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Backup Documents 04/08/2014 Item #16D 4 uItIGINAL DOCUMENTS CHECKLIST& ROUTING SI1P6 ii `t`t 7 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 he 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 O Route to Addressee(s)(List in routing order) Office Initials Data 1. Geoffrey Magon HHVS 1 4/9/14 2. Jennifer B. Belpedio,ACA Office located in HHVS ` 6A24 4-- County Attorney Office Department 3. BCC Office Board of County - Commissioners /S/ 4\ \ \ 4. Minutes and Records Clerk of Court's Office PC �y u & I S O 1 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 Geoffrey agon , 'i4v cfW C Phone Number 252-2339 1 Contact/ Department Agenda Date Item was 4/8/14 • Agenda Item Number 16D4 Approved by the BCC Type of Document 4 Agreements Number of Original * 2 MO Lk S Attached Documents Attached I NA v,q t Ag rret.the v,. PO number or account \case_, co-c-clrc,�{Gccg 1 cc_s o Ancee N.,r.ry number if document is to be recorded \ t c 1 DI-- -� ,r �e ,e",`�' 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? YES V 2. Does the document need to be sent to another agency for additional signatures? If yes, NO ce_ provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. k'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 YES V by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's AifEs. 0 VA 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 17 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 should be provided to the County Attorney Office at the time the item is input into SIRE. CJS 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 4/8/14(enter date)and all changes p� /A is not made during the meeting have been incorporated in the attached document. The v an option for County Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the /A is not BCC,all changes directed by the BCC have been made,and the document is ready for the /cp-N option for Chairman's signature. l this line. 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 Ann P. Jennejohn 604 From: Magon, Geoffrey Sent: Thursday, May 01, 2014 2:43 PM To: Ann P.Jennejohn Subject: RE: April 8 Item #16D4 Ann, Yes I would appreciate it if you would send them to Ms. Benghuzzi. Below is her address if you do not already have it.Thanks! Jennifer Benghuzzi Contract Manager, Business Operations Unit Office of Substance Abuse and Mental Health Florida Department of Children and Families 1317 Winewood Blvd., Bldg 6, Room 232 Tallahassee, FL 32399-0700 Office Phone (850) 717-4348 -Jennifer benghuzzi @dcf.state.fl.us Geoffrey Magon Grants Coordinator Housing, Human and Veteran Services Collier County Government 239.252.2336 From: Ann P. Jennejohn [mailto:Ann.Jennejohn©collierclerk.com] Sent: Thursday, May 01, 2014 12:22 PM To: MagonGeoffrey Subject: April 8 Item #16D4 Hi Geoffrey, The documents for Item #16D4 are ready to go. I would be more than happy to send those to Ms. Benghuzzi, in Tallahassee if you'd like. Actually, they could be sent out in our mail this afternoon. Please let me know if this is convenient for you; then I'll simply inter-office you copies of the other (3) subrecipient agreement items. Thank you! Ann Jennejohn, Deputy Clerk Clerk of the Circuit Court Clerk of the Value Adjustment Board Collier County Minutes et Records Dept. 239-252-8406 239-252-8408 (Fax) 1 County of Collier 16 04 CLERK OF THE CIRCUIT COURT COLLIER COUNTYr COURTHOUSE 3315 TAMIAMI TRL E STE 102 Dwight E. Brock-CitFrk of Circuit Court P.O.BOX 413044 NAPLES,FL 34112-5324 NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditor ustodian of County Funds May 2, 2014 Jennifer Benghuzzi, Contract Manager, Florida Department of Children and Families Substance Abuse and Mental Health Program Office 1317 Winewood Boulevard Building 6 Room 232 Tallahassee, FL 32399 Re: Amendment 0003 to Memorandum of Understanding #LHZ25 between the State of Florida Department of Children and Families and the Collier County Board of County Commissioners Ms. Benghuzzi, Attached for further processing are two (2) original copies of the amendment document referenced above, approved by the Board of County Commissioners of Collier County, Florida on Tuesday, April 8, 2014. After the agreement(s) have been fully executed, we request that an original copy be returned to the Collier County Minutes and Records Department that serves as Clerk to the Board, for the Official Record. Upon receipt I will forward a copy to the appropriate staff grant coordinator in the Collier County Housing, Human and Veteran Services Department. If your office requires further information, please feel free to contact me at 239-252-8406. Sincerely, DWIGHT E. BROCK, CLERK Ann Jennejohn, Deputy Clerk Attachments Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk @collierclerk.com 16 L4 U C E •-� C� E ct b0 O z czt a)• a� x +—A N 4-� N N p� • tt wO O 2 O O Q Ix O te, vD 4 E� a U � Uv�", o U v) W o 0 Q0M WWO Do4 E., xUQmo ci. ozgo.; W tD OoW Q W z �' 0 U 1604 LHZ25 Amendment 0003 March 1,2014 THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter referred to as the "Department" and Collier County Board of County Commissioners hereinafter referred to as the "County", amends Memorandum of Understanding (MOU) # LHZ25. Amendment Number 0001, executed 08/29/12, added reporting requirements, added a liability responsibility, updated the County's Grant Manager's contact information, updated the Substance Abuse and Program Office contact and the Grant Manager for the Department and added the County's responsibility to return any unmatched grant funds, any unused advanced grant funds, and any unapplied accrued funds. Amendment Number 0002, executed 02/20/14, extended the MOU end date to June 30, 2014. This amendment deletes the Department's Procurement/Program Manager, updates the mailing address of the Department's Grant Manager, modifies the line item budget and budget narrative for project years 1-3, and updates the commitment of match donation forms. 