Backup Documents 09/26/2017 Item #16B2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
�
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU 13 2
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 Initia) Date
1. Michelle Rubbo CHS ' ' ,' ' q�J
2. Jennifer A. Belpedio County Attorney's Office .04-43 (4/07g/1—?I
3b .
3.Immokalee CRA Board Immokalee CRA Board - \
(William L. McDaniel Jr.) /3/ ��y`���-\
j BCC Office Board of County c �
Commissioners �S 7S` .A.-/..A\-:\
5 Minutes and Records Clerk of Court's Office �n 12,9 �°�fl� I •
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 9/26/2017 �,1 Agenda Item Number 16D22(BCC)and 4.c ,e,,
Approved by the BCC 16D22 and 16B2 t nm CRA) ✓
Type of Document One Subrecipient Agreement Amendment Number of Original 3 Subrecipient
Attached in triplicate Documents Attached Agreement
(between Collier County and Immokalee Amendments
CRA) documents
PO number or account
number if document is to be �A".,
"L----
recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever-ice „„Y Yes N/A(Not
appropriate. '''(Initial) Applicable)
1. Does the document require the chairman's original signat e?STAMPED SIGNATURE IS t n/a
ok
2. Does the document need to be sent to another agency for a ditional signatures? If yes, Yes CRA
provide the Contact Information(Name; Agency;Address;Phone).on_an attached sheet. Board and
BCC
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 N/A
Attorney's 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 To be done
document or the final negotiated contract date whichever is applicable. by CAO
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 /A
slip should be provided to the County Attorney Office at the time the item is input into / ''' -' 7J
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!
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
8. The document was approved by the BCC on 9/26/2017 and all changes made yes • 2
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
16B2
MEMORANDUM
Date: October 2, 2017
To: Lisa Oien, Grants Coordinator
Community & Human Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: First Amendment to the agreement between Collier County
and the Collier County Immokalee CRA
Attached, please find two original copies of the amendment referenced above,
(Item #16D22/16B2) approved by the Board of County Commissioners on
September 26, 2017.
The third original amendment document will be held in the Minutes and Records
Department for the Board's Official Record.
If you have any questions, please feel free to call me at 252-8406.
Thank you
Attachments (2)
1682
FAIN# B- 16-UC-12-0016
B- 17-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 $475,000
FY 2017 $125,000
Subrecipient Name Immokalee Community
Redevelopment Agencyl
DUNS# 076997790
FEIN 59-6000558
R&D No
Indirect Cost Rate No
Period of Performance 10/01/2016-
9/20173/29/2018
Fiscal Year End 9/30
Monitor End: 12/31/20236/30/2023
FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
COLLIER COUNTY COMMUNITY REDEVELOPMENT AGENCY(IMMOKALEE)
This Amendment is entered this c?(, day of, 1 2017, by and between "Collier County Community
Redevelopment Agency (CRA)" a community Redevelopment Agency approved by the Board of Collier County
Commissioners, "SUBRECIPIENT" and Collier County, Florida, hereinafter to be referred to as "COUNTY",
collectively stated as the"Parties."
RECITALS
WHEREAS, on October 11, 2016 the COUNTY entered into an Agreement for awarding Community
Development Block Grant Program funds to be used for the Immokalee Sidewalk/Streetscape Project. (hereinafter
referred to as the"Agreement");
WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the
preparation of various Annual Action Plans,the County advertised a substantial amendment on June 9, 2017 with a
14-day Citizen Comment period from June 9,2017 to June 26,2017; and
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Strcetscapc Project
First Amendment
Page 1
1682
WHEREAS, the Board of County Commissioners of Collier county approved the Collier County Consolidated
Plan-One Year Action Plan for Federal Fiscal Year 2017-2018 for the CDBG Program with Resolution 2017-113
on June 27,2017-Agenda Item 16.D.14; and
WHEREAS, the Parties desire to amend the agreement to add additional funds to the project, identify the specific
funding sources for the project, and clarify certain terms within the agreement.
