not used
Printed Nane Date
Signature
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Collier County-CHS
Conflict of Interest Disclosure Form Attachment
Employee Name:
SUBRECIPIENT Name:
SUBRECIPIENT Address:
SUBRECIPIENT City, State, Zip Code:
Agreement Number
Funding Source:
Agreement Amount:
If you answered YES to any question on the previous page please complete the relevant section(s) below and
provide this completed form to dour Grant Coordinator.
If you answered NO to ALL the questions, you may discard this attachment.
A. Family Relationships:
1. Name of the family members) directly or indirectly
involved or employed by CHS/Collier County:
2. Do any of the family members work in the program
area? n YES n NO
3. Are any of the family members elected officials of
Collier County? YES n NO
4. Relationship:
5. Position:
B. Program Relationships:
1. Other Activities: Name and describe and
federal/count activity and/or program that you/your
organization are directly or indirectly involved with?
2. Have you used the agencies' name, resources
(facilities, personnel, or equipment), or confidential F1 YES n NO
information in connection with the activi and/or
program described in # 1 above?
If YES, describe the resource used
3. Name of the employee, board member or person (as
described above) serving or appointed to serve on an
CHS and/or Collier County Committee/Board/pro rg am:
4. Name of board/committee:
5 Does any CHS employee or County official serve on [� YES n NO
our agency's Board of Directors?
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If yes, please complete the following infonnation:
Name:
Position:
Department:
Supervisor:
C. Business Relationships:
Please complete this section for EACH business relationship or attach a separate explanation of
business and research activities.
1. Name of Business:
2. Categorize the business' relationship with
CHS and/or Collier County:
F Consultant or Advisor
(1 Research Activities
(—j Business or Referrals
(—] Other contractual or business relationship
Briefly describe the business, or licensing
activi
3. Who is involved with the business? — Check ❑ Employee Name:
all that apply R Family member (name & relationship).
Describe the position or involvement — Check
all that apply
4. Are they receiving any tvpe of
compensation?
If YES, describe:
5. Who at the CHS and/or Collier County
oversees the relationship with this business?
Name:
Title:
Department:
Phone:
❑ Owner/Investor
(� Board Member
[—] Employee/Manager
Other:
n YES n NO
Printed Name Date
Signature
CAC)
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EXHIBIT G
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION -ORGANIZATION
SUBRECIPIENT Name:
SUBRECIPIENT Address:
Project Name:
Project No:
In accordance with 2 CFR 200.217 and 41 U.S.C. §4712. SUBRECIPIENI' may not discharge, demote, or
otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities provided
below, information that the employee reasonably believes is evidence of gross mismanagement of a federal contract
or grant, a gross waste of federal funds an abuse of authority relating to a federal contract or grants, a substantial
and specific danger to public health or safe!y, or a violation of law, rule. or regulation related to a federal contract
(including the competition for or negotiation of a contract) or grant.
The list of persons and entities referenced in the paragraph above includes the following:
• A member of Congress or a representative of a committee of Congress
• An Inspector General
• The Government Accountability Office
• A Treastgy employee responsible for contract or grant oversiOt or management
• An authorized official of the Department of Justice or other law enforcement agency
• A court or grand juLy
• A management official or other employee of SUBRECIPIENT. contractor, or subcontractor who has the
responsibility to investigate, discover, or address misconduct
SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies provided under section
41 U.S.C. § 4712, in the predominant native language of the workforce.
By signing this form I certify that Subrecipient Name will comply with all Whistleblower rights and protections
for its employees.
Name:
Sianature:
Date:
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EXHIBIT G-1
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION-SUBRECIPIENT STAFF
SUBRECIPIENT Name:
SUBRECIPIENT Address:
Employee Name:
Project Name:
Project No:
In accordance with 2 CFR 200.217 and 41 U.S.C. §4712, SUBRECIPIENT may not discharge,
demote, or otherwise discriminate against an employee in reprisal for disclosing to anti of the list
of persons or entities provided below, information that the employee reasonably believes is
evidence of gross mismanagement of a federal contract or grant, a gross waste of federal funds, an
abuse of authority relating to a federal contract or grants, a substantial and specific danger to public
health or safety. or a violation of laxv. rule, or regulation related to a federal contract (including the
competition for or negotiation of a contracts or rg ant.
