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Backup Documents 11/18/2014 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP ..�� TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 11.f zE 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 6 Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with 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 and Human 11/17/14 Services 2. County Attorney Office County Attorney Office ( - II /Zo l i 4- 3. BCC Office Board of Countyt-� Commissioners \ c5/ k,\1-z\`\A 4. Minutes and Records Clerk of Court's Office c Urn IAiz1U4 �t-3201, 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 Rachel Brandhorst, rant Coordinator CHS Phone Number 252-4230 Contact/ Department Agenda Date Item w( 11/18/14 Agenda Item Number MTV— 16 D6 Approved by the BCC _______2 Type of Document CJMHSA 2m1 Amendment Number of Original 3,1,4/4 7 Attached Documents Attached V PO number or account -. SGedv1 of A•me Nd»i number if document is N/A n to be recorded 4 — -Ai vle r f w f krINSTRUCTIONS & CHECKLIST �J 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? RMB 2. Does the document need to be sent to another agency for additional signatures? If yes, RMB S�-� provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. <31- 3. Original document has been signed/initialed for legal sufficiency. (All documents to be RMB 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 RMB 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 RMB 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 RMB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slipttmrs- /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 docu rnent was approved by the BCC on 11 '1g" ) 14 and all changes made RMB 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,e Cell Chairman's signature. 'z\� I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 161) 6 INSTRUCTIONS & CHECKLIST #2 Please send two original Chairman signed documents of Amendment#0002 (Amendment between BCC and DCF) to: Jennifer Benghuzzi Contract Manager, Business Operations Unit Office of Substance Abuse and Mental Health Florida Department of Children and Families 1317 Winewood Blvd., Bldg 6, Room 232 Tallahassee, FL 32399-0700 Please send one original Chairman signed documents of Amendment#0002 (Amendment between BCC and DCF) to: Rachel Brandhorst RSVP Project Director I Criminal Justice Grant Coordinator Collier County Government I Community and Human Services 3339 E. Tamiami Trail, Bldg. H, Suite 211 Naples, FL 34112 Please send one original Chairman signed document of Second Amendment(Amendment between Collier County and NAMI of Collier County) to: Kathryn Hunter NAMI of Collier County 6216 Trail Blvd Bldg C Naples, FL 34108 Please send one original Chairman signed document of Second Amendment (Amendment between Collier County and NAMI of Collier County) to: Rachel Brandhorst RSVP Project Director I Criminal Justice Grant Coordinator Collier County Government I Community and Human Services 3339 E. Tamiami Trail, Bldg. H, Suite 211 Naples, FL 34112 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 County of Collier 1 6D6 CLERK OF THE CIRCIT COURT COLLIER COUNTY; OURTIOUSE 3315 TAMIAMI TRL E STE 102 Dwight E. Brock- rk of Circuit Court P.O.BOX 413044 NAPLES,FL 34112-5324 NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditorustgtlian of County Funds November 24, 2014 Jennifer Benghuzzi Department of Children and Families 1317 Winewood Blvd., Bldg 6, Room 232 Tallahassee, FL 32399-0700 Re: Amendment #0002 to Grant Agreement #LHZ46 Ms. Benghuzzi, Enclosed is Amendment #0002 with Agreement between the Collier County Board of County Commissioner and DCF approved on November 18, 2014, that need an additional signature. I have submitted four (4), one for your records and I need the additional three (3) returned to me. Any questions, please contact me at 239-252-8411. Thank you Teresa Cannon, Deputy Clerk, Mail to: Minutes & Records Department 3299 Tamiami Trail East, Suite #401 Naples, FL 34112-5746 Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com collierclerk.com 16136 LHZ46 Amendment#0002 November 1,20I4 THIS AMENDMENT, entered into between the State of Florida, Department of.Children and Families, hereinafter referred to as the "Department," and Collier County Board of County Commissioners, hereinafter referred to as the "Provider," amends Grant Agreement# LHZ46. This amendment revises the peer counselor staffing FTE and adds an Exhibit A2 to capture all applicable state and federal laws, rules and regulations. 