Words Stfueli-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:
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 provided herein and, as determined by Collier County Community and
Human Services(CHS)Division,perform the tasks necessary to conduct the program as follows:
Immokalee Sidewalk/Streetscape Project
Description of project and outcome:
CHS as an administrator of the CDBG program will make available CDBG funds up to the gross amount of
$175,000 $600,000 to the Immokalee CRA for sidewalk and streetscape improvements on West Eustis
Avenue, • -. • - , • • - . .- • • ; South 5th Street, .•. .. - -, - . .•- - •
or arc made availablo and South 9th Street in Immokalee. The project will be defined in the project plans,
specifications and schedule of values. : - . •-• - • . , - . ••-• - • -• - • -
., • .. , .. .- - - •• - - - , . • •- , Project activities to include but not
limited to sidewalks, landscaping, associated existing storm water system enhancements, permitting,
construction inspection services, contingencies and any other associated activities needed to complete the
sidewalk and streetscape project.
Immokalee Community Redevelopment Agency
CD 16-008 IDIS#546
Immokalee Sidewalk/Streetscapc Project
First Amendment
Page 2
Te"
1682
1.2 PROJECT DETAILS
A. Project Description/Project Budget
Description Federal Amount
CHS as an administrator of the CDBG program will make available CDBG funds up $475,000$600,000
to the gross amount of$475,000 $600,000 to the Immokalee CRA for sidewalk and
streetscape improvements on West Eustis Avenue from S. 9th St, with sidewalks on
both sides; South 5th Street • .. -- . . - - ' •. - - - - - -
the Bethune School, Sidewalk on one side (Ea •- - -. • - . ; •.•- • - •.
remain or arc made available and South 9th Street in Immokalee. The project will be
defined in the projects plans, specifications and schedule of values. for the
. . . .. of site furnishings including
but not limited to litter receptacles, benches, Project activities include but not
limited to sidewalks, landscaping, associated existing storm water system
enhancements, permitting, construction inspection services, contingencies and any
other associated activities needed to complete the sidewalk and streetscape project.
Total Federal Funds: $175,000$600,000
D. Payment Deliverables
Payment Deliverable Payment Supporting Documentation Submission.Schedule
Project Component 1: • Submission of supporting • Submission of
Construction and related activities documents must be provided as monthly
to include but not limited to backup as evidenced by,banking invoices
sidewalks, replacement or documents, completed AIA G702-
installation of site furnishings 1992 form or equivalent document
including but not limited to litter per contractor's Schedule of
receptacles,benches, landscaping, Values and any additional
associated existing storm water documents as needed.
system enhancements,permitting, • Invoices for construction
construction inspection services, inspections services with
contingencies and any other payment amount reflected in
associated activities needed to Exhibit"B". • Submit request
complete the sidewalk end • 10%retainage will be withheld after final close
streetscape project. with each request for payment and out monitoring
will be released upon completion clearance
of activities and final close out
monitoring
Immokalee Community Redevelopment Agency
CD 16-008 IDIS#546
Immokalee Sidewalk/Strcctscapc Project
First Amendment
Page 3
1662
10%retainage held,The final 10%of project costs as identified by the construction contract(s)will be released upon
documentation that at least 51% of persons served are low to moderate income households, in order to meet a
CDBG National Objective. Failure on behalf of the subrecipient in achieving the National Objective under this
agreement will require repayment of the CDBG investment under this agreement and aforementioned
rehabilitation/construction agreement.
1.3 PERIOD OF PERFORMANCE
Services of the Subrecipient shall start effective the date of the execution of this agreement and shall end on
or before September 30,2017 March 29,2018.
* * *
1.4 AGREEMENT AMOUNT
IThe COUNTY agrees to make available -.. - .. . . _ - -. .. .. . !: . ,!!!.!! Six
Hundred Thousand Dollars and no cents($600,000)For the use by the SUBRECIPIENT during the term of
the agreement(hereinafter, shall be referred to as the"Funds").
* * *
The County Manager or designee may extend the term of this agreement for a period of up to 180 days
after the end of the agreement. Extensions must be authorized in writing by formal letter to the Subrecipient
and reported to the Board on a quarterly basis.
* * *
Exhibit"B"is replaced with the attached Exhibit"B"
Exhibit"C"is amended by the attached Exhibit"C"
SIGNATURE PAGE TO FOLLOW
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Streetscape Project
First Amendment
Page 4
16132
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 TY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK
- COLLIER ' • r Y, FLORIDA
YJc.i .� 0C. By:
, 4 pu 41e.rk Penny Taylor IRMAN
attest as to .i s�
signature only. Date: q I a Co 11-1
COLLIER CO ' - • TY
Dated: 0`Z'� 11 REDVjL�vv'" •GENC` (I ► . • E)
(SEAL) C• _ AdjA
By: .441.