1. Page 5, MOU, Item 24.c), is hereby deleted in its entirety. 2. Page 5, MOU, Item 24.d), is hereby renumbered as 24.c) and is amended to read: c) The name, address, telephone number, and email address of the Grant Manager for the Department of Children and Families under this Grant Memorandum of Understanding is: Jennifer Benghuzzi Department of Children and Families Substance Abuse and Mental Health Program Office 1317 Winewood Boulevard, Building 6, Room 343 Tallahassee, Florida 32399-0700 Phone: (850) 717-4348 Email: Jennifer_Benghuzzi @dcf.state.fl.us 3. Page 8, Attachment I, Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Cover Page For Implementation Grant, is hereby deleted in its entirety and Page 8, Attachment I, Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Cover Page For Implementation Grant, dated March 1, 2014, is inserted in lieu thereof and attached hereto. 4. Pages 19 through 20, Attachment I, Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget, are hereby deleted in their entirety and Pages 19 through 20, Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget, dated March 1, 2014, are inserted in lieu thereof and attached hereto. 5. Pages 21 through 24, Attachment I, Budget Narrative, are hereby deleted in their entirety and Pages 21 through 24, Budget Narrative, dated March 1, 2014, are inserted in lieu thereof and attached hereto. 6. Pages 25 through 29, Attachment I, Commitment of Match/Donation Forms, are hereby deleted in their entirety and Pages 25 through 29, Commitment of Match/Donation Forms, dated March 1, 2014, are inserted in lieu thereof and attached hereto. i 0 161) 4 LHZ25 Amendment 0003 March 1,2014 7 Page 30, Attachment I, Match Collection Summary Report, is hereby deleted in its entirety and Page 30, Match Collection Summary Report, dated March 1, 2014, is inserted in lieu thereof and attached hereto. This amendment shall begin on March 1, 2014, or the date on which the amendment has been signed by both parties, whichever is later. All provisions in the MOU and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made a part of the contract. IN WITNESS THEREOF, the parties hereto have caused this fifteen (15) page amendment to be executed by their officials thereunto duly authorized. PROVIDER: STATE OF FLORIDA COLLIER COUNTY BO'RD OF COUNTY DEPARTMENT OF CHILDREN AND COMMISSIONS FAMILIES SIGNED SIGNED BY: a'- / BY: NAME: Tnn, ,c,a,, i'n cS NAME: Hayden J. Mathieson TITLE: CA.a ;✓m�� TITLE: Director, Substance Abuse and L/fr/ Health DATE: �/ �// '/ DATE: FEDERAL ID NUMBER: 59-6000558 • Approved as to form and legality Assistant Coun nanny Attest as to rman's signature only. 2 0 LHZ25 1 oetUeA4003 March 1,2014 Attachment 1 Criminal Justiee,Mental Health and Substance Abuse Reinvestment Grant Cover Page For Implementation Grant rrl:uru,AI,I_.1.4)Rnl. lll)V .cr"t.YSr/Fn rY-Yn�.C.I+t i-e i-1'✓C. Project 2Ginl "ice,v>ti. CM.' or Counties: '.'71 f.L.Y et,4-•t'f t,Il,lr,1 I(IIr I I)I't I)1\IA( Contact Name: k:m raGv fr Department {�n;,c.r�� •. 14wvnw11 (Nick Lari'rn Srr'✓,c rS Address Line l: 3-3.�iriTe:vrr�n,.' Ti)•f & `4-i- 7 Address Line 2: City: lU� ks State: f . Zip: 3I///Z Email: «gym br e le.y.6r r(�{ t c�r.v c,t Phone: Z 31.25 z..1,4 S'F Fax: 2 3'42 S 1, 2-6.3cS` Al∎i li 1 II)NA1.1 1 IN I At Contact Name(if any): Organization: Address Lire I: Address Linen: City: I State: I I Zip: I Email: Phone: Fax: 1'I;NoiNt, RI 9)f {S I •\1I) NIA ft 111,1(:El 1.Total Amount of Grant Funds Requested: s'yb'•/90 2.Total Matching Funds(Provided by applicant and project ' vY S S 2C:S`I partners): 3.Total Pro'ect Cost Add amounts in i and 2: o17,o •s. t 1 1:III 1'INI,t)FI I(I\I • Certifying Official's Signature Certifying Official's Name //// (printed): ,4 T,�i/11 c _h, - Title: C h _ J Date: `-//iK//Y ATTEST:". DWIGHT E.SHOOK,Clerk 1• Approved as to form and legality• • Attest a `' Yii • �� signature an y. Assistant Coon Attorney 8 LHZ25 Amendment 0003 March 1,2014 Collier County 16 Q 4 Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget Budget Worksheet Years 1-3 Budget Worksheet Summary Funding Category Grant Funds Match Amount Amount Source of Funds Collier County Housing,Human&Veteran Services Salaries: $ - $ - Administration: $ 50,366.00 $ - Equipment: $ - $ - Travel: $ - $ - Contractual: $ 395,190.00 $ 548,558.59 Partner agencies Supplies: $ 3,634.00 $ - Rent/Utilities: $ - $ - Other Expenses:Enhancements $ 99,300.00 Totals: $ 548,490.00 $ 548,558.59 Total Project Cost: $ 1,097,048.59 Matching Percentage Contractual Funding Category Grant Match Salaries: Amount Amount Source of Funds Contract 1:DLC (1)Case Manager $ 95,700.00 $ - (2)MA Counselor $ 49,500.00 $ - (3)Forensic Supervisor $ - $ 43,250.00 DLC (4)Clinical Supervision $ - $ 30,000.00 DLC (5)Project Coord/Eval $ - $ 13,149.46 DLC (6)Comptroller $ - $ 22,000.00 DLC Fringe Benefits (1)Case Manager $ 7,636.00 $ - (2)MA Counselor $ 4,077.00 Equipment Travel: Local travel 2 positions $ 4,194.70 $ - Supplies: $ 3,000.00 DLC Rent/Utilities: $ - $ 7,572.13 DLC Subtotal $ 161,107.70 $ 118,971.59 Other: $ - Enhancements $ 99,300.00 $ 35,000.00 DLC -. •tea ���% : ».���� � rgl r4 `a 19 LHZ25 Amendment 0003 March 1,21 4 L 0 Collier County 1 v Criminal Justice, Mental Health and Substance Abuse Reinvestment Grant Budget Fundin! Cate!o Contract 2:CCSO Salaries: -_-� 1 Dischar•e Planner $ 113,624.00 $ - 2 D/C Plan Su•erusor $ - $ 28,500.00 CCSO 3 Grant Coord/Mt•s $ - $ 3,537.80 CCSO 4 Grant Accountant _- $ 3,998.74 CCSO 5 Reinte•ration Mana•er $ 16,476.19 CCSO Frin.e Benefits -�-� 1 Dischar•e Planner $ 7,812.00 $ - �- E.ui•ment com•uter $ - $ - Travel: n/a $ - $ - Su• 'lies: $ 1,365.00 $ - Rent/Utilities: $ - $ 7,692.78 CCSO Other: Cash $ - $ 41,337.29 CCSO CITTrainin• $ 238,451.20 CCSO SubTotal ;„ $ 122 801.00 $ 339 994.00 F' .1 . to!0 Contract 3; NAM Salaries 1 Peer Counselor $ 92,909.30 $ - 2 NAMI Director -- $ 40,500.00 NAMI Frin.e Benefits 1 Peer Counselors $ 2,786.00 $ - E.ui•ment: n/a $ - $ - Travel -� Local Travel $ 9,586.00 $ - Su• •lies: CIT Trainin. Materials $ 6,000.00 $ - Rent/Utilities $ - $ 5,184.00 NAMI Other: Cash $ - $ 8,909.00 NAMI Subtotal $ 111 281.30 $ 54,593.00 111 281,30 s 20 (:) 1 6 0 4 g E 3 o k k 2 « \ & 7 7 e � 5 & ? 