Backup Documents 04/28/2015 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 60
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. Peggy Hager Community and Human y11
Services !
2. County Attorney Office County Attorney Office 4-fagt 6
3. BCC Office Board of County Ebyy
Commissioners \M 5`/ "A`-30\6.
4. Minutes and Records Clerk of Court's Office 4(W((S `O
4
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 oordinator Phone Number 239-252-5312
Contact/ Department Community and Hu an Services
Agenda Date Item was April 28,2015 Agenda Item Number 16D6
Approved by the BCC
Type of Document Centro Campesino Third Amendment to Number of Original 3
Attached Agreement Documents Attached
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?
2. Does the document need to be sent to another agency for additional signatures? If yes, A
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. /' /AI
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 'eV)
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board N( 4-
5. The Chairman's signature line date has been entered as the date of BCC approval of the f1
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 ,-PL)
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 fratne 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 G t
during the meeting have been incorporated in the attached 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 thi 1' •
BCC,all changes directed by the BCC have been made, and the document is ready for t •
Chairman's signature. �g
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
1 613 6
MEMORANDUM
Date: April 30, 2015
To: Priscilla Doria, Grants Coordinator
Community & Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to Agreement between Collier County and Centro
Campesino-Farmworkers Center, Inc.
Attached are two originals of the document referenced above, (Item #16D6)
approved by the Board of County Commissioners on Tuesday, April 28, 2015.
The third original document 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
1606
Grant- SHIP FY 2011-2012
SHIP FY 2012-2013
SHIP FY 2013-2014
Activity: - Owner-Occupied
Rehabilitation Program
Subrecipient: - Centro Campesino-
Farmworker Center,Inc.
DUNS#- 173849191
CSFA#- 52.901
THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
CENTRO CAMPESINO-FARMWORKER CENTER, INC.
THIS AGREEMENT is made and entered into this dg day of ILyi ,
2015, by and between Collier County, a political subdivision of the Stat of Florida,
("COUNTY" or "Grantee") having its principal address as 3339 E. Tamiami Trail, Suite 211,
Naples FL 34112, and "Centro Campesino-Farmworker Center, Inc." a private not-for-profit
corporation existing under the laws of the State of Florida, having its principal office at 35801
SW 186th Avenue,Florida City, Florida 33034-5508.
WHEREAS, on June 24, 2014, Item 16D1, the COUNTY entered into an Agreement
with Subrecipient to administer the State Housing Initiatives Partnership Program (SHIP)
Owner-Occupied Rehabilitation Program ("Agreement").
WHEREAS, on September 9, 2014, Item 16F1, the COUNTY approved the first
amendment to the Agreement; on January 27, 2015, Item 16D4, the COUNTY approved the
second amendment to the Agreement.
WHEREAS, the third amendment to the Agreement is to modify Exhibit B, the Budget
Narrative, to remove expenditure deadlines dates and replace with language that will allow
deadlines to comply with grant fiscal year deadlines as may be extended by grantor office.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
Words Strucli---Thraugh are deleted; Words Underlined are added
* All references to Housing, Human and Veteran Services (HHVS) throughout agreement shall
now read Community and Human Services (CHS).
Amendment#3
SHIP- Owner Occupied Rehabilitation
Centro Campesino- Farmworker Center, Inc.
Page 1 of 3
* 1 606
EXHIBIT B
BUDGET NARRATIVE
OWNER OCCUPIED REHABILITATION PROGRAM
The total SHIP allocation to SUBRECIPIENT for the Owner-Occupied Rehabilitation Program
shall be $856,000.00.
Sources for these funds are as follows:
Fiscal Year Total Rehab and Project Expenditure Dcadlinc
Delivery/Inspection
2011-2012 $250,000** 1/30/2015
2012-2013 $126,000 4/30/2015
2013-2014 $480,000 7/31/2015
Total Funds $856,000
**County and SUBRECIPIENT acknowledge that this additional $100,000 being spent timely is
dependent upon timely submission of income eligible applicants in July and August from
COUNTY to SUBRECIPIENT.
Expenditure deadlines will comply with grant fiscal year deadlines as may be extended by
Florida Housing Finance Corporation.
If SUBRECIPIENT determines during the initial inspection of a home that the property is not
eligible for rehabilitation or if the homeowner post inspection and prior to bid
construction/award withdraws from rehab program a fee of$250.00 per home shall be paid to the
SUBRECIPIENT. If SUBRECIPIENT determines that rehabilitation is required a project
delivery fee of 10% of the total rehabilitation award but no less than $1,000 shall be paid for
each completed unit for total compensation to the SUBRECIPIENT. Associated work to perform
technical and administrative work involving the construction and renovation of residential
properties is included in the inspection fee or the project delivery and shall not also be
reimbursed.
* *
SIGNATURE PAGE TO FOLLOW
Amendment#3
SHIP- Owner Occupied Rehabilitation
Centro Campesino- Farmworker Center, Inc.
Page 2 of 3
1606
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
By: I
gest a�:i Chart duty Clerk Tim Nance, Chairman L Fc1�
signature only.-
Dated:
( EAL
Centro Campesino-Farmworker Center, Inc.,
By: PUlld elak-
Get`
Subrccipient Signature
teact A. e-dit
Subrecipient Name
bCket(114 i aP /L
Title
Approved as to form and legality:
Jennifer A. Belpedio
Assistant County Attorney
Item# ` 7:)(
Amendment#3
SHIP- Owner Occupied Rehabilitation ate (
Centro Campesino- Farmworker Center, Inc.
Page3of3
Deputy Clerk