Backup Documents 03/11/2014 Item #16D4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 £14
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Sue Filson(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1. Gino Santabarbara,Grant Coordinator Housing,Human, Veterans Services GS 03/14/14
Department
2. Jennifer A. Belpedio,ACA Office located within Housing, Human,
Veterans Services Department i‘))
3. County Attorney's Office County Attorney's Office Vq\1 `
4. BCC Office Board of County Commissioners tom\
5. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Sue Filson,need to contact staff for additional or missing
information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Gino Santab rbara,Grant Coordinator Phone Number 239-252-23
Contact
Agenda Date Item was 03/11/14 Agenda Item Number 16. D.4
Approved by the BCC
Type of Document Subrecipient Agreement -Catholic Number of Original 1 original&
Attached Charities Documents Attached
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Original document has been signed/initialed for legal sufficiency.(All documents to be signed by the GS
Chairman,with the exception of most letters,must be reviewed and signed by the Office of the
County Attorney.This includes signature pages from ordinances,resolutions,etc. signed by the
County Attorney's Office and signature pages from contracts,agreements,etc.that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and N/A
all other parties except the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval of the document or GS
the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and GS
initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip should be GS
provided to the BCC office within 24 hours of BCC approval.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!
6. The document was approved by the BCC on 03/11/14 and all changes made during the C
meeting have been incorporated in the attached document. The County Attorney's Office has £ ' '
g P Y Y
reviewed the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
«matter_number»/«document_number»
16134
MEMORANDUM
Date: March 19, 2014
To: Gino Santabarbara, Grant Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #2 to Agreement w/Catholic Charities of Collier
County, Diocese of Venice, Inc.
Grant #E-12-UC-12-0024E
Attached for your records is a copy of the item referenced above, (Item #16D4)
approved by the Board of County Commissioners March 11, 2014.
The Minutes and Record's Department held the original amendment documents for
the Board's Official Record.
If you have any questions, please feel free to call me at 252-8411.
Thank you.
Attachment
1604
Grant# -E-12-UC-12-0024E
CFDA/CSFA# - 14.231
Subrecipient—Catholic Charities of
Collier County, Diocese of Venice, Inc.
DUNS # - 877686501
FETI #- 59-2473176
FISCAL YEAR END: June 30th
IDIS# 434
MONITORING END DATE: 8-31-14
AMENDMENT NO. 2 TO AGREEMENT BETWEEN COLLIER COUNTY
AND
CATHOLIC CHARITIES OF COLLIER COUNTY, DIOCESE OF VENICE, INC.
THIS AMENDMENT, made and entered into on this I I''day of March 2014 is by and between the parties to
the original Agreement, Catholic Charities of Collier County, Diocese of Venice, Inc., (hereinafter called the
"Subrecipient") authorized to do business in the State of Florida, whose business address is 2210 Santa Barbara
Boulevard, Naples, FL 34116, and Collier County, a political subdivision of the State of Florida, Collier
County, Naples (hereinafter called the "County") having its principal address as 3339 E. Tamiami Trail, Naples
FL 34112.
Statement of Understanding
RE: EMERGENCY SOLUTIONS GRANT
In order to continue the services provided for in the original Agreement document referenced above, the parties
agree to amend the Agreement as follows:
Words Struck Through are deleted; Words Underlined are added:
(Dollar amounts have original underlines)
WITNESSETH:
WHEREAS, on March 12, 2013, Agenda Item No. 16.D.2, the County approved an agreement between
the Subrecipient and County to use EMERGENCY STABILIZATION PROJECT funds;
WHEREAS, on the 28th day of May 2014, Agenda item No. 16.D.5, the County approved amendment 1
between the subrecipient and the County;
WHEREAS, the Agreement requires modification providing a time extension for the FY12 Community
Emergency Solution Grant (ESG); and
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is agreed by the
Parties as follows:
CA
1 6 1] 4
II. TIME OF PERFORMANCE
Services/Activities of the SUBRECIPIENT shall start on the 12th day of March, 2013 and end on the
44th-day-of--Marehr 2014 31st day of August, 2014. The services/activities of the SUBRECIPIENT shall be
undertaken and completed in light of the purposes of this Agreement. Any funds not obligated by the expiration
date of this Agreement shall automatically revert to the COUNTY.
* * *
IN WITNESS WHEREOF, the GRANTEE and SUBRECIPIENT, have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date and year first above written.
ATTEST: ' * — BOARD OF COUNTY COMMISSIONERS
Dwight E. Brock, Clerk of Cot:itts COLLIER COUNTY FLORIDA
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CATHOLIC CHARITIES OF COLLIER
COUNTY, DIOCESE OF VENICE, INC.
First Witness
asiCE S .Frg_11)
, By:
TType/print witness namet Print: ,,P}RM. A 4.e0 G-A-(c___t(A
Title: b Ls-i-ILL.Lx 1. i(Lac ra
Second Witness
-0-7.4-i- /f/ 4:Ve-e e 74 Approved as to form and legality:
tType/print witness nameT
Jenne A. Belpedi
Assistant County Atto k ey %A.\‘"*.lk
9- P. 42-
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