Backup Documents 09/09/2014 Item #16F1(F) ORIGINAL DOCUMENTS CHECKLIST & ROUTINGS P
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT r 1
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 Coun Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Jennifer A. Belpedio, ACA County Attorney Office 2-14\11-,
2. BCC Office Board of County
�O \Z\V
Commissioners \‘.1\.1 °\\v-e\\..ik
3. Minutes and Records Clerk of Court's Office
--RYA 60211 4 .3:024301:024301 PRIMARY CONTACT INFORMATION 1
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 Rosa Munoz,HHV Phone Number 252-5713
Contact/ Department
Agenda Date Item was July 22,2014 Agenda Item Number 16D 3
Approved by the BCC ck\q\\t ∎ko_�_�
Type of Document Amendment#4 to Subrecipient Agreement Number of Original 1
Attached Documents Attached
PO number or account
number if document is /C7■
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? Y (/
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 Y
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 V
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 Y V'
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 Y ✓
signature and initials are required.
7. In most cases(some contracts are an exception), the original document and this routing slip Y i/
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!,-ck\�\t-1k, f
8. The document was approved by the BCC on 7/22/1 and all changes made during Y t�
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 (�
BCC,all changes directed by the BCC have been made, and the document is ready for the 0.3)
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
16F 1
Ann P. Jennejohn 1 ( F )
From: Ann P.Jennejohn
Sent: Wednesday, September 17, 2014 12:53 PM
To: Munoz, Rosa
Subject: Subrecipient Agreement(s)Amendment Documents
Hi Rosa,
I have a few things for you from last week's Board Meeting O
Item #16D13- Amendment #2 to the (HOME) Subrecipient Agreement
w/Big Cypress Housing for the multi-family housing project at Hatcher's Preserve
Item #16F1 - Amendment #4 to the (CDBG) Subrecipient Agreement
w/Immokolee CRA for the First Street Plaza (a/k/a Zocalo) project in Immokalee
Do you want me to return your documents via
inter-office mail or would rather come pick them up?
Please let me know when you get a chance.
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)
1
16F1 ( F
MEMORANDUM
Date: September 17, 2014
To: Rosa Munoz, Grant Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment #4 to the Subrecipient Agreement w/Immokalee CRA
for the CDBG First Street Plaza Project (a/k/a Zocalo)
Attached for your records is a copy of the document referenced above, approved
In Absentia then subsequently ratified (Item #16F1) by the Board of County
Commissioners on Tuesday, September 9, 2014.
The Minutes and Record's Department has held the original for the Board's Official
Record.
If you have any questions, please feel free to call me at 252-8406.
Thank you.
Attachment
16F1 ( F )
Grant# - B-10-UC-12-0016
CFDA/CSFA# - 14.218
Subrecipient—Collier County Community
Redevelopment Agency - Immokalee
DUNS #- 076997790
IDIS #420
FETI # - 59-6000558
FY End 9/30
Monitoring Deadline 7/31/201910/31/14
FOURTH AMENDMENT TO
AGREEMENT BETWEEN COLLIER COUNTY
AND
COMMUNITY REDEVELOPMENT AGENCY (CRA) IMMOKALEE
IMMOKALEE CRA-FIRST STREET PUBLIC FACILITY
FIRST STREET PLAZA
THIS AMENDMENT is entered into this 94-r day of , 2014 by and between
the parties to the original Agreement, "Collier County Community Redevelopment Agency (CRA) -
Immokalee," a public entity created by Collier County pursuant to Chapter 163, Florida Statutes" having
its principal office at 750 South Fifth Street, Immokalee, FL 34142, hereinafter referred to as
"SUBRECIPIENT" and Collier County, Florida, hereinafter to be referred as "COUNTY", collectively
stated as the "Parties."
