Agenda 01/10/2012 Item #16D41/10/2012 Item 16.D.4.
EXECUTIVE SUMMARY
Recommendation to approve and authorize the Chairman to sign an amendment to the
Subrecipient agreement for Catholic Charities to recognize Board approved changes in the HPRP
Administrative Plan.
OBJECTIVE: Recommendation to approve and authorize the Chairman to sign an amendment to
the Subrecipient agreement for Catholic Charities to recognize Board approved changes in the
HPRP Administrative Plan.
CONSIDERATIONS: On December 13, 2011 (Item No. 16D4) the Board approved a revision to
the HPRP Administrative Plan allowing an increase in assistance from $1,200 to $2,500 per
household for eligible families for rental or utility assistance. This amendment will implement the
Board's approved revision which is located on page 17, Exhibit A as well as update grant
language. Previous changes to this agreement, were done via amendments and were presented
and approved by Board on May 24, 2011 (Item No. 16D 10) and on October 25, 2011 (Item No.
16D3).
To that end, the Subrecipient agreement with Catholic Charities is proposed to be amended as
follows:
1. Revise maximum amount of rent and
$1,200 to 2,500 in HPRP funds.
2. Update required regulations (Section
respectively.
utility assistance per eligible household from
3 and FFATA) page 8 #5(a) and page 21
FISCAL IMPACT: None. No general funds are associated with the HPRP amendments. HUD
grant funds are available within the American Recovery and Reinvestment Act of 2009 (ARRA)
Grant Funds (125) for Homelessness Prevention and Rapid Re- Housing Program (HPRP)
Projects (33070).
GROWTH MANAGEMENT IMPACT: The HPRP projects associated with these
subrecipient amendments will help meet the goals, objectives and policies set forth in the
Housing Element of the Growth Management Plan.
LEGAL CONSIDERATIONS: This item is legally sufficient and requires a majority vote. -
JBW
RECOMMENDATION: Recommendation to approve and authorize the Chairman to sign an
amendment to the Subrecipient agreement for Catholic Charities to recognize Board approved
changes in the HPRP Administrative Plan.
Prepared by: Sandra Marrero, Grants Coordinator
Housing, Human and Veteran Services Department
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.D.4.
1/10/2012 Item 16.D.4.
Item Summary: Recommendation to approve and authorize the Chairman to sign an
amendment to the Subrecipient agreement for Catholic Charities to recognize Board approved
changes in the HPRP Administrative Plan.
Meeting Date: 1/10/2012
Prepared By
Name: MarreroSandra
Title: Grants Coordinator,Housing, Human & Veteran Services
12/12/20114:38:58 PM
Submitted by
Title: Applications Analyst
Name: MaguireErin
12/12/20114:38:59 PM
Approved By
Name: CastorenaMargo
Date: 12/12/2011 4:54:18 PM
Name: GrantKimberley
Title: Interim Director, HHV S
Date: 12/13/2011 10:40:44 PM
Name: AlonsoHailey
Title: Administrative Assistant,Domestic Animal Services
Date: 12/14/2011 8:18:12 AM
Name: AckermanMaria
Date: 12/14/20119:55:08 AM
Name: FoordMarlene
Title: Grant Development & Mgmt Coordinator, Grants
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Date: 12/15/2011 3:01:01 PM
Name: RamseyMarla
Title: Administrator, Public Services
Date: 12/20/2011 12:59:40 PM
Name: WhiteJennifer
Title: Assistant County Attorney,County Attorney
Date: 12/20/20112:15:16 PM
Name: KlatzkowJeff
Title: County Attorney,
Date: 12/27/20119:46:21 AM
Name: PryorCheryl
Title: Management/ Budget Analyst, Senior,Office of Management & Budget
Date: 1/3/2012 8:58:23 AM
Name: OchsLeo
Title: County Manager
Date: 1/3/2012 11:48:55 AM
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1/10/2012 Item 16.D.4.
1/10/2012 Item 16. DA
AMENDMENT #3 TO THE
AGREEMENT BETWEEN COLLIER COUNTY
AND
CATHOLIC CHARITIES OF COLLIER COUNTY
HPRP SHORT TERM DIRECT RENTAL AND UTILITY ASSISTANCE PROGRAM
Catalog of Federal Domestic Assistance # 14.257
HUD HPRP Grant # S09- UY -12- 0024 - 2009 -05
THIS AMENDMENT is made and entered into by and between Collier County, a political
subdivision of the State of Florida, ( "COUNTY "), and Catholic Charities, Diocese of Venice, Inc., a
private not for profit corporation existing under the laws of the State of Florida, having its principal office
at 1000 Pinebrook Road, Venice, Florida 34285, and its Federal Tax Identification number as 59- 2473176
( "CATHOLIC CHARITIES" or "SUBRECIPIENT ").
