Backup Documents 04/28/2026 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 D 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Parker Smith Community and Human PS 4/24/26
Services
2. County Attorney Office County Attorney Office ZD '��Zq�Z6
3. BCC Office Board of County (•
Commissioners bfr LI/)pj I V/2 1
4. Minutes and Records Clerk of Court's Office
a6
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 4/28/2026 Agenda Item Number 16.D.2
Approved by the BCC
Type of Document AMEND #1 BETWEEN COLLIER COUNTY Number of Original 1
Attached AND COLLIER HEALTH SERVICES, INC Documents Attached
DBA HEALTHCARE NETWORK(ARP23-002)
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature PS
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 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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain 6c0
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 Co an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the CO an option for
Chairman's signature. this line.
16D2
FAIN# SLT-1 155
Federal Award Date March 11,2021
Federal Award Agency Department of Treasury
ALN Name Coronavirus Local Fiscal
Recovery Fund
ALN# 21.027
Treasury Expenditure EC 1.12
Category
Collier County Recovery CC 1.9
Plan Project Number
Total Amount of Federal $-3-1-55400,049-$565.000.00
Funds Awarded
Subrecipient Name Collier Health Services,
Inc. dba Healthcare
Network
UEI# GPXBOKU6AIA5
FEIN 59-1741277
R&D No
Indirect Cost Rate No
Period of Performance October 1,2024—
December 31, 2025
September 30,2026
Fiscal Year End 03/31
Monitor End: 12/31/2026
FIRST AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY, FLORIDA
AND
COLLIER HEALTH SERVICES, INC. DBA HEALTHCARE NETWORK
f�
This AMENDMENT is made and entered into as of this 7a day of April 2026,
by and between Collier County, a political subdivision of the State of Florida(COUNTY) having
its principal address at 3339 Tamiami Trail, Naples, FL 34112 and Collier Health Services, Inc.
dba Healthcare Network (SUBRECIPIENT) having its principal office at 1454 Madison Ave,
Immokalee, FL 34142.
RECITALS
WHEREAS, Congress passed the American Rescue Plan Act of 2021 (ARP). which was
signed into law on March 11,2021. Included in the legislation was$350 billion Coronavirus State
and Local Fiscal Recovery Fund; and
WHEREAS,the COUNTY has entered into an Agreement with the United States Treasury
Department(Treasury)for a grant to execute and implement the American Rescue Plan Act(ARP),
pursuant to the Coronavirus State and Local Fiscal Recovery Fund, Section 603 (c) of the Social
Security Act; and
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WHEREAS, pursuant to the aforesaid agreement, the COUNTY is undertaking certain
activities to assist the community in navigating the impact pf the COVID-19 outbreak; and
WHEREAS,the SUBRECIPIENT has applied for and,based on the information provided
by the SUBRECIPIENT, is qualified to receive program funding; and
WHEREAS, the COUNTY has created a Recovery Plan in accordance with federal
guidelines, which includes Goals, Expenditure Categories, Evidence-basis, and Key Performance
Indicators (KPI) that impact the project; and
WHEREAS,the COUNTY and the SUBRECIPIENT wish to set forth the responsibilities
and obligations of each in the undertaking of the American Rescue Plan (ARP)project; and
WHEREAS. on December 10, 2024, the COUNTY entered into an Agreement with
Collier Health Services, inc. dba Healthcare Network to further undertake the responsibilities and
obligations of the American Rescue Plan (ARP)program;
WHEREAS,the parties wish to amend the Agreement to update the award amount,period
of performance, Section 1.6 Notices, 2.6 Records and Documentation, and 3.13 Purchasing
Thresholds as stated below.
NOW, THEREFORE, in consideration of the mutual promises and covenants contained
herein, the parties hereto agree to amend the Agreement as set forth below.
Words Struck Through are deleted; Words Underlined are added.