The list of persons and entities referenced in the paragraph above includes the following:
• A member of Congress or a representative of a committee of Congress
• An Inspector General
• The Government Accountability Office
• A Treasury employee responsible for contract or grant oversight or management
• An authorized official of the Department of Justice or other law enforcement agency
• A court or grand jury
• A management official or other employee of SUBRECIPIENT, contractor, or
subcontractor who has the responsibility to investiyate. discover, or address misconduct
SUBRECIPIENT shall inform its employees in writing of whistleblower rights and remedies
provided under section 41 U.S.C. � 4712, in the predominant native language of the workforce.
By signing this form, I certify that I have reviewed and understand my Whistleblower rights and
protections as described above.
Name:
mature:
Date:
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Collier County
Community & Human Services Division
EXHIBIT H
CERTIFICATION OF COMPLIANCE
WITH ANTI -DISCRIMINATION. FAIR HOUSING
AND EQUAL EMPLOYMENT OPPORTUNITY LAWS
PURPOSE
As a condition of participation in programs funded or administered by Collier County, all subrecipients
contractors, developers, and vendors must comply with all applicable federal state and local
nondiscrimination laws, rules and regulations This certification affirms compliance with those
requirements.
CERTIFICATION
The undersigned certifies that in the performance of work under this agreement Subrecipient Name and
its employees, agents, and subcontractors shall comply with non-discrimination fair housing* and equal
opportunity laws, including but not limited to: (see attachment for definitions of laws and other regulations)
Federal Non -Discrimination Laws:
1. Title V1 of the Civil Rights Act of 1964 (42 U.S.C. y 2000d et seg.) — prohibiting
discrimination on the basis of race, color, or national origin.
2. Title VI1 of the Civil Rights Act of 1964 — prohibiting employment discrimination based on
race, color, religion, sex, or national origin.
3. Section 504 of the Rehabilitation Act of 1973 (29 U.S.0 794) — prohibiting discrimination
based o l disability.
4. The Americans with Disabilities Act of 1990 (42 U.S.C. § 12101 et seq.).
5. Title I of The Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq )
6. Title IX of the Education Amendments of 1972 (20 U.S.C. y 1681 et seg.) — prohibiting
discrimination based on sex.
7. Section 109 of the Housing and Community Act of 1974 —prohibiting discrimination based on
race. color. national origin. religion or sex
8. Section 808(e)(5 of Title V111 of the Civil Rights Act of 1968 as amended (The Fair Housing
Act 42 U.S.C. � 3601 et seq.) — prohibiting discrimination in housing -related activities
9. Housing and Communitv Development Act of 1974 (� 104(b)(2) as amended and the National
Affordable Housing Act (� 105(b)(3) — Requires Affirmatively Furthering Fair Housing
2. State and Local Requirements:
1. Chapter 760. Florida Statutes — Florida Civil Rights Act of 1992
2. Collier County Ordinances and policies related to equal opportunity, fair housing, and
nondiscrimination in the provision of County --funded services.
Community & Human Services Division • 3339 Tamiami Trail East, Suite 213 * Naples, FL 34112-5361 * 239-252-CARE CAO
(2273) 239-252-CAFE (2233) • 239-252-5713 (RSVP) • www.cottier.gov
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3. Equal Opportunity in Employment and Service Delivery:
The SUBRECIPENT shall ensure that no person will. on the grounds of race, color, religion, sex,
gender identity, sexual orientation, national origin. age, disability, familial status, or any other
protected classification, be excluded from participation in, denied the benefits of, or otherwise
subjected to discrimination under any program or activity receiving; County funds.
4. Fair Housine:
The SUBRECIPIENT agrees to take affirmative steps to ensure equal access to all programs and
services and to carry out activities in a manner that supports the County s obligation to affirmatively
further fair housing.
