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Agenda 10/08/2013 Item #16D 2 Proposed Agenda Changes Board of County Commissioners Meeting October 8,2013 Add On Item 11E: Recommendation to approve and authorize the Chairwoman to sign a First Amendment to Joint Participation Agreement between the Florida Department of Transportation and Collier County to receive reimbursement for Construction services on the FDOT resurfacing project on SR951 from Fiddler's Creek Parkway to South of SR90,along with the County's US-41 and SR/CR-951 intersection project; to execute a Resolution memorializing the Board's action; and,to authorize the necessary budget amendment; Project 60116. (Staffs request) Add On Item 12A: Recommendation that the Board adopt a Resolution approving Amendment No.2 to the Utility Work by Highway Contractor Agreement(UWHCA)between the State of Florida Department of Transportation(FDOT)and the Collier County Water-Sewer District(UAO)as amended by Appendix, Changes to Form Document,Amendment Number 1 dated April 23,2013. (County Attorney's request) Continue Item 16D2 to the October 22, 2013 BCC Meeting: Recommendation to approve amendment No. 1 to the Community Development Block Grant (CDBG) Agreement between Collier County and Goodwill Industries of SW Florida, Inc. (Commissioner Nance's request) Continue Item 16D3 to the October 22,2013 BCC Meeting: Recommendation to approve amendment #1 to the FY2012-2013 agreement between Collier County and Naples Equestrian Challenge for the Community Development Block Grant(CDBG)project previously approved by the Board on May 14,2013. (Fiscal Impact$0). (Staffs request) Continue Item 16D7 to the October 22,2013 BCC Meeting: Recommendation to approve substantial amendments to the FY2009-2010 and FY2010-2011 Annual Action Plans to clarify the project scope and project funding for Goodwill Industries Microenterprise Project and Immokalee Housing&Family Services Sanders Pines Playground Upgrades.This action also reduces the funding allocation for Goodwill Industries Microenterprise Program from $32,949 to$32,640.10 utilizing U.S.Department of Housing and Urban Development(HUD)Community Development Block Grant(CDBG)funds. (Commissioner Hiller's request) Continue Item 16D9 to the October 22,2013 BCC Meeting: Recommendation to approve a Home Investment Partnerships(HOME)Program Developer Agreement between Collier County and Big Cypress Housing Corporation(BCHC)for construction of a Multi-Family Rental Housing Project consisting of a minimum of Ten Single Family Rental Housing Units (Fiscal Impact$1,144,000). (Staffs request) Move Item 16D12 to Item 11F: Recommendation to award Bid(ITB)#13-6136 for"Forest Lakes MSTU Phase II&III Sidewalk,Lighting,Landscape and Turn Lane Improvements"Project to Quality Enterprises Inc.,in the amount of$948,353.43. (Commissioner Henning's request) Continue Item 16F2 to the October 22,2013 BCC Meeting: Recommendation to adopt criteria defining and classifying activities using tourist tax revenue that "promotes tourism." (Commissioner Fiala's request) 10/8/2013 16.D.2. EXECUTIVE SUMMARY Recommendation to approve amendment No. 1 to the Community Development Block Grant (CDBG) Agreement between Collier County and Goodwill Industries of Southwest Florida,Inc. OBJECTIVE: Allow the sub recipient additional time to deliver one additional session and to maximize the number of beneficiaries. CONSIDERATIONS: On May 14, 2013 (Agenda Item 16D10) the Board of County Commissioners approved a substantial amendment of previous HUD Annual Action Plans. The substantial amendment to the FY 2009-2010 HUD Annual Action Plan included the Goodwill Micro Enterprise project. Effective July 1, 2013, a new State law (Chapter 2013-154 Laws of Florida) requires agreements funded with federal or state assistance to contain