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Backup Documents 09/22/2015 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING RA A 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 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 & Human i Services (CHS) Divisiontt' 9/22.i/.5) 2. County Attorney Office County Attorney Office41 I 3. BCC Office Board of County _ Commissioners y /�,_' ' '\2-A\'S 4. Minutes and Records Clerk of Court's Office 1)1)1/4) f tt(C IS SAS"./•• 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 informa ion. Name of Primary Staff Rosa Munoz,CHS Phone Number 252-5713 Contact/ Department Agenda Date Item was Agenda Item Number 16D8. Approved by the BCC (*' -D -71 Type of Document 1. Amendment#2 to UCP Subrecipient Number of Original 3 Attached Agreement Documents Attached 2. Amendment#2 to Habitat for Humanity Agreement 3. Amendment#2 to CASL HOME Agreement PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in ue Not 'cable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman . orig�iF=nature? h'l e 0‹ �-A 2. Does the document need to be sent to ano\.a '• for additio : signatures? If yes N/A provide the Contact Information(Name;Agency;A. ess;Phone)on a • • eet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be RM 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 RM 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 RM signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip „yd'1 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 frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 09/22/15 and all changes made RMm during the meeting have been incorporated in the attached document. The CountyLol. ( � Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the . BCC,all changes directed by the BCC have been made,and the document is ready for th:� •. o • Chairman's signature. .3z I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Re r 2:24.05,Revised 11/30/12 1 60 7 MEMORANDUM Date: September 25, 2015 To: Rosa Munoz, Grant Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #2 to Agreement between Collier County and United Cerebral Palsy of Southwest Florida, Inc. Grant #B-14-UC-12-0016 Agmt #CD14-05PS Attached are two (2) original amendment to the agreement referenced above, (Item #16D7) approved by the Board of County Commissioners on Tuesday, September 22, 2015. An original has been kept by the Minutes and Records Department for the Official Records of the Board. If you have any questions, please feel free to contact me at 252-7240. Thank you. Attachment 1607 Grant# - B-14-UC-12-0016 CFDA/CSFA# - 14.218 Subrecipient—United Cerebral Palsy of Southwest Florida, Inc. (UCP) Agreement#CD14-05PS DUNS # - 078476765 IDIS#484 FETI # - 59-1796622 Fiscal Year End: 06/30 Monitor End: 09/2015 SECOND AMENDMENT TO THE AGREEMENT BETWEEN COLLIER COUNTY AND UNITED CEREBRAL PALSY OF SOUTHWEST FLORIDA, INC. THIS AMENDMENT is entered into this c fiGLy of_SA k2015, by and between the "United Cerebral Palsy of Southwest Florida, Inc.", a private not-for-profit corporation existing under the laws of the State of Florida, herein after referred to as "Subrecipient", having its principal office at 9040 Sunset Drive, Miami, FL 33173; and Collier County, Florida, having its principal address as 3339 E. Tamiami Trail, Naples FL 34112, hereinafter to be referred to as "COUNTY", collectively stated as the "PARTIES." WHEREAS, on September 23, 2014, the County entered into an agreement with the Community Development Block Grant Program funds to be used for the Transportation Services Project (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to amend the Agreement to extend the project completion date in order to achieve full expenditure of CDBG funds. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration, the recipt and sufficiency of which is hereby the mutually acknowledged, the Parties agree to amend the Agreement as follows: Words Struck Through 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). 115-GRC-00426/1206395/1] UNITED CEREBRAL PALSY OF SW FLORIDA,INC. CDBG CDI4-05PS TRANSPORTATION SERVICES Amendment#2 Page 1 of 2 Cq 160 7 , PART I SCOPE OF WORK * * * 1.3 TIME OF PERFORMANCE Services of the Subrecipient shall start February 1, 2015 and shall end on September 30, 20-I-s October 31, 2015. * * * 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 first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS OF DWIGHIE. BROCK, CLERK COLLIER CO Y,/FLLORIDA attest .4)At , e / ei4,ce_ as to Chairmap'$ eput j�C k 9 y TIM NANCE, CHAIRMAN si U�r V, :r 2',2C)1c. - (SEAL) _,—,_, J6-r/ UNITED CEREBRAL PALSY OF SOUTHWES Witness ,--)Liii. 761191iS "Dircc_, FLORIDA cnd Title By: ,-1.i. f!'(.,'. (f es . Weeks,PhD,VP-Secretary/Treasurer _....4._-- -- -------- ndra ever, Adm.164. Name and Title Approved as to form and legality: Jennifer . Belpedio ej Assistant County Attorney \�� [15-GRC-00426/1206395/11 UNITED CEREBRAL PALSY OF SW FLORIDA,INC. CDBG CDI4-05PS TRANSPORTATION SERVICES Amendment n2 Page 2 of 2 0 MEMORANDUM 1 6 r Date: September 25, 2015 To: Rosa Munoz, Grant Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #2 to Agreement between Collier County and Habitat for Humanity Grant #B-14-UC-12-0016 Agmt #CD14-04 Attached are two (2) original amendment to the agreement referenced above, (Item #16D7) approved by the Board of County Commissioners on Tuesday, September 22, 2015. An original has been kept by the Minutes and Records Department for the Official Records of the Board. If you have any questions, please feel free to contact me at 