The SUBRECIPIENT certifies that neither the subrecipient or its contractors have any pending or
civil rights legal proceedings against them or any -Probable Cause' civil rights determinations "for
fair housing and/or equal opportunity violations in the delivery.of its programs and/or services
which have not been remedied.
SUBRECIPIENT will become infonmed of pertinent federal and local civil rights laws and
regulations that affect the execution of their services and activities.
5. Postine and Notice:
The SUBRECIPIENT agrees to post in conspicuous places available to employees,applicants and
progrram participants notices setting forth this policy of nondiscrimination.
6. Certification Statements:
The SUBRECIPIENT certifies that:
A. Programs and services are accessible to persons with disabilities.
B. Reasonable accommodation will be provided upon request.
C. Facilities used for funded activities are accessible or reasonable alternatives are provided.
D. No qualified individual with a disability will be excluded from participation or denied benefits.
The SUBRECIPIENT agrees to maintain records demonstrating compliance with all these
requirements and to cooperate with monitoring. audits„ and reviews conducted by the County,
Grantor, or their designees.
The SUBRECIPIENT understands that failure to comply with these requirements may result in
corrective action repayment of funds suspension or termination of the agreement or other
remedies permitted by law..
Si!!Iwttur Pare to 1.olloN�
Community & Human Services Division • 3339 Tamiami Trait East, Suite 213 • Naples, FL 34112-5361 •239-252-CARE CAO
(2273) 239-252-CAFE (2233) + 239-252-5713 (RSVP) • www.cottier.gov
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I hereby certify, that the organization named above will comply with all applicable nondiscrimination laws,
and that all activities under this ap-reement will be conducted in a manner free of discrimination as defined
by the laws and regulations cited herein.
----
Authorized Representative Name:
---------
Title:
Si nature• Date:
Oreanizatioq Name:
Address:
Phone:
Email:
Return conipleted certification via upload into Nei(hborly.
-S
Community & Human Services Division • 3339 Tamiami Trait East, Suite 213 • Naptes, FL 34112-5361 •239-252-CARE CAO
(2273) 239-252-CAFE (2233) • 239-252-5713 (RSVP) • www.cottier.gov
ATTACHMENT TO EXHIBIT H
For information Purposes only
Pleas :. c emmorvaent before print.N tn.s xa A
EQUAL OPPORTUNITY
Definitions of Laws and Regulations
Constitutional Basis. The guarantee of civil nghIs has a constitutional
as well as staiulary base Civil rights laws are an extension and
interpretation of the equal protection and due process requirements of
the United States Constitution
Overlapping Coverage of Activities. More than one civil rights law
may apply to a single type of activity
D.C. LANGUAGE ACCESS ACT OF 2004: Provides greater access
and participation in pudic services programs. and activities to
residents of the District of Columbia with limited or no.Fnglish
proficiency by requiring that Distnct government programs,
departments, and services assess the need for and offer oral language
services, provide written translations of documents into any non-English
language spoken by a limited or no -English proficient population that
constitutes 3 percent or 500 individuals whichever is less of the
population served or encountered, or likely to be served or
encountered 'Equal Access and Full Parbapation- allows LEP
residents to be informed of participate in and benefit from public
services, programs and acbv;hc-s offered by a aty department or agency
at a level equal to English proficient individuals 'Limited or no English
Proficiency' means the inability to adequately understand the English
language or express oneself in the spoken or written English language
EXECUTIVE ORDER 13166i Eliminates to the extent possible limited
English proficiency as a banner to full and meaningful participation by
beneficiaries in all federally assisted conducted programs and activities
Section 808(e)(5) of TITLE VIII OF THE CIVIL RIGHTS ACT OF
1968, as amended (FAIR HOUSING ACT) Requires grantees to
administer its housing and community development programs in a
manner to Affirmatively Further Fair Housing (AFFH)
HOUSING AND COMMUNITY DEVELOPMENT ACT of 1974 §104
(b)(2). as amended and the National Affordable Housing Act §105
(b)(3) Require that localities certify they will AFFH Policies should
actively promote greater housing opportunities for all persons while
maintaining a non-discriminatory environment in all aspects of public
and private housing markets Actvites can range from education.