1. Page 11, CF Integrated Contract 2014, the sentence immediately above the signature block, is hereby amended to read: IN WITNESS THEREOF, the parties hereto have caused this 39 page Contract to be executed by the undersigned officials as duly authorized. 2. Page 17, Exhibit Al, last sentence, following the text of Section Al-17, is hereby amended to read: See Exhibit A2 for additional laws, rule and regulations affecting performance of this Contract. 3. Pages 18 through 21, Exhibit A2, State and Federal Laws, Rules, and Regulations, Is hereby added and attached hereto. 4. Pages 18 through 35, are hereby renumbered as pages 22 through 39. 5. Page 21, Section C-2.1.4, is hereby amended to read: C-2.1.4 The following subcontract or sub-grantee staff supported by this Grant Agreement through NAMI of Collier County: C-2.1.4.1 0.75 FTE Peer Counselor. This amendment shall begin on November 1, 2014, or the date on which the amendment has been signed by both parties, whichever is later. All provisions in the Grant Agreement and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made a part of the contract. <<SIGNATURE BLOCK ON NEXT PAGE>> 1 X71 1606 LHZ46 Amendment#0002 November 1,2014 IN WITNESS THEREOF, the parties hereto have caused this six (6) page amendment to be executed by their officials thereunto duly authorized. PROVIDER: FLORIDA DEPARTMENT OF CHILDREN AND COLLIER COUNTY BO,'D OF COUNTY COMMISSIONERS FAMILIES SIGNED SIGNED BY: .� 1r� BY: NAME: onel A N Cz' NAME: Ute Gazioch TITLE: G f> 1 R. Y-A TITLE: Director of Substance Abuse and Mental Health DATE: DATE: FEDERAL ID NUMBER:59-6000558 ATTEST: DWI es T E. 8R0' , Clark Approved as to form and legality By.. as to Uiiairrnan S A sistant Coun ttorney r;nature only. V� 16136 LH746 Amendment#0002 November 1,2014 EXHIBIT A2•STATE AND FEDERAL LAWS,RULES,AND REGULATIONS The provider and its subcontractors shall comply with all applicable state and federal laws,rules and regulations, as amended from time to time, that affect the subject areas of the contract. Authorities include but are not limited to the following: A2-1 Federal Authority Mental Health 42 U.S.C.ss. 300x, et. seq. Substance Abuse Prevention and Treatment Block Grant(SAPTBG) 42 U.S.C. ss. 300x-21 et.seq. 45 C.F.R. pt. 96 Restrictions on expenditures of SAPTBG 45 C.F.R. s. 96.135 Substance Abuse-Confidentiality 42 C.F.R., pt.2 Health Insurance Portability and Accountability Act(HIPAA) 45 C.F.R. pt. 164 Social Security Income for the Aged, Blind and Disabled 20 C.F.R. pt.416 Endorsement and Payment of Checks Drawn on the United States Treasury 31 C.F,R. pt. 240 Temporary Assistance to Needy Families(TANF) 42 U.S.C.ss.601, et. seq. 45 C.F.R., pt.260 Projects for Assistance In Transition from Homelessness(PATH) 42 U.S. C. s.290cc-21 et. seq. 42 C.F.R., pt. 54 Americans with Disabilities Act of 1990 42 U.S. C. ss. 12101 et. seq. A2-2 FLORIDA STATUTES Child Welfare and Community Based Care Ch. 39, F.S., Proceedings Relating to Children Ch. 119, F.S., Public Records Ch. 402, F.S., Health and Human Services; Miscellaneous Provisions Ch.435, F.S., Employment Screening Ch.490, F.S., Psychological Services 18 t�P") 1 606 I.HZ46 Amendment#0002 November 1,2014 Ch.491, F.S.,Clinical,Counseling and Psychotherapy services Ch. 1002, F.S., Student and Parental Rights and Educational Choices Substance Abuse and Mental Health Services Ch.381, F.S., Public Health General Provisions Ch.386, F.S., Particular Conditions Affecting