additional provisions related to public records and compliance with grant requirements. On May 14, 2013, Agenda Item No.16D11, and as a companion item to 16D10, the Board approved a Subrecipient agreement for the Goodwill Micro Enterprise Program. The project scope identified the following: Project Component One: Micro-Enterprise Program that will consist of two (2) 12-session-6-week business and management training courses. Project Component Two: Funding costs will include but not limited to the following expenses: Personnel, Operating,and consultant. Goodwill has requested an amendment to its project scope to reduce the number of participants as stipulated in the agreement, extend the timeframe, decrease the award amount and add an additional session. Goodwill has completed one of the sessions and has determined that it will be difficult to meet the number of participants served as this is a new project. In order to achieve compliance, subrecipient has requested a reduction from 40 participants to 30, and will add a third session. As such, the project date is proposed to be extended to December 31,2013. A substantial amendment was advertised in the Naples Daily News on Thursday. August 29, 2013. The substantial amendment added an additional class; from two (2) sessions to three (3) and reduced the number of participants from forty to thirty Low Mod Income (LM1) participants. Toe amendment also reduced the funding amount from $32,949 to $32.640.10. A public comment period for the substantial amendment ran from August 30, 2013 to September 28, 2013. No public comments were received. FISCAL IMPACT: There will be no effect on ad-valorem or general fund dollars. Funds are available within the Housing Grant Funds (121) Project (44505). Accordingly, the funding to Goodwill would be reduced from $32,949 to $32,640.10. LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires majority vote for approval.-JAB GROWTH MANAGEMENT IMPACT: Acceptance and implementation of this amendment will further the Goals, Objectives, and Policies within the Housing Element of the Growth Management Plan. Packet Page -2055- 10/8/2013 16.D.2. RECOMMENDATION: That the Board of County Commissioners approves and authorize the Chairwoman to execute an amendment to the FY2009-2010 CDBG CDS13-02 agreement between Collier County and Goodwill Industries of Southwest Florida, Inc. for their Micro Enterprise Program. Prepared By: Rosa Munoz, Grants Coordinator Housing,Human and Veteran Services Packet Page -2056- 10/8/2013 16.D.2. COLLIER COUNTY Board of County Commissioners Item Number: 16.16.D.16.D.2. Item Summary: Recommendation to approve amendment No. 1 to the Community Development Block Grant (CDBG) Agreement between Collier County and Goodwill Industries of SW Florida, Inc. Meeting Date: 10/8/2013 Prepared By Name: MunozRosa Title: Grants Coordinator,Housing,Human&Veteran Services 8/7/2013 4:07:54 PM Submitted by Title: Grants Coordinator,Housing, Human&Veteran Services Name: MunozRosa 8/7/2013 4:07:55 PM Approved By Name: AlonsoHailey Title: Operations Analyst.Public Service Division Date: 9/23/2013 3:52:34 PM Name: AlonsoHailey Title: Operations Analyst,Public Service Division Date: 9/26/2013 10:32:51 AM Name: MesaNancy Title: Accountant,Housing,Human&Veteran Services Date: 9/26/2013 11:41:23 AM Name: GrantKimberley Title: Interim Director Date: 9/26/2013 12:25:49 PM Packet Page-2057- 10/8/2013 16.D.2. Name: SonntagKristi Date: 9/27/2013 11:44:58 AM Name: BelpedioJennifer Title: Assistant County Attorney,County Attorney Date: 9/27/2013 1:58:15 PM Name: RobinsonErica Date: 9/27/2013 3:45:00 PM Name: CarnellSteve Title: Purchasing/General Services Director Date: 9/27/2013 4:13:24 PM Name: FinnEd Title: Senior Budget Analyst, OMB Date: 9/27/2013 5:13:04 PM Name: StanleyTherese Title: Management/Budget