outreach, enforcement, avoiding undue concentration of assisted
persons in areas with low- and moderate- income persons provide
translation and interpretation services for persons who are Limited
English Proficient, assist in the development of accessible housing for
persons with disabilities etc
EXECUTIVE ORDER 12892: Leadership and Coordination of Fair
Housing in Federal Programs: Affirmatively Furthering Fair
Housing, as amended: Requires federal agencies to affirmatively
further fair housing in their programs and activities and provides that
the Secretary of HUD will be responsible for coordinating the effort
The Order also establishes the President's Fair Housing Council which
will be chaired by the Secretary of HUD
UpdatedIll E5 S�k-
TITLE Vi OF THE CIVIL RIGHTS ACT OF 1964 (TITLE VI). Prohibits
discrimination based on race, color or national origin in programs and
activities receiving 'Federal financial assistance ` Complaints received
from a program participant or service recipient will be forwarded to the
Fair Housing Equal Opportunity division at the U S Department of
Housing and Urban Development
https U_vrww iusbcegovicrAcstTitteV_1-Gvernew
EXECUTIVE ORDER 11063. NON-DISCRIMINATION: (Non -
Discrimination and Equal Opportunity in Housing) directs HUD and
all other executive departments and agencies to take appropriate action
to promote the abandonment of discriminatory practices regarding
property or facilities owned or operated by the Federal Government
or provided with Federal financial assistance in the sale, leasing rental,
or other disposition of such property or facilities
AGE DISCRIMINATION ACT OF 1975 Prohibits (1) discrimination
based on age in programs or activities receiving Federal financial
assistance directly or through contractual licensing or other
arrangements and (2) age distinctions or actions that have the effect
based on age of
• excluding individuals from denying them the benefits of subjecting
them to discrimination under, a program or activity receiving federal
financial assistar" or
• denying or limiting individuals their opportunity to participate in
any program or activity receiving Federal financial assistance
SECTION 109. HOUSING & COMMUNITY DEVELOPMENT ACT OF
1974 Requires that no person in the United States shall— on the grounds
of race, color national origin religion. or sex— be excluded from
participation in, be denied benefits of or be subjected to discrimination
under any program or activity receiving Federal financial assistance made
available under the Act Section IN also directs that the prohibitions
against dscriminat,on based on age under the Age Discrimination Act
and the prohibitions based on disability under Section 504 shall apply
to programs or activities receiving Federal financial assistance under Title
I programs
EXECUTIVE ORDER 11246. as amended: Bars discrimination in federal
employment because of race color, religion_ sex or national origin This
order was superseded by Executive Order 11478 (Sec 401 1101) which
called for affirmative action programs for equal opportunity at the agency
level under general supervision of the Civil Service Commission
Title II of the AMERICANS WITH DISABILiTES ACT of 1990: Title II of
the Americans With Disabilities Act prohibits discrimination based on
disability in programs services, and activities provided or made available
by public entitles These provisions are the same as those in Sedioo 504,
except they apply to all programs and activities-- not just those funded with
Federal financial assistance HUD enforces Title 11 when it relates to stale
and local public housing housing assistance and housing referrals.
EXECUTIVE ORDER 13217: Commundy-Based Alternatives for
individuals with Disabilities, 6i19-2001 Requires federal agencies to
evaluate their policies and programs to determine if any can be revised or
modified to improve the availability of community based living
arrangements for persons with disabilities
TITLE IX OF THE EDUCATION AMENDMENTS OF 1972 - Title IX is a
comprehensive federal law that prohibits discrimination based on sex in
any federally funded education program or activity The principle objective
of Title IX is to avoid the use of federal money to support sexually
discriminatory practices in education programs such as sexual harassment
and omployment discrimination and to provide individual
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Community & Human Services Division • 3339 Tamiami Trail East, Suite 213 • Naples. FL 34112-5361 • 239-252-CARE
(2273) 239-252-CAFE (2233) • 239-252-5713 (RSVP) • wvvw.coHiei.Pov
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ATTACHMENT TO EXHIBIT H - Page 2
citizens effective protection against those practices. Title IX applies, with
a few specific exceptions, to all aspects of federally funded education
programs or activities. In addition to traditional educational institutions
such as colleges, universities, and elementary and secondary schools.