Public Health Ch.395, F.S., Hospital Licensing and Regulation Ch.394, F.S.,Mental Health Ch.397, ES., Substance Abuse Services Ch.400, F.S., Nursing Home and Related Health Care Facilities Ch.414, F.S., Family Self Sufficiency Ch.435, F.S., Employment Screening Ch.458, F.S.,Medical Practice Ch.459, F.S.,Osteopathic Medicine Ch.464, F.S.,Nursing Ch.465, F.S., Pharmacy Ch.490, F.S., Psychological Services Ch.491, F.S.,Clinical,Counseling and Psychotherapy Services Ch.499, F.S., Drug,Cosmetic and Household Products Ch.553, F.S., Building Construction Standards Ch.893,F.S., Drug Abuse Prevention and Control S.409.906(8),F.S.,Optional Medicaid—Community Mental Health Services Developmental Disabilities Ch. 393, F.S., Developmental Disabilities Adult Protective Services Ch.415, F.S.,Adult Protective Services Forensics Ch.916, F.S., Mentally Deficient and Mentally III Defendants. Ch.985, F.S.,Juvenile Justice; Interstate Compact on Juveniles S.985.19, F.S., Incompetency in Juvenile Delinquency Cases S. 985.24, F.S., Interstate Compact on Juveniles; Use of detention;prohibitions. State Administrative Procedures and Services Ch. 120, F.S.,Administrative Procedures Act Ch. 287, F.S.,Procurement of Personal Property and Services Ch. 815, F.S.,Computer- Related Crimes Ch. 817, F.S., Fraudulent Practices 19 PA 1 6 D 6 LH7A6 Amendment#0002 November I,2014 • S. 112.061,F.S., Per diem and Travel Expenses S. 112.3185, F.S.,Additional Standards for State Agency Employees S.215.422, F.S., Payments,Warrants&Invoices; Processing Times S.216.181(16)(b),F.S.,Advanced funds invested in interest bearing accounts A2-3 FLORIDA ADMINISTRATIVE CODE(RULES) Child Welfare and Community Based Care Ch.65C-12, F.A.C.,Emergency Shelter Care Ch. 65C-13,F.A.C.,Substitute Care of Children Ch. 65C-14, F.A.C.,Group Care Ch. 65C-15, F.A.C.,Child Placing Agencies Substance Abuse and Mental Health Services Ch.65C-12, F.A.C., Emergency Shelter Care Ch.65D-30, F.A.C., Substance Abuse Services Office Ch. 65E-4, F.A.C., Community Mental Health Regulation Ch. 65E-5, F.A.C., Mental Health Act Regulation Ch. 65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential Services Rules Ch. 65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units, Short Term Residential Treatment Programs Ch.65E-14, F.A.C., Community Substance Abuse and Mental Health Services-Financial Rules Ch.65E-15, F.A.C.,Continuity of Care Case Management Ch.65E-20, F.A.C.,Forensic Client Services Act Regulation Ch. 65E-26, F.A.C., Substance Abuse and Mental Health Priority Populations and Services Financial Penalties Ch. 65-29, F.A.C.Penalties on Service Providers Reduction or withholding of funds Ch. 65-29.001, F.A.C., Financial Penalties for a Provider's Failure to Comply with a Requirement for Corrective Action A2.4 MISCELLANEOUS Department of Children and Families Operating Procedures CFOP 155-10, Services for Children with Mental Health & Any Co-occurring Substance Abuse Treatment Needs In Out of Home Care Placements CFOP 215-6, Incident Reporting and Client Risk Prevention Federal Cost Principles OMB Circular A-21,Cost Principles for Educational Institutions OMB Circular A-87,Cost Principles for State,Local and Indian Tribal Governments 20 1 6 0 6 LHZ46 Amendment#0002 November 1,2014 OMB Circular A-102,Grants and Cooperative Agreements with State and Local Governments OMB Circular A-122, Cost Principles for Non-profit Organizations Audits OMB Circular A-133,Audits of States, Local Governments and Non-Profit Organizations Ch. 215.97,F.S. ,Florida Single Audit Act Comptrollers Memorandum#03(1999-2000): Florida Single Audit Act Implementation Financial Assistance Comptrollers Memorandum#04(2005-2006): Compliance Requirements for Agreements Administrative Requirements 45 C.F.R., pt. 74-Uniform Administration Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, other Non-Profit Organizations and Other Commercial Organizations 45 C.F.R., pt.92-Uniform Administration Requirements(State and Local Govemments)\ OMB Circular A110,Uniform