Analyst, Senior,Office of Manage Date: 9/30/2013 10:07:45 AM Name: KlatzkowJeff Title: County Attorney Date: 9/30/2013 11:37:12 AM Name: IsacksonMark Title: Director-Corp Financial and Mgmt Svs,CMO Date: 10/1/2013 9:26:26 AM Packet Page-2058- 10/8/2013 16.D.2. j Grant*- B-09-UC-12-0016 CFDAJCSFA#- 14.218 Subrecipient Goodwill-Industries of Southwest Florida,Inc. DUNS# - 152823662 FETI#-59-6196141 FY End 12131 Monitoring Deadline 9/30/2018 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND GOODWILL INDUSTRIES OF SOUTHWEST FLORIDA,INC. This Amendment, is entered into this day of , 2013, by and between Goodwill Industries of Southwest Florida,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. May 14, 2013 the COUNTY entered into an agreement with the Community Development Block Grant(CDBG) funds to be used for a Micro-Enterprise Program(hereinafter referred to as the"Agreement"); and WHEREAS, the Parties desire to amend the Agreement to reference Chapter 2013-154, Laws of Florida and make housekeeping type modifications to the agreement. 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: Words are deleted; Words Underlined are added 1. SCOPE OF SERVICES The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required as a condition of providing CDBG funds, as determined by Collier County Housing,Human and Veteran Services (HHVS),perform the tasks necessary to conduct the program as follows: FY2009-2010 Amended Action Plan identified and approved the project to Goodwill Industries for the following: Project Component One: Micro-Enterprise Program that will consist of two (2) three (3) 12 _ .. _-_ .... = -eat training courses sessions-2 classes each week for six (6) Goodwill Industries of SW Florida.Inc. (CDS 13-02) Amendment#1 to Micro Enterprise Agreement Page 1 of 11 Packet Page-2059- 10/8/2013 16.D.2. weeks totaling 12 classes., Project Component Two: Funding costs will include but not limited to the following expenses: Personnel, Operating, and consultant. Items identified for funding are outlined in the budget in Section III. All activities funded with CDBG funds must meet one of the CDBG program's National Objectives: benefit low- and moderate-income persons; aid in the prevention or elimination of slums or blight; or meet community development needs having a particular urgency, as defined in 24 CFR 570.208 II. TIME OF PERFORMANCE Services of the SUBRECIPIENT shall start on the 24th day of May,2013 and end on the 33th December 31,2013.The term of this Agreement and the provisions herein may be extended by amendment to cover any additional time period during which the SUBRECIPIENT remains in control of CDBG funds or other CDBG assets, including program income. III. AGREEMENT AMOUNT' The COUNTY agrees to make available THIRTY TWO THOUSAND NINE SIX HUNDRED FORTY NINE DOLLARS AND NO TEN CENTS (532,949.00 532.640.10) for the use by the SUBRECIPIENT during the Term of the Agreement (hereinaf ter, the aforestated amount including, without limitation, any additional amounts included thereto as a result of a subsequent amendment(s) to the Agreement, shall he referred to as the "Funds"). The budget identified for the Micro-Enterprise Project shall be as follows: Line Item Description { CDBG Funds ! Amended amounts Technical Assistance/Personnel Costs S 10.000 N/A Program Manager j 5 10.000 N/A 780 hours Operating Expenses i S 6,574 S 4.965.10 Program Expenses & Supplies Student/Coach- Operation Jump Start Manual --3 250 $ 1.950 25 30 Manuals @,$1635 $65/2 classes for 3 three sessions Student Kits-Includes: $ 300 Folders,pens, calculators, (each kit include supplies for 230 students) Si 50 per class, holding Goodwill Industries of SW Florida_Inc. (CDS?3-02) Alitk Amendment#1 to Micro Enterprise Agreement Page 2 of I I (:) Packet Page -2060- 10/8/2013 16.0.2. 