252-7240. Thank you. Attachment Grant# - B-11-UC-12-0016 B-14-UC-12-0016 CFDA/CSFA# - 14.218 Subrecipient—Habitat for Humanity of Collier County, Inc. Agreement#CD14-04 DUNS #- 080676690 IDIS#483 FEID # - 59-1834379 Fiscal Year End: 06/30 Monitor End: 09/2020 SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND HABITAT FOR HUMANITY OF COLLIER COUNTY, INC. THIS AMENDMENT is made and entered into this aAn4ay of Se ;2015, by and between "Habitat for Humanity of Collier County, Inc.", a private not-for-profit corporation existing under the laws of the State of Florida, herein after referred to as "SUBRECIPIENT", having its principal office at 11145 Tamiami Trail E, Naples, FL 34113, and "Collier County, Florida, having its principal address as 3339 E. Tamiami Trail, Naples FL 34112, hereinafter to be referred to as "COUNTY", collectively stated as the "PARTIES." WHEREAS, on September 23, 2014, the County entered into an agreement with the Community Development Block Grant Program funds to be used for the Re-Roof 2014 Project (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to extend the project completion date in order to achieve full expenditure of CDBG funds. 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 Streek-Through are deleted; Words Underlined are added X X X * All references to Housing, Human and Veteran Services (HHVS) throughout agreement shall now read Community and Human Services (CHS). 115-GRC-00426/1206392/1] HABITAT FOR HUMANITY CDBG CD14-04 RE-ROOF Repair/Replacement Amendment#2 Page 1 of 2 PART I SCOPE OF WORK 1.3 TIME OF PERFORMANCE Services of the Subrecipient shall start effective the date of the execution of this agreement and shall end on September-34)7-2044 January 15, 2016. * * * 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 first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS OF DWIGHT E. BROCK,`GLERK, COLLIEIJPL1 l.TY,/FLORIDA ir, , j,i £wá fBy: J e, *'E_.'es a5 0 airman S; D pu� erk TIM NANCE,CHAIRMAN sianaturAnl Dated: *i i t LC (SEAL) HABITAT FOR HUMANITY OF COLLIER Witness COUNTY, INC. . " Sr, �:, "tier, Na e and Title By: ,,//(�,, f� Ak Nic Kouloheras,V.P. of Land Development Witness ���� INIA N >4j Name and Title Approved as to form and legality: Jennifer A. Belpedio QNw Assistant County Attorney it 5-GRC-00426/1206392/1 HABITAT FOR HUMANITY CDBG CD14-04 RE-ROOF Repair/Replacement Amendment H2 Page 2 of 2 CA 1 60 7 MEMORANDUM Date: September 25, 2015 To: Rosa Munoz, Grant Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Amendment #2 to Agreement between Collier County and Community Assisted and Supported Living, Inc. (CASL) Grant #B-14-UC-12-0016 Agmt #HM14-01 Attached are two (2) original amendment to the agreement referenced above, (Item #16D7) approved by the Board of County Commissioners on Tuesday, September 22, 2015. An original has been kept by the Minutes and Records Department for the Official Records of the Board. If you have any questions, please feel free to contact me at 252-7240. Thank you. Attachment 160 7 Grant#-M-14-UC-12-0217 CFDA/CSFA#- 14.239 SUBRECIPIENT—Community Assisted and Supported Living, Inc. Agreement#HM14-01 DUNS#-940621519 IDIS#492 FEID #- 65-0869993 Fiscal Year End: 12/31 Monitoring Deadline: 10/2025 SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND COMMUNITY ASSISTED AND SUPPORTED LIVING,INC. (CASL) THIS AMENDMENT is made and entered into this n day of X2015, by and between "Community Assisted and Supported Living, Inc." a private not-for-profit corporation existing under the laws of the State of Florida, herein after referred to as "SUBRECIPIENT", having its principal office at 1401 16th Street, Sarasota,Florida 34236 and "Collier County, Florida, having its principal address as 3339 E. Tamiami Trail, Naples FL 34112,hereinafter to be referred to as "COUNTY",collectively stated as the"PARTIES." WHEREAS, on September 23, 2014, the County entered into an agreement with the HOME Investment Partnerships (HOME) Program funds to be used for the 2014 Community Assisted and Supported Living, Inc. (CASL) HOME Rehab Project (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to extend the project completion date in order to achieve full expenditure of CDBG funds. 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 Throy� are deleted; Words Underlined are added N t+-' * * * * All references to Housing, Human and Veteran Services (HHVS) throughout agreement shall now read Community and Human Services (CHS). PART I SCOPE OF WORK Page 1 of 2 CASL HOME HM14-01 Rehab of multi family properties Amendment#2 16137 1.3 TIME OF PERFORMANCE Services of the SUBRECIPIENT shall start effective the date of the execution of this agreement and shall end en--3-0th . - - • - e December 31, 2015. Rehabilitation activities shall be completed by 2015 and the affordability period shall cease in 2025. 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 HOME funds or other HOME assets, including program income. * * * 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 first written above. ATTEST: BOARD OF COUNTY COMMISSIONERS OF DWIGHT E 3ROCK,,CLERK COLLINTY, FLORIDA • By: ele-- tte as 0 al ` , D •uty lerk TIM NANCE,CHAIRMAN signature elLy. ,k +�fi Dated: '''LkV1 ' L t1 '2CuIS (SEAL) ilk Ai 41‘ COMMUNITY ASSISTED AND SUPPORTED itW' 4gratir rtd. LIVING, ;C. ft ASL) a e and Title By: . • ]ler, CEO Witness d Inbar( 1) rcc,,c)r ktp&l:! Name and Title Approved as to form and legality: Jetuftfer A. Belpedi 7. Assistant County Att ey < oil Page 2 of 2 CASL HOME HMI4-41 Rehab of multi family properties Amendment 112 CA.)