RE: HUD Grant S09- UY -12- 0024 - 2009 -05, HPRP Caring for Families, Catalog of Federal Domestic
Assistance #14.257
The following change to the above referenced Agreement has been mutually agreed to by the Subrecipient
and the County. The additions to the existing language in the Agreement are shown herein by under
deletions from the Agreement are shown by striketh-e—u-
WHEREAS, the COUNTY has entered into an agreement with the United States Department of
Housing and Urban Development (HUD) pursuant to the "Homelessness Prevention and Rapid Re-
Housing Program (HPRP), under Title XII of the American Recovery and Reinvestment Act of 2009
( "Recovery Act "); and
WHEREAS, Congress has designated $1.5 billion for communities to provide financial assistance
and services to either prevent individuals and families from becoming homeless or help those who are
experiencing homelessness to be quickly re- housed and stabilized; and
WHEREAS, the Board of County Commissioners approved the Department of Housing, Human
and Veteran Services substantial 2008 -2009 Action Plan on May 12, 2009 to include this activity; and
WHEREAS, on May 24, 2011, Amendment #1 to the Agreement was approved; and
WHEREAS, on October 25, 2011, Amendment #2 to the Agreement was approved; and
WHEREAS, the COUNTY and the SUBRECIPIENT desire to provide the activities specified in
Exhibit "A" of this Agreement, in accord with the HPRP.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein contained, it
is agreed by the Parties as follows:
I. DEFINITIONS
(A) "COUNTY" means Collier County, and where applicable, it's authorized representative(s).
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(B) "ARRA" means the American Recovery and Reinvestment Act of 2009.
(C) "HPRP" means the Homelessness Prevention and Rapid Re- housing Program.
(D) "HHVS" means Collier County Department of Housing, Human and Veteran Services.
(E) "HHVS's Approval" means the written approval of the Department of Housing, Human '--w
and Veteran Services or designee.
(F) " SUBRECIPIENT" means Catholic Charities.
(G) "HUD" means the U.S. Department of Housing and Urban Development or a person
authorized to act on its behalf.
(H) Beneficiaries include individuals and families who are currently in housing but are at risk
of becoming homeless, and individuals and families who are experiencing homelessness
and need temporary assistance in order to obtain housing and retain it.
(I) Homeless means the term as defined by section 103 of the McKinney -Vento Homeless
Assistance Act (42 USC 11302).
(J) Eligible activities include financial assistance, housing relocation and stabilization
services, data collection and evaluation, and administrative costs. Specific program
guidelines may be found on the HUD website at www.HUD.gov.
(K) "Project" means the work to be performed as set forth in Exhibit "A."
II. SCOPE OF SERVICES
The SUBRECIPIENT shall, in a satisfactory and proper manner, as determined by HHVS,
perform the tasks necessary to conduct the project outlined in Exhibit "A."
III. TIME OF PERFORMANCE
AMW
The effective date of the Agreement between Catholic Charities and Collier County shall be July
15, 2009. The services of the SUBRECIPIENT shall be undertaken and completed in light of the
purposes of this Agreement. SUBRECIPIENT is authorized to incur eligible expenses after that date and
prior to execution of this Agreement subject to HHVS prior written approval. In any event, all services
required hereunder shall be completed by the SUBRECIPIENT prior to July 15, 2012. Any funds not
obligated by the expiration date of this Agreement shall automatically revert to the COUNTY, as set forth
in Section XI.
IV. CONSIDERATION AND LIMITATION OF COSTS
The SUBRECIPIENT shall be reimbursed by the COUNTY using HUD funding for allowable
costs, determined by COUNTY, in an amount not to exceed One Hundred and Fifty Thousand Dollars
($150,000) for the services described in Exhibit "A."
All improvements specified in Exhibit "A" 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 SUBRECIPIENT for the performance of this Agreement upon
completion or partial completion of the work tasks as accepted and approved by HHVS pursuant to the
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submittal of monthly progress reports. Payments shall be made to the SUBRECIPIENT when requested
as work progresses; but not more frequently than once per month. Payment will be made upon receipt of
a proper invoice and in compliance with § 218.70, Fla. Stat., otherwise known as the "Local Government
Prompt Payment Act." No payment will be made until approved by HHVS.
V. NOTICES
All notices required to be given under this Agreement shall be sufficient when delivered to HHVS
at its office, presently located at 3339 E. Tamiami Trail, Suite 211, Naples, Florida 34112, and to the
SUBRECIPIENT when delivered to its office at the address listed on page one (1) of this Agreement.
VI. GENERAL CONDITIONS
A. IMPLEMENTATION OF PROJECT
The SUBRECIPIENT shall implement this Agreement in accordance with applicable Federal,
State, and County laws, ordinances and codes and with the procedures outlined in HHVS' Policies and
Procedures memoranda.
Should a project receive additional funding after the commencement of this Agreement, the
SUBRECIPIENT shall notify HHVS in writing within thirty (30) days of receiving notification from the
funding source and submit a cost allocation plan for approval by HHVS or its designee within forty -five
(45) days of said official notification.