PART 1
SCOPE OF WORK
* *
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
Project Component One: Staffing—Salary `63-1-57000.00$565.000.00
Costs
US Treasury Expenditure Category*: EC 1.12
Collier County Recovery Plan Project
Number: CC 1.9
Total Federal Funds: $315,000.00$565,000.00
* * *
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1.3 PERIOD OF PERFORMANCE
The SUBRECIPIENT services shall start on October 1, 2024, in accordance with ARP and
Coronavirus Local Fiscal Recovery Appropriation language, and shall end on December 31,2025
September 30, 2026, unless terminated earlier, in accordance with provisions of Paragraph 3.9,
Defaults, Remedies, and Termination. In accordance with 2 CFR 200 Subpart E—Cost Principles
and Section 215.97(1)(d) Florida Statutes, the SUBRECIPIENT may expend funds authorized by
this Agreement only for allowable costs resulting from obligations incurred during the specific
agreement period.
If the SUBRECIPIENT complies with all requirements set forth herein, this Agreement shall
terminate December 31, 2025 September 30, 2026, whereupon all obligations of the
SUBRECIPIENT for repayment of funds shall cease. Notwithstanding the foregoing, the
COUNTY expressly reserves and does not waive its rights to recover any damages arising from or
relating to the SUBRECIPIENT's breach of any of the Grant Documents, including but not limited
to this Agreement and/or any attachments hereto which occurred in whole or in part before said
termination.
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available THREE HUNDRED FIFTEEN TI IOUSAND DOLLARS
and ZERO CENTS($315,000.00) FIVE HUNDRED SIXTY-FIVE THOUSAND DOLLARS and
ZERO CENTS ($565,000.00) for use by the SUBRECIPIENT during the term of the Agreement
(hereinafter, shall be referred to as the "Funds"). SUBRECIPIENT may use Funds only for
expenses eligible under Section 603(c) of the Social Security Act, specifically the Coronavirus
Local Fiscal Recovery Fund, and further outlined is US Treasury Guidance.
The ARP requires that Funds from the Coronavirus Local Fiscal Recovery Fund only be used to
cover expenses that:
A. Were incurred during the period that begins on October 1,2024 and ends on December 31,
2025 September 30, 2026. Funds must qualify as a necessary expenditure incurred due to
the public health emergency and meet the other criteria of Section 603(c) of the Social
Security Act.
B. Examples of eligible expenses include, but are not limited to:
i. Responding to or mitigating the public health emergency with respect to the
COVID-19 emergency or its negative economic impacts; and
ii. Providing government services to the extent of the reduction in revenue; and
iii. Making necessary investments in water,sewer,or broadband infrastructure; and
iv. Responding to workers performing essential work during the COVID-19 public
health emergency by providing premium pay to eligible COUNTY workers that
are performing such essential work, or by providing grants to eligible employers
that have eligible workers who perform essential work.
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Modification to the'Budget and Scope"may only be made if approved in advance. Budgeted fund
shifts among line items shall not be more than 10 percent of the total funding amount and does not
signify a change in scope. Fund shifts that exceed 10 percent of the Agreement amount shall only
be made with Board of County Commissioners(Board)approval.
The COUNTY shall reimburse the SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks, as accepted and approved by CHS.
SUBRECIPIENT may not request disbursement of ARP funds until funds are needed for eligible
costs,and all disbursement requests must be limited to the amount needed at the time of the request.
SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred
from October 1, 2024 through December 31, 2025 September 30, 2026. Invoices for work
performed are required every month. If no work has been performed during that month, or if the
SUBRECIPIENT is not yet prepared to send the required backup, a $0 invoice is required.
Explanations may be required if two consecutive months of$0 invoices are submitted. Payments
shall be made to the SUBRECIPIENT,when requested,as work progresses but not more frequently
than once per month. Reimbursement will not occur if SUBRECIPIENT fails to perform the
minimum level of service required by this Agreement.
Final invoices are due no later than ninety (90) days after the end of the Agreement. Work
performed during the term of the program but not invoiced within ninety(90)days after the end of
the Agreement may not be processed without written authorization from the Grant Coordinator.
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. Extensions must be authorized, in writing, by formal letter to
the SUBRECIPIENT.