02 k § % < 2 C. 0 C. \C. k 7 k k k 4 / \ / 7 _ _ u 0 ) E / ) 2 k 0 $ � / 4 _ . { 7 { ~ M f 2 2 2 cn c E 2 .t B 0 ) }, J 6 k \ TO 2 % 0 \ § .d \ j = 2 \ t / \ % E k § / � f7 O # 2 I $ •7 / \ o • 4 \ \ $ 2 ) § c o 7 k ∎ 5. \ 2 0 I. \ g & » . ƒ § § E a - ¢ \ 5 i \04_ z z @ . 2 ] # z • • & ' ƒ E \ f Cd / \ 7 ( -I..: .. Co) .; \ % § \ 0 ... z — k E • .E 0 7 § • 7 k j 6 N . \ 2 = ' ' Ti, \ + ± a # § , \ 2 / 4 J / / \ 0 / / O 1604 M 0 . 0 ..,:, 0 , . cr cr. 0 0 O •ct 0 — 0 0 O O O O O _ O N- R."' y N N O O Ln O O O, E .-. 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C o A rat, 1604 M Coo n — 0h0 co N O co 4t 'T O� vMi d; V n ON y N N EA 69 - EA 00 d' M E - .t: to V EA N U 1 E ct Ci O O 0 00 N O qO 00 M 00 .M+ EA Fs9 N_ a V} EA V'` c m 0 U Q C a) E Ul 9 C 45 et a) N 7 N ra ' O g .o Q L 00 . - N o m I o "v v 'L" y : O, a+ N 6)9 N co a vJ' b S . cCdi a iQ 2 .Q o a) ° a. .o L r' T" o 0 V] ¢ O ( _ + c c3 o .4 as a4 : .G Q. c O y :-= E- N ;, 00 o {A x 6 .a v� ^ co 0 75 is .r., ,,,, i 0.. ,... 4. ..a. — a,- 1 U Q 2 a- ..12‘ U n °' `t-' ul L t O SG I. C ❑ X cu O Ca .Q C N O ' , cCoa� a) w Q SaS�a) 8 p p- °L' a `�' v 1; O 8" 6 ,3' a) O L O C U U N o a) C4 'b v (°(5�fn O FC Q a� o 0 .. A I 43 N -- a L)' L O L M 0 N w v y () t =i .1 a3 4.r G .0 rA ° k4 O a' 2 y R V V .. `n v .. B R a ..= o = 0 .= foil' r at) aq 0 > u CO V — ) �i ) a C c.)N o xQu 01 w Y = L o U U o.4 a+ N n 0 C ai a' a) _ o c) S •Q L > 00 L N C CZ ] U g C., c 4 &' ga N `.0 .r a c , 0 °. - a, N a � � o -) � c° ^ `° •^ � o � • U %G � .■ v) Ni ; v cA e v Q oC O O O v) O < O c 4 f 0 1 6 0 4 0 2 0\ 0 0 0 k & k - 0 k \ 2 7 & 7 / e » $ q \ \ \ \ \ 0 Cl \ / Cl. \ N N J \ . _ \ ) / k k 44:5;3 V N % 2 \ 0 ® 2 % § ) . \ \ - £ e Q f N - 5 • « m U V : % / % • 2 § -Ow % 0 0 = 6- < U ] v) \ 2 I E \ j a \ / a 0 ° $ ( \ i \ * U %rNE\ \ i f • / ° • 0 ƒ � � ° o tn » 0 \ O. 2 / k e ® \ t 2 ƒ 2 4 / § : LHZ25 1604 Amendment 0003 March 1,2014 Appendix E COMMFTMENT OF MATCH/DONATION FORMS T0:(name of County) Co Il f Co4l✓t-47 FROM Donor Name 3 ;rl Aatin/✓N icF CPO fe". _ ADDRESS: ("V; Rathtty Lw0 The following /space, equipment, /goods/supplies,and/or services,is/are donated to the County permanently(title passes to the County) ✓ temporarily,for the period 4/r / to G. TO/t9 (title is retained by the donor) Description and Basis for Valuation(See next page) Value Corporation USE (l)Po.v c 5'ope-V;lrff `l 250 ictl 5' ✓:Vii: 1 0.00 Pro'. Qo"1 1i.i`19,'40 SZ-efat/Vil t: 21,004'4" $108,399.1C (2) 5;.+ca10 e5 E 3000. (3) R9"t ,- 01,17S' ?alt/vt�rt�t l $ .7,S72-13 (4)go Ivinc 31.707rS 'FC'/ C1:0.1. 5 _ $35,0C.''C) TOTAL VALUE x153, 71.59 The above donation(s)is not currently included as a cost(either>. t or :,hing)of any state or federal contract or grant,nor has it/they been previously pu ased f y r used as match for any s prpntr /7/1/// (Donor Signature) (Date) (Coup Deai-u cc 'r re) (_te) The grant Review Committee will review the valuation of the donated Itets(s)and'. in the space provided,Indicated the valuation amount acceptable to the department for use in meeting a match requirement for the Criminal Justice,Mental Health and Substance Abuse Reinvestment Grant program. Donated items are subject to disallowance should they be round to be a current or previous cost or matching item of a state or federal grant or contract. ATTEST: - • Approved to form and leillility DWIGHT E,:BROCK, Clerk 5 /! 11 ( A ' ic..J •. Assi> County A Attest as to om" ai .n's signature only. 25 e LHZ25 1604 Amendment 0003 March 1,2014 ) BASIS OF VALUATION Building/Spice 1. Donor retains title: a. Fair rental value-Substantiated in provider's records by written confirmation(s)of fair rental value by qualified individuals,e,g.,Realtors,property managers,etc. b. (1)Established monthly rental of space $ 19 6' " - (2)Number of months donated during the contract 80.61;1.31'1 Value to the project[b.(l)X b.(2)] $ 1€12 .i 3 2. Title passes to the County: Depreciegen a. Cost of Fair Market Value(FMV)at acquisition(excluding land)$ b. Estimated useful life at date of acquisition yrs. c. Annual depreciation(a./b.) $ d. Total square footage sq.ft. e. Number of square feet to be used on the grant program. sq,ft f. Percentage of time during contract period the project will occupy the building/space % g. Value to project(e./d.X f.X c.) $ Use Allowance a. To be used in the absence of depreciation schedule(i.e.,when the item is not normally depreciated in the County's accounting records) b. May include an allowance for space as well as the normal coat of upkeep,such as .airs and maintenance,insurance, etc. Zauinni nt 1. Donor retains title: Fair Rental Value 2. Title passes to County: a. FMV at time of donation$_._..,or b. Annual value to.ro'ect(not to exceed 6 2/3%X a.)