B. DEBARMENT
The SUBRECIPIENT certifies that neither it, nor its principals, is presently debarred, suspended,
proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction
by any Federal Department or agency; and, that the SUBRECIPIENT shall not knowingly enter into any
lower tier contract, or other covered transaction, with a person who is similarly debarred or suspended
from participating in this covered transaction.
C. LOCAL AND FEDERAL RULES, REGULATIONS AND LAWS
The SUBRECIPIENT agrees to comply with any applicable laws, ordinances, regulations and
orders of the State, local and Federal governments, including, but not limited to:
1. Public Law 111 -5, the American Recovery and Reinvestment Act (ARR.A) of 2009
(2/17/09).
2. 24 CFR 35, parts a, b, m, and r — Lead -Based Paint Poisoning Prevention in certain
residential structures.
3. 24 CFR 58 - The regulations prescribing the Environmental Review procedure.
4. Title VI of the 1984 Civil Rights Act, 42 USC § 2000d, et. seq.
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5. 24 CFR 107 - The regulations issued pursuant to Executive Order 11063 which prohibits
discrimination and promotes equal opportunity in housing.
6. Executive Order 11246 ( "Equal Employment Opportunity "), as amended by Executive
Orders 11375 and 12086 - which establishes hiring goals for minorities and women on projects assisted
with federal funds.
7. Title VII of the 1968 Civil Rights Act as amended by the Equal Employment Opportunity
Act of 1972, 42 USC § 2000e, et. seq.
8. 24 CFR 135 — Regulations outlining requirements of Section 3 of the Housing and Urban
Development Act of 1968, as amended.
9. Age Discrimination Act of 1975.
10. Contract Work Hours and Safety Standards Act, 40 USC 327 -332.
11. Section 504 of the Rehabilitation Act of 1973, 29 USC 776(b) (5).
12. Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970, as
amended.
13. 29 CFR Parts 3 and 5 - Regulations which prescribe the payment of prevailing wages and
the use of apprentices and trainees on federally assisted projects as mandated by the Davis -Bacon Act.
Anvok
14. Executive Order 11914 - Prohibits discrimination with respect to the handicapped in
federally assisted projects.
15. Public Law 100 -430 - the Fair Housing Amendments Act of 1988.
16. OMB Circular A -133 - concerning annual audits.
17. OMB Circular A -122 - which identifies cost principles.
18. 24 CFR 84 - Uniform Administrative Requirements for Grants and Agreements with
Institutions of Higher Education, Hospitals and Other Non - Profit Organizations.
19. 24 CFR 85 - Uniform Administrative Requirements for Grants and Agreements to State
and Local Governments.
20. Immigration Reform and Control Act of 1986 as located at 8 USC 1324, et seq. and
regulations relating thereto. Failure by the SUBRECIPIENT to comply with the laws referenced herein
shall constitute a breach of this agreement, and the County shall have the discretion to unilaterally
terminate this agreement immediately.
21. Chapter 112, Florida Statutes.
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22. Prohibition Of Gifts To County Employees - No organization or individual shall offer or
give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County
employee, as set forth in Chapter 112, Part III, Florida Statutes, Collier County Ethics Ordinance No.
2004 -05, as amended, and County Administrative Procedure 5311.
23. Order of Precedence - In the event of any conflict between or among the terms of any of
the Contract Documents, the terms of the Agreement shall take precedence over the terms of all other
Contract Documents, except the terms of any Supplemental Conditions shall take precedence over the
Agreement. To the extent any conflict in the terms of the Contract Documents cannot be resolved by
application of the Supplemental Conditions, if any, or the Agreement, the conflict shall be resolved by
imposing the more strict or costly obligation under the Contract Documents upon the Contractor at
Owner's discretion.
24. Venue - Any suit or action brought by either party to this Agreement against the other .
party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts
in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters.
25. Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this
Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve
any such disputes by negotiation. The negotiation shall be attended by representatives of
SUBRECIPIENT with full decision - making authority and by COUNTY'S staff person who would make
the presentation of any settlement reached during negotiations to COUNTY for approval. Failing
resolution, and prior to the commencement of depositions in any litigation between the parties arising out
of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed -
upon Circuit Court Mediator certified by the State of Florida. The mediation shall be attended by
representatives of SUBRECIPIENT with full decision - making authority and by COUNTY'S staff person
who would make the presentation of any settlement reached at mediation to COUNTY'S board for
approval. Should either party fail to submit to mediation as required hereunder, the other party may
obtain a court order requiring mediation under § 44.102, Fla. Stat.
D. SUBCONTRACTS
Any work or services subcontracted by the SUBRECIPIENT shall be specifically by written
contract or agreement, and such subcontracts shall be subject to each provision of this Agreement and
applicable County, State, and Federal guidelines and regulations. Prior to execution by the
SUBRECIPIENT of any subcontract hereunder, such subcontracts must be submitted by the
SUBRECIPIENT to HHVS for its review and approval, which will specifically include a determination of
compliance with the terms of the attached Scope of Services set forth in Exhibit "A."