2 classes Facilitator Manual $ 210 N/A Operation Jump Start-1 manual a$105/each pe elass42-. lasses Facilitator/Coach Kits -$45X10(8 coaches& 2 S 430 5 405 facilitators) $45 - /each Student Tote for class-Totes to carry books& S 170 $ 352.50 study supplies, 511.75 per student with-for 230 students per class/2 3 classes sessions Shipping& Handling S 550 First slass Session will need Shipping first-class 2-day which is 5394, the second class will be regular delivery 274 $ 297 Frames $6.85 P.90 by 44 30 students Paper-for class and graduation certificates $ 100 $ 200 Name Tags-for speakers, students, facilitators, and coaches 770 5 600.60 Supplemental Books-E Myth: Why most small businesses Don't Work &What to Do About it- (5.0 39 copies@SI 5.40 per copy/40 students 30 students, 7 coaches,and 2 facilitators) Advertising/Marketing 8---51950 52,635 Google Adwords-Search engine Advertising-$20 $ 1,800 N/A per day for three months 1 N/A Collier Citizen-(weekly Collier County 5 1.800 $ 265 Newspaper) 8 weeks at $200/week: Advertise in the Spanish Radio Channel-4 weeks 5 2,000 5 220 at 5557week Printed Materials-brochures, flyers, bae-stuffers $ 350 at Goodwill & Goodwill &Job Link Centers, Chamber of Commerce etc Travel for Personnel & Consultants S 825 .5 640 Mileage 1500 milessna.$0.55/mile Consultants S--400 S 14,400 Facilitator(s) 1 per class/2 classes-@$2.000(1) S '1.000 5 6.000 Session/3 sessions/52.000 5.600 5 8.400 Coaches(s) 1 per class/2 classes(k5700 4 (i223 Sessions/5700 TOTAL 1-S32.949.00 Total Pro. ram Ex senses: Goodwill industries of SW Florida,Inc (CDS13-02) Amendment 1 to Micro Enterprise Agreement Page 3 of 11 Packet Page-2061- 10/8/2013 16.D.2. Personnel Expenses $ 10.000 Contracted Consultant $ 14.400 Operating Expenses $ 8.240.10 Total Expenses $32,640.10 * X Y Modifications to the "Budget and Scope" may only be made if approved in advance. Budgeted fund shifts between cost categories and activities shall not be more than 10% and does not signify a change in scope. Fund shifts that exceed 10% of a cost category and activity shall only be made with board approval. All services specified in.Section I. Scope of Services shall be performed by SUBRECIPIENT employees, or shall be put out to competitive bidding under a procedure acceptable to the COUNTY and Federal requirements. The SUBRECIPIENT shall enter into contract for improvements with the lowest, responsive and qualified bidder. Contract administration shall be handled by the SUBRECIPIENT and monitored by HHVS, which shall have access to all records and documents related to the project. The County shall reimburse the SUBRECIPTENT for the performance of this Agreement upon completion or partial completion of the work tasks as accepted and approved by HHVS pursuant to the submittal of quarterly progress reports. Invoices for work performed are required et ery month. SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred during- the term of this agreement. If no work has been performed during that month, or if the SUBRECIPIENT is not yet prepared to send the required backup, a $0 invoice will be required. Explanations will be required if two consecutive months of$0 invoices are submitted. Payments shall be made to the SUBRECIPIENT when requested as work progresses but, not more frequently than once per month. Reimbursement will not occur if SUBRECIPIENT fails to perform the minimum level of service required by this Agreement. Final invoices are due no later than 90 days after the end of the agreement. Work performed during the term of the program but not invoiced within 90 days without written exception from the Grant Coordinator will not be reimbursed. No payment will be made until approved by HHVS for grant compliance and adherence to any and all applicable local, state or Federal requirements. Payment