Backup Documents 02/23/2016 Item #16D 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP9
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TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO V
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. Louise Pelletier Community and Human Services02/23/16
�'19)I L,
2. Jennifer Belpedio County Attorney Office l /1C0
3. BCC Office Board of County Commissioners
\c't\i 7-k2AVL-,
4. Minutes and Records Clerk of Court's Office
'— 02 014 I((v t a:-w
CLWI
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 Louise Pelletie CHS Phone Number 252-2696
Contact/ Department
Agenda Date Item was 02/23/16 Agenda Item Number 16.D.9
Approved by the BCC
Type of Document Two Landlord Agreements: Number of Original 2
Attached 1. Raquel Margarita Constantino Noriega Documents Attached
2. Kirk Sanders
PO number or account NA
number if document is to
be recorded
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. Does the document require the chairman's original signature? c � Q
2. Does the document need to be sent to another agency for additional signatures? If yes,provide the NA
Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by LP
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 Office and NA
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 document or LP
the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and LP
initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip should NA
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 02/23/16 and all changes made during the meeting LP
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 BCC,all
changes directed by the BCC have been made,and the document is ready for the Chairman's •
signature. n ca
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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
16 0 9
MEMORANDUM
Date: February 24, 2016
To: Louise Pelletier, Case Management
Community Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Landlord Agreements: Raquel Margarita Constantino Noriega
and Kirk Sanders
Attached is one (1) copy of each document referenced above, (Agenda Item
#16D9) approved by Board of County Commissioners on Tuesday, February 23,
2016.
The original Agreements are being held in the Minutes and Records Department as
part of the Board's Official Record.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
1 6 0 9
EMERGENCY SOLUTIONS GRANT
LANDLORD PAYMENT AGREEMENT
FOR TENANT BASED RENTAL ASSISTANCE
THIS AGREEMENT is entered into between Collier County Board of County Commissioners,
hereinafter referred to as the "agency", Raquel Margarita Constantino Noriega, P.O. Box
11442,Naples,FL 34101,239-821-9001, hereinafter referred to as the "landlord".
The undersigned landlord hereby agrees to the following conditions in order to receive landlord
payments from the agency under the Emergency Solutions Grant Program(ESG):
1. This agreement shall begin on February 23, 2016 and shall end upon 30-days written
notification from either party to the other, or if funding for this program is no longer
available.
2. The agency agrees to provide the landlord with a list of names and contact information for all
agency personnel authorized to commit ESG funds. The landlord will only accept payment
commitment from authorized agency personnel. Changes (addition/deletions) to the
authorized personnel list must be approved in writing by an authorized agency representative.
3. The landlord agrees to provide agency with contact information for authorized CHS
representative to resolve a crisis and/or apply benefit commitment on the client's behalf.
4. The landlord agrees to provide agency with copy of all leases and modifications or
amendments for each eligible ESG program participant.
5. The agency agrees to provide payments directly to the landlord on behalf of the eligible ESG
program participant and as long as the grantor agency and/or regulation does not prohibit
payment.
6. The landlord assures that no household receiving ESG assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement, landlord agrees to give the agency a copy of
any notice to the program participant to vacate the housing unit, or complaint used under
state or local law to commence an eviction action against the program participant.
7. The landlord assures that eligible households on whose behalf ESG assistance is received
will not be discriminated against.
8. The landlord understand that only eligible activities listed under 24 CFR 576.106, Short-term
and medium-term rental assistance, are to be paid with ESG funds.
9. The landlord understand that only costs of Short-term and medium-term rental assistance in
accordance with the terms of the ESG program are allowed. No charges that result from
illegal activities such as bad checks or meter tampering will be paid with ESG funds.
10. The landlord understand that the ESG benefit amount must pay for the complete charges
owed by the ESG program participant and that acceptance of ESG benefit will be deemed as
Page 1 of 3
1609 9
Landlord's acknowledgement and acceptance has become current on any and all payments
due to landlord as a result of the ESG payment.