This review also includes ensuring that all consultant contracts and fee schedules meet the
minimum standards as established by the Collier County Purchasing Department, Florida Statutes and
HUD. Reimbursements for such services will be made at SUBRECIPIENT cost. None of the work or
services covered by this Agreement,. including but not limited to consultant work or services, shall be
subcontracted by the SUBRECIPIENT or reimbursed by the COUNTY without prior written approval of
the HHVS or its designee.
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E. AMENDMENTS
This Agreement, and any exhibit or attachment, may be amended only by written agreement '"'
executed by the governing boards of both parties, except that County representative(s) may approve NOW
adjustments between line item amounts, scope clarifications, or an extension of time and schedule that do
not change the project, or exceed the amount funded by the County, as stated herein. Any modifications
to this contract shall be in compliance with the County Purchasing Policy and Administrative Procedures
in effect at the time such modifications are authorized.
F. INDEMNIFICATION
To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold
harmless Collier County, its officers and employees from any and all liabilities, damages, losses and
costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by
the negligence, recklessness, or intentionally wrongful conduct of the SUBRECIPIENT or anyone
employed or utilized by the SUBRECIPIENT in the performance of this Agreement. This
indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies
which otherwise may be available to an indemnified party or person described in this paragraph. This
section does not pertain to any incident arising from the sole negligence of Collier County. The foregoing
indemnification shall not constitute a waiver of sovereign immunity beyond the limits set forth in Section
768.28, Florida Statutes.
G. GRANTEE RECOGNITION
All facilities purchased or constructed pursuant to this Agreement shall be clearly identified as to
funding source. The SUBRECIPIENT will include a reference to the financial support herein provided by
HHVS in all publications and publicity. In addition, the SUBRECIPIENT will make a good faith effort to
recognize HHVS' support for all activities made possible with funds made available under this
Agreement. The SUBRECIPIENT will mount a temporary construction sign for projects funded by
HHVS. This design concept is intended to
disseminate key information regarding the development team as well as Equal Housing Opportunity to the
general public. The construction sign shall comply with applicable County codes.
H. TERMINATION
In event of termination for any of the reasons identified in sub - sections 1 -3 as follows, all finished
or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared,
and capital equipment secured by the SUBRECIPIENT with funds under this Agreement shall be returned
to HHVS or the COUNTY. In the event of termination, the SUBRECIPIENT shall not be relieved of
liability to the COUNTY for damages sustained by the COUNTY by virtue of any breach of the Contract
by the SUBRECIPIENT, and the COUNTY may withhold any payment to the SUBRECIPIENT for set-
off purposes until such time as the exact amount of damages due to the COUNTY from the
SUBRECIPIENT is determined.
1. TERMINATION FOR CAUSE
If through any cause either party shall fail to fulfill in timely and proper manner its obligations
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under this Agreement, or if either party shall violate any of the covenants, agreements, or stipulations of
this Agreement, either party shall thereupon have the right to terminate this Agreement in whole or part
by giving written notice of such termination to the other party and specifying therein the effective date of
termination. (See 24 CFR 85.43.)
2. TERMINATION FOR CONVENIENCE
At any time during the term of this Agreement, either party may, at its option and for any reason,
terminate this Agreement upon ten (10) working days written notice to the other party. Upon termination,
the COUNTY shall pay the SUBRECIPIENT for services rendered pursuant to this Agreement through
and including the date of termination. (See 24 CFR 85.44.)
3. TERMINATION DUE TO CESSATION
In the event the grant to the COUNTY under Title I of the Housing and Community Development
Act of 1974 (as amended) is suspended or terminated, this Agreement shall be suspended or terminated
effective on the date that HUD specifies.
I. INSURANCE
SUBRECIPIENT shall obtain and carry, at all times during its performance under the Contract
Documents, insurance of the types and in the amounts described herein and further set forth in Exhibit
"B" to this Agreement.
J. SUBRECIPIENT LIABILITY OBLIGATION
Compliance with the insurance requirements in Exhibit `B" shall not relieve the SUBRECIPIENT
of its liability and obligation under this subsection or under any subsection of this contract. The contract
is contingent upon receipt of the insurance documents within fifteen (15) calendar days after the Board of
County Commissioners' approval. If the Insurance certificate is received within the specified period, but
not in the manner prescribed in these requirements, the SUBRECIPIENT shall be verbally notified of the
deficiency and shall have an additional five (5) calendar days to submit a corrected Certificate to the
County.
If the SUBRECIPIENT fails to submit the required insurance documents in the manner prescribed
in these requirements within twenty (20) calendar days after the Board of County Commissioners'
approval, the SUBRECIPIENT shall be in default of the terms and conditions of the contract.
