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Backup Documents 01/27/2015 Item #16D9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO .;t 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 pp,� Date c 1. Jennifer A. Belpedio, ACA County Attorney Office Ce►V"`/ I tZ7,`7 ?-e31? .*S 6Z��cc..rr O rb�ivrJ c �'caro%r�r.e, c '0 /�� //.S 2. BCC O 'face Board of County -�-� Commissioners \N / t 2.ck 3. Minutes and Records Clerk of Court's Office 'WS lis 3-cYc , 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 Priscilla Doria, Grant Coordinator Phone Number 239-252-5312 Contact/ Department Community and Human Servi s Dept Agenda Date Item was Jarman( en i 3b15 Agenda Item NumberCj Approved by the BCC `' Type of Document Number of Original i rG( enclme (1c�w-�t n 3 Attached Documents Attached r Ili cv ('ou.n aiu.( USL• PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A" in the ► •4. able column,whichever is Yes N/A(Not appropriate. Jr (tial) Applicable) 1. Does the document require the chairman' origina sir•.ture? L 2. Does the document need to be sent to an. - . -ncy for additional signatures? If yes, provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. k) 1 A 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 .D. by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's fl 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 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 signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into SIRE. 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 r d711 and all changes made /11, during the meeting have been incorporated in he attached document. The CountyI. $ 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 e Chairman's signature. 1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16j39 MEMORANDUM Date: January 30, 2015 To: Priscilla Doria, Grants Coordinator Housing, Human & Veteran Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Amendment #3 to Agreement between Collier County and Community Assisted and Supported Living, Inc. Attached are two originals of the document referenced above, (Item #16D9) approved by the Board of County Commissioners on Tuesday, January 27, 2015. The second original agreement amendment has been held in our department for the Board's Official Record. If you have questions, please feel free to call me at 252-8411. Thank you Attachment 16139 9 Grant#- M-03- UC-12-0217 Grant# - M-04- UC-12-0217 Grant#- M-05—UC-12-0217 Grant#- M-06--UC-12-0217 Grant#- M-07--UC-12-0217 Grant# - M-08- UC-12-0217 CFDA/CSFA#- 14.239 Subrecipient—CASL DUNS #- 940621519 IDIS #454 FETI #- 65-0869993 FY End 12/31 Monitoring Deadline 9-30-2018 THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COMMUNITY ASSISTED AND SUPPORTED LIVING, INC. (CASL) This Amendment, is entered into this p)1 44\ day of (.3arl tnrq , 2015, by and between "RENAISSANCE Manor, Inc. d/b/a Community Assisted and Supported Living, Inc." (CASL) a private not-for-profit corporation existing under the laws of the State of Florida, herein after referred to as "SUBRECIPIENT" and Collier County, Florida, herein after to be referred to as "COUNTY," collectively stated as the "Parties." RECITALS WHEREAS, on October 8, 2013, the COUNTY entered into an Agreement with CASL allowing HOME Investment Partnerships (HOME) Program funds to be used for a Multi Family Property Acquisition Project (hereinafter referred to as the"Agreement"); and WHEREAS, on January 14, 2014, Item 16D3, the COUNTY approved the first amendment to this agreement; and May 13, 2014, Item 16D20, the COUNTY approved the second amendment to this agreement; and WHEREAS, the Parties desire to amend the Agreement to: 1) Extend agreement date, 2) further clarify payment to Subrecipient, 3) add match documentation and remove timeframe that match is required. 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: * All references to Housing, Human and Veteran Services (HHVS) throughout agreement shall now read Community and Human Services (CHS). Words Struck Through are deleted; Words Underlined are added Multi Family Property Acquisition CASL(HM13-02) Amendment#3 Page 1 of 4 1 6 9 { II. TIME OF PERFORMANCE Services of the SUBRECIPIENT shall start on the 8th day of October, 2013 and end on the 30th day of April, 2015 30th day of October, 2016. The term of this Agreement and the provisions herein may be extended by amendment to cover any additional time period during which the SUBRECIPIENT remains in control of HOME funds or other HOME assets, including program income III. AGREEMENT AMOUNT The budget identified for the Property Acquisition Project shall be as follows: Line Item Description HOME Funds Project Component One: Acquisition of Multi-Family Rental $404,064.00 Housing Property and associated costs Project Component Two: Environmental Review $1,500.00 TOTAL $ 405,564.00 *the entire HOME Investment shall be returned to the County if all units are not occupied within eighteen months of acquisition. * * * Match Pursuant 24 CFR 92.218 Match is required for HOME funds. This project requires HOME match. Collier County will provide the match for the project however the SUBRECIPIENT has committed to provide a match contribution. The SUBRECIPIENT shall provide evidence of match on a quarterly basis as evidenced by recipient, canceled checks and bank statements. Contributions to the housing project that qualifies as affordable housing under the HOME program throughout a fiscal year shall be provided and will be considered match. Contributions that have been or will be counted as satisfying a matching requirement of another Federal grant or award may not count as satisfying the matching contribution requirement for the HOME program. The County shall reimburse or direct pay via wire transfer the SUBRECIPIENT for the performance of this Agreement upon completion or partial completion of the work tasks as accepted and approved by HHVS pursuant to the submittal of quarterly progress reports. SUBRECIPIENT may not request disbursement of HOME funds until funds are needed for the payment of eligible costs, and all disbursement requests must be limited to the amount needed at the time of the request. However, 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 will be required. Explanations will 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 Multi Family Property Acquisition CASL(HM13-02) Amendment#3 Page 2 of 4 b� 1 6 0 9 frequently than once per month. Final invoices are due no later than 90 days after the end of the agreement. Work performed during the term of the program but not invoiced within 90 days without written exception from the Grant Coordinator will not be reimbursed. No payment will be made until approved by HHVS for grant compliance and adherence to any and all applicable local, state or Federal requirements. 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." The following details the program deliverables and schedule HOME Match Documentation of rehabilitation Quarterly as As they Requirement expenditures and supportive services paid occur fig for from non-federal sources or any other acquisition associated acquisition costs. Income eligibility Client files Maintained by SUBRECIPIENT and eligibility documentation submitted 60 days prior to tenant occupancy Eight(8) persons with Exhibit D Quarterly special needs will benefit from this funding and will be low- and moderate- income (LMI)presumed clientele Progress Report Exhibit D Quarterly Insurance Certificate N/A Annually Affirmative Plan Documents Within 30 days of Action/Marketing Plan contract execution and/or as modified HQS Inspections Inspection Forms Annually Tenant Leases Signed Leases 30 days prior to occupancy Tenant Participation Plan Plan Document 60 days prior to leasing and annually thereafter Annual Audit Audit Report with Management Letter and 180 days after end of Exhibit E fiscal year * * * Multi Family Property Acquisition CASL(HM 13-02) Amendment#3 Page 3 of 4 b,� 1 6 13 9 IN WITNESS WHEREOF, the Parties have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS OF COLLIER DWIGHT E. BROCK, CLERK COUNTY, FLORIDA� C ���� I By: -7�/�'1.% � Attest as to Chair duty Clerk Tim Nance, Chairman l ai'o1p 15 /(4'0/..': Dated: l r ,.., b �tit): htc Mr. ,�� }. . ,�. ;. Community Assisted & Supported Living, Inc. /7/1 By: cipient Signature J. Scott Eller, CEO Subrecipient Name and Title Approved as to form and legality: ‘c.KA, ...4....___D Jennifer A. Belpedi Assistant County Attorney Multi Family Property Acquisition CASL(HM13-02) Amendment#3 Page 4 of 4 €—)