Backup Documents 04/26/2016 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 2
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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Michelle Rubbo CHS ylI�b
2. Jennifer A. Belpedio County Attorney Office � 2 4P(0, to
3. BCC Office Board of County bF
Commissioners 47 A\2-4\So
4. Minutes and Records Clerk of Court's Office
1710 (t(2--- 10
'(( C
.Jy
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 Phone Number
Contact/ Department Lisa Oien 252-6141
Please call for pick up
Agenda Date Item was 4/26/2016 1/ Agenda Item Number
Approved by the BCC 16D2 1 6-71)-2-
Type
Type of Document First Amendment to Agreement in triplicate Number of Original 3 Amendment
Attached (between Collier County and CASL) Documents Attached documents
PO number or account
number if document is to be /��
recorded `r �
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?STAMPED SIGNATURE IS ok , t= n/a
2. Does the document need to be sent to another agency for additional signatures? If yes, no
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 yes
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 No, as Date also
document or the final negotiated contract date whichever is applicable. documents needs to be
are routed written in
before on the first
approval page
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 N/A
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 4/26/2016 and all changes made yes
during 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 t
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 QVA
160 2
MEMORANDUM
Date: April 28, 2016
To: Lisa Oien, Grant Coordinator
Community & Human Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to Agreement between Collier County and
Community Assisted and Supportive Living, Inc.
d/b/a Renaissance Manor
Attached are one (1) original amendment to the agreement referenced above, (Item
#16D2) approved by the Board of County Commissioners on Tuesday, April 26, 2016.
An original has been kept by the Minutes and Records Department as part of the
Board's Official Records.
One (1) Original was forwarded to J. Scott Eller, CEO at Community Assisted &
Supportive Living, Inc.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
1602S.
Count of Collier
CLERK OF THE CIRCUE COURT
COLLIER COUNTY CQURTI idUSE
3315 TAM IAMI TRI,E STE 102 Dwight E.Brock-ClerKpf Circuit Court
P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
v,
Clerk of Courts * Comptroller • Auditor • Custod tan of County Funds
April 28, 2016
Community Assisted & Supportive Living, Inc.
Attn: J. Scott Eller, CEO
1693 Main Street
Suite A
Sarasota, Florida 34236
Re: Neighborhood Stabilization Program (NSP)
CFDA No.: 14.218
First Amendment to Subrecipient Agreement between Collier County
And Community Assisted & Supportive Living, Inc.
d/b/a Renaissance Manor
Transmitted herewith is one (1) original Amended Agreement of the above
referenced document for your records per request, as adopted by the Collier
County Board of County Commissioners of Collier County, Florida on Tuesday,
April 26, 2016, during Regular Session.
An original has been kept by the Board's Minutes and Records Department as part
of the Boards Official Records, as well as the originating department.
Very truly yours,
DWIGHT E. BROCK, CLERK
—
Martha Vergara, Deputy Cler
Enclosure
Phone- (239)252-2646 Fax- (239) 252-2755
Website- www,CollierClerk.com Email-CollierClerk@collierclerk.com
1602
NEIGHBORHOOD STABILIZATION PROGRAM (NSP)
CFDA No. 14.218
FIRST AMENDMENT TO SUBRECIPIENT AGREEMENT BETWEEN
COLLIER COUNTY
AND
Community Assisted and Supportive Living, Inc. d/b/a Renaissance Manor
This Amendment is entered into this Etta,
-t-L1
day of 0--(2).'~--Q--
--(2 - 2016 by and
between Community Assisted and Supportive Living, Inc. d/b/a Renaissance Manor, hereinafter
referred to as "SUBRECIPIENT" and Collier County, Florida, hereinafter to be referred to as
"COUNTY". Collectively stated as the"Parties."
RECITALS
WHEREAS, the County has applied for and been awarded funds from the U.S.