RECITALS
Whereas, on January 24, 2012, the County entered into an Agreement with Subrecipient to use
Community Development Block Grant Program funds to be used for land acquisition and
construction/design-build activities/line items/services (hereinafter referred to as the "Agreement"); and
Whereas, on January 8, 2013 and October 8, 2013, the Agreement was amended, and
Whereas, the Parties desire to further amend the Agreement to add additional funding to the
budget and extend the completion date.
NOW THEREFORE, in consideration of the 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 Struek-Through are deleted; Words Underlined are added
III TIME OF PERFORMACE
The effective date of this Agreement shall be January 24, 2012. The services of the
Amendment No.4 CD10-13
Community Redevelopment Agency(CRA)Immokalee
First Street Plaza(Zocalo)Project
Page 1
0
16F1 ( F )
SUBRECIPIENT shall comply with all terms and conditions of HUD Grant B-10-UC-12-0016. All
services required hereunder shall be completed by the SUBRECIPIENT up to and including July 312 201
October 31, 2014. Any funds not obligated by the expiration date of this Agreement shall automatically
revert to the COUNTY as set forth in Section XI.
*
EXHIBIT "A"
SCOPE OF SERVICES
COLLIER COUNTY
COMMUNITY REDEVELOPMENT AGENCY(CRA) IMMOKALEE
Immokalee CRA- Public Facility
* *
C. PROJECT WORK PLAN
The following Project Work Plan is in effect for program monitoring requirements only and as
such, is not to be used as a payment schedule.
Date Start Date End Work Plan
01/24/2012 05/30/12 Acquisition of parcels and closing/Impact Fees
01/25/2012 10/30/12 Begin Bid Process
01/2012 10/30/12 Procure eligible design architect
01/2012 11/30/12 Award Design Contract
01/2012 01/30/13 Pre-Design/Master Planning & Preliminary
Design/Master Planning
6/17/13 7/01/13 Submit Procurement Packet to Purchasing (includes SDP
and draft legal advertisement)
6/18/13 7/30/13 Purchasing Review/OMB/HHVS Review
7/03/13 8/15/13 Public Notice
01/2012 8/05/13 Bidding and Permits
8/5/13 8/5/13 Open Bids
8/6/13 8/9/13 Tabulate Bids and draft Executive Summary
9/10/13 10/22/13 Board of County Commissioners Contract Approval
9/10/13 10/31/13 Circulate Contract for signatures
9/10/13 10/31/13 Issue GC NTP (purchasing loads contract into SAP, PM
Amendment No.4 CDIO-13
Community Redevelopment Agency(CRA)Immokalee
First Street Plaza(Zocalo)Project
Page 2
16F1EF )
creates purchase requisition, Finance approves)
01/2012 3/03/14 Architectural and General Contractor Construction
05/15/117/31/14 Performance Period
05/15/14 *7/15/11 *Additional construction activities(safety lighting and
10/31/14 handrail)
Completed and Invoiced
3/3/11 5/31/11 Inspections, close out &permits
7/15/14 7/31/14
* The Third Amendment to this Agreement approved by the Board on May 27, 2014 (Item 16.D.
13) is Gcontingent upon Approval of Substantial Amendment to the Action Plan and BCC
approval.
D. PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule.
Deliverable Payment Schedule
Acquisition of two parcels of land Upon invoicing, will reimburse allowable
expenses with documentation including but not
limited to HUD Settlement Statement(s),
appraisal(s), closing documents
General Contractor and Architect Upon invoicing, will reimburse up to 90% of
Design/Construction Activities for allowable expenses using the contractors
Plaza schedule of values
Final 10%($4 00.00)released upon
documentation that all general contractor and
architect design/construction activities have
been completed
Security Lighting/Handrails Final 10% of activity deliverable costs released
upon completion
* * *
REMAINDER OF PAGE LEFT INTENTIONALLY LEFT BLANK
SIGNATURE PAGE TO FOLLOW
Amendment No.4 CDl 0-13
Community Redevelopment Agency(CRA)lmmokalee
First Street Plaza(Zocalo)Project
Page 3
16F1CF )
IN WITNESS WHEREOF, the Parties have executed this Fourth Amendment on date and year first
written above.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK COLLIE COUNTY, FLORIDA
NJW . B . CL---
;testa a, TOM HENNING, CH IRMAN
„jignatute 0141 rr��,,��
Dted. qr `t ''LV14-
�,. (SEAL)
ATTEST: COLLIER C TY CRA - IMMOKALEE
DWIGHT ROCK, CLERK
•E."`B
I^
By:
W ., ', . !