will be made upon receipt of a properly completed invoice and in compliance with §218.70, Florida Statutes, otherwise known as the "Local Government Prompt Payment Act." The following table details the project deliverables and payment schedule: Deliverable Payment Schedule Project Component One: Micro-Enterprise I Submission of monthly invoices and Program that will consist of two (2) three submission of supporting documents must (3) sessions: 12-session classes for 6-week ( be provided as back up as evidenced by business and management training courses i.e. sign in sheets. and additional and: documents as needed Project Component Two: Funding costs will include but not limited to the following Final 10% ($3.29/.90 S3.264.10) released expenses: Personnel, Operating, and upon documentation of 2 3 classes consultant. sessions completed and a minimum of 40 30 persons served Goodwill Industries of SW Florida,Inc. (CDS I3-02) Amendment#1 to Micro Enterprise Agreement Page 4 of 11 Packet Page -2062- 10/8/2013 16.D.2. This funding will benefit a minimum of 40 N/A 30 low-moderate income individuals in Collier County. Goodwill Staff will manage the creation and N/A maintenance of income eligibility files on clients served Submission of Quarterly Reports (attached N/A as Exhibit"D Survey N/A * * * IX. ADMINISTRATIVE REQUIREMENTS B, DOCUMENTATION AND RECORDKEEPING '_. SUBRECIPIENT shall keep and maintain public records that ordinarily and necessarily would be required by COUNTY in order to perform the service. 34. Upon completion of all work contemplated under this Agreement copies of all documents and records relating to this Agreement shall be surrendered to HHVS if requested. In any event the SUBRECIPIENT shall keep all documents and records in an orderly fashion in a readily accessible,permanent and secured location for four(4) years after expiration of this Agreement with the following exception: if any litigation, claim or audit is started before the expiration date of the four (4) year period. the records will be maintained until all Iitigation, claim or audit findings involving these records are resolved. The COUNTY shall be informed in writing if an agency ceases to exist after closeout of this Agreement of the address where the records are to be kept as outlined in 24 CFR 85.42. Meet all requirements for retainincpublic records and transfer. at no cost. to COUNTY. all public records in possession of the SUBRECIPIENT upon termination of the contract and destroy and duplicate public records that are exempt or confidential and exempt from public records disclosure requirements. All records stored electronically must be provided to the COUNTY in a format that is compatible with the information technology systems of the public anencv. 8. Provide the public with access to public records on the same terms and conditions that the public agency would provide the records and at a cost that does not exceed the cost provided in this chapter or as otherwise provided by law. Ensure that public records that are exempt or confidential and exempt from public records disclosure requirements are not disclosed except as authorized by law. * * Goodwill industries of SW Florida,Inc. (CDS 13-02) Amendment#1 to Micro Enterprise Agrccrnctt Page 5 of I I Packet Page-2063- 10/8/2013 16.D.2. E. PURCHASING All purchasing for services and goods, including capital equipment, shall be made by purchase order or by a written contract and in conformity with the thresholds of Collier County Purchasing Policy. Purchasing Threshold Policy Dollar Range(5) Quotes Under$3K I Written Quote Above$3K to z$50K 3 Written Quotes Above$10K to $50K j 3-Written Quotes Request for Proposal (RFP) Above$50K Invitation for Bid(IFB) * H. GRAIN' CLOSEOUT PROCEDURES SUBRECIPIENT's obligation to the COUNTY shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but not be limited to: making final payments, disposing of program assets (including the return of all unused materials, equipment, program income balances, and receivable accounts to the COUNTY), and determining the custodianship of records. In addition to the records retention outlined in Section IX.B.3, the SUBREICPIENT shall comply with Section 119.021 Florida Statutes regarding records maintenance, preservation and retention. Any balance of =obligated funds which have been advanced or paid must be returned to the County. Any funds in excess of the amount to which the Subrecipient is entitled under the terms and conditions of this Agreement must be refunded to the COUNTY. In addition to the records retention outlined in Section IX.B.3, the SUBREICPIENT shall comply with Section 119.021 Florida Statutes regarding records , maintenance, preservation and retention. SUBR.ECIPIENT shall also produce records and information that complies with Section 215.97. Florida Single Audit Act. * * * EXHIBIT"F" LOCAL AND FEDERAL RULES.REGULATIONS AND LAWS 40. Florida Statutes. 119.071. Contracts and Public Records REMAINDER OF PAGE INTENTIONALLY LEFT BLANK SIGNATURE PAGE TO FOLLOW Goodwill industries of SW Florida.Inc. (CDSI3-02) Amendment*I to Micro Enterprise Agreement Page 6 of 11 vb. Packet Page -2064- 10/8/2013 16.D.2. IN WITNESS WHEREOF,the Parties 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 OF COLLIER DWIGHT E.BROCK, CLERK COUNTY,FLORIDA By: ,Deputy Clerk GEORGIA A. HILLER,ESQ„CHAIRWOMAN Dated: (SEAL) GOODWILL INDUSTRIES OP SOUTHWEST FLORIDA,INC. By: Subrecipient Signature FredRithards.VP of Career Development Services Subrecipient Name and Title Approved as to form and legality: Jennifer A.Betpedit,Assistant County Attorney titk.th,ill drtc, S'A Florida.lac <CDS!3412} Amendm.rAt 4 I td tsiim Entcrpr6,-t,Awernent Page 7 of II Packet Page Page-2065- 10/8/2013 16.D.2. EXHIBIT"B" "It COLLIER COUNTY HOUSING,HUMAN AND VETERAN SERVICES REQUEST FOR PAYMENT SECTION I: REQUEST FOR PAYMENT Sub recipient Name: Goodwill Industries of Southwest Florida_ Inc. Sub recipient Address: 4940 Bavline Drive,North Fort Myers,FL 33917 Project Name: SWFL Micro-Enterprise Program Project No: CDS13-02 Payment Request 4 Dollar Amount Requested: $ SECTION II: STATUS OF FUNDS 1. Grant Amount Awarded $32,949.00 $32,640.10 2. Sum of Past Claims Paid on this Account 3. Total Grant Amount Awarded Less Sum Of Past Claims Paid on this Account Amok, 4. Amount of Previous Unpaid Requests S 5. Amount of Today's Request S 6. Current Grant Balance(Initial Grant Amount Awarded Less Sum of all requests) I certify that this request for payment has been drawn in accordance with the terms and conditions of the Agreement between the COUNTY and us. To the best of my knowledge and belief, all grant requirements have been followed. Signature Date Title Authorizing Grant Coordinator Supervisor (approval authority under$14,999) Dept Director (approval required $15.000 and above) Goodwill Industries of SW Florida,Inc. (CDS13-02) AA** Amendment#1 to Micro Enterprise Agreement Page 8 of 11 Packet Page-2066- 10/8/2013 16.D.2. EXHIBIT"D" QUARTERLY PROGRESS REPORT Sub-recipients:Please fill in the following shaded areas of the report >, � .�i- . .,.� . .. . 1 Date: :�. «'w . i*k;Agency Name: L-q b"'"',' � ,^ , . s ' Sr hw J e �•u"k X k SG °^ Vii.. ----'� � , J r > .r+� '4.;,:';'"74,1,Z "r C5i a , .x �{ ar . - ny tt+b; fa +ew 4 '�4 ,_2 �Project Title: .,. � Alternate i rte' �s z # f � Contact: d q�i�+u�lee ".-. .�' "?e s�Program Contact: < k n '- 4, _ K Telephone Number: f.',;.,.,,..,....,''' �. ,:? ` ::1* , t �4,1":‘,1-,. `-x 'REPORT FOR'QUARTER£At13tNG:(check one that applies to the ��, corresponding grant period): t❑ 01/31/13 _t 04/30113 : 07131/13 '': 10/31/14 Please take note: Each quarterly report needs to include cumulative data beginning from the start of the agreement date of Apr1;-23.2013-May 14, 2013. '.BLSx ' �� f' 4,-i ''' ; a yT #tom Z. P,' # „ "`1-... , w ",`+ : Av� � �? " -" y � ) f: r . : - ',na Y B a 6 ,d � l a S �` sa tea F ' , ' T • e .