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Backup Documents 01/13/2015 Item #16D 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING 1I5 G (�TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T 7 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 Coun Attorney Office. Route to Addressee(s) (List in routing order) Office Init.a1s Date 1. Peggy Hager CHS 02-AS 2. County Attorney Office County Attorney Office V9) 15 j S 3. BCC Office Board of County -I { Commissioners V�\l / V\k5`l - 4 Minutes and Records Clerk of Court's Office RM t(t5U Lt:3ten 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 Phone Number Plea&call for pick u,, Contact/ Department Lisa Oien 252-6141 - See- Me—M6 Fir 6/50 Ma,b,i Agenda Date Item was _._.__ `) ..- Agenda' Item Number Approved by the BCCCJanuary 13,2015 ` ( 16D+5- I(rr . c ;' Type of Document Attached Modification#I1 to the DRI Z grant Number of Oiiiiiiar- 4 original Z grant Documents Attached Modifications,4 original A Modification#9 to the DRI A grant 10 total documents grant modifications(original signature needed) 2 cover letters-stamped signature should suffice Cover letters 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. (In xial) Applicable) 1. Does the document require the chairman's ((rigina signature? i7 :,- 2. Does the document need to be sent to anot.- ._ency for additional signatures? If yes, 17 y provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. e, 3. Original document has been signed/initialed for legal sufficiency. (All documents to be 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 Cot..ty Attorney's //pp Office and all other parties except the BCC Chairman and the Clerk to the Board 1 l 5. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever is applicable. V >' ' 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. 7`' 7. In most cases(some contracts are an exception),the original document and this routing slip / should be provided to the County Attorney Office at the time the item is input into SIRE. V Some documents are time sensitive and require forwarding to Tallahassee within a certainG time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on /tey ,s— and all changes made during the meeting have been incorporated in a ttached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC, all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revi:,ed.2.24.05;Revised 11/30/12 1609 L, • 0-1 " Memorandum r/ fORP O( .0 To: Minutes and Records-Clerk of Courts From: Lisa Oien, Grants Coordinator Date: January 13, 2015 Subject: Modification documents & Cover letters Re: item# 16D15 BCC meeting 1/1312015 Documents for other agencies: The Modification Documents need to be sent in Triplicate with the Chairwoman's original signature to Adriane Burgess at the DEO in Tallahassee. An addressed Fed EX envelope is provided and addressed. Please add the two Cover letters from the BCC Chair (one for each modification) to the envelope. There should be one original for Minutes and records, three for the DEO and please send a copy to Lisa Oien. Thanks, Department of Community and Human Services Collier County • _ 1609 County of Collier CLERK OF THEE CIRCUIT COURT Dwight E. Brock COLLIER COU I,TY COi RTHOUSE Clerk of Courts Clerk of Courts 3315 TAMIAMI TRL E STE 102A, P.O. BOX 413044 Accountant Auditor NAPLES, FLORIDA NAPLES,FLORIDA 34112-5324 _I 34101-3044 Custodian of County Funds January 16, 2015 Adriane Burgess, Government Operations Consultant II Florida Department of Economic Opportunity Caldwell Building 107 E. Madison Street, MSC-400 Tallahassee, FL 32399 Re: DRI Agreement #08DB-D3-09-21-01-A03 Modification #9 DRI Agreement #07DB-3V-09-21-01-Z01 Modification #11 Mr. Burgess, Attached for further processing are four (4) original copies of each of the DRI Modification Documents referenced above, approved by the Collier County Board of County Commissioners on Tuesday, January 13, 2015. After the agreement(s) have been signed by the appropriate parties, please return an original copy of each modification document to the Collier County Board Minutes and Records Department that serves as Clerk to the Board, for the Official Record. Upon our receipt of the modification documents, I will provide copies to staff within the Collier County Community & Human Services Department. If your office requires further information, please contact me at 239-252-8406. Sincerely, DWIGHT E. BROCK, CLERK Ann Jennejohn, Deputy Clerk Attachments (8) Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk @collierclerk.com 1609 litlift I 110 • u ufj fedex.com 1.800.GoFedEx 1.800.463.3339 0 ress I C a o If m O l O n D 2 ZN O = a 5 m m m°. ° 3 3. I I ‹....,4 c<n 1 • a ".--$ 2 0� J. m m [ 0 at a CL �/1 P 3 � c. X v� 3< .., cc fN d F. = a' r .z5 w on o CI ' Y 0 IN as Cir -CI I p 0 "\I ' s0 02 I LI. o ,.., ni ME w. '0 �\ 6 ff ?gig Cr N N N 1 r fkt T � � r 4 Ln 0 1 sm ` ilmf a i " IF C ❑ C a' 0 s 3BY v d 2T Z" a i m 11 M $'gym x.70 F` 7r t4F, 8 ?i 3n=q' T.7 w3 43 3 g . m .11' eSm ao = s 33n gE.0' IgR s. a 0, 1 w Fl gs Q3 s0. ek' — -12a- .0 <1.