_$ Goode/Sum41es FMV at time of donation E1114.1111figerd03 1. Staff of another agency/organization: Annual Salary Number of hours 2080 X to be provided =$ 109, 3 9 9."16 2. Volunteer Comparable annual salary$__ Pollute!salary Number of hours 2080 X to be provided =_$ , 26 C LHZ25 1604 Amendment 0003 March 1,2014 COMMITMENT OF MATCH/DONATION FORMS(for the entire 3-year grant period) TO:(name of County)Collier County Board of County Commissioners FROM:Donor Name NAMI of Collier County .6216 Trail Boulevard.Bldg,C Naples.FL 34108 The following_X_space,_equipment,_goods/supplies,and/or_X services,is/are donated to the County permanently(title passes to the County) X temporarily,for the period to 6/30/14 (title is retained by the donor) Description and Basis for Valuation(See next page) (I)Building Space Value SAT andFIRST Staff In Kind 55,114 (2) persannel/Suoervision $40.500 (3)CIT Training Costs: / Cash $ 8.909 TOTAL VALUE $ 54.593 The above donation(s)is not currently included as a cost(either di ct or matching)of any state or federal contract or grant,nor has it/they been previously hase; •m or used as match for any state or federal contract. 1/13/14 /. _ _ 4-7/g// (Donor Signature)(Date) (County Desi_� Signature)(Date) TOM RENNIN The Department will review the valuation of the donated item(s)and has,in the space provided,indicated the valuation amount acceptable to the Department for use in meeting a match requirement for the Criminal Justice,Mental Health and Substance Abuse Reinvestment Grant Program.Donated items are subject to disallowance should they be found to be a current or previous cost or matching item of a state or federal grant or contract f``.;HT E cK.Ck*rk ° , Approved as to form and legality o.44 Ili 4 . Attest as o Chairman's Assistant county A signature only. 27 T 16134 LHZ25 Amendment 0003 March 1,2014 1 AppendixE COMMITMENT OF MATCH/DONAT!ONFORMS TO:(nums of County)Collier County FROM:Donor Name . .:, ADORERS: 3319 Tamiaml Trail E slap.1 Naples FL ilia The following^epee,_equipment,_gooddeupplia,and/or_earvlou,Were domed to the County perms nordly(title penes to the County) x temporally,for the period 05/2011 to 08/2014 (tkle is reclined by the donor) Dacriptlon and Beets for Valuation(See nest page) Ytil� cal/120EIREUE (1)Office Space for Manama Plarrette within • Naples Jet Cen&lNJC2 !,Tre Yet 1dS yl$ '�7 iw+nx+�±t.nnn►ti u.78 $7,892.78 (2)Staff Su000rt:Discharge Planner Si remit/1r(15 PTE), Grants(t rdlnatt t n9 FTF) Ougus ecru n,,en+(.026 FTE) and Reinteyfadnn Sparlaiiat(en_cTF) $32,2$2.73 (3)Crial In arypn,l..n Toam Troiolow Sale y Coc s to train CCSO members.40 hrs x 208 Denudes x 59R Muir $y38.45l.2(L—_ (4)Cash Match from C:C:.SO,n Rnlnveebnent PsadnershlD(iielmbursement In NAMI ter PIT $ �9 training main) TOTAL VALUE $ 339,994 The shove donation(*)is not currently included as a poet(either or •• of sty state or Noel connect or grant,tar Nu it/they been ptevtauely used an glitch for any or oontreot /" 1 (fie) (County Designee 81•;,,, I: TOM HENNI 'G • The grant Review Committee WIU review the vsluttloo ofthe dented Men($)and Mee,In the specs provided,iiaoeted the valuation amount uasdablc le the dependent(brans in mssdsg a metoh requirement fbr the°{sand Laden Mantel Health and Ruben:we Muse Refavestmeat brad program. Pentad Items are Wiest to&allowance should they be tbund a be emend or prsvioracost or mstchiag item of a slate!federal grant or oodnct. ,.' "f' Approved as to form and legality DWIGHT MOCK, Cleric'. • �'y Assi t County (yney 1..1 1,t0 airm I Sj sqnature only. 28 LHZ25 () 4 m n ment 0 03 March 1,2014 it BASH OF VALUATION 1. Doctor retains Ole: a. Fair rental value-Substantiated In provider's records by written oordbmadon(s)of Oir rental value by qualified lndividua4 e;.,Realtors,propstty manugen,atm b. (1)Filablished monthly rental of space $204.00 • (2)Number of months donated during the conned 37 Value to the project(b.(1)X b.(2)j S 7.548+144.78(Pro•rsted month)•$7,892.78 2. Tide press to the County: PrOlUiSkil a. Market Value(FMV)at acquisition(excluding lad)S b, Subaated mobil Ilk at data of aoqu1MtIon a Annual depreciation(aJb.) $ d. Total square footage R.IL S. Number of equate feet to be used onthe grant program. sq.R. f. Feroentega of tkne during contract period the project will occupy the building/apace g. Value to project MADE f.X a) S IMAMS= S= a. To be used in the absence of depreciation schedule(La.,when the from is not nonn,ly depilated In the County's amounting records) b. May btoiude an allowance for space u wallas the floated out of upkeep,such u regain and midatcumoe,lnsunuoe, etc. Enhaust 1 Donor repdm tide: Fair Rental Value 2. Title pause to Canty: a. FMV at time of dmatlae S .or b. Annual value to project(not to exceed 6 213%X 14= FMV at time of doontion Grants Accourdanti,$cQ,5nR Y n'x GTC)=$ 'Zgl p($106.7u/men*r x 38 months=$3,996.74) Grants CCq000rdin for (555,858 x.02 FTE) $1,117.18/yr($93.10/month x 38 months•$3,537.80) Slaffofanotheragenoyvo c $�qC Number of bouts 2050 X to be provided =S 5921e2 73 Discharge 2 Vol Planner Supervisor(80.000 x.15 FTE)•89,000/yr($750/month x38 mond.s•$28,500) Comparable annual salary$ All111111.11111X Number of hours 2080 X to be provided - $ Reintegration Manager($88,670 x.40 FTE)_$35,468/yr($2,955.87/month x 5.5 months 11516,256.19) CIT Training:CIT Salary Expenses paid by CCSO 40 hrs x 208 Deputies x 528.88/hr=$238,451.20 29 LHZ25 1604 Amendment 0003 March 1,2014 ClIC01, C A : MARY REPORT DATE- County- 0,4/, v ) kJ- y Type of Grant Match Requirement Percentage: /de, Total Mulch Required for the Grant $ r/g-■ fc 1,7 Match Reported this Period: Coats $ ),,/3/. 3 In-Kind $ /r/c). Total $ Comments: Prepared By -017/ _ Approved?v._ r.q e PI PI ; C Hi A. 5 ;1 PVJ(3HT E BROCK,Ciutk Approved as to form and legality Dv: attitet, Attest ac tiovw 411 ./ S Kiistant CouottAttomey signature only. 