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Backup Documents 04/11/2017 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 160 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 Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Lisa Oien Community and Human Services 2. Jennifer Belpedio County Attorney Office4/I I '0 3. BCC Office Board of County Commissioners \f‘re6-'/ 4\vz.\ •-t, 4. Minutes and Records Clerk of Court's Office u Ire-hq 3'.0M 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 Lisa Oien/CHS Phone Number 252-6141 Contact/ Department Agenda Date Item was 4/11/2017 Agenda Item Number v� Approved by the BCC 16 D (ID#2897) Type of Document Subrecipient agreement amendments Number of Original Attached Catholic Charities amendment One in Documents Attached 6 triplicate � 0. ecetr. $A itla NEC amendment Two in triplicate 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,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? ©( NA 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 signed by the Chairman,with the exception of most letters,must be reviewed and signed 14 )111 by the Office of the County Attorney. 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 fj-dcfb. document or the final negotiated contract date whichever is applicable. joy- 6. Y L• 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are required. /Ve-- 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 aware of your deadlines! 8. The document was approved by the BCC on 4/11/2017 and all changes made 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 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 1606 MEMORANDUM Date: April 13, 2017 To: Lisa Carr, Grants Coordinator Housing, Human & Veteran Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: First Amendment to Agreement between Collier County & NEC — Naples Equestrian Challenge, Inc. Phase III— Site Development and Landscaping NEC (Naples Equestrian Challenge) Attached are two (2) originals of the document referenced above, (Item #16D6) approved by the Board of County Commissioners on Tuesday, April 11, 2017. An original has been kept by the Minutes and Record's Department for the Board's Official Record. If you have any questions, please feel free to contact me at 252-7240. Thank you Attachment 160 6 Grant #B13-UC-12-0016,B-12-UC-0016,B- 11-UC-12-0016, B-10-UC-12-0016 B-09- UC-12-0016, B-08-UC-12-0016, B-07-UC- 12-0016, B-06-UC-12-0016, B-05-UC-12- 0016 CFDA/CSFA# 14.218 Subrecipient—Naples Equestrian Challenge, Inc. DUNS# - 060427072 FEIN# - 650793008 IDIS#- 499 FEIN: 650793008 R& D: No Fiscal Year End: 12/31 Monitor End: 6/30/2023 SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND NAPLES EQUESTRIAN CHALLENGE,INC. PHASE III—SITE DEVELOPMENT AND LANDSCAPING i This Amendment is entered into this I day of 017, by and between Naples Equestrian Challenge, Inc., hereinafter referred to as " UBRECIPIENT" and Collier County, Florida,hereinafter to be referred to as "COUNTY", collectively stated as the"Parties." RECITALS WHEREAS, on May 12, 2015, the County entered into an agreement awarding Community Development Block Grant Program funds to be used for the Naples Equestrian Challenge Phase III site development and landscaping project (hereinafter referred to as the "Agreement"); WHEREAS, on March 22, 2016 the Parties amended the agreement to combine related budget activities; WHEREAS, the parties desire to amend "Exhibit D" to be consistent with certain terms within the agreement. Words Struel{ eugh are deleted; Words Underlined are added Naples Equestrian Challenge,Inc. CD14-14 NEC-Site Development and Landscaping Project Second Amendment Page 1 (`,� 160 6 Exhibit "D" is amended as follows: EXHIBIT "D" QUARTERLY PERFORMANCE REPORT DATA GENERAL Grantee is required to submit to HUD, through the Integrated Disbursement and Information System ("IDIS") Performance Reports. The County reports information on a quarterly basis. To facilitate in the preparation of such reports, SUBRECIPIENT shall submit the information contained herein within ten(10) days of the end of