K. INDEPENDENT AGENT AND EMPLOYEES
The SUBRECIPIENT agrees that it will be acting as an independent agent and that its employees
are not Collier County employees and are not subject to the County provisions of law applicable to
County employees relative to employments, hours of work, and rates of compensation, leave,
unemployment and employee benefits.
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VII. ADMINISTRATIVE REQUIREMENTS
A. FINANCIAL MANAGEMENT
The SUBRECIPIENT agrees to comply with OMB Circular A — 110 (Uniform Administrative
Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and other Non -
Profit Organizations) and agrees to adhere to the accounting principles and procedures required therein,
utilize adequate internal controls, and maintain necessary source documentation for all costs incurred.
B. DOCUMENTATION AND RECORDKEEPING
1. The SUBRECIPIENT shall maintain all records required by ARRA and HPRP. To
maximize the transparency and accountability of the American Recovery and Reinvestment Act spending
required by Congress and in accordance with 2 CFR 215.21 "Uniform Administrative Requirements for
Grants and Agreements" and the A -102 Common Rule provisions, recipients agree to maintain records
that identify adequately the source and application of ARRA funds.
2. The SUBRECIPIENT shall submit detailed monthly progress reports to HHVS outlining
the status of specific activities under the project. Each report must account for the total activity for which
the SUBRECIPIENT is paid with HPRP funds, in part or in whole, and which is required in fulfillment of
their obligations regarding the Project. The progress reports shall be submitted on the form Exhibit "D,"
Schedule "D -2."
3. The SUBRECIPIENT is required to provide a quarterly report to HHVS detailing
compliance with the ARRA and HPRP.
4. All reports, plans, surveys, information, documents, maps, and other data procedures
developed, prepared, assembled, or completed by the SUBRECIPIENT for the purpose of this Agreement
shall be made available to the COUNTY by the SUBRECIPIENT at any time upon request by the
COUNTY or HHVS. 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 for three (3) years after expiration of this
Agreement.
a. Compliance
Compliance with the provisions of Section 3 of the HUD Act of 1968, as amended, and as implemented
by the regulations set forth in 24 CFR 135, and all applicable rules and orders issued hereunder prior to
the execution of this contract, shall be a condition of the Federal financial assistance provided under this
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a. Compliance
Compliance with the provisions of Section 3 of the HUD Act of 1968, as amended, and as implemented
by the regulations set forth in 24 CFR 135, and all applicable rules and orders issued hereunder prior to
the execution of this contract, shall be a condition of the Federal financial assistance provided under this
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contract and binding upon the Grantee the Subrecipient and any of the Subrecipient's subrecipients and
subcontractors. Failure to fulfill these requirements shall subject the Grantee the Subrecipient and any of
the _Subrecipients subrecipients and subcontractors their successors and assigns to those sanctions
specified by the Agreement through which Federal assistance is provided The Subrecipient certifies and
agrees that no contractual or other disability exists that would prevent compliance with these
requirements. The Subrecipient further agrees to comply with these "Section 3" requirements and to
include the following language in all subcontracts executed under this Agreement:
"The work to be performed under this Agreement is a_ project assisted under a pro ram
providing direct Federal financial assistance from HUD and is subiect to the requirements
of Section 3 of the Housing and Urban Development Act of 1968 as amended (12 U.S.C.
1701). Section 3 requires that to the greatest extent feasible opportunities for training and
employment be given to low- and very low - income residents of the project area and that
contracts for work in connection with the project be awarded to business concerns that
provide economic opportunities for low- and very low-income persons residing in the
metropolitan area in which the project. is located."
The Subrecipient further agrees to ensure that opportunities for training and employment arising in
connection with a housing rehabilitation (including reduction and abatement of lead based paint hazards),
housing construction or other public construction project are given to low and very low-income persons
residing within the metropolitan area in which the CDBG funded proiect is located-, where feasible
priority should be given to low- and very low - income persons within the service area of the project or the
neighborhood in which the protect is located and to low and very low-income participants in other HUD
ro rams; and award contracts for work undertaken in connection with a housing rehabilitation (including
reduction and abatement of lead -based paint hazards), housing construction or other public construction
protect to business concerns that provide economic opportunities for low and very low-income persons
residing within the metropolitan area in which the CDBG funded project is located where feasible
priority should be given to business concerns that provide economic opportunities to low and very low_
income residents within the service area or the neighborhood in which the project is located and to low
and very low - income participants in other HUD programs
The Subrecipient certifies and agrees that no contractual or other legal incapacity exists that would
prevent compliance with these requirements
b. Notifications
The Subrecipient agrees to send to each labor organization or representative of workers with which it has
a collective bargaining agreement or other contract or understanding_ if any, a notice advising said labor
organization or worker's representative of its commitments under this Section 3 clause and shall post
copies of the notice in conspicuous places available to employees and applicants for employment or
training.
c. Subcontracts
The Subrecipient will include this Section 3 clause in every subcontract and will take appropriate action
pursuant to the subcontract upon a finding that the subcontractor is in violation of regulations issued by
the grantor agency. The Subrecipient will not subcontract with any entity where it has notice or
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knowledge that the latter has been found in violation of regulations under 24 CFR Part 135 and will not
let any subcontract unless the entity has first provided it with a preliminary statement of ability to comply
with the requirements of these regulations."