Title IX also applies to any education or training program operated
by a recipient of federal financial assistance. Many of these education
program providers/recipients became subject to Title IX regulations when
the Title IX final common rule was published on August 30, 2000.
APPLICABLE REGULATIONS
24 CFR Part 1: Nondiscrimination in Federally Assisted Programs
of HUD: Impler�enti tg regulations for Title VI of the Civil Rights Act of
1964,
24 CFR Part 3: Nondiscrimination on the Basis of Sex in Education
Programs or Activities receiving Federal Financial Assistance
Implementing reguia ;ions for Title IX of the Education Amendments Act of
1972,
24 CFR Part 8: Nondiscrimination Based on Handicap:
Implementing regulations for Section 504 of the Rehabilitation Act of
1973. These regulations obligate recipients of funding to make their
programs accessible to persons with disabilities. The regulations also
establish phys'cal accessibility requirements when Federal financial
assistance is used for new construction or rehabilitation of housing.
24 CFR Parts 91.225 (a)(1): Affirmatively Furthering Fair Housing
(CDBG Entitlement grantees): Each jurisdiction must certify that it will
affirmatively further fair housing, including conducting an analysis of
impediments to fair housing choice, taking appropriate actions, and
maintaining records.
24 CFR 570.487(b): Affirmatively Furthering Fair Housing (CDBG
states and small cities grantees):. Requires the state and each local
government to certify that it will affirmatively further fair housing. The
state is required to assume responsibility by: (1) conducting an analysis
to identify impediments to housing choice; (2) taking appropriate actions
to overcome the effects of the impediments; (3) maintaining records of
analysis and actions; and (4) ensuring that units of local government
funded by the state comply with the certification requirements.
24 CFR 570.601: Fair Housing (CDBG Entitlement grantees): The
following apply: Title VI of the Civil Rights Act of 1964 (and
implementing regulations at 24 CFR Part 1); Housing and Community
Development Act (including §104(b)(2)); and Executive Order 11063, as
amended by 12259 (with implementing regulations in 24 CFR part 107.
24 CFR Parts 100-125: Fair Housing. §100: Discriminatory conduct
under the Fair Housing Act §103: Fair Housing Complaint processing
§107: Nondischmination and equal opportunity in housing under EO
11063 Wi Compliance procedures for affirmative fair housing
marketing §110 Fair housing poster §115: Certification and funding of
State and local tairr noosing enforcement agencies §121t Collection of
data §125: Fair housing initiatives program.
24 CFR 570.206(c): Fair Housing Activities% CDBG Program
Administrative Costs include the provision of fair housing services
designed to fwther the objectives or the Fair Housing Act, including
enforcement and other activities designed to further the objective of
avoiding concentrations of assisted persons in areas containing a high
proportion of low and moderate income persons.
24 CFR Part 91.325(b)(5): Compliance with anti -discrimination laws. A
certification that the grant will be conducted and administered in
upta!ed 83n' 2FV E tr
conformity with Title VI of the Civil Rights Act of 1964 and the Fair
Housing Act, and implementing regulations.
24 CFR 570.608 and Part 35: Lead -Based Paint: Children under
age six are particularly susceptible to hazards from lead based
paint. Owners of units where lead paint has been controlled can
affirmatively market those units to families with children. If a unit has
not undergone lead hazard control treatments, a family with children
may choose to live in the unit, if the housing provider advises the family
of the condition of the unit. A family cannot be forced to permanently
move from a unit if the family declines treatment of lead hazards,
although the housing provider can offer incentives for the move.
CPD-05.09 (issued November 3, 2005). Accessibility Notice: Section
504 of the Rehabilitation Act of 1973 and The Fair Housing Act and their
applicability to housing programs funded by the HOME Investment
Partnerships Program and the Community Development Block Grant
Program.