Administrative Requirements for Grants and Other Agreements Data Collection and Reporting Requirements S.397.321(3)(c),F.S., Data collection&dissemination system S.394.74(3)(e), F.S.,Data Submission S. 394.77, F.S., Uniform management information, accounting, and reporting systems for providers. S.394.9082,F.S., Behavioral health managing entities PAM 155-2,Mental Health and Substance Abuse Data Measurement Handbook 21 G�' 1606 MEMORANDUM Date: November 25, 2014 To: Rachel Brandhorst, Grants Coordinator Housing, Human &Veteran Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Second Amendment to Agreement CJMHSA-003 w/NAMI of Collier County, Inc. Attached for your records is a copy of each agreement referenced above, (Item #16D6) approved by Board of County Commissioners on Tuesday, November 18, 2014. If you have any questions, please contact me at 252-8411. Thank you. Attachments (4) County of Collier CLERK OF THE CIRCIT COURT I 6 D 6 COLLIER COUNTY,COURT\HOUSE 3315 TAMIAMI TRL E STE 102 Dwight E. Brock-clerk of Circuit Court P.O. BOX 413044 NAPLES,FL 34112-5324 NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditor ustcdian of County Funds November 24, 2014 Kathryn Hunter NAMI of Collier County 6216 Trail Blvd., Bldg. C Naples, FL 34108 Ms. Hunter, Enclosed for your records is a second Amendment to Agreement CJMHSA-003 w/NAMI of Collier County, Inc. Approved by the Collier County Board of County Commissioners on Tuesday, November 18, 2014. Any questions, please contact me at 239-252-8411. Thank you, Teresa Cannon, DC Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierCierk@collierclerk.com 1606 SECOND AMENDMENT TO AGREEMENT CJMHSA-003 BETWEEN COLLIER COUNTY AND NAMI OF COLLIER COUNTY, INC. This Amendment, is entered into this 18 day of 2014, by and between NAMI 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 and Collier County, Florida, herein after to be referred to as "COUNTY," collectively stated as the "Parties." WHEREAS, on June 10, 2014, the County and Subrecipient entered into an agreement for Subrecipient to provide "FIRST grant services" to Collier County residents (hereinafter referred to as the "Agreement"); and WHEREAS, the Parties desire to modify the Agreement to reflect a staffing change to support a .75 Peer Counselor position by NAMI of Collier County and add State and Federal Laws, Rules and Regulations. 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 modify the Agreement as follows: Words Underlined are added 1. Add to Exhibit C, C-2, Administrative Tasks * * * C-1.1 Staffing. The Subrecipient shall assign and maintain the following staff, as detailed in the Subrecipient's application, and supported by this Contract to accomplish the Major Grant Objectives specified in Exhibit B and Service Tasks specified in Exhibit C: C-1.1.1 The following subcontract or sub-Subrecipient staff supported by this Contract NAMI of Collier County: C-1.1.1.1 FIRST team staff to include: C-1.1.1.1.1 1.0 Peer Counselor; .75 Peer Counselor; C-1.1.2 Professional Qualifications. The Subrecipient shall ensure all program staff assigned maintains all applicable minimum licensing, accreditation, training and continuing education requirements required by state and federal laws or regulations for their assigned duties and responsibilities. 2. Exhibit I, State and Federal Laws, Rules and Regulations is hereby added in its entirety as attached. 1 1 6 0 6 IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first above written. NAMI of Collier County, Inc. By: Title: 0 ATTEST r ,,. COLLIER Cv NTY , D HTE'BR.. K, CLERK est as to cis m - — ie. CLERK TOM HENNING, 1 AIRMAN Signature.ofl ;;--; r Approval for'form and legality: Jen ' er A. Belpedi `V\ Assistant County Atto ey c \,�\ 2 Fir-) 1 6136 EXHIBIT I-STATE AND FEDERAL LAWS, RULES,AND REGULATIONS The provider and its subcontractors shall comply with all applicable state and federal laws, rules and regulations, as amended from time to time,that affect the subject areas of the contract. Authorities include