Backup Documents 06/09/2015 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO U D 0 k
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 In'tials Date
11
1. Peggy Hager CHS ' Agr
SPI
2. Jennifer A. Belpedio, ACA County Attorney Office IS
3. BCC Office Board of County
Commissioners —1. N/ Colt Akc
4. Minutes and Records Clerk of Court's Office b( t (L5
3:24r-
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
Contact/ Department Lisa Oien 252-6141
Please call for pick up
Agenda Date Item was 6/09/2015 Agenda Item Number
Approved by the BCC (Pb.<0
Type of Document One subrecipient agreement amendment in Number of Original 3 subrecipient
Attached triplicate with the City of Naples Documents Attached agreements(all the
same)
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 chairma ' nature? yes 5-1-44,�.p
2. Does the document need to be sent to anot er agency for additional signatures? If yes, no _/
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 yes
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 yes
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 yes
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. d-4
Some documents are time sensitive and require forwarding to Tallahassee within a certain d
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 6/09/2015 • and all changes made yes
eye
during the meeting have been incorporated in the attached document. The County ® e ,
Attorney's Office has reviewed the changes,if applicable. 4 1(;
9. Initials of attorney verifying that the attached document is the version approved by the / , del
BCC, all changes directed by the BCC have been made,and the document is ready for the a � € m ff
Chairman's signature. .;`
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
1606 6
MEMORANDUM
Date: June 12, 2015
To: Lisa Oien, Grants Coordinator
Housing, Human & Veteran Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to the Agreement between Collier County &
City of Naples for Stormwater Improvements/George Washington
Carver Apartments (GWCA) Area
Grant #12DB-P5-09-21-01-K39
Attached is two (2) original documents of each contract referenced above, (Item
#16D6) approved by the Board of County Commissioners on Tuesday, June 9, 2015.
The Minutes and Record's Department has kept an original copy of the agreement as part
of the Board's Official Record.
If you have any questions please call me at 252-8411.
Thank you.
Attachment
1606
Grant# 12DB-P5-09-21-01-K39
CFDA/CSFA#- 14.228
Subrecipient—City of Naples
DUNS#084130293
FETIFEIN#59-60000382
FY End-6/30
Monitoring End 10/2021
THIRD AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
City of Naples
Stormwater Improvements/George Washington Carver Apartments (GWCA)Area
This Amendment is entered into this
1' day of , 2015, by and between
the "City of Naples" a municipality existing under the laws of the State of Florida herein after
referred to as "SUBRECIPIENT" and Collier County, a political subdivision of the State of
Florida,hereinafter to be referred to as "COUNTY,"collectively stated as the"Parties."
WHEREAS, on October 22, 2013, the Board of County Commissioners approved
Modification Number 2 to Subgrant Agreement Contract Number 12DB-P5-09-21-01-K39
between Collier County and the Florida Department of Economic Opportunity (DEO) and the
execution of an associated subrecipient agreement providing Community CDBG/DREF funds
for the George Washington Carver Apartments Area Stormwater project in the City of Naples,
Florida;
WHEREAS, on February 25, 2014 the Board approved an amendment to the
subrecipient agreement to reference Chapter 2013-154, Laws of Florida requirements and extend
the project completion date to the same date as the ending date of Subgrant Agreement Contract
Number 12DB-P5-09-21-01-K39, October 22,2014;
WHEREAS, September 23, 2014 the Board approved the second amendment to the
subrecipient agreement such that all services required hereunder shall be completed by the
SUBRECIPIENT prior to the end date of the associated Collier/DEO grant agreement #12DB-
P5-09-21-01-K39 as extended by modification.
WHEREAS, the Parties desire to further amend the agreement to increase the amount of
funds from$56,000 to$189,389.56;
NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is
agreed by the Parties as follows:
Words Struelc—Through are deleted; Words Underlined are added
City of Naples
DREF 08-05
Stonnwater Improvements,GWCA Arca
Contract Amendment#3
Page 1 of 5
Wim`
I
All references contained throughout the agreement to Housing, Human and Veteran Services
(HHVS)hereinafter shall read Community and Human Services(CHS).