< R'ga m Ea n G .3 g O ap cR^ S x D u /w m a'2.3 E CD a 1 % m § g m a C7 ❑ ❑ _i 1 -< nm � E pa, oRm �R�' °a 1v m sgkno assn 2 n L__Jy ggYe� 2tiO --1 I to 11 i a a j p , Cr it! N v 1 CD • 1_ �) s dm ¢' I 1 1 , ■f% . II , 1609 Board of Collier County Commissioners Donna Fiala Georgia A. Hiller, Esq. Tom Henning Penny Taylor Tim Nance District 1 District 2 District 3 District 4 District 5 January 13, 2015 Adriane Burgess, Government Operations Consultant II Florida Department of Economic Opportunity Caldwell Building 107 E. Madison Street, MSC-400 Tallahassee, FL 32399 Re: Disaster Recovery Initiative Contract #08DB-D3-09-21-01-A03 Modification #9 Dear Mr. Burgess: Please accept this modification to Collier County's Disaster Recovery Initiative grant agreement #08DB-D3-09-21-01-A03. The requested change will facilitate expending the grant funds and allow Collier County to address certain Disaster Recovery needs in the Community. This modification will accommodate the following activity: • Extend the grant Agreement until June 30, 2015 The enclosed modification was approved by the Collier County Board of Commissioners on January 13, 2015. Sincerely, ,-- /� ,n / c Tim Nance Chairman, Board of Commissioners Collier County, Florida 3299 Tamiami Trail East,Suite 303•Naples,Florida 34112-5746.239-252-8097•FAX 239-252-3602 ',l ' 1609 Department of Economic Opportunity—Disaster Recovery Initiative Modification to Subgrant Agreement 6/1/2013 MODIFICATION NUMBER 9 TO SUBGRANT AGREEMENT BETWEEN THE DEPARTMENT OF ECONOMIC OPPORTUNITY AND COLLIER COUNTY This Modification is made and entered into by and between the State of Florida, Department of Economic Opportunity, ("the Department"), and Collier County, ("the Recipient"), to modify DEO/DCA Contract Number 08DB-D3-09-21-01-A03, award dated May 14, 2008 ("the Agreement"). WHEREAS, the Department and the Recipient entered into the Agreement, pursuant to which the Department provided a subgrant of $ 2,814,698.15 to Recipient under the Disaster Recovery Initiative Program ("DRI") as set forth in the Agreement; WHEREAS,the Department and the Recipient desire to modify the Agreement; NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein, the parties agree as follows: 0 Reinstate Agreement 1. The Agreement is hereby reinstated as though it had not expired. ® Extend Agreement 2. Paragraph 3, Period of Agreement is hereby revised to reflect an ending date of 6/30/2015. ® Revise Activity Work Plan 3. The Attachment B, Activity Work Plan section of the Agreement is hereby deleted and is replaced by the revised Attachment B, Activity Work Plan section, which is attached hereto and incorporated herein by reference. n Revise Program Budget and Scope of Work 4. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget, which is attached hereto and incorporated herein by reference. Department of Economic Opportunity—Disaster Recovery ry Initia Ini1 6 tiative Modification to Subgrant Agreement 6/1/2013 Modification Number: 9 DEO/DCA Contract Number: 08DB-D3-09-21-01-A03 Recipient: Collier County Page 2 [ I Change in Participating Parties 5. The Attachment A, Program Budget section, is hereby modified to delete all references to "(Type in name, if applicable.)," as the Participating Party, and replace them with "(Type in name, if applicable.)" as the Participating Party with the understanding that the Recipient and the new Participating Party will enter into a Participating Party Agreement containing provisions and caveats that meet or exceed the conditions agreed to in the Participating Party Agreement between the Recipient and the original Participating Party. n Inclusion of an Unmet Need as Addressed in the Original Application 6. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget, which is attached hereto and incorporated herein by reference. 7. The Attachment , Activity Work Plan section of the Agreement is hereby deleted and is replaced by the revised Attachment , Activity Work Plan section, which is attached hereto and incorporated herein by reference. n Change in Number of Accomplishments and/or Beneficiaries 8. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget, which is attached hereto and incorporated herein by reference. n Reflect Change in Agency from DCA to DEO 9. This modification to the Subgrant Agreement hereby replaces "Department of Community Affairs" with "Department of Economic Opportunity" where appropriate in context. Other: Department of Economic Opportunity Disaster Recovery Initiative 1 6 0 9 Y ry Modification to Subgrant Agreement 6/1/2013 Modification Number: 9 DEO/DCA Contract Number: 08DB-D3-09-21-01-A03 Recipient: Collier County Page 3 All provisions of the Agreement and any attachments thereto in conflict with this Modification shall be and are hereby changed to conform to this Modification, effective as of the date of the execution of this Modification by both parties. All provisions not in conflict with this Modification remain in full force and effect, and are to be performed at the level specified in the Agreement. IN WITNESS WHEREOF, the parties hereto have executed this document as of the dates set herein. Department of Economic Development Recipient: Collier County By: By: / '7i - Name: Robert Dennis Name: TAFFI-I4efH444 - Tim Nance Title: Community Program Manager Title: Chairman, BCC Commissioners Date: Date: �l 3 47C,, ';j� ATTEST: , Approved as to form and legality DWIGfit E. iaCtObl , Clerk z -C '— By; :stant Co+ Attorne ^Attes °: ("") t as • airman's signature only. c�� 1609 Department of Economic Opportunity—Disaster Recovery Initiative Modification to Subgrant Agreement 6/1/2013 Instructions for Completing the Modification to Subgrant Agreement Form. 1. Use the"Tab" key to move from one field to the next. "Shift Tab" lets you move backwards. 2. Type in the Modification Number in the three fields where it asks for the number. 3. Type in the Contract Number in the three fields where it asks for the number. 4. Type in the Local Government Name in the five fields where it asks for the Recipient. 5. Type in the Date and Subgrant Amount in the fields on the first page where it asks for the information. 6. Move the cursor to the appropriate box(es) to indicate the modification(s) being requested. Left "click"on the box and an "X" will appear, indicating that the section is being modified. 7. If the modification seeks to extend the end of the subgrant, type in the new date on the appropriate line. 8. If the modification makes changes to the"Participating Parties,"type in the names where indicated. 9. If the reason for the modification is not one of the seven common reasons, put an "X" in the check box before"Other"at the bottom of the second page and then tab to the form field and type in the reason. 10. On page 3,type in the name of the person signing the modification and the person's title. The date must be hand written. (The person signing the modification must have signature authority.) 11. Submit three originals of the modification along with the required supporting documentation. '�f1, .....•mm.................m„.„.„,....„„mmmm,„,m,N 97-7;\ t _,- , 0 n . ,.;:_ (0 a) w O to O to a E a) a) a E (Acr0 Q y CD (0 M ON o g 2 o 7 >, v > O Lo (7 a co 0 cc to et O co o CL N M a) a) v> to a) al a) ) '0 c �- E .0 ap c Ui IX w CO n:� 0 o .n w I c Icain0 N O ' M CO c w o i5 ai W oW CD o m 5 CJ U X c! C4 0 ,n. c Q < M v 8 a) Z W m . o Cog aWCn Ca w C3 Ym HO U .ow a) F- E Dd c ac) a E ., o v n 0 2 ai� o c CL -) Q C � C 8 0 0 �E a) 00 o E 0 CL 0. o m N N E a) .J O a) a) U ° U o a a' a) a m w °, E C7 U C U E o E 0 p • -o a as o v O 0 V C 1)3 o LO r d O O 3 @ Cr) O a Q H W . 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Tom Henning Penny Taylor Tim Nance District 1 District 2 District 3 District 4 District 5 January 13, 2015 Adriane Burgess, Government Operations Consultant II Florida Department of Economic Opportunity Caldwell Building 107 E. Madison Street, MSC-400 Tallahassee, FL 32399 Re: Disaster Recovery Initiative Contract #07DB-3V-09-21-01-Z01 Modification #11 Dear Mr. Burgess: Please accept this modification to Collier County's Disaster Recovery Initiative grant agreement#07DB-3V-09-21-01-Z01. The requested change will facilitate expending the grant funds and allow Collier County to address certain Disaster Recovery needs in the Community. This modification will accommodate the following activity: • Extend the grant Agreement until June 30, 2015 The enclosed modification was approved by the Collier County Board of Commissioners on January 13, 2015. Sincerely, /f -- / Tim Nance Chairman, Board of Commissioners Collier County, Florida 3299 Tamiami Trail East,Suite 303•Naples,Florida 34112-5746.239-252-8097•FAX 239-252-3602 1609 Department of Economic Opportunity--Disaster Recovery Initiative Modification to Subgrant Agreement 6/1/2013 MODIFICATION NUMBER 11 TO SUBGRANT AGREEMENT BETWEEN THE DEPARTMENT OF ECONOMIC OPPORTUNITY AND COLLIER COUNTY This Modification is made and entered into by and between the State of Florida, Department of Economic Opportunity, ("the Department"), and Collier County, ("the Recipient"),to modify DEO/DCA Contract Number 07DB-3V-09-21-01-Z01, award dated June 20, 2007 ("the Agreement"). WHEREAS, the Department and the Recipient entered into the Agreement, pursuant to which the Department provided a subgrant of $ 2,339,882 to Recipient under the Disaster Recovery Initiative Program ("DRI") as set forth in the Agreement; WHEREAS,the Department and the Recipient desire to modify the Agreement; NOW, THEREFORE, in consideration of the mutual promises of the parties contained herein, the parties agree as follows: ❑ Reinstate Agreement 1. The Agreement is hereby reinstated as though it had not expired. • Extend Agreement 2. Paragraph 3, Period of Agreement is hereby revised to reflect an ending date of 6/30/2015. ® Revise Activity Work Plan 3. The Attachment B, Activity Work Plan section of the Agreement is hereby deleted and is replaced by the revised Attachment B, Activity Work Plan section, which is attached hereto and incorporated herein by reference. ❑ Revise Program Budget and Scope of Work 4. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget;which is attached hereto and incorporated herein by reference. 161J9 Department of Economic Opportunity—Disaster Recovery Initiative Modification to Subgrant Agreement 6/1/20,3 Modification Number: 1 l DEO/DCA Contract Number: 07DB-3 V-09-21-01-701 Recipient: Collier County Page 2 n Change in Participating Parties 5. The Attachment A, Program Budget section, is hereby modified to delete all references to "(Type in name, if applicable.)," as the Participating Party, and replace them with "(Type in name, if applicable.)" as the Participating Party with the understanding that the Recipient and the new Participating Party will enter into a Participating Party Agreement containing provisions and caveats that meet or exceed the conditions agreed to in the Participating Party Agreement between the Recipient and the original Participating Party. n Inclusion of an Unmet Need as Addressed in the Original Application 6. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget, which is attached hereto and incorporated herein by reference. 7. The Attachment , Activity Work Plan section of the Agreement is hereby deleted and is replaced by the revised Attachment , Activity Work Plan section, which is attached hereto and incorporated herein by reference. n Change in Number of Accomplishments and/or Beneficiaries 8. The Attachment A, Program Budget section of the Agreement is hereby deleted and is replaced by the revised Attachment A, the Program Budget, which is attached hereto and incorporated herein by reference. n Reflect Change in Agency from DCA to DEO 9. This modification to the Subgrant Agreement hereby replaces "Department of Community Affairs"with "Department of Economic Opportunity" where appropriate in context. Other: Department of Economic Opportunity—Disaster Recovery Initiative 1 6 0 9 Modification to Subgrant Agreement 6/1/2013 Modification Number: I 1 DEO/DCA Contract Number: 07DB-3 V-09,-21-01-Z0 I Recipient: Collier County Page 3 All provisions of the Agreement and any attachments thereto in conflict with this Modification shall be and are hereby changed to conform to this Modification, effective as of the date of the execution of this Modification by both parties. All provisions not in conflict with this Modification remain in full force and effect, and are to be performed at the level specified in the Agreement. IN WITNESS WHEREOF, the parties hereto have executed this document as of the dates set herein. Department of Economic Development Recipient: Collier County By: By:Name: Robert Dennis Name: +Um-Henning— Tun Nance Title: Community Program Manager Title: Chairman, BCC Commissioners Date: Date: /43770/,,— PAY! S 1i EMIG T E. 3ROCK, C1irk Approved as to form and legality i,. r� - r. r Assistant County 0., 4( Attet as to •irman's `9 signature only. \���� 16D9 Department of Economic Opportunity—Disaster Recovery Initiative Modification to Subgrant Agreement 6/1/2013 Instructions for Completing the Modification to Subgrant Agreement Form. 1. Use the"Tab"key to move from one field to the next. "Shift Tab" lets you move backwards. 2. Type in the Modification Number in the three fields where it asks for the number. 3. Type in the Contract Number in the three fields where it asks for the number. 4. Type in the Local Government Name in the five fields where it asks for the Recipient. 5. Type in the Date and Subgrant Amount in the fields on the first page where it asks for the information. 6. Move the cursor to the appropriate box(es)to indicate the modification(s) being requested. Left "click"on the box and an "X" will appear, indicating that the section is being modified. 7. If the modification seeks to extend the end of the subgrant, type in the new date on the appropriate line. 8. If the modification makes changes to the"Participating Parties," type in the names where indicated. 9. If the reason for the modification is not one of the seven common reasons, put an"X" in the check box before "Other" at the bottom of the second page and then tab to the form field and type in the reason. 10. On page 3, type in the name of the person signing the modification and the person's title. The date must be hand written. (The person signing the modification must have signature authority.) 11. Submit three originals of the modification along with the required supporting documentation. 16 0 C >, 0 - co O Ti) o 1-t) g. o ri E ER CT Q Ct _ ER 2 Ti "0 CD (I) in n co D O c N O O L. 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