but are not limited to the following: A2-1 Federal Authority Mental Health 42 U.S.C. ss. 300x, et. seq. Substance Abuse Prevention and Treatment Block Grant(SAPTBG) 42 U.S.C. ss. 300x-21 et. seq. 45 C.F.R. pt. 96 Restrictions on expenditures of SAPTBG 45 C.F.R. s. 96.135 Substance Abuse-Confidentiality 42 C.F.R., pt. 2 Health Insurance Portability and Accountability Act(HIPAA) 45 C.F.R. pt. 164 Social Security Income for the Aged, Blind and Disabled 20 C.F.R. pt.416 Endorsement and Payment of Checks Drawn on the United States Treasury 31 C.F.R. pt. 240 Temporary Assistance to Needy Families(TANF) 42 U.S.C. ss.601, et. seq. 45 C.F.R., pt. 260 Projects for Assistance in Transition from Homelessness(PATH) 42 U.S. C.s. 290cc-21 et. seq. 42 C.F.R., pt. 54 Americans with Disabilities Act of 1990 42 U.S. C. ss. 12101 et. seq. A2-2 FLORIDA STATUTES Child Welfare and Community Based Care Ch. 39, F.S., Proceedings Relating to Children Ch. 119, F.S., Public Records Ch.402, F.S., Health and Human Services; Miscellaneous Provisions Ch. 435, F.S., Employment Screening Ch.490, F.S., Psychological Services 1 6D 6 Ch. 491, F.S., Clinical, Counseling and Psychotherapy services Ch. 1002, F.S., Student and Parental Rights and Educational Choices Substance Abuse and Mental Health Services Ch. 381, F.S., Public Health General Provisions Ch. 386, F.S., Particular Conditions Affecting Public Health Ch. 395, F.S., Hospital Licensing and Regulation Ch. 394, F.S., Mental Health Ch. 397, F.S., Substance Abuse Services Ch.400, F.S., Nursing Home and Related Health Care Facilities Ch.414, F.S., Family Self Sufficiency Ch. 435, F.S., Employment Screening Ch. 458, F.S., Medical Practice Ch.459, F.S., Osteopathic Medicine Ch. 464, F.S., Nursing Ch. 465, F.S., Pharmacy Ch.490, F.S., Psychological Services Ch.491, F.S., Clinical, Counseling and Psychotherapy Services Ch.499, F.S., Drug, Cosmetic and Household Products Ch. 553, F.S., Building Construction Standards Ch. 893, F.S., Drug Abuse Prevention and Control S.409.906(8), F.S., Optional Medicaid—Community Mental Health Services Developmental Disabilities Ch. 393, F.S., Developmental Disabilities Adult Protective Services Ch. 415, F.S.,Adult Protective Services Forensics Ch.916, F.S., Mentally Deficient and Mentally III Defendants. Ch. 985, F.S.,Juvenile Justice; Interstate Compact on Juveniles S.985.19, F.S., Incompetency in Juvenile Delinquency Cases S.985.24, F.S., Interstate Compact on Juveniles; Use of detention; prohibitions. State Administrative Procedures and Services Ch. 120, F.S.,Administrative Procedures Act Ch. 287, F.S., Procurement of Personal Property and Services Ch. 815, F.S.,Computer-Related Crimes Ch. 817, F.S., Fraudulent Practices 0 1 606 S. 112.061, F.S., Per and Travel Expenses S. 112.3185, F.S.,Additional Standards for State Agency Employees S. 215.422, F.S., Payments, Warrants& Invoices; Processing Times S. 216.181(16)(b), F.S.,Advanced funds invested in interest bearing accounts A2-3 FLORIDA ADMINISTRATIVE CODE(RULES) Child Welfare and Community Based Care Ch. 65C-12, F.A.C., Emergency Shelter Care Ch. 65C-13, F.A.C., Substitute Care of Children Ch. 65C-14, F.A.C.,Group Care Ch. 65C-15, F.A.C., Child Placing Agencies Substance Abuse and Mental Health Services Ch.65C-12, F.A.C., Emergency Shelter Care Ch. 65D-30, F.A.C., Substance Abuse Services Office Ch. 65E-4, F.A.C., Community Mental Health Regulation Ch. 65E-5, F.A.C., Mental Health Act Regulation Ch. 65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential Services Rules Ch. 65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units, Short Term Residential Treatment Programs Ch. 65E-14, F.A.C., Community Substance Abuse and Mental Health Services-Financial Rules Ch.65E-15, F.A.C., Continuity of Care Case Management Ch.65E-20, F.A.C., Forensic Client Services Act Regulation Ch. 65E-26, F.A.C., Substance Abuse and Mental Health Priority Populations and Services Financial Penalties Ch. 65-29, F.A.C.Penalties on Service Providers Reduction or withholding