Backup Documents 04/22/2014 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA&J D
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.
2.
3 Jennifer A. Belpedio, ACA County Attorney Office 4 04 1 ly
4. BCC Office Board of County -Ti-�b
Commissioners ����!`'/ 4k12144-k
5. Minutes and Records Clerk of Court's Office
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 Gino Santabarbara,Grant Coordinator Phone Number 252-2399
Contact/ Department
Agenda Date Item w s 4/22/14 Agenda Item Number 16-D-1
Approved by the BCC
Type of Document Subrecipient Agreement Number of Original 2
Attached Documents Attached
PO number or account `� /
number if document is Y V
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? JAB
2. Does the document need to be sent to another agency for additional signatures? If yes, n/a
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 JAB
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 OA
5. The Chairman's signature line date has been entered as the date of BCC approval of the JAB
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 JAA
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;he 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 04/22/14 and all changes made during JAB
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 the JAB r
BCC,all changes directed by the BCC have been made,and the document is ready for e lar
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revise, . .0 ;Revised 11/30/12
1601
Ann P. Jennejohn
From: SantabarbaraGino <GinoSantabarbara @colliergov.net>
Sent: Wednesday, April 30, 2014 10:43 AM
To: Ann P.Jennejohn
Subject: RE: January 28 &April 22, 2014 Board Approved Items
Hi Ann,
No worries, thank you so much for providing the copies. In regards to the City of Naples amendment#16D1,you can
forward it to me and I will forward it on to the City of Naples.Thanks again for your assistance.
Gino Santabarbara
Grants Coordinator
Housing, Human & Veteran Services
3339 Tamiami Trail East Suite 211
Naples, FL 34112-5361
239-252-2399 (office)
dinosantabarbara(.colliergov.net
From: Ann P. Jennejohn [mailto:Ann.Jennejohn@@collierclerk.com]
Sent: Wednesday, April 30, 2014 10:33 AM
To: SantabarbaraGino
Subject: January 28 &April 22, 2014 Board Approved Items
Hi Gino,
Thanks for your patience!
Attached is a copy of the January 28th Habitat Subrecipient Agreement (Item #16012)
and also an item from April 22nd, Amendment #1 to the Agreement w/City of Naples (Item #16D1)
Re: the second original copy of #16D1 that we received; do you want me to send that to the
Naples City Clerk - I assume that's why we received two copies, or would you rather I return it to you?
Please just let me know what you'd prefer.
Thank you.
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk of the Value Adjustment Board
Collier County Minutes & Records Dept.
239-252-8406
239-252-8408 (Fax)
Please visit us on the web at www.collierclerk.com
1
161) 1
Grant#- B-12-UC-12-0016
CFDA/CSFA#- 14.218
Subrecipient—City of Naples
DUNS#-084130293
FETI #-59-60000382
FY END 9-30
IDIS#427
Monitoring Deadline 3 01 19 7-31-19
AMENDMENT NO. 1 TO AGREEMENT BETWEEN COLLIER COUNTY
AND
CITY OF NAPLES
WHEELCHAIR ACCESSIBLE PLAY STRUCTURE PROJECT
IN
This Amendment is entered into this 2Z day of 2014, by and between CITY OF
NAPLES, a municipality existing under the laws of the S Florida, hereinafter referred to as
SUBRECIPIENT and Collier County, Florida, a political subdivision of the State of Florida,
hereinafter to be referred to as "COUNTY," collectively stated as the"Parties."
RECITALS
WHEREAS, on September 24, 2013, the COUNTY entered into an Agreement with the
Community Development Block Grant Program funds to be used for WHEELCHAIR
ACCESSIBLE PLAY STRUCTURE PROJECT (hereinafter referred to as the "Agreement"); and
WHEREAS,the Parties desire to amend the Agreement to extend the project completion date.
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:
Words Struck Through are deleted; Words Underlined are added
II. TIME OF PERFORMANCE
Services of the SUBRECIPIENT shall start on the 24th day of September, 2013 and end on the
3}`t_ 31St day of July, 2014.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 CDBG funds or other CDBG assets, including program
income.
x * K
City of Naples
2012 CUt3(i(CD 12-08)
Wheelchair Accessible Play Structure
Page 1 of 2
(13
1b01
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.
A[TLST: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E BROOK, CLERK COUNTY. F O' IDA
bi ,77 t , By: •
Attest 1S fa 1 ;. `+ih ��C l e r k .LO' l 1 G I CII • 'MAN
signatu'e only.a
Dated: VI 1 J b aOti-4
(SEAL)
ATTEST: CITY OF NAPLES, A MUNICIPALITY
PATRICIA L. RAMBOSK, CLERK
By: .
ohn F. Sorey III May r
4. s !iii .�t�..
Dated: _ 3 8
SEAL) 1
Approved as to form and legality Approved as to form and legality:
By: 9-c-VA By: c--��
Robert D. Pritt, City Attbrney Jennifer A. Belpedio, sistant County Attorney
6\\\
fb Item# +LOLL
Agenda t�,_214 tt
Date ` -
Cih of Naples Date --11
2012 CDBG(CD 12-08) d l W l
Wheelchair Accessible Plat Structure
Page 2 of 2 46-
Deputy i'