Wil, :m L. McDaniel, Jr. Chai an
Date: q \aCe `1)
Approved as to form and legality:
Jenna A.Bel edio
p
Assistant County Attorney CY) \`1
Item# I
Agenda tl_7 yet
Date
Date C 1,'6141
Redd
•
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Strcctscapc Project
First Amendment
Page 5
EXHIBIT B
1662
COLLIER COUNTY COMMUNITY&HUMAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REQUEST FOR PAYMENT
Subrecipient Name:JImmokalee Community Redevelopment Agency]
Subrecipient Address: ]750 South 5th Street Immokalee Florida
Project Name: IImmokalee Sidewalk Project]
Project No:ICD 16-008 I ' Payment Request#
Total Payment Minus Retainage
Period of Availability: I I through I
Period for which the Agency has incurred the indebtedness l I through I
SECTION II: STATUS OF FUNDS
1.Grant Amount Awarded $
2.Sum of Past Claims Submitted on this Account $
3.Total Grant Amount Awarded Less Sum of Past Claims
Submitted on this Account $
4.Amount of Today's Request $
5.10%Retainage Amount Withheld(if applicable) $
6.Current Grant Balance (Initial Grant Amount Award
request)(includes Retainage) $
I certify that this request for payment has been made in accordance with the terms and conditions of the Agreement
between the COUNTY and us as the SUBRECIPIENT. To the best of my knowledge antl belief, all grant
requirements have been followed. y
Signature Date
Title
Authorizing Grant Coordinator Authorizing Grarit Accountant
Supervisor Division Director
(Approval required$15,000 and above) (Approval Required$15,000 and above)
Immokalee Community Redevelopment Agency
CD 16-008 IDIS#546
Immokalee Sidewalk/Strectscape Project
First Amendment
Page 6
EXHIBIT C
1682
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
Agency Name: Immokalee Community Redevelopment Agency Date:
Project Title: Immokalee Sidewallc/Streetscape Project
Alternate
Program Contact: James Sainvilus,Project Manager Contact:
Telephone Number: (239)239-269-6958
Activity Reporting Period Report Due Date
October 1n-December 31' January lou'
January 31'—March 31' April 10th
April 1"—June 30th July 10th
July 1'—September 30th October 10th
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 those goals
1. since the beginning of the agreement.
A.Outcome Goals: list the outcome goal(s)from your approved application&sub-recipient agreement.
Outcome 1:Construction of sidewalks, . . .. . - .. • •. - • - •• • •• _ •• •• •
limited to litter receptacles,benches,landscaping, associated existing storm water system enhancements,
permitting, construction inspection services,contingencies and any other associated activities needed to
complete the sidewalk and strectscapo project.
Outcome 2:Project complete and National Objective achieved and documented: LMA
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Strectscapc Project
First Amendment
Page 7
B.Goal Progress:Indicate the progress to date in meeting each outcome goal. 1. 6 B 2
Is this project still in compliance with the original project schedule?If more than 2 months behind schedule,must submit a
2. new timeline for approval.
0 ❑
Yes No
If no,explain:
3. Since October 1,2016,of the persons assisted,how many....
a. ...now have new access(continuing)to this service or benefit?
b. ...now has improved access to this service or benefit?
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?
Other Consolidated Plan Funds CDBG
Other Federal Funds ESG
State/Local Funds
HOME
Total
Entitlement
Total Other Funds S 0.00 Funds S 0.00
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Strcetscapc Project
First Amendment
Page 8
1682 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: Total No.of female head of household: 0
6. What is the total number of UNDUPLICATED clients served since October,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
0
TOTAL: 0 TOTAL:
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: 8. OTHER BENEFICIARY DATA:INCOME RANGE
Indicate the total number of UNDUPLICATED persons served Indicate the total number of UNDUPLICATED persons served
since October 1 who fall into each presumed benefit category since October 1 who fall into each income category(the total
(the total should equal the total in question#6) should equal the total in question#6)
REPORT AS: REPORT AS:
O Abused Children Homeless 0 Extremely low Income(0-30%)
O Person Battered 0 Low Income(31-50%)
O Battered Spouses 0 Moderate Income(51-80%)
O Persons w/HIV/AIDS 0 Above Moderate Income(>80%)
O Elderly Persons
O Veterans
O Chronically/Mentally III
O Physically Disabled Adults
O Other-Youth
TOTAL: p TOTAL: p
Immokalee Community Redevelopment Agency
CD 16-008 IDIS #546
Immokalee Sidewalk/Strcetscape Project
First Amendment
Page 9