of funds Ch.65-29.001, F.A.C., Financial Penalties for a Provider's Failure to Comply with a Requirement for Corrective Action A2-4 MISCELLANEOUS Department of Children and Families Operating Procedures CFOP 155-10, Services for Children with Mental Health&Any Co-occurring Substance Abuse Treatment Needs In Out of Home Care Placements CFOP 215-6, Incident Reporting and Client Risk Prevention Federal Cost Principles OMB Circular A-21, Cost Principles for Educational Institutions OMB Circular A-87,Cost Principles for State, Local and Indian Tribal Governments 1606 OMB Circular A-102, Grants and Cooperative Agreements with State and Local Governments OMB Circular A-122, Cost Principles for Non-profit Organizations Audits OMB Circular A-133,Audits of States, Local Governments and Non-Profit Organizations Ch. 215.97, F.S. , Florida Single Audit Act Comptrollers Memorandum#03(1999-2000): Florida Single Audit Act Implementation Financial Assistance Comptrollers Memorandum#04(2005-2006): Compliance Requirements for Agreements Administrative Requirements 45 C.F.R., pt. 74- Uniform Administration Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, other Non-Profit Organizations and Other Commercial Organizations 45 C.F.R., pt. 92-Uniform Administration Requirements(State and Local Governments)1 OMB Circular A110, Uniform Administrative Requirements for Grants and Other Agreements Data Collection and Reporting Requirements S. 397.321(3)(c), F.S., Data collection&dissemination system S. 394.74(3)(e), F.S., Data Submission S. 394.77, F.S., Uniform management information, accounting, and reporting systems for providers. S. 394.9082, F.S., Behavioral health managing entities PAM 155-2, Mental Health and Substance Abuse Data Measurement Handbook 1 6 0 6 MEMORANDUM Date: December 11, 2014 To: Rachel Brandhorst, Grants Coordinator Housing, Human &Veteran Services From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Amendment #0002 to Grant Agreement #LHZ46 Attached for your records is a copy of each agreement referenced above, (Item #16D6) approved by Board of County Commissioners on Tuesday, November 18, 2014. If you have any questions, please contact me at 252-8411. Thank you. Attachments 16136 MEMORANDUM Date: December 11, 2014 To: Kathryn Hunter, NAMI of Collier County From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Amendment #0002 to Grant Agreement #LHZ46 Attached for your records is a copy of each agreement referenced above, (Item #16D6) approved by Board of County Commissioners on Tuesday, November 18, 2014. If you have any questions, please contact me at 252-8411. Thank you. Attachments `pPpEPA/ZT4t Rick Scott D 6 1 6 ® o State of Florida Governor Department of Children and Families Mike Carroll o Interim Secretary RFN AND FP MYFLFAMI LI ES.COM December 4, 2014 Theresa Cannon, Deputy Clerk Minutes & Records Department 3299 Tamiami Trail East, Suite 401 Naples, FL 34112-5746 Re: Grant Agreement #LHZ46—Executed Amendment #0002 Dear Ms. Cannon: Enclosed are three original copies of executed Amendment #0002 for the Collier County Criminal Justice, Mental Health and Substance Abuse (CJMHSA) Reinvestment Grant Agreement. If you have any questions, please call me at (850) 717-4348. Respectfully, Jennifer Benghuzzi Grant Manager ,• 4 t cc: ContractFile , -11 CZ) ? rri o © •••1 N r w 1317 Winewood Boulevard, Tallahassee, Florida 32399-0700 Mission: Protect the Vulnerable, Promote Strong and Economically Self-Sufficient Families, and Advance Personal and Family Recovery and Resiliency 1 606 LHZ46 Amendment#0002 November 1,2014 THIS AMENDMENT, entered into between the State of Florida, Department of.Children and Families, hereinafter referred to as the "Department," and Collier County Board of County Commissioners~hereinafter referred to as the"Provider," amends Grant Agreement#LHZ48. This amendment revises the peer counselor staffing FTE and adds an Exhibit A2 to capture all applicable state and federal laws, rules and regulations. 