6. The SUBRECIPIENT shall maintain records showing compliance with the Davis -Bacon
Law, including files containing contractor payrolls, employee interviews, Davis -Bacon wage rates, and
administrative cross - referencing. SUBRECIPIENT shall maintain records showing contractor compliance
with the Contract Work Hours and Work Safety Law. Similarly, the SUBRECIPIENT shall maintain
records showing compliance with federal purchasing requirements and with other federal requirements for
grant implementation.
7. If indirect costs are charged, the SUBRECIPIENT will develop an indirect cost allocation
plan for determining the appropriate SUBRECIPIENT'S share of administrative costs and shall submit
such plan to the COUNTY for approval, in a form specified by the COUNTY.
8. The SUBRECIPIENT will be responsible for the creation and maintenance of income
eligible files on clients served and documentation that all households are eligible under HUD Income
Guidelines.
9. The SUBRECIPIENT further agrees that HHVS shall be the final arbiter on the
SUBRECIPIENT's compliance with the above.
C. REPORTS, AUDITS, AND EVALUATIONS
Reimbursement will be contingent on the timely receipt of complete and accurate reports required AOW
by this Agreement, and on the resolution of monitoring or audit findings identified pursuant to this wow
Agreement.
The SUBRECIPIENT agrees that HHVS will carry out periodic monitoring and evaluation
activities as determined necessary. The continuation of this Agreement is dependent upon satisfactory
evaluations. The SUBRECIPIENT shall, upon the request of HHVS, submit information and status
reports required by HHVS or HUD to enable HHVS to evaluate said progress and to allow for completion
of reports required. The SUBRECIPIENT shall allow HHVS or HUD to monitor the SUBRECIPIENT
on site. Such site visits may be scheduled or unscheduled as determined by HHVS or HUD.
D. ADDITIONAL HOUSING, & HUMAN AND VETERAN SERVICES COUNTY AND
HUD REQUIREMENTS
The SUBRECIPIENT agrees to utilize funds available under this Agreement to supplement rather
than supplant funds otherwise available for specified activities.
E. WRITTEN APPROVALS
(1) All subcontracts and agreements proposed to be entered into by the
SUBRECIPIENT pursuant to this Agreement;
(2) All capital equipment expenditures of $1,000 or more;
(3) All out -of -town travel (travel shall be reimbursed in accordance with Chapter 112, ,
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 10 of 27
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Fla. Stat. unless otherwise required by HPRP);
(4) All change orders;
(5) All requests to utilize uncommitted funds after the expiration of this agreement for
programs described in Exhibit "A "; and
(6) All rates of pay and pay increases paid out of HPRP funds, whether for merit or
cost of living.
F. 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 procedures prescribed by the Federal
Management Circulars A -110, A -122, 24 CFR Part 84, and 24 CFR Part 85.
G. AUDITS AND INSPECTIONS
1. Non - profit organizations that expend $500,000 or more annually in federal awards
shall have a single or program - specific audit conducted for that year in accordance with OMB A -133.
Non - profit organizations expending federal awards of $500,000 or more under only one federal program
may elect to have a program- specific audit performed in accordance with OMB A -133. For recipients
covered by the Single Audit Act Amendments of 1996 and OMB Circular A -133, recipients agree to
separately identify the expenditures for Federal awards under the ARRA on the Schedule of Expenditures
of Federal Awards (SEFA) and the Data Collection Form (SF -SAC) required by OMB Circular A -133.
This shall be accomplished by identifying expenditures for Federal awards made under the ARRA
separately on the SEFA, and as separate rows under Item 9 of Part III on the SF -SAC by CFDA number,
and inclusion of the prefix "ARRA-" in identifying the name of the Federal program on the SEFA and as
the first characters in Item 9d of Part III on the SF -SAC.
2. Non - profit organizations that expend less than $500,000 annually in federal awards
shall be exempt from an audit conducted in accordance with OMB A -133, although their records must be
available for review (e.g., inspections, evaluations). These agencies are required by HHVS to submit
"Reduced Scope" audits (e.g., financial audit, performance audits). They may choose, instead of a
Reduced Scope Audit, to have a program audit conducted for each federal award in accordance with
federal laws and regulations governing the program in which they participate.
3. When the requirements of OMB A -133 apply, or when the SUBRECIPIENT elects
to comply with OMB A -133, an audit shall be conducted for each fiscal year for which federal awards
attributable to this contract have been received by the SUBRECIPIENT. A copy of the audit report must
be received by HHVS no later than six months following the end of the SUBRECIPIENT's fiscal year.