'at-\ Approved as to form and legality Assistant County Atlorney 30 1604 MEMORANDUM Date: May 1, 2014 To: Geoffrey Magon, Grant Coordinator Housing, Human & Veteran Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Amendment #3 to Subrecipient Agreements with David Lawrence Mental Health Center, NAMI of Collier County and the Collier County Sheriffs Office for the Criminal Justice, Mental Health and Substance Abuse Program Attached for your records is a copy of each of the document amendments referenced above, (Item #16D4) approved by the Board of County Commissioners April 8, 2014. The originals have been held in the Minutes and Record's Department for the Board's Official Record. If you have any questions, please call me at 252-8406. Thank you. Attachments (3) 1604 AMENDMENT NO. 3 AGREEMENT FOR CRIMINAL JUSTICE,MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25) THIS AMENDMENT, made and entered into on this day of -'X 2014, by and between David Lawrence Mental Health Center, Inc., EIN 59-2206025, (d/b/a David Lawrence Center), authorized to do business in the State of Florida, whose business address is 6075 Bathey Lane, Naples, Florida, 34116, hereinafter called the "Subrecipient" (or "Consultant") and Collier County, a political subdivision of the State of Florida, hereinafter called the "County": Words Struck Through are deleted;Words Underlined are added WITNESSETH: WHEREAS, on April 12, 2011, Collier County entered into an Agreement with the David Lawrence Center for the Criminal Justice, Mental Health, and Substance Abuse Program,hereinafter the "Agreement;" and WHEREAS, on December 13, 2012, Collier County entered into Amendment 1 to the Agreement with the David Lawrence Center for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on November 13, 2012, Collier County entered into Amendment 2 to the Agreement with the David Lawrence Center for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on February 25, 2014, Collier County entered into an Extension of Agreement with the David Lawrence Center for the Criminal Justice, Mental Health, and Substance Abuse Program to extend the term of Agreement until June 30, 2014; and NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which are hereby mutually acknowledged, the Parties agree as follows: Page 1 of 7 16134 3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of this Agreement a total amount Two Hundred Sixty Thousand Four Hundred Seven and 70/100 Dollars ($260,407.70) over the term of the Agreement with Ninety Four Thousand Four Hundred Ninety Five and 00/100 Dollars ($94,495.00) for year one and ► _ a! ■_ 4• for year three of that total amount being awarded beginning with state fiscal year 2010 20-11. Payment will be made upon receipt of a proper invoice and match documentation equal to or more than the total of submitted payment requests and upon approval by Housing, Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". 5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly served if mailed or faxed to the Subrecipient at the following Address: David Lawrence Center 6075 Bathey Lane Naples, Florida 34116 Attn: David C. Schimmel,Chief Executive Officer Phone: 239-455-8500 Fax: 239-455-6561 All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Housing,Human and Veteran Services 3339 Tamiami Trail, East,Suite 211 Naples, Florida 34112 Attention: Geoffrey Magon, Grant Coordinator Kristi Sonntag, Manager of Federal and State Grants Telephone: 239 252 2336 239-252-2486 Facsimile: 239-252-6542 The Subrecipient and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. CIMHSA Amendment 003 Page 2 of 7 1604 23. MATCH FUNDS. A match amount of$147,501.00 $153,971.59 is required over the three(3) year grant term for this sub-recipient agreement. The Subrecipient may satisfy the match requirement by providing services, salaries,fringe,rent, office expenditures, cash or in-kind services that are not otherwise used as match for other state or federal dollars. The percentage of pay requests to total awarded funds must equal or exceed the percentage of match funds expenditures to total match funds when submitted, or pay requests will not be paid. EXHIBIT"A" SCOPE OF SERVICES * B. BUDGET Collier County Housing, Human and Veteran Services is providing a total amount of Two Hundred Sixty Thousand Four Hundred Seven and 70/100 Dollars ($260,407.70). The Subrecipient shall provide as match One Hundred Forty Seven Thousand Five Hundred One and 00/100 Dollars ($117,501.00) One Hundred Fifty-Three Thousand Nine Hundred Seventy-One and 59/100 Dollars ($153,971.59) as provided by Paragraph 23 herein. The table below, as approved by the grantor agency, provides budgeted State Funds, Local Match and a Total Line Budget as shown in Exhibit"C". * * * BUDGET DETAIL Fuitad�nq Gatego Grant Match • Sow Contract'Ih DLC (1)Case Manager $ 95,700.00 $ (2) MA Counselor 5 49,500.00 $ - - (3) Forensic Supervisor $ - $ 43,250.00 DLC (4)Clinical Supervision $ - $ 30,000.00 DLC (5) Project Coord/Eval $ - $ 13,149.46 DLC (6) Comptroller $ 22,000.00 DLC Fringe Benefits _ - - (1)Case Manager $ 7,636.00 $ r - (2) MA Counselor $ 4,077.00 _ - Equipment Travel: Local travel 2 positions $ 4,194.70 $ - - Supplies: _ $ 3,000.00 DLC Rent/Utilities: $ - $ 7,572.13 DLC CJMHSA Amendment 003 Page 3 of 7 d 1604 Subtotal" $ 161,1770 ' $ '11''8,971:59 Other: Enhancements 99 300.00 35 000.00 DLC Iw .:,/'-.�'-.,v6rgtn ..U .0 /.,/.C'?rvl -.:,- ,_F :. .✓ft ri-r:a x...;.Y l.C'� ..J PSMf YEAR ONE OF THREE BUDGET DETAIL BUDGET DETAIL State-Funds Local--Match Total-Line-Budget Contractual $61,395.00 $12,057.00 $103,152.00 E nt $3 0000 $33,100.00 TOTAL YEAR ONE $94311-9-5.00 YEAR TWO OF THREE BUDGET.. DETAIL Line It m State-Funds Da ption State-Funds s al-Match Total 1 inn Budget CI^�,� $-6-1739-5410 $42705-7,00 $403,-452700 s,-v� $527224/0 $10240400 En Tent S-3-371004)0 0.0 $33,100.00 $33,274.35 $33,274.35 $9474.9.