CPD-05.10 (issued November 3, 2005). Accessibility for Persons with
Disabilities to Non -Housing Programs funded by Community
Development Block Grant Funds — Section 504 of the Rehabilitation Act
of 1973. the Americans with Disabilities Act and the Architectural
Barriers Act
Major Community Development Based Grant (CDBG) activities and the
corresponding civil rights laws that affect them.
CDBG
ACTIVITY
APPLICABLE FEDERAL CIVIL RIGHTS LAWS
Title VI, Civil Rights Act of 1964
Benefits,
Section 109, Housing and Community Development Act of '
Services
1974, as amended (HCDA 1974)
Methods of
Section 504, Rehabilitation Act of 1973. as amended
Administration
Age Discrimination Act of 1975, as amended Section
104, HCDA of 1974 as amended
Housing and Title Vi l 1, Civil Rights Act of 1968. as amerded (Federal
Related Fair Housing Law)
Facilities Executive Order 11063, as amended
Section 104, HCDA of 1974, as amended
Section 109. HCD Act of 1974. as amended
Section 3. Housing and urban Development Act of 1968,
Employment
as amended (HUDA. of 1968)
Executive Order 11246, as amended
Section 504, Rehabilitation Act, of 1973. as amended
Contracting
(Business
Section 109, HCDA of 1974, as amended
Opportunities)
Section 3, HUDA of 1968. as amended
Title VI. Civil Rights Act of 1964
Displacementi
Section 109, HCDA of 1974. as amended
Relocation
Title Vill. Civil Rights Act of 1968, as amended
Section 104, HCDA of 1974, as amended
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Community & Human Services Division • 3339 Tamiami Trail East, Suite 213 • Na pies, FL 34112-5361 •239-252-CARE
(2273) 239-252-CAFE (2233) • 239-252-5713 (RSVP) • www,coltier.gov
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Collier Cou ntv
Community & Human Services/Division
EXHIBIT I
CERTIFICATION REGARDING DRUG -FREE WORKPLACE REQUIREMENTS
16016
The SUBRECIPIENT certifies that it will provide a drug -free workplace by:
(a) Publishing a statement notifLg`ployees that the unlawful manufacture, distribution dispensing,
possession or use of a controlled substance is prohibited in the grantee's workplace and specifving the
actions that will be taken against employees for violation of such prohibition:
(b) Establishing a drug -free awareness program to inform employees about—
(1) The dangers of drug abuse in the workplace:
(2) The SUBRECIPIENT'S policy of maintaining, a drug -free workplace;
(3) Any available drug counseling rehabilitation and employee assistance programs, and
(4) The penalties that may be imposed upon employees for drug abuse violations occurring in the
workplace.
(c) Making it a requirement that each employee to be engaged in the performance of the grant be given a
copy of the statement required by paragraph (a):
(d) Notif}jng the employee in the statement required by paragraph (a) that, as a condition of employment
under the grant, the employee will—
(1) Abide by the terms of the statement; and
(2) Notify the employer of any criminal drug, statute conviction for a violation occurring in the
workplace no later than five days after each conviction,•
(e) Notifying` the agency within ten days after receiving notice under subparagraph (d)(2) from an
employee or otherwise receiving actual notice of such conviction;
(� Taking one of the following actions. within 30 days of receiving notice under subparagraph (d)(2), with
respect to any employee who is so convicted—
(1) Taking appropriate personnel action against such an employee, up to and including termination; or
(2) Requiring, such employee to participate satisfactorily in a drug abuse assistance or rehabilitation
rP ogram approved for such purposes by a Federal. State, or local health law enforcement or other
appropriate agency;
Making a good faith effort to continue to maintain a dnig-free workplace through implementation of
paragraphs (a), (b), (c). (d), (e) and (fl.
—a
Community & Human Services Division • 3339 Tamiami Trait East, Suite 213 • Naples, FL 34112-5361 - 239.252-CARE FAQ
(2273) 239-252-CAFE (2233) • 239-252-5713 (RSVP) • www.collier.gov