4. If an audit is required by Section G of this contract, but the requirements of OMB
A -133 do not apply or are not elected, the SUBRECIPIENT may choose to have an audit performed either
on the basis of the SUBRECIPIENT's fiscal year or on the basis of the period during which HHVS-
federal assistance has been received. In either case, each audit shall cover a time period of not more than
twelve months and an audit shall be submitted covering each assisted period until all the assistance
received from this contract has been reported. Each audit shall adhere to all other audit standards of OMB
A -133, as these may be limited to cover only those services undertaken pursuant to the terms of this
2009 -2010 ARRA- HPRP AMENDMENT 03 TO
CATHOLIC CHARITIES AGREEMENT
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contract. A copy of the audit report must be received by HHVS no later than six months following each
audit period.
5. The SUBRECIPIENT shall maintain all contract records in accordance witl:
generally accepted accounting principles, procedures, and practices which shall sufficiently and properly
reflect all revenues and expenditures of funds provided directly or indirectly by the County pursuant to the
terms of this Agreement.
6. The SUBRECIPIENT shall include in all HHVS approved subcontracts each of the
record - keeping and audit requirements detailed in this contract.
H. GRANT 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, unspent
cash advances, program income balances, and receivable accounts to the COUNTY), and determining the
custodianship of records.
VIII. OTHER PROGRAM REQUIREMENTS
A. OPPORTUNITIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE
The SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be subjected
to, discrimination under any activity carried out by the performance of this Agreement on the basis of
race, color, disability, national origin, religion, age, familial status, or sex. Upon receipt of evidence of
such discrimination, the COUNTY shall have the right to terminate this Agreement.
The SUBRECIPIENT shall comply with Section 3 of the Housing and Community Development
Act of 1968, as amended, 12 U.S.C. 1701u (section 3). Section 3 of the HUD Act of 1968 requires, to the
greatest extent feasible, that recipients of HUD funds (and their contractors and subcontractors) provide
jobs and other economic opportunities to low- income persons, particularly public housing residents.
Section 3 helps create employment for low- income persons and provides contracting opportunities for
businesses that are owned by low- income people or that provide employment to low - income people.
Contract administration shall be handled by the SUBRECIPIENT and monitored by the COUNTY.
B. OPPORTUNITIES FOR SMALL AND MINORITY /WOMEN -OWNED BUSINESS
ENTERPRISES
In the procurement of supplies, equipment, construction, or services, the SUBRECIPIENT shall
make a positive effort to utilize small business and minority /women -owned business enterprises of
supplies and services, and provide these sources the maximum feasible opportunity to compete for
contracts to be performed pursuant to this Agreement. To the maximum extent feasible, these small
business and minority /women -owned business enterprises shall be located in or owned by residents of the
CDBG areas designated by Collier County in the Annual Consolidated Plan approved by HUD.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
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C. PROGRAM BENEFICIARIES
Beneficiaries of a project funded through this Agreement must be at risk of homelessness. If the
project is located in an entitlement city, as defined by HUD, or serves beneficiaries countywide, more
than thirty percent (30 %) of the beneficiaries directly assisted under this Agreement must reside in
unincorporated Collier County or in municipalities participating in the County's Urban County
Qualification Program. The project shall assist beneficiaries as defined above for the time period
designated in Exhibit "A" of this Agreement.
D. CONFLICT OF INTEREST
The SUBRECIPIENT covenants that no person who presently exercises any functions or
responsibilities in connection with the Project, has any personal financial interest, direct or indirect, in the
target areas or any parcels therein, which would conflict in any manner or degree with the performance of
this Agreement and that no person having any conflict of interest shall be employed by or subcontracted
by the SUBRECIPIENT. Any possible conflict of interest on the part of the SUBRECIPIENT or its
employees shall be disclosed in writing to HHVS provided, however, that this paragraph shall be
interpreted in such a manner so as not to unreasonably impede the statutory requirement that maximum
opportunity be provided for employment of and participation of low and moderate - income residents of the
project target area.
E. PUBLIC ENTITY CRIMES
As provided in § 287.133, Fla. Stat. by entering into this Agreement or performing any work in
furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers, subcontractors and
consultants who will perform hereunder, have not been placed on the convicted vendor list maintained by
the State of Florida Department of Management Services within the 36 months immediately preceding the
date hereof. This notice is required by § 287.133 (3)(a), Fla. Stat.
F. DRUG -FREE WORKPLACE REQUIREMENTS
The SUBRECIPIENT must certify that it will provide drug -free workplaces in accordance with
the Drug -Free Workplace Act of 1988 (41 USC 701).
G. CERTIFICATION REGARDING LOBBYING
The undersigned certifies, to the best of his or her knowledge and belief, that:
1. No Federal appropriated funds have been paid or will be paid, by or on behalf of
the undersigned, to any person for influencing or attempting to influence an officer or employee of any
agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of
Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the
making of any Federal loan, the entering into of any cooperative agreement, and the extension,
continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative
agreement.