each calendar quarter. QUARTERLY PROGRESS REPORT Sub-recipients: Please fill in the following shaded areas of the report u ` Agency Name: e :, a ..:. Date: ;., . Project Title: ¢aples Equestrian Challenge Project Phase III Alternate Program Contact: ° >i e a' Contact: Telephone Number: . s *REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period): ❑ 12/31/14 ;03/31/15 006/30/15 ❑9/30/15 Please take note: Each quarterly report needs to include cumulative data beginning from the start of the agreement date. Please list the outcome goal(s)from your approved application&sub-recipient agreement and indicate your progress in meeting 1. those goals since the beginning of the agreement. A.Outcome Goals: list the outcome goal(s)from your approved application&sub-recipient agreement.These are goals are are not a condition for which payment can or can not be made;see agreement for payment conditions. Outcome 1: Certificate of Occupancy must be received no later than February 1, 20'"April,2018 Outcome 2: NEC must document that at least 51% of persons served, as result of the Naples Equestrian Challenge Project, are low to moderate income households „s Outcome-3 Outcome-4 3: ERR clearance achieved by 2/28/2016 `', Outcome 5: Outcome 6: Naples Equestrian Challenge,Inc. CD14-14 NEC-Site Development and Landscaping Project Second Amendment Page 2 C® 1 6 0 6 _ _ _ _ _ -~-7 B.Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: _ � I Is this project still in compliance with the original project schedule?If more than 2 months behind schedule,must submit a new 2. timeline for approval. . Yes No If no,explain: 3. Since October 1,2014,of the persons assisted, how many.... a. ...now have new access(continuing)to this service or benefit? 0 b. ..now has improved access to this service or benefit? 0 c. ..now receive a service or benefit that is no longer substandard? 0 TOTAL: 0 4. What funding sources are applied for this period/program year? $ $ Section 108 Loan Guarantee HOPWA - $ $ Other Consolidated Plan Funds - CDBG - $ $ Other Federal Funds - ESG $ $ State/Local Funds --- HOME - Total $ Entitlement $ Total Other Funds Funds - Naples Equestrian Challenge,Inc. CD14-14 NEC-Site Development and Landscaping Project Second Amendment Page 3 • 1606 5. What is the total number of UNDUPLICATED clients served this quarter,if applicable? a. Total No. of adult females served: 0 Total No.of females served under 18: 0 b. Total No. of adult males served: 0 Total No.of males served under 18: 0 TOTAL: 0 TOTAL: 0 c. Total No. of families served: 0 Total No.of female head of household: 0 6. What is the total number of UNDUPLICATED clients served since October,if applicable? a. Total number of adult females served: 0 Total number of females served under 18: 0 b. Total number of adult males served: 0 '; Total number of males served under 18: 0 TOTAL: 0 TOTAL: 0 c. Total No.of families served: 0 Total No.of female head of household: 0 Complete EITHER question#7 OR#8.Complete question#7 if your program only serves clients in one or more of the listed HUD Presumed Benefit categories. Complete question#8 if any client in your program does not fall into a Presumed Benefit category. DO NOT COMPLETE BOTH QUESTION 7 AND 8. 7. PRESUMED BENEFICIARY DATA r 8. OTHER BENEFICIARY DATA INCOME RANGE Indicate the total number of UNDUPLICATED Indicate the total number of UNDUPLICATED persons persons served since October 1 who fall into each presumed benefit category (the total served since October 1 who fall into each income should equal the total in question#6): category(the total should equal the total in question#6): Report as: Report as: Abused Children 0 Extremely low Income(0-30%) • Homeless Person 0 Low Income(31-50%) Battered Spouses 0 Moderate Income(51-80%) • Persons w/HN/AIDS 0 Above Moderate Income(>80%) Elderly Persons *NtitPTINNNNINNNI,Veterans s Chronically/Mentally ill .Physically Disabled Adults Other-Youth TOTAL: 0 TOTAL: 0 9. Racial&Ethnic Data: (if applicable) Please indicate how many UNDUPLICATED clients served since October fall into each race category. In addition