$ .k t . 9 .j, ✓1. t I A.Outcome G°31$1.list the outcome aoai(s)from your approved apptication&sub-redolent a•reemeni 3 , . 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E.Goal Progress indicate the prowess to date in meeting each outcome goal +a. .., :x .,v,, "mss, ��. R'!Pa s° ,�,;"<', �. a.. Goodwill Industries of SW Florida.Inc- (Cl/S13-02) Amendment Cl to Micro Enterprise Agreement Page 9 of 1 1 �, Packet Page-2067- 10/8/2013 16.D.2. -1.,3r :� aRR,.�. 2,a � ;?'a� 'n i F of . jai '� ..a „.,a.„ t ,s n tt MR° trA"L 2. �r Yes .ae : No If nn explain r:: ra € z 3. SItnce#`t5tabet-i , Ethe;t ons ,sls )i;hariet4patt9i . a. ...now have new access(continuing)to this service or benefit? �n b. ...now has improved access to this service or benefit? c. ...now receive a service orbenefit that is no longer substandard? :7,,r TOTAL: 0• r •4. .49301 ft' : • ag 4r Section 108 Loan Guarantee HOPWA Other Consolidated Plan Funds CDBG Other Federal Funds ESG State/Local Funds > HOME 48 . Total Entitlement $ Total Other Funds Funds Goodwill Industries of SW Florida.Inc. (CDSI3-02) Amendment#I to Micro Enterprise Agreement Page 10 of 11 Packet Page -2068- 10/8/2013 16.D.2. QUARTERLY PROGRESS REPORT a. Total No. of adult females served: t,,,aW0,417,,;,.., Total No,of females served under 18: b. Total No.of adult males served: i,M741k,; ,-;Total No of males served under 18: TOTAL: 0 TOTAL: 0 c. Total No of families served: Total No.of female head of household: :`-4.?•g 6. What , a. Total number of adult females served: ?'h,Total number of females served under 18: b. Total number of adult males served: Total number of males served under 18: TOTAL: 0 TOTAL: 0 c. Total No.of families served: 7Total No,of female head of household: 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 it any client In your program does not fall into a Presumed Benefit category. DO NOT COMPLETE BOTH QUESTION 7 AND 8. [PREti.tisitEOlitEirt*;DtVi*41a*A:. Indicate the total number of UNDUPLICATED indicate the total number of UNDUPLICATED persons persons served since October 1 who tall Into served since October 1 who fall into each income each presumed benefit category (the iota( category(the total should equal the total in question#e): Should equal the total in queStion#6): Report as: Report as: . *Abused Children jExtremely low Income(0-30%) Homeless Person Low Income(31-50%) Battered Spouses :0 Moderate Income(51-80%) Persons wI HIV/AIDS :'79,:i':Atoo■re Moderate Income(a80%) Attlit.Fie Elderly Persons Chronically!Mentally Ill Physically Disabled Adults Other-Youth TOTAL: 0 TOTAL: 0 Please indicate how many UNDUPLICATED clients served since October tall 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 VVhitege41:444;.• nttr. ;4&..of whom,now many are Hispanic? Btack/African American r4ttrt4/F. re;..k,;of wnom,now many are Hispanic? Asian :or whom how many are Hispanic? ,..„-t American Indian/Alaska Native*; of whom,how many are Hispanic? Native HawailarvOmer Pacific Islander e of Whom,now many are Hispanic? American Indian/Alaskan Native&White 434 ;Of whom,now many are Hispanic? 151acirJAfrIcan American& P --of whom,how many are Hispanic? Am. Indian/Alaska Native&Block/African s4- : -g" ;';Of whom,how many are Hispanic? Other Multwracial ;of whom,how many are Hispanic? Otner of whom,now many are Hispanic? TOTAL: 0 0 TOTAL HISPANIC Name, Signature: Your typed name here represents your eleofFoTasc7 Tine: signature Goodwill Industries of SW Florida,Inc. (CDS I 3-02) Amendment#1 to Micro Enterprise Agreement Page 11 of 11 Packet Page-2069-