No payment will be made until approved by CliS for grant compliance and adherence to any and
all applicable Local, State, or Federal requirements. Reimbursements will only be made for
expenditures that the COUNTY provisionally determines are eligible under the ARP. However,the
COUNTY's provisional determination that an expenditure is eligible does not relieve the
SUBRECIPIENT of its duty to repay the COUNTY for any expenditures that are later determined
by the COUNTY or Federal government to be ineligible. Except where disputed for
noncompliance, payment will be made upon receipt of a properly completed invoice and in
compliance with §218.70, Florida Statutes, otherwise known as the "Local Government Prompt
Payment Act."
1.6 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 parting 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.
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COLLIER COUNTY ATTENTION: Parker Smith, Grant Coordinator
Collier County Community and Human Services Division
3339 E Tamiami Trail, Suite 213
Naples, Florida 34112
Email: Parker.Smith c collierfl.gov
Telephone: (239) 252-6141
SUBRECIPIENT ATTENTION: Tami Raznoff, MBA, Chief Financial Officer
Collier Health Services, Inc., dba Healthcare Network
1454 Madison Ave
Immokalee, Florida 34142
Email: TRaznoff@HealthcareS WFL.org
Telephone: (239) 658-3137
ATTENTION: Pamela Baker, EDD, Administrative Director
of Grants
Collier Health Services, Inc., d/b/a Healthcare Network
1454 Madison Avenue
Immokalee, FL 34142
Email:
Telephone: (239) 658-3049
ATTENTION: Jean Paul Roggiero, MPA, Director of
Community Outreach
Collier Health Services, Inc., d/b/a Healthcare Network
1454 Madison Avenue
Immokalee, FL 34142
Email:
Telephone: (239) 266-5242
PART II
GRANT CONTROL
REQUIREMENTS
2.2 RECORDS AND DOCUMENTATION
The SUBRECIPIENT shall maintain sufficient records,in accordance with 2 CFR 200.334,Section
602(c) of the Social Security Act,and Section 119.021, Florida Statutes, to determine compliance
with the requirements of this Agreement, the ARP Program, and all other applicable laws and
regulations. This documentation shall include, but is not limited to,the following:
A. All records required by ARP regulations.
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B. SUBRECIPIENT agrees to execute such further documents as may be required by law or
prepared by the COUNTY to confirm SUBRECIPIENT's Agreement.
C. SUBRECIPIENT shall keep and maintain public records that ordinarily and necessarily
would be required by the COUNTY in order to perform the service.
D. All reports, plans, surveys, information, documents, maps, books, records, and other data
procedures developed,prepared,assembled,or completed by the SUBRECIPIENT for this
Agreement shall be made available to the COUNTY,by the SUBRECIPIENT,at any time,
upon request by the COUNTY or CHS. Materials identified in the previous sentence shall
be in accordance with generally accepted accounting principles(GAAP), procedures, and
practices, which sufficiently and properly reflect all revenues and expenditures of funds
provided directly or indirectly by this Agreement, including matching funds and Program
Income. These records shall be maintained to the extent of such detail as will properly
reflect all net costs, direct and indirect labor, materials, equipment, supplies and services,
and other costs and expenses of whatever nature for which reimbursement is claimed under
the provisions of this Agreement.
E. 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, in a
readily accessible, permanent, and secured location for five (5) years after the date of
submission of the annual performance and evaluation report, as prescribed in 2 CFR
200.334, and all funds have been expended, unless any litigation, claim, or audit is started
before the expiration date of the five (5)year period, the records will be maintained until
all litigation, claim, or audit findings involving these records are resolved. If a
SUBRECIPIENT ceases to exist after the closeout of this Agreement,the COUNTY shall
be informed, in writing, of the address where the records are to be kept, as outlined in 2
CFR 200.337. The SUBRECIPIENT shall meet all requirements for retaining public
records and transfer, at no cost to COUNTY, all public records in possession of the
SUBRECIPIENT upon termination of the Agreement and destroy any duplicate exempt
and/or confidential public records that and released from public records disclosure
requirements. All records stored electronically must be provided to the COUNTY in a
format that is compatible with the COUNTY's information technology systems.