&00 $42/0-57-.00 436:552-.90 $42,95646 $52,722.00 $135,678.35 YEAR THREE OF THREE BUDGET DETAIL Line Item Description State-Funds Local Match Total-Line-Budget. Contractual $61,395.00 VP:G-574)0 $4037452,00 $49 $5200 $102,101.00 Enhancement �$3� 100 00� $3��Inn n0 w $33,271.35 $33,271.35 TOTAL YEAR THREE $04 495 00 $49 057 00 $13675-52-.00 -rl-r�, �.,T-,vo $8279-5645 $5277-22,00 $1-357678,-35 TOTAL BUDGET DETAIL Line Item Description State-Funds match Cont€ontraetual $4-84,135,0, 0 $12G 171 00 $')02 405 00 -cvvr -cv'r-rrw �cv:a;TCr��v $460,759700 $44-77S0-1700 $--30-872-60410 Enhancement 00 X00.90 $99,618.70 $99,618.70 CJMFISA Amendment 003 Page 4 of 7 0 1604 TOTAL VCAR ONE $4244-74.00 $382 785 , 0 W4750140 501.00 * EXHIBIT"C" LINE ITEM BUDGET &MATCH Budget _Line Item Description Total Line Budget Salaries $145,200.00 Fringe Benefits $11,713.00 Travel $4,194.70 Enhancements $99,300.00 TOTAL $260 407.70 MATCH DETAIL Line Item Total Line Description Budget Salaries 108,399.46 Supplies 3,000.00 Rent/Utilities 7,572.13 Enhancements $35,000.00 DLC Match $153,971.59 YEAR ONE OF THREE arrant Match David 1 e renter Funds funds 4 Salaries 2 C a Case manager 900 00 3 $46,-50040 4 r Supervisor _ Cam Clinleal-Sunervislan _ $7,200,00 6 Protect Coordinator _ .7 F inee Bc ef•ts _ = Case-Managef $7,636.00 $470-7-7-.00 40 Travel 44 - . . ': -• x-00 Sups _ $155.00 43 °o.,+,,- ' lities - $2,352.00 CJMHSA Amendment 003 Page 5 of 7 ry 16D4 44 Enhancements $33 45 Cash $40,000.00 46 Total $94749-5.00 $427057,00 e . _ r _ t Match David 1 awrence Center funds funds 2 Case Manager 541,-900430 $46;500.00 4 = $12,300.00 5 $7=00.00 0 6 Project Coordinator C1�39n.w 0 7 feller - $7,000.00 8 Travel 40 Supplies - $480.00 44 tlent/Iltilit:CS $2T352,00 42 Enhancements $33,274.35 - 43 Cash _ $40,009.80 44 Total $82,956.35 $52,722.00 YEAR THREE OF THREE Grant Match David I a a Center Funds Funds 4 Salaries a. Manager $31,900.00 MA-Eeunselor $16,500.00 _ 4 $12,300.00 S Glinical-Super-vision - $7,200.00 6 $ 7 Comptroller _ $7,800.00 8 Travel 9 _ . •: $1,282.00 _ 48 Supplies : $480.00 41 entpent itrties _ $2 41 Enhancements $33,271.35 - 44 Cash $40,,090.00 CJMHSA Amendment 003 Page 6 of 7 1604 44 Total I $82456.36 I $C97-7s2.�ov t * # IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. BOARD OF COUNTY COMMISSIONERS ATTEST: " `' COLLIER COUNTY, FLORIDA Dwight E. Brock, Clerk k ofcourts By: A . j(' . By: Dated: 6,g, . _ 4111. t Tom enning, Chai�i an (S 9L3 ' C rmjg, signature only Approved as to form and legality: V),_■? 9- Jennifer A. Belp.% Assistant County Attorney DAVID LAWRENCE MENTAL First Witness HEALTH CENTER (D/B/A DAVID LAWRENC' CE TER) TType/print witne . nameT By: - / r,,,c_ ,1(p4 Sc c. t B rgess Chief Executive Officer Second Wi less TTyp=/print witness name Item# Agenda 91:L4:Date Date 4,- -`[k Redd CJM[-ISA Amendment 003 Page 7 of 7 DeP '• (14.) 1604 AMENDMENT NO. 3 AGREEMENT FOR CRIMINAL JUSTICE, MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25) THIS AMENDMENT, made and entered into on thisc3� ' day of \ 2014, by and between NAMI of Collier County, Inc. (f/k/a National Alliance on Mental Illness of Collier County, Inc.), EIN 65-0047747, authorized to do business in the State of Florida, whose business address is 6216 Trail Boulevard, Building C, Naples, Florida, 34108, hereinafter called the "Subrecipient" and Collier County, a political subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County": Words Struck Through are deleted;Words Underlined are added WITNES SETH: WHEREAS, on April 12, 2011, Collier County entered into an Agreement with NAMI for the Criminal Justice, Mental Health, and Substance Abuse Program, hereinafter the "Agreement;" and WHEREAS, on December 13, 2012,Collier County entered into Amendment 1 to the Agreement with NAMI for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on November 13, 2012, Collier County entered into Amendment 2 to the Agreement with NAMI for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on February 25, 2014, Collier County entered into an Extension of Agreement with NAMI for the Criminal Justice, Mental Health, and Substance Abuse Program to extend the term of Agreement until June 30,2014; and NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which are hereby mutually acknowledged, the Parties agree as follows: 3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of this Agreement a total amount of One Hundred Eleven Thousand Two Hundred Eighty-One 30/100 Dollars ($111,281.30) for the term of the Agreement with Thirty Two Page 1 of 7 1604 Thousand Sixty Eight 00/100 Dollars ($32,068.00) for year 1 and Thirty Nine Thousand Hundred Six 65/100 Dollars ($39,606.65) for year 3 of that total amount being awarded beginning with state fiscal year 2010 2011. Payment will be made upon receipt of a proper invoice and match documentation equal to or more than the total of submitted payment requests and upon approval by Housing, Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". 5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly served if mailed or faxed to the Subrecipient at the following Address: NAMI of Collier County 6216 Trail Boulevard Building C Naples, Florida 34108 Attn: Kathryn Leib-Hunter, Executive Director Phone: 239-434-6726 Fax: 239-455-6561 All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Housing,Human and Veteran Services 3339 Tamiami Trail, East,Suite 211 Naples,Florida 34112 Attention: Geoffrey Magon, Crant Coordinator Kristi Sonntag, Manager of Federal and State Grants Telephone: 239 252 2336 239-252-2486 Facsimile: 239-252-6542 The Subrecipient and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. CJMHSA Amendment 003 Page 2 of 7 1604 23. MATCH FUNDS. A match amount of$54.00 $54,593.00 is required over the three (3) year grant term for this Subrecipient agreement. The Subrecipient may satisfy the match requirement by providing services, salaries, fringe, rent, office expenditures, cash or in-kind services that are not otherwise used as match for other state or federal dollars. The percentage of pay requests to total awarded funds must equal or exceed the percentage of match funds expenditures to total match funds when submitted, or pay requests will not be paid. EXHIBIT"A" SCOPE OF SERVICES * * B. BUDGET Collier County