III. AGREEMENT AMOUNT
The COUNTY agrees to make available 1 -Si ! ! ! One
Hundred Eighty Nine Thousand Three Hundred Eighty Nine Dollars and 56/100
($189,389.56)for the use by the SUBRECIPIENT during the Term of the Agreement
(hereinafter, the aforestated amount including, without limitation, any additional amounts
included thereto as a result of a subsequent amendment(s) to the Agreement, shall be referred to
as the"Funds").
All improvements specified in Section I. Scope of Services shall be performed by
SUBRECIPIENT employees, or shall be put out to competitive bidding under a procedure
acceptable to the COUNTY and Federal requirements, The SUBRECIPIENT shall enter into
contract for improvements with the lowest, responsive and qualified bidder. Contract
administration shall be handled by the SUBRECIPIENT and monitored by HHVS, which shall
have access to all records and documents related to the project. The budget identified for all
improvements is as follows:
Line Item Description DREF FUNDS
NOTE* Activities/items/services may include
but not be limited to:
GWCA area stormwater improvement project
Project Component#1 $---5-17400$184,389.56
Repairs and improvements to the storm water
retention system located in the area of the
George Washington Carver Apartments
(GWCA)in Naples,Florida.
Project Component#2 $5,000
Environmental
The cost of the associated Environmental
Review/Assessment as required by HUD,
Total $3(33800$189,389.56
* * *
City of Naples
DREF 08-05
Stormwater Improvements,GWCA Arca
Contract Amendment#3
Page 2 of 5
1613 6
Schedule "B"is hereby deleted and replaced as attached
Community and Human Services
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
Subrecipient Name: City of Naples
Subrecipient Address: 735 8h Street South
Project Name: Stormwater Improvements, GWCA Area
Project No: DREF 08-05 Payment Request#
Total Payment:
Period of Availability: January 9,2014 through 8/31/2015 or as modified by grant# 12DB-P5-
09-21-01-K39
The Agency has incurred the indebtedness listed below between and
SECTION II: STATUS OF FUNDS
1. Grant Amount Awarded
$ $189,389.56
2. Sum of Past Claims Paid on this Account
3. Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account $
4. Amount of Previous Unpaid Requests
5. Amount of Today's Request
6. Current Grant Balance (Initial Grant Amount
Awarded Less Sum of all requests) $
City of Naples
DREF 08-05
Stormwater Improvements,GWCA Area
Contract Amendment#3
Page 3 of 5
I certify that this request for payment has been made in accordance with the terms and .„ L/
conditions of the Agreement between the COUNTY and us as the SUBRECIPIENT. To the
best of my knowledge and belief,all grant requirements have been followed.
Signature Date
Title
Authorizing Grant
Authorizing Grant Coordinator Accountant
Supervisor Department Director
(approval required $I5,000 and above) (approval required $15,000 and above)
SIGNATURE PAGE TO FOLLOW
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
City of Naples
DREF 08-05
Slormwaler improvements,GWCA Area
Contract Amendment#3
Page 4 of 5
1 606
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
DWIG T E.,BRQC CLERK COLLIER / T'Y FL RIDA
BY:
,Deputy Clerk TIM NANCE,CHAIRMAN /2 015--
Dated':
/5'Dated: k k a
Attest ask t man's
signatur`etnly.
CITY OF NAPLES,A MUNICIPALITY
,'`JOHN SOREYMAYOR
ATTES
PATRl IA L. RAMBOSK,CLERK
4 /
Dated:
(SEAL)
Approved as to form and legality Approved as to form and legality:
By: iRkr 1b By: 114
Robert D.Pritt, CityAtf -ney J
ennifer1 . Belpedio, istant County Attorney
C `
City of Naples
DRF.F 08-05
Stormwater Improvements,G WCA Area
Contract Amendment#3
Page 5 of 5