IF SUBRECIPIENT HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER 119, FLORIDA STATUTES, TO
THE SUBRECIPIENT'S DUTY TO PROVIDE PUBLIC
RECORDS RELATING TO THIS AGREEMENT, CONTACT
THE CUSTODIAN OF PUBLIC RECORDS AT 239-252-2679,
ANGELA.PERALA(u)COLLIER.GOV, 3299 Tamiami Trail E, Naples FL
34112.
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F. SUBRECIPIENT shall provide the public with access to public records on the same terms
and conditions that the COUNTY would provide the records and at a cost that does not
exceed the cost provided in Chapter 119,Florida Statutes or as otherwise provided by law.
SUBRECIPIENT shall ensure that exempt and/or confidential public records that are
released from public records disclosure requirements are not disclosed except as authorized
by 2 CFR 200.337 and 2 CFR 200.338.
G. NOTWITHSTANDING any provision in the Grant Documents to the contrary, the
SUBRECIPIENT agrees that the failure or delay by the COUNTY in giving any notice or
statement hereunder or under any other Grant Document, or any inaccuracy therein or
incompleteness thereof, shall not in any way alter or affect the absolute and unconditional
obligation of the SUBRECIPIENT to pay and perform, in full, the obligations set forth
hereunder, but any action taken or not taken by the SUBRECIPIENT as a direct result of
such lack or delay of notice, or of the SUBRECIPIENT's good faith reliance upon a
material inaccuracy therein or the material incompleteness thereof, as the case may be,
shall not in and of itself,and to the extent thereof,constitute an Event of Default hereunder,
so long as the SUBRECIPIENT does not otherwise have or receive notice or knowledge
of the material contents or substance of such notice, or of the intended substance of any
inaccurate or incomplete notice, as the case may be, and the SUBRECIPIENT acts, at all
times, in good faith.
* *
PART III
TERMS AND CONDITIONS
* * *
3.13 Purchasing
SUBRECIPIENT is required to follow Federal Procurement standards (2 CFR 200.318
through 200.327) and/or Collier County's Procurement Ordinance #2017 08 2025-34;as
outlined belew. A conflict between Federal and COUNTY requirements will result in the
more stringent law being applied. All purchases for goods and services, including capital
equipment,shall be made by purchase order or by a written contract in conformity with the
thresholds of Collier County Purchasing Policy. T Current COUNTY purchasing
requirements and thresholds are:
Federal Procurement Standards:
Range: Method/Competition Required
$0 - $40,000$15,000 Micro-Purchase
$10,001 $250,000 $15,001 - $350,000 Small Purchase
$250,001+ $350,001+ Sealed Bidding
Collier County Procurement Standards:
Range: Competition Required
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$0 -$50,000 $j 0 000 Sin.le •uote
$10,001 - $50,000 3 mitten Quotes in writing or through
COUNTY'S bidding platform
$50,001+- $250,000 3 Quotes through COUNTY'S bidding
platform
$250,001+ Formal Solicitation(ITB, RFP, etc.)
* * *
All items specified in Part I Scope of Work shall be performed by SUBRECIPIENT
employees, or put out to competitive bidding, under a procedure acceptable to COUNTY
and Federal requirements. SUBRECIPIENT shall enter into contracts with the lowest,
responsible, and qualified bidder. Contract administration shall be conducted by the
SUBRECIPIENT and monitored by CHS, which shall have access to all records and
documents related to the Project.
* * *
Signature Page to Follow
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IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY, have each
respectively, by authorized person or agent, hereunder set their hands and seals on the date first
written above.
AS TO COUNTY:
BOARD OF COUNTY COMMISSIONERS OF
.1 4.. . Cis
COLLI Y, FLORIDA EAT: •... L,?
B ATT RYtxr
�� : �y i �1 .LERK
y DAN KOWAL, CHAIRMAN '' + '�: ��
. � ,WV:Clerk
Date: 03/2d A e ,as.tp,C4irm�r1`s.