Housing, Human and Veteran Services is providing a total amount of One Hundred Eleven Thousand Two Hundred Eighty-One 30/100 Dollars ($111,281.30) Thirty Two Thousand Sixty Eight 00/100 Dollars ($32,068.00) for year 1 and Thirty Nine Thousand Six Hundred Six 65/100 Dollars ($39,606.65) for year 2 and again for y ar 3. The Subrecipient shall provide a match of - - --- _ - _ -- - . _ _ - - - . Four-and--001-1-00 Dollars ($547984,00) Fifty Four Thousand Five Hundred Ninety-Three and 00/100 Dollars ($54,593.00) as provided by Paragraph 23 herein. The table below, as approved by the grantor agency, provides budgeted State Funds, Local Match and a Total Line Budget as shown in Exhibit"C". * * * BUDGET DETAIL Fund�n• .Cate•o Grant t atct Source Contract 3`. NAM1 . Salaries 1 Peer Counselors 92 909.30 - 2 NAMI Director _ 40 500.00 NAMI Frin•e Benefits 1 Peer Counselors 2 786.00 E•ui•ment: n/a $ - - _ Travel Local Travel $ 9,586.00 $ - - Supplies: CIT Training Materials $ 6,000.00 - Rent/Utilities 5184.00 NAMI CJMHSA Amendment 003 Page 3 of 7 71 1604 Other: Cash $ - $ 8,909.00 NAMI Subtotal $ 1'f 1;281.30.::.. $. 609100—, f-t".:/aa f �.��r�"y.0 fir"..'_ r .:� :0 ��.G^v ",�'.�/rr ..2111:. . =!A`5_ i±:s' YEAR ONE OF THREE BUDGET DETAIL BUDGET DETAIL State-Foods tocal-Match Tot-,1 1: e Budget Contractual $4-17-72,8:00 $43,796-00 TATAI YEAR ONE 6127068700 6-170 S43496-.00 YEAR TWO OF-THREE BUDGET DETAIL State-Fonds thcal non Total l ine Budget Contractual $3-270684;9 $11 728 00 $4377-96,00 $39,606.65 $2042-8799 $59,734.65 TOTAL YEAR TWO S-32,06&.00 $1,1728 000 $43 796 X6.65 $20,428,00 $C'-9'4zsJ734.655 e YEAR THREE OF THREE BUDGET DETAIL State-Pundfs Local-Match Total-Line-Budget Contractual $-327068700 $1 -08 $43 $39,606.65 $-219;12-8,00 $59,734.65 TOTAL VCAD THREE 01 �CC 60,00 $1 3.00 S4-377S6,00 $3Q,606,65 620424.40 2 66-9434,-66 TOTAL BUDGET DETAIL 1 p inn Item State-Fonds nds atch Budget Contractual $46404,00 $457-184,00 131 384 00 $454944)0 S5479-84:90 $146,758.00 TOTAL YEAR ONE $96,201.00 ;x$4.00 $121 00 $1E 30 $5448440 53��30 CJMHSA Amendment 003 Page 4 of 7 •�� 1604 EXHIBIT"C" LINE ITEM BUDGET &MATCH Budget Line Item Descri tion Total Line Bud'et Salaries $92,909.30 Fringe Benefits $2,786.00 Travel $9,586.00 CiT Training Supplies $6,000.00 TOTAL $111,281.30 Match Line Item Total Line Description Budget Salaries $40,500.00 Rent $5,184.00 Cash $8,909.00 TOTAL $54,593.00 - . ► e . - ! - - t - - Gr-ant funds km& .1 Salaries 2 P e Counselor 287000:00 $775004,10 4 [ring..Be efits 5 Peer Counselor $2�0 4 Travel $1-,-232:00 S Rent es $47728.00 7 Cash $27500700 9 dal $ 00 $11,728.00 CJMHSA Amendment 003 Page 5 of 7 p`�� 1604 l Match 4 Salaries 2 Peer Counselor $32,454.65 r _ 8427900780 4 Travel $4,152.00 S Rent/Utilities 847728,00 S CITTrai; $-37080-00 = 7 Cash = 827500700 S $3,080.80 9 Total $497606764 $20,424.80 YEAR THREE OF THREE Grant Match NAMI .Funds s 4 Salaries 2, Peer Counselor $32,151.65 - S NASA-I--Director - 8127900700 900.00 4 Travel 847152,08 = S Rents es _ $1,728.00 S CIT ,g 837000,00 7 Gash $2,500.00 S 537000.00 9 dal $39,60645 $20,128,00 (Signatures on next page) CJMHSA Amendment 003 Page 6 of 7 0 1604 IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. BOARD OF COUNTY COMMISSIONERS ATTEST: COLLIER COUNTY, FLORIDA Dwight E. Brgc1<,CIerl<,of Courts By: - 6'i /4, 10 l� • r Dated: e. Awirw , Tom Henning hairman AWSWO hanna , si na}��re oi I Appraveu as to form and legality: Jennifer A. Belpe Assistant County Attorney ` 1J` NAMI of Collier County, Inc. (f/l</a National First Witness Alliance on Mental Illness of Collier County, Inc.) By: Yel/C-1--2---- TType/print wit -ss nameT Kathryn Leib-Hunter Executive Director Second W less TT e/print witness nameT CJMHSA Amendment 003 Page 7 of 7 CS) 1604 AMENDMENT NO. 3 AGREEMENT FOR CRIMINAL JUSTICE,MENTAL HEALTH AND SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25) THIS AMENDMENT, made and entered into on this day of A7.-\\ 2014,by and between Collier County Sheriff's Office, whose business address is 3319 Tamiami Trail E., Naples, Florida, 34112, hereinafter called the "Subrecipient" and Collier County, a political subdivision of the State of Florida, hereinafter called the "County": Words Struck Through are deleted;Words Underlined are added WITNES SETH: WHEREAS, on May 10, 2011, Collier County entered into an Agreement with the Collier County Sheriff's Department for the Criminal Justice, Mental Health, and Substance Abuse Program,hereinafter the "Agreement;" and WHEREAS, on December 13,2012,Collier County entered into Amendment 1 to the Agreement with the Collier County Sheriff's Department for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on November 13, 2012, Collier County entered into Amendment 2 to the Agreement with the Collier County Sheriff's Department for the Criminal Justice, Mental Health, and Substance Abuse Program; and WHEREAS, on February 25, 2014, Collier County entered into an Extension of Agreement with the Collier County Sheriff's Department for the Criminal Justice, Mental Health, and Substance Abuse Program to extend the term of Agreement until June 30, 2014; and NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which are hereby mutually acknowledged, the Parties agree as follows: 3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of this Agreement a total amount of One Hundred Twenty-Two Thousand Eight Hundred One and 00/100 Dollars ($122,801) over the term of the Agreement with Thirty Eight Page 1 of 7 1604 Thousand Two Hundred Sixty Seven and 00/100 Dollars ($38,267.00) for year one and Forty Two Thousand Two Hundred Sixty Seven and 00/100 Dollars ($42,267.00) for state ficca1 year 2010 2011. Payment will be made upon receipt of a proper invoice and match documentation equal to or more than the total of submitted payment requests and upon approval by Housing, Human and Veteran Services, or his designee, and in compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt Payment Act". 