1. Page 11, CF Integrated Contract 2014, the sentence immediately above the signature block, is hereby amended to read: IN WITNESS THEREOF, the parties hereto have caused this 39 page Contract to be executed by the undersigned officials as duly authorized. 2. Page 17, Exhibit Al, last sentence, following the text of Section Al-17, is hereby amended to read: See Exhibit A2 for additional laws, rule and regulations affecting performance of this Contract. 3. Pages 18 through 21, Exhibit A2, State and Federal Laws, Rules, and Regulations, is hereby added and attached hereto. 4. Pages 18 through 35, are hereby renumbered as pages 22 through 39. 5. Page 21, Section C-2.1.4, is hereby amended to read: C-2.1.4 The following subcontract or sub-grantee staff supported by this Grant Agreement through NAMI of Collier County: C-2.1.4.1 0.75 FTE Peer Counselor, This amendment shall begin on November 1, 2014, or the date on which the amendment has been signed by both parties, whichever is later. All provisions in the Grant Agreement and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the contract. This amendment and all its attachments are hereby made a part of the contract. «SIGNATURE BLOCK ON NEXT PAGE» 1 1606 LHZ46 Amendment#0002 November 1,2014 IN WITNESS THEREOF, the parties hereto have caused this six (6) page amendment to be executed by their officials thereunto duly authorized. PROVIDER: FLORIDA DEPARTMENT OF CHILDREN AND COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS FAMILIES SIGNED I SIGNED , \\ pp ' t r I ,.1_ BY: _ r iii► BY: tk1A��v C Ula Gti tom'\ NAME: —To L N+N ` t G NAME: Ute Gazioch TITLE: G 4a V"\A N.) TITLE: Director of Substance Abuse and Mental Health DATE: \\\A‘t{ DATE: FEDERAL ID NUMBER:59-6000558 ATTEST DWI HT K, Clerk Approved as to form and legality E. I'3RD s�stant Coun ttorncy Attest aS to Chairman's OS" IP\\ signature only. 2 16136 LHZ46 Amendment#0002 November 1,2014 EXHIBIT A2-STATE AND FEDERAL LAWS,RULES,AND REGULATIONS The provider and its subcontractors shall comply with all applicable state and federal laws,rules and regulations, as amended from time to time, that affect the subject areas of the contract. Authorities include but are not limited to the following: A2-1 Federal Authority Mental Health 42 U.S.C.ss. 300x, et.seq. Substance Abuse Prevention and Treatment Block Grant(SAPTBG) 42 U.S.C.ss. 300x-21 et.seq. 45 C.F.R.pt. 96 Restrictions on expenditures of SAPTBG 45 C.F.R.s. 96.135 Substance Abuse-Confidentiality 42 C.F.R., pt. 2 Health Insurance Portability and Accountability Act(HIPAA) 45 C.F.R. pt. 164 Social Security Income for the Aged, Blind and Disabled 20 C.F.R. pt.416 Endorsement and Payment of Checks Drawn on the United States Treasury 31 C.F.R.pt. 240 Temporary Assistance to Needy Families(TANF) 42 U.S.C.ss.601, et. seq. 45 C.F.R.,pt.260 Projects for Assistance in Transition from Homelessness(PATH) 42 U.S. C.s.290cc-21 et.seq. 42 C.F.R.,pt.54 Americans with Disabilities Act of 1990 42 U.S.C.ss. 12101 et. seq. A2.2 FLORIDA STATUTES Child Welfare and Community Based Care Ch. 39,F.S., Proceedings Relating to Children Ch. 119, F.S., Public Records Ch. 402, F.S., Health and Human Services; Miscellaneous Provisions Ch.435, F.S., Employment Screening Ch.490,F.S.,Psychological Services 18 GP 1606 LHZ46 Amendment#0002 November I,2014 Ch.491, F.S., Clinical,Counseling and Psychotherapy services Ch. 1002, F.S., Student and Parental Rights and Educational Choices Substance Abuse and Mental Health Services Ch.381, F.S., Public Health General Provisions Ch.386, F.S., Particular Conditions Affecting Public Health Ch.395, F.S., Hospital Licensing and Regulation Ch.394,F.S.,Mental Health Ch.397, F.S., Substance Abuse Services Ch.400, F.S., Nursing Home and Related Health Care Facilities Ch.414, F.S., Family Self Sufficiency Ch.435, F.S., Employment Screening Ch.458,F.S., Medical Practice Ch.459,F.S.,Osteopathic Medicine Ch.464, F.S.,Nursing Ch.465, F.S., Pharmacy Ch.490, F.S., Psychological Services Ch.491, F.S,, Clinical, Counseling and Psychotherapy Services