to each race category, please indicate how many persons in each race category consider themselves Hispanic (Total Race column should equal the total cell). RACE ETHNICITY White '4 of whom, how many are Hispanic? Black/African American • 0 of whom, how many are Hispanic? Asian ; om 0 of whom, how many are Hispanic? American Indian/Alaska Native 0 _ 0 of whom, how many are Hispanic? Native Hawaiian/Other Pacific Islander 0 `' 0 of whom, how many are Hispanic? American Indian/Alaskan Native&White 0 0 of whom, how many are Hispanic? Black/African American&White 0 0 of whom, how many are Hispanic? Arn. Indian/Alaska Native&Black/African Am. 0 0 of whom, how many are Hispanic? Other Multi-racial 0 0 of whom, how many are Hispanic? Other 0 ,.. , 0 of whom, how many are Hispanic? TOTAL: 0 0 TOTAL HISPANIC Name: Signature: Your typed name here represents your electronic Title: signature Naples Equestrian Challenge,Inc. CD14-14 NEC-Site Development and Landscaping Project Second Amendment Page 4 160 6 FAIN# B- 16-UC-12-0016 B- 14-UC-12-0016 B- 13-UC-12-0016 B- 11-UC-12-0016 B- 05UC-12-0016 B-02-UC-12-0016 B-01-UC-12-0016 Federal Award Date Est. 10/2016 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of Federal Funds Awarded FY 2016 $450,000 Subrecipient Name Catholic Charities of Collier County DUNS# 877686501 FEIN 59-2473176 R&D No Indirect Cost Rate No Period of Performance 10/01/2016- 09/30/2017 Fiscal Year End 6/30 Monitor End: 12/31/2023 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND CATHOLIC CHARITIES DIOCESE OF VENICE,INC. dba CATHOLIC CHARITIES OF COLLIER COUNTY This Amendment is entered into this 1\4'. day of t L. 2017, by and between Catholic Charities Diocese of Venice, Inc. dba Catholic Charities of Collier County, a not for profit corporation existing under the laws of the State of Florida hereinafter referred to as "SUBRECIPIENT" and Collier County, Florida,hereinafter to be referred to as"COUNTY", collectively stated as the"Parties." RECITALS WHEAREAS, on October 11, 2016 the COUNTY entered into an Agreement for awarding Community Development Block Grant Program funds to be used for the Judy Sullivan Resource Center Renovation project. (hereinafter referred to as the"Agreement"); Catholic Charities of Collier County CD 1606 IDIS#544 Judy Sullivan Family Resource Center (JSFRC) Renovations First Amendment Page 1 160 6 WHEREAS, the Parties desire to amend the Agreement to identify the specific funding sources for the project; Words Struck-Through are deleted;Words Underlined are added NOW, THEREFORE, in consideration of the mutual benefits contained herein, it is agreed by the Parties as follows: Fain numbers identifying funding sources amended as follows: FAN# B- 16-UC-12-0016 B- 14-UC-12-0016 B- 13-UC-12-0016 B- 11-UC-12-0016 B-O5UC-12-0016 B-02-UC-12-0016 B-01-UC-12-0016 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 O UNTY COMMISSIONERS OF DWIGHT E.BROCK,CLERK COLL IV CO TY,FLORIDA C Vitt '• ` • ':• sekii BY //JdLd_____i'envy Taylo�v'/ ttest as to Chairma , signature only. y Date: 1 t S.•>, . i CATHOLIC CHARITIES DIOCESE OF VENICE, Dated: 1 `"4,tcJ t 7 : INC. dba CATHOLIC CHARITIES OF COLLIER (SEAL) COUNTY By: /v Sharon B.Aragona,M.A. Chief Operating Officer Date: 5/247/7 Approved as to form and legality: ,`<1 Jennifer-A.Belpedio Assistant County Attorney ` Catholic Charities of Collier County CD 1606 IDIS#544 Judy Sullivan Family Resource Center(JSFRC)Renovations First Amendment Page 2 1606 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 /l 0 TY COMMISSIONERS OF DWIGHT E.BROCK, CLERK COLLIE' ! .'I TY,FLORIDA I By: est as to Chairman's -'i1)`DlitY. , 4 rk Penny Taylor airman 1 signature on Y 1 ..- ✓ Date LI)I 1 li ri 1 Dated: iti (SE, NAPLES EQUESTRIAN CHALLENGE, INC. ai; Kim Minarich, Executive Director f Naples Equestrian Challenge,Inc. Date 5 •21' • lj'-" Approved as to form and legality: cN4C\ -1(-))3 _...., Jennifer A.Belpedio Assistant County Attorney -�7 `y\44• 4 \Q-- � lJY ec), 1 Naples Equestrian Challenge,Inc. CDI4-14 NEC-Site Development and Landscaping ' Project Second Amendment Page 5 r=-"