11. The landlord agrees to assist the agency in verifying the ESG program participant's
information and to make timely commitments to resolve any crisis situation. Subject to the
landlord's privacy requirements,the landlord agrees to provide the agency with the following
detailed ESG program participant information: (1) current amount owed (broken down by
month) (2) due date/eviction dates in formal eviction notice / 3-day notice and (3) amount
necessary to resolve the situation.
12. In accordance with the Florida Local Government Prompt Payment Act, the agency agrees to
provide payment to the landlord as follows:
(a) Rental Arrears,Application Fees and/or Deposits: will be dispersed by the agency
within 60 days from the date of the agency's approval of the program participant's
eligibility if the rental assistance is a valid ESG program expenditure.
(b) Ongoing rental assistance: will be disbursed by the agency for eligible ESG recipients
in accordance with the rental agreement as issued by the landlord on behalf of the
program participant under the same terms and conditions (i.e., same payment due date,
grace period, and late penalty requirements).
(c) Payments beyond 60 days will require interest to be paid from non-ESG funds.
(d) Agency's promise to pay can only be issued after ESG participant has been certified as
Eligible under the ESG program.
13. This Landlord Agreement will be signed by agency, and landlord's authorized representative.
Documentation authorizing authority must be provided from landlord.
14. If an ESG payment to the landlord cannot be applied to a ESG program participant's account,
the funds will be returned to the agency.
15. The landlord, with the exception of municipal providers, must be in "active" status with the
State of Florida: http://sunbiz.org/search.html. The landlord's name must also be verified
against the System for Award Management website at '; ; . The agency
agrees to maintain documentation of verification that the business name of the landlord on
this agreement is the same as the legal business name on the State of Florida System for
Award Management website.
16. Agency does not assume any responsibility for, or liability to, any person injured as a result
of landlord's action or failure to act in connection with the implementation of this agreement
or as a result of any other or failure to act by the landlord.
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0
1609
17. Landlord is not the agent of agency and this agreement does not create any relationship
between agency and any lender to landlord or suppliers, employees, contractors or
subcontractors used by landlord in connection with this agreement.
18.Nothing in this agreement will be construed as creating any right of a program participant or
a third-party to enforce any provision of this agreement or to assess any claim against
agency, or landlord under this Rental Assistance Agreement.
IN WITNESS THEREOF, the parties hereto have caused this agreement to be executed by their
undersigned officials as duly authorized.
AGENCY LANDLORD
Collier County Government Raquel Margarita Constantino Noriega
Community and Human Services P.O. Box 11442
3339 T 'ami Trail East, Su 211 Naples, FL 3411 -1442
Naples, 34112
i
BY: BY: ,A !. , XI' LiA1.4.4��il /?, '
Donna Fiala, Chairman 'aqu; argarita Con/ tino Noriega
Date: J.e./6ut-a1?*— -2 31 ZO k„, Date: 0,4wQ,�l, o2-04‘
Approved as to form and legality
0-201/4-"-k-
Deputy
,Deputy Cork A istant County rney 14 �1 c
Atte as to Chairman's
signature only.
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0
1609
EMERGENCY SOLUTIONS GRANT
LANDLORD PAYMENT AGREEMENT
FOR TENANT BASED RENTAL ASSISTANCE
THIS AGREEMENT is entered into between Collier County Board of County Commissioners,
hereinafter referred to as the "agency", Kirk Sanders, 2595 Winifred Ave., Naples, FL 34112,
239-290-3720, hereinafter referred to as the "landlord".
The undersigned landlord hereby agrees to the following conditions in order to receive landlord
payments from the agency under the Emergency Solutions Grant Program(ESG):
1. This agreement shall begin on February 23, 2016 and shall end upon 30-days written
notification from either party to the other, or if funding for this program is no longer
available.
2. The agency agrees to provide the landlord with a list of names and contact information for all
agency personnel authorized to commit ESG funds. The landlord will only accept payment
commitment from authorized agency personnel. Changes (addition/deletions) to the
authorized personnel list must be approved in writing by an authorized agency representative.
3. The landlord agrees to provide agency with contact information for authorized CHS
representative to resolve a crisis and/or apply benefit commitment on the client's behalf.
4. The landlord agrees to provide agency with copy of all leases and modifications or
amendments for each eligible ESG program participant.