Ch.499, F.S., Drug,Cosmetic and Household Products Ch.553,F.S., Building Construction Standards Ch.893,F.S., Drug Abuse Prevention and Control S.409.906(8), F.S.,Optional Medicaid—Community Mental Health Services Developmental Disabilities Ch.393, F.S., Developmental Disabilities Adult Protective Services Ch.415, F.S.,Adult Protective Services Forensics Ch.916, F.S., Mentally Deficient and Mentally Ill Defendants. Ch.985, F.S.,Juvenile Justice; Interstate Compact on Juveniles S.985.19, F.S., Incompetency in Juvenile Delinquency Cases S.985.24, F.S., Interstate Compact on Juveniles;Use of detention;prohibitions. State Administrative Procedures and Services Ch. 120, F.S.,Administrative Procedures Act Ch. 287, F.S.,Procurement of Personal Property and Services Ch. 815, F.S.,Computer-Related Crimes Ch.817, F.S., Fraudulent Practices 19 GP 1 6 0 6 LHZ46 Amendment#0002 November I,2014 S. 112.061,F.S., Per diem and Travel Expenses S. 112.3185, F.S.,Additional Standards for State Agency Employees S.215.422, F.S.,Payments,Warrants&Invoices; Processing Times S.216.181(16)(b),F.S.,Advanced funds invested in interest bearing accounts A2-3 FLORIDA ADMINISTRATIVE CODE(RULES) Child Welfare and Community Based Care Ch.65C-12, F.A.C.,Emergency Shelter Care Ch.65C-13, F.A.C.,Substitute Care of Children Ch.65C-14, F.A.C.,Group Care Ch. 65C-15, F.A.C.,Child Placing Agencies Substance Abuse and Mental Health Services Ch.65C-12, F.A.C., Emergency Shelter Care Ch.65D-30, F.A.C.,Substance Abuse Services Office Ch.65E-4, F.A.C.,Community Mental Health Regulation Ch.65E-5, F.A.C., Mental Health Act Regulation Ch. 65E-10, F.A.C., Psychotic and Emotionally Disturbed Children Purchase of Residential Services Rules Ch. 65E-12, F.A.C., Public Mental Health, Crisis Stabilization Units, Short Term Residential Treatment Programs Ch.65E-14, F.A.C., Community Substance Abuse and Mental Health Services-Financial Rules Ch.65E-15, F.A.C., Continuity of Care Case Management Ch.65E-20, F.A.C.,Forensic Client Services Act Regulation Ch. 65E-26, F.A.C.,Substance Abuse and Mental Health Priority Populations and Services Financial Penalties Ch.65-29,F.A.C.Penalties on Service Providers Reduction or withholding of funds Ch. 65-29.001, F.A.C., Financial Penalties for a Provider's Failure to Comply with a Requirement for Corrective Action A2-4 MISCELLANEOUS Department of Children and Families Operating Procedures CFOP 155-10, Services for Children with Mental Health & Any Co-occurring Substance Abuse Treatment Needs In Out of Home Care Placements CFOP 215-6, Incident Reporting and Client Risk Prevention Federal Cost Principles OMB Circular A-21,Cost Principles for Educational Institutions OMB Circular A-87,Cost Principles for State,Local and Indian Tribal Governments 20 0 1 60 6 LHZ46 Amendment#0002 November 1,2014 OMB Circular A-102,Grants and Cooperative Agreements with State and Local Governments OMB Circular A-122,Cost Principles for Non-profit Organizations Audits OMB Circular A-133,Audits of States,Local Governments and Non-Profit Organizations Ch. 215.97,F.S. , Florida Single Audit Act Comptrollers Memorandum#03(1999-2000): Florida Single Audit Act Implementation Financial Assistance Comptrollers Memorandum#04(2005-2006):Compliance Requirements for Agreements Administrative Requirements 45 C.F.R., pt. 74-Uniform Administration Requirements for Awards and Subawards to Institutions of Higher Education, Hospitals, other Non-Profit Organizations and Other Commercial Organizations 45 C.F.R., pt.92-Uniform Administration Requirements(State and Local Govemments)1 OMB CircularA110,Uniform Administrative Requirements for Grants and Other Agreements Data Collection and Reporting Requirements S.397.321(3)(c),F.S., Data collection&dissemination system S. 394.74(3)(e), F.S.,Data Submission S. 394.77, F.S., Uniform management information, accounting, and reporting systems for providers. S. 394.9082, F.S., Behavioral health managing entities PAM 155-2, Mental Health and Substance Abuse Data Measurement Handbook 21 GP