AS TO SUBRECIPIENT:
COLLIER HEALTH SERVICES, INC. DBA
HEALTHCARE NETWORK
B : � 14)
TAMI RAZN FF, H EF FINANCIAL
OFFICER
Date: 1 I/ ,'op
[Please provide evidence of signing authority]
Approved
as to form and legality:
6CCUCourtney DaSilva
Assistant County Attorney 'If Z/l ro
Date: 9 170 I z
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PART V
EXHIBITS
EXHIBIT C
AMERICAN RESCUE PLAN (ARP)
QUARTERLY PROGRESS REPORT
Report Period:
Fiscal Year:
Agreement Number: ARP23-002
Subrecipient Name: Collier Health Services, Inc., dba Healthcare Network
Project: Mental Health and Substance Abuse Services
Contact Name:
Contact Telephone
Number:
Activity Reporting Period Report Due Date
October 1:t—December 31" January 10th
January 1:t—March 3151 April 10'h
April 1"—June 30th July loth
July 1"—September 30'h October 10'h
1. Project Expenditures:
Program Name Funds Expended Funds Expended
Current Quarter YTD
EC 1.12 Mental Health and Substance Abuse Services
Total Project Expenditures
2 Key Performance Indicators:
Project Outcomes
Component 1: During the grant period, for those individuals who respond to the
30 day follow up Patient Satisfaction and Awareness Survey, the
average survey score will be a minimum of 3.5.
Component 1: 75% of individuals who have a positive Patient Health
Questionnaire(PHQ-9) result were referred to service providers
with an appointment scheduled.
Project Outputs
Component 1: A m f on Well ess Scree„ erf rmed . ally
minimum of 120 Behavioral health screenings(including
substance use risk and/or mental health screenings) will be
conducted throughout the term of the agreement.
Component 1: A m f Inn Narcan kits .,long wit1. substance abuse
A minimum of 150
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Narcan kits will be distributed annually (or 500 total over the full
term of the agreement). Distribution will include brief overdose
prevention education and resources at the time the kits are
provided
Component 1: No less than 6 outreach events throughout the term of the
agreement
Component 1: A minimum of 150 educational and resource materials related to
substance use prevention, mental health awareness, and available
community services will be distributed throughout the term of the
Agreement
3. Project Progress:
1. Describe your progress and any impediments experienced during the reporting period.
XXXX
2. What Impacted and/or Disproportionately Impacted population does this project primarily
serve? (Select only the population served this quarter.)
Impacted Population
• General Public ❑
• Low-or moderate- income households or populations ❑
• Households that experienced unemployment ❑
• Households that experienced increased food or housing insecurity ❑
• Households that qualify for certain federal programs ❑
• Other households or populations that experienced a negative economic impact of the
pandemic other than listed above (please specify): ❑
Disproportionately Impacted Population
• Low income households and communities ❑
• Households and populations residing in Qualified Census Tracts El
• Households that qualify for certain federal benefits ❑
• Households receiving services provided by Tribal governments El
• Households residing in the US territories or receiving services from these governments
• Other households or populations that experienced a disproportionate negative economic
impact of the pandemic other than those listed above (please specify): ❑
3. If the project primarily serves more than one Impacted and/or Disproportionately Impacted
population, select up to two additional populations served listed above.
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4. For reporting Key Performance Indicators (KPIs), describe how the target was met; and if
not, describe barriers and solutions to be used next quarter to meet the target. Click or tap here
to enter text.
Additional Comments:
(Signature Page to follow)
By signing this report, I certify to the best of my knowledge and belief that the information
contained in this report is true, complete and accurate. I am aware that any false, fictitious, or
fraudulent information, or the omission of any material fact, may subject me to criminal, civil, or
administrative penalties for fraud, false statements, false claims or otherwise(U.S. Code Title 18,
Section 1001 and Title 31, Sections 3729-3730 and 3801-3812).
Signature: Date:
Printed
Name:
Title:
NOTE: This form subject to modification based on Treasury guidance.
Your typed name here represents your electronic signature.
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