ORIGINAL DOCUMENTS CHECKLIST & ROUT NG SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS S TT f iJI
THE BOARD OF COUNTY COMMISSIONERS OFFICE FO I T E '
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. Jennifer A. Belpedio, ACA County Attorney Office S hls\i 4--
2. BCC Office Board of County -CIA by
Commissioners 1%13)A tsf '\ takIti
3. Minutes and Records Clerk of Court's Office
kC q112114, L I.21nt
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 Mandy Moody/HHVS Phone Number 252-2338
Contact/ Department _ S
Agenda Date Item was 08/12/14 V0. .cxar\c5.. Agenda Item Number 16.D.2
Approved by the BCC �, c1\.cl.�`� \b-F-\ l
Type of Document Satisfaction and Release of Lien Number of Original 1
Attached _ Documents Attached
PO number or account Recording fees will be paid by the attached
number if document is check from Attorney's Title Insurance
to be recorded Fund.
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? MM ,,/
2. Does the document need to be sent to another agency for additional signatures? If yes, NA /
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 MM ✓
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. e
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
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 MM ✓
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 MM
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA ✓
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 a are of your deadlines!
8. The document was approved by the BCC on q and all changes made during MM L '
the meeting have been incorporated in the attach d 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.
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
16F1 CF'
INSTR 5029554 OR 5076 PG 957
Prepared by: Mandy Moody RECORDED 9/12/2014 3:30 PM PAGES 1
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Collier County COLLIER COUNTY FLORIDA
Housing, Human& Veteran Services REC$10.00
3339 E. Tamiami Trail,Building H,#211
Naples, FL 34112
THIS SPACE FOR RECORDING
SATISFACTION AND RELEASE OF LIEN
KNOW ALL MEN BY THESE PRESENTS: That Collier County, whose post office address is 3299 E.
Tamiami Trail, Naples, Florida 34112, the owner(s) and holder(s) of a certain Agreement for Deferral of
100% of Collier County Impact Fees executed by Ashley Jarstad to Collier County, recorded on 02/01/2006
in Official Records Book 3975, Page 2203, of the Public Records of Collier County, Florida, in consideration of
$8,947.84 ($7158.27 deferred impact fees and $1,789.57 interest), receipt of which is hereby acknowledged
does remise, release, quitclaim, exonerate and discharge from the lien and operation of the said agreement, that
certain portion of the premises conveyed by said lien, more particularly described as follows:
Unit 203, Building 1, Botanical Place, A Condominium, According to the Declaration of Condominium
Thereof recorded in Official Records Book 3933, Page 2655, Of the Public Records of Collier County,
Florida.
The undersigned is authorized to and does hereby release this Lien with respect to the above-named property
and consents to this Lien being forever discharged of record with respect to said property.
ATTEST: BOARD OF COUNTY COMMISSIONERS OF COLLIER
DWIGHT E. BROCK, CLERK COUNTY, ORID c
ARMOR '
Attest a InVeputy Clerk TOM HENNING, CHAI',
si frtatureonly
Dated: q` a)2(t)∎ Approved as to form and legality:
I
(SEAL)
Jennife . Belpedio
Assistance County Attorney Op be
Approved in absentia per Resolution 2000-149
on August 12, 2014
BY: ..
Leo E. Ochs, Jr., C. A Manager