5. The agency agrees to provide payments directly to the landlord on behalf of the eligible ESG
program participant and as long as the grantor agency and/or regulation does not prohibit
payment.
6. The landlord assures that no household receiving ESG assistance will be treated adversely
because of such assistance under applicable provisions of federal, state or local regulatory
requirements. During the term of this agreement, landlord agrees to give the agency a copy of
any notice to the program participant to vacate the housing unit, or complaint used under
state or local law to commence an eviction action against the program participant.
7. The landlord assures that eligible households on whose behalf ESG assistance is received
will not be discriminated against.
8. The landlord understand that only eligible activities listed under 24 CFR 576.106, Short-term
and medium-term rental assistance, are to be paid with ESG funds.
9. The landlord understand that only costs of Short-term and medium-term rental assistance in
accordance with the terms of the ESG program are allowed. No charges that result from
illegal activities such as bad checks or meter tampering will be paid with ESG funds.
10. The landlord understand that the ESG benefit amount must pay for the complete charges
owed by the ESG program participant and that acceptance of ESG benefit will be deemed as
Page 1 of 3
C
1 6 0 9
Landlord's acknowledgement and acceptance has become current on any and all payments
due to landlord as a result of the ESG payment.
11. The landlord agrees to assist the agency in verifying the ESG program participant's
information and to make timely commitments to resolve any crisis situation. Subject to the
landlord's privacy requirements,the landlord agrees to provide the agency with the following
detailed ESG program participant information: (1) current amount owed (broken down by
month) (2) due date/eviction dates in formal eviction notice / 3-day notice and (3) amount
necessary to resolve the situation.
12. In accordance with the Florida Local Government Prompt Payment Act, the agency agrees to
provide payment to the landlord as follows:
(a) Rental Arrears,Application Fees and/or Deposits: will be dispersed by the agency
within 60 days from the date of the agency's approval of the program participant's
eligibility if the rental assistance is a valid ESG program expenditure.
(b) Ongoing rental assistance: will be disbursed by the agency for eligible ESG recipients
in accordance with the rental agreement as issued by the landlord on behalf of the
program participant under the same terms and conditions (i.e., same payment due date,
grace period, and late penalty requirements).
(c) Payments beyond 60 days will require interest to be paid from non-ESG funds.
(d) Agency's promise to pay can only be issued after ESG participant has been certified as
Eligible under the ESG program.
13. This Landlord Agreement will be signed by agency, and landlord's authorized representative.
Documentation authorizing authority must be provided from landlord.
14. If an ESG payment to the landlord cannot be applied to a ESG program participant's account,
the funds will be returned to the agency.
15. The landlord, with the exception of municipal providers, must be in "active" status with the
State of Florida: http://sunbiz.org/search.html. The landlord's name must also be verified
against the System for Award Management website at http://www.sam.gov. The agency
agrees to maintain documentation of verification that the business name of the landlord on
this agreement is the same as the legal business name on the State of Florida System for
Award Management website.
16. Agency does not assume any responsibility for, or liability to, any person injured as a result
of landlord's action or failure to act in connection with the implementation of this agreement
or as a result of any other or failure to act by the landlord.
Page 2 of 3
17. Landlord is not the agent of agency and this agreement does not create any relationship
between agency and any lender to landlord or suppliers, employees, contractors or
subcontractors used by landlord in connection with this agreement.
18. Nothing in this agreement will be construed as creating any right of a program participant or
a third-party to enforce any provision of this agreement or to assess any claim against
agency, or landlord under this Rental Assistance Agreement.
IN WITNESS THEREOF, the parties hereto have caused this agreement to be executed by their
undersigned officials as duly authorized.
AGENCY LANDLORD
Collier County Government Kirk Sanders
Community and Human Services 2595 Winifred Ave.
3339 T. 4 iami Trail East, Su 211 Naples, FL 34112
Naple L 34112
----tet_
BY: BY:
Donna Fiala, Chairman Kirk Sanders
Date: . Z-3 , Zv to Date: ?/3 /4c,
f
r.
CLERK Approved as to form and legality
a • -v--
' __.. As stant oun orney
Attest
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9-1
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