Backup Documents 06/28/2016 Item #16B1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP _
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA 1 6 B I
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 41 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
I. Michelle Rubbo CHS
2.Jennifer A.Belpedio County Attorney Officet� 12 I I t,
3. BCC CRA Office CRA Board -714 Scm
4.BCC Office Board of County Commissioners
it
VAC / 4z5a\�t ...
5.Minutes and Records Clerk of Court's Office lin6(28k q �3eirt
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 2016 Agenda Item Number /
Approved by the BCC G'�Z�\ //0-4434:1r. ! 6 1
Type of Document First Amendment to Agreement in triplicate Number of Original 3 Amendment documents
Attached (between Collier County and Bayshore CRA) Documents Attached
PO number or account
number if document is to
be recorded
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,w,' ..' . ' te. Yes N/A(Not
(Initial) Applicable)
1. Does the document require the chairman's original signar e?STAMPED SIGNATURE IS okrgl ___)
n/a
2. Does the document need to be sent to another agency for additional-signatures? If yes,provide the no
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 yes
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 N/A
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 No,as
the final negotiated contract date whichever is applicable. u nts
,y are outed
�_,IL..,.
''_ b o
ppro al
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and yes
initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip should N/A
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 deadli`nes' s
8. The document was approved by the BCC mil/ /2016 and all changes made during the yes
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 {y1y
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 224.05;Revised 11/30/12
_ 1 6B 1
Grant# B-13-UC-12-0016
CFDA/CSFA# 14.218
Subrecipient Bayshore Gateway Triangle
Community Redevelopment
Agency
FAIN B-13-UC-12-0016
DUNS# 76997790
FEIN# 59-6000558
Fiscal Year End 9/30
Monitor End: 8/2021
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
BAYSHORE GATEWAY TRIANGLE COMMUNITY REDEVELOPMENT AGENCY
This Amendment is made and entered into this g day of 2016, by and between Collier County
Community Redevelopment Agency - Bayshore Gateway Triangle Area (CRA)", a community
redevelopment agency, hereinafter referred to as "SUBRECIPIENT" and Collier County, Florida
hereinafter to be referred to as "County", collectively stated as the "PARTIES".
RECITALS
WHEREAS, on September 8, 2015, the COUNTY entered into an Agreement awarding
Community Development Block Grant Program funds to be used for Pineland Avenue Drainage
Improvements(hereinafter referred to as the "Agreement");
WHEREAS, the parties desire to amend the agreement to increase the amount of project funds,
clarify the inclusion of permitting fees and construction inspection services and adjust performance
deliverables; and
WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan
concerning the preparation various Annual Action Plans, the County advertised a substantial
amendment on May 28, 2016 with a 30 day Citizen Comment period from May 28, 2016 to June 27,
2016.
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:
Bayshore Gateway Triangle CRA
B-13-UC-12-0016
CD 14-16
First Amendent
Pineland Avenue Drainage Improvements 1
0`41
1 66 1
Words Struck-Through are Deleted;Words Underlined are added
PART I
SCOPE OF WORK
The Subrecipient shall, in a satisfactory and proper manner and consistent with any standards required
as a condition of providing CDBG assistance, as determined by Collier County Community and Human
Services (CHS) Division,to perform the tasks necessary to conduct the program as follows:
CHS, as an administrator of the CDBG program, will make available CDBG funds up to the
gross amount of $93,050.00 $103,050 to the Bayshore Gateway Triangle CRA for
construction costs and all related activities including permitting fees and construction
inspection services, for the removal and improved replacement of an existing drainage
system with miscellaneous structures, swales, culverts and the necessary site restoration on
Pineland Avenue in Naples, Florida.
* * *
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Pineland Avenue Drainage Improvements Federal Amount
Project Component: construction costs and all related activities including permitting .8-9870-50$103,050
fees and construction inspection services, for the removal and improved
replacement of an existing drainage system with miscellaneous structures, swales,
culverts and the necessary site restoration on Pineland Avenue in Naples, Florida.
Total Federal Funds: $98,050$103,050
Bayshore Gateway Triangle CRA
B-13-UC-12-0016
CD 14-16
First Amendent
Pineland Avenue Drainage Improvements 2
16B1
D. Performance Deliverables
Program Deliverable Deliverable Supporting Submission Schedule
Documentation
Special Grant Condition Policies Policies as stated in this Within thirty (30) days of
(Section 1.1) agreement agreement execution
Insurance Insurance Certificate Annually within thirty (30)days
of renewal
Detailed project Schedule Project Schedule Within thirty (30)days of
agreement execution
Project Plans and Specifications Site Plans and Specifications Prior to Invitation to Bid
Submission of Progress Report Exhibit C Quarterly reports Until the
project's final close out
compliance notification has been
issued by CHS.
Financial and Compliance Audit Exhibit E Annually
1180)days 9 months after FY end
until 2021
ARbtal-ly-4444+ 1
applicable
-
and C-apita l Reserve
thcreaf r until 2029
E. Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission Schedule
Project Component: • Construction:Submission of • Monthly invoices
construction costs and all supporting documents must be
related activities, including provided as back up as
permitting fees and evidenced by, but not limited to,
construction inspection services signed AIA G702-1992 form
for the removal and improved (attached as Exhibit "G") or
replacement of an existing equivalent document
drainage system with accompanied by the
miscellaneous structures, contractor's Schedule of Values,
Bayshore Gateway Triangle CRA
B-13-UC-12-0016
CD 14-16
First Amendent
Pineland Avenue Drainage Improvements 3
1 68 1
swales, culverts and the proof of payment and
necessary site restoration on associated photos. Exhibits "B"
Pineland Avenue in Naples, and "C" if applicable.
Florida. • Detailed time sheets
wenk that inclu des f EI
Invoices for construction
inspections services with
payment amount reflected in • Submit request
Exhibit"B". after final close
• Proof of payment and the out monitoring
Exhibit "B". clearance
• 10% Retainage will be withheld
with each request for payment
and will be released upon
completion of activities and final
close out monitoring
Final 10% (an estimated $9,805$10,305) of retainage held will be released upon documentation that a
CDBG National Objective has been met. Failure on behalf of the subrecipient in achieving the national
objective under this agreement will require repayment of the CDBG investment under this agreement.
1.4 AGREEMENT AMOUNT
The COUNTY agrees to make available •- _ _ •• •- - One Hundred Three
Thousand and Fifty Dollars ($98,050.00 $103,050) for the use by the SUBRECIPIENT during the
term of the agreement (hereinafter, the aforestated amount including, without limitation, any
additional amounts included thereto as a result of a subsequent amendment(s) to the
agreement, shall be referred to as the "Funds").
Signature Page to Follow
Bayshore Gateway Triangle CRA
B-13-UC-12-0016
CD 1446
First Amendent
Pineland Avenue Drainage Improvements 4
16fl1
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
DWIGHT E. BROCK, CLERK OF COL ER COUNTY, FLORIDA
ja4.4.0.
ThL4t
r J/ By:
illy Clerk DONNA FIALA, CHAIRMAN
Attest • illy
signature only.
Date: (o OS ''
Bayshore Gateway Triangle Community
Redevelopment Agency
Approved as to form and
legality:
By: ..
N A A Tim Nance, CHAIRMAN
Jennifer A. Belpedio '
Assistant County Atto ey ��
car �9 Date:
(co 2g‘,
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Item# 1lfl
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Agenda (/).-aik,
Date VV��
Date 47t
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Bayshore Gateway Triangle CRA
B-13-UC-12-0016
CD 14-16
First Amendent
Pineland Avenue Drainage Improvements 5