5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly served if mailed or faxed to the Subrecipient at the following Address: Collier County Sheriff's Office 3319 Tamiami Trail E. Naples, Florida 34112 Attn: Kevin Rambosk,Sheriff Phone: 239-252-0554 Fax: 239-793-9333 All Notices from the Subrecipient to the County shall be deemed duly served if mailed or faxed to the County to: Collier County Government Center Housing, Human and Veteran Services 3339 Tamiami Trail, East,Suite 211 Naples, Florida 34112 Attention: Geoffrey Magon,Grant Coordinator Kristi Sonntag, Manager of Federal and State Grants Telephone: 239 252 2336 239-252-2486 Facsimile: 239-252-6542 The Subrecipient and the County may change the above mailing address at any time upon giving the other party written notification. All notices under this Agreement must be in writing. * * 23. MATCH FUNDS. A match amount of$325,292.00 $339,994.00 is required over the three (3) year grant term for this Subrecipient agreement. The Subrecipient may satisfy the match requirement by providing services, salaries, fringe, rent, office expenditures, cash or in-kind services that are not otherwise used as match for other state or federal dollars. CJMHSA Amendment 003 Page 2 of 7 1613 4 The percentage of pay requests to total awarded funds must equal or exceed the percentage of match funds expenditures to total match funds when submitted, or pay requests will not be paid. EXHIBIT "A" SCOPE OF SERVICES * * * B. BUDGET Collier County Housing, Human and Veteran Services is providing a total amount of One Hundred Twenty-two Thousand Eight Hundred One and 00/100 ($122,801.00). The Subrecipient shall provide a match of Three Hundred Twenty Five Thousand Two Hundred Ninety Two and 00/100 Dollars ($325,292.00) Three Hundred Thirty-Nine Thousand Nine Hundred Ninety-Four and 00/100 Dollars ($339,994.00) as provided by paragraph 23 herein. The table below, as approved by the grantor agency, provides budgeted State Funds, Local Match and a Total Line Budget as shown in Exhibit"C". * * * BUDGET DETAIL Funding CategcrY Grant ( M atch Source;' Contract.2.CCSO Salaries: - - - (1) Discharge Planner $ 113,624.00 - - (2) D/C Plan Supervisor $ - $ 28,500.00 CCSO 3 Grant Coord/Mt•s $ - $ 3,537.80 CCSO (4) Grant Accountant - $ 3,998.74 CCSO (5) Reintegration Manager _ $ 16,476.19 CCSO Fringe Benefits - - (1) Discharge Planner $ 7,812.00 - - Equipment(computer) - $ - - Travel: nla $ - $ - - Supplies: $ 1,365.00 $ - - Rent/Utilities: - $ 7,692.78 CCSO Other: Cash $ - $ 41,337.29 CCSO CIT Training - $ 238,451.20 CCSO SubTotal $ 122,80'1OO $ . 339,994:00 _ k/`, F� " Y�.�.F'c�r-.o-t 11, �F6'fi 'f ���,.� �,'�.,,.,/' ,�C-�rr^'�i' '-'.0;..;�s�.,c.��. ,�.yr, �%h °`€ ,44(1 r eff irt,- .r` mss,' gf V & h`,✓..:J��.f° . .�-"i&ri Y.: _;/:ft', <: CJ'MHSA Amendment 003 Page 3 of 7 G�' 1604 I . I _ YEAR ONE OF THREE BUDGET DETAIL 1 i e Item Dc .+ti.+ State-FOR Weal-Match Total-Line-Budget Contractual $38,267.00 $100,564.00 $1387834,00 TOTAL-YEAR-ONE $3346-7700 $400;564700 $,831.00 YEAR TWO OF THREE BUDGET DETAIL tine-Real-Deser.4:)." Von State State-Funels Bch Total 1 ine Budget Contractual $38,267.00 $4007564,00 $138,831.00 $4127364,00 $1-547634,00 $12,267.00 yf pppp TOTAL YEAR TL1 O $3846-7-40 1007-564700 S T .°0 $427267700 t11 �o0 $1CAS YEAR THREE OF THREE BUDCET DETAIL State-Funds Weal-Match Total L ine Budget Contractual $38,267.00 $14.00 $13800 $12,267.00 $11200 $151,631.00 TOTAL-YEAR-THREE $387367-.00 $100;564,00 $43-878-31700 S �t7 7"364.00 $4647631.00 TOTAL BUDGET DETAIL Line Item Description Statues Woal-Match Total 1 inn Budget Contractual $444 7804,00 $301,692.00 $416,193.00 $122 8ho $325,292.00 $44�-.-r8,0 3,00 TOTAL-YEAR-ONE $444401,00 0 $446493=00 $1237804700 $325,22,99 00 $443-.00-1.00 a�c x7vv * * * CJMI-ISA Amendment 003 Page 4 of 7 1604 EXHIBIT "C" LINE ITEM BUDGET &MATCH Budget Line Item Description Total Line Budget Salaries $113,624.00 Fringe Benefits $7,812.00 Supplies $1,365.00 TOTAL $122,801.00 Match Line Item Total Line Description Buffet Salaries $52,512.73 Rent $7,692.78 Cash $279,788.49 CCSO Match $339,994.00 YEAR ONE OF THREE Coant Matt* CCSO Fonds Funds 4 Salaries .2 Discharge oianner $30,000.00 597000,00 4 - • -- - . - "-- - $2,684.00 • Fringe Be efits 6 Discharge Planner $7,812.00 6 Suppties $455.00 • Rent Utilities 527448,08 8 CI,T--LTraiincng�g $76�.00�0 g Cash $10,...-.,.,." 40 Tot-a1 X8,27,80 $100 4.00 YEAR NATO OF THREE CJMHSA Amendment 003 Page 5 of 7 1604 Grant Match CCSO Funds Funds Salaries 2 Discharge Planner $11 • D/C Plan Supervisor $97000,00 4 Grant Coordinator Meetings $2,684.00 5 Grant Accountant $56 S Supplies $" 0 7 Rent/Utilities 00 8 C4T--Tralni g X7-2.00 9 &ash $10,090.00 40 Total $427247-,-GO $112,364.00 YEAR THREE OF THREE Grates Match CCSO kauls Fuads 4 Salaries - - 2 Discharge Planner $41,812.00 - 3 .D/C Plae-Supefv-isor - 4 - - -- - . - "-- - - S Grant Accountant $560,00 S Supplies $455:00 - .7 $274-48-:09 8 Ca-Training - $87,672.00 9 Gash - 6407000700 49 Total $42,267-.00 $112 * * (Signatures on next page) CJMHSA Amendment 003 Page 6 of 7 1604 IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an authorized person or agent, hereunder set their hands and seals on the date and year first above written. BOARD OF COUNTY COMMISSIONERS ATTEST: COLLIER COUNTY, FLORIDA Dwight E. 'Brock,.C-er k of Courts By: 61AA 1.�� _ _AC • B : ' Dated: 1A Torn Henning, Ch"man (SE as to Chairman's gi nature only., - Approved'as to form and COLLIER COUNTY SHERIFF'S OFFICE legality: By: � Jenni er A. Beip o a Kevin :`.. j p � Ke n1 a i < Assistant County Attorney ` Sheriff First Witness OP TType/print witnes nameT Second Witnes- TType/p nt witness nameT CJMHSA Amendment 003 Page 7 of 7