Department of Housing and Urban Development under Title III of Division B of the Housing and
Economic Recovery Act of 2008 "HERA," as amended; and
WHEREAS, the County has used NSP funds to acquire and rehabilitate certain real
property located in Collier County for the purpose of providing affordable rental housing
opportunities to benefit low- and moderate-income persons and families; and
WHEREAS, the Subrecipient has submitted a Proposal for participation in the Collier
County NSP; and
WHEREAS, on July 24, 2012, the County and Subrecipient executed a Subrecipient
Agreement defining the responsibilities and obligations of each in undertaking the NSP and in
utilizing such funds;
WHEREAS, the Parties desire to amend the agreement to update County's contact
information and clarify tenant income limits and allowable rents;
Words Struck-Thh are deleted; Words Underlined are added
VII. NOTICES
[16-GRC-00474/245175/1]
First Amendment
Community Assisted a,id Supportive Living Inc.
NSP-002
Page 1 of 4
1602
Notices required by this Agreement shall be made in writing and delivered via mail
(postage prepaid), commercial courier, and personal delivery or sent by facsimile or
other electronic means (provided that receipt is confirmed). Any notice delivered or sent
as aforesaid shall be effective on the date of delivery or sending. All notices and other
written communications under this Agreement shall be addressed to the individuals in
the capacities indicated below, unless otherwise modified by subsequent written notice.
Communication and details concerning this contract shall be directed to the following
contract representatives:
County Subrecipient
_-_• - -_. __ ___ _ - _ Scott Eller, CEO
Lisa Oien, Grants Coordinator
Collier County Government Community Assisted Supportive
Living, Inc. d/b/a Renaissance Manor
3339 East Tamiami Trail Suite 211 1401 16th Street
Naples, Fl 34112 Sarasota, Florida 34236
239-252-2336 6141 941-955-0708
Fax 239-252-2638 Fax 941-366-0033
scott.ellerrenaissancemanor.org
Lisaoien(a colliercov.net
IX. SPECIAL CONDITIONS
A. Allowed Amounts of Rents for NSP Rental Units
All NSP Properties must be rented to Eligible Persons with incomes less than or
equal to 50% to 120% of the Area Median Income. The Subrecipient shall make
every effort to rent ° to persons at or below 50% of the
Area Median Income. -- - - •- _ --- --.e.•• • - = -
Director or designee may approve leasing the NSP Proporticc to 3 person with an
-. •- - _ _ 9°. _ •_ • -- •_ . -_ •• The Subrecipient will select the
Eligible Person that will lease the NSP Units using its written criteria provided it is
consistent with the NSP regulations.
[I 6-GRC-00474/1245175/I
First Amendment
Community Assisted and Supportive Living Inc.
NSP-002
Page 2 of 4
161F -2
The goal for all NSP rental properties will be as follows:
1. Up to 25% 100% of all NSP Units will be leased to persons with incomes at or below
50% of the Area Median Income.
and 120% of the Area Median Income.
i. The maximum monthly rent for units leased to persons with incomes below
50% of the Area Median Income will be the-h-ighe+-ef:
(a) The Fair Market Rent as published by the United States Department of
Housing and Urban 9= - -- --- -- - e -- •• - --
•o - - - = - -- = •••••:t = - - - =
Authority,
1
coot of any tenant paid utilities; or
'0• - e-- •-.:--: -- - - -- -- - - - - - - -
(c) ! - '.igibla Person recoivoc ascietance from the Section 8 Houcing
Authority-
-j°• - -- - - -- -- -- - - - - :..e.:• ;
Program, the amount approved as reasonable by tho Section 8 Housing
Authority-
[16-GRC-00474/1245175/1]
First Amendment
Community Assisted and Supportive Living Inc.
NSP-002
Page 3 of 4
0
16D 2
IN WITNESS WHEREOF, the County and Subrecipient, have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first
above written.
ATTEST: BOAR OF COUNTY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK COL E COUNTY, ORI A
a _ By:
, Dep ty Cl-r DONNA FIALA, CHAIRMAN
jji
COMMUNITY ASSISTED AND
Dated:WW1 i(c.' SUPPORTIVE LIVING, INC. d/b/a
(SEAL) RENAI7SA CE MANOR
Attest as to Chairman's
signature only. By.
Scott Ell r, CEO
Approved as to form and legality:
Jennifer .'Belpedio
Assistant County Attorney
[16-GRC-00474/1245175/11
First Amendment
Community Assisted and Supportive Living Inc.
NSP-002
Page 4 of 4