2009 -2010 ARRA- HPRP AIVIENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
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2. If any funds other than Federal appropriated funds have been paid or will be paid to
any person for influencing or attempting to influence an officer or employee of any agency, a Member ffi of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connectlor
with this Federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and
submit Standard Form -LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions.
3. The undersigned shall require that the language of this certification be included in
the award documents for all sub - awards at all tiers (including subcontracts, sub - grants, contracts under
grants, loans, and cooperative agreements) and that all SUBRECIPIENTS shall certify and disclose
accordingly.
X. CONDITIONS FOR RELIGIOUS ORGANIZATIONS
ARRA funds may not be used for religious activities or provided to primarily religious
organizations. Section 14004 of the ARRA specifies the limitations on ARRA funds.
XI. REVERSION OF ASSETS
Upon expiration of the Agreement, the SUBRECIPIENT shall transfer to the COUNTY any
HPRP funds on hand at the time of expiration, any accounts receivable attributable to the use of HPRP
funds, and any non - expendable personal property that was purchased with HPRP funds.
XII. SEVERABILITY
Should any provision of the Agreement be determined to be unenforceable or invalid, such a
determination shall not affect the validity or enforceability of any other section or part thereof.
XIII. COUNTERPARTS OF THE AGREEMENT
This Agreement, consisting of twenty -seven (27) enumerated pages, which
include the exhibits referenced herein, shall be executed in two (2) counterparts, each of which shall be
deemed to be an original, and such counterparts will constitute one and the same instrument.
XIV. ENTIRE UNDERSTANDING
This Agreement and its provisions merge any prior agreements, if any, between the parties and
constitutes the entire understanding. The parties hereby acknowledge that there have been and are no
representations, warranties, covenants, or undertakings other than those expressly set forth herein.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
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(SJ� nature Page to Follow)
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1/10/2012 Item 16.D.4.
IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on this day of 20
ATTEST:
DWIGHT E. BROCK, CLERK
Dated:
(SEAL)
First Witness:
Witness Signature
Type /print witness name
Second Witness:
Witness Signature
Type /print witness name
Approved as to form and legal sufficiency:
Jennifer B. White .�
Assistant County Attorney
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 15 of 27
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
LIM
, CHAIRMAN
CATHOLIC CHARITIES,
DIOCESE OF VENICE, INC.
Subrecipient Signature
Type /print Subrecipient name and title
Packet Page -1216-
1/10/2012 Item 16.D.4.
EXHIBIT "A"
AMENDED SCOPE OF SERVICES
Catholic Charities of Collier County /S09- UY -12- 0024 - 2009 -01
HPRP Short Term Direct Rental and Utility Assistance Program
THE SUBRECIPIENT AGREES TO:
A. PROJECT SCOPE:
B.
The Catholic Charities Family Resource Center (FRC) in East Naples and Guadalupe Social
Services (GSS) Center in Immokalee proposes to provide utility and/or rental assistance to
approximately 132 income qualified families /individuals in Collier County who are at risk of
becoming homeless. Clients will receive up to three (3) months of rental assistance with a
maximum of $1,200 $2, 500 per client. Clients receiving more than one month of assistance will
be referred to a budget education program for either classroom or at home instruction. All
services performed and assistance payments dispersed must conform to the policies and
procedures outlined in the HPRP Administrative Plan.
Collier County Department of Housing and Human Services (HHS) is using Department of
Housing and Urban Development (HUD) Homelessness Prevention and Rapid Re- Housing
Program (HPRP) funds in the amount of One Hundred and Fifty Thousand Dollars and No
Cents ($150,000) to fund the Catholic Charities Short Term Direct Rental and Utility Assistance
Project.
Catholic Charities HPRP Short Term Direct Rental and Utility Assistance
BUDGET:
Line Item: HPRP Funds
Direct Client Assistance $150,000
Utility and/or Rental Assistance
Total Funds: $150,000
Clarifications to the quantity and types of work to be conducted under Exhibit A will be processed by a
Change by Letter, Exhibit A -1, and made an integral component of this Agreement.
C. PROJECT MILESTONE SCHEDULE
The time frame for completion of the outlined activities shall be:
MILESTONE /TASK
START DATE
END DATE
Train staff and on parameters of
grant program, HMIS and award
-reporting.
1 09/01/2009
09/30/2009
2009 -2010 ARRA - HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
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Initiate a fiscal reporting and
accountability process in
conjunction with the Collier County
Finance Department and HHS
Fiscal Staff 09/15/2009
HMIS reporting system
10/ 15/2009
im lementation and trainin 09/01 /2009
09/15/2009
Subrecipient must expend at least
60% of award amount. 09/15/2009
Provide approximately 132 clients
07/15/2011
with short term assistance for rent
and/or utilities. Subrecipient must
expend 100% of award by End
Date. 10/1/2009
07/15/2012
requirements only, and
NOTE: Performance milestones are in effect for program monitoring
as such, are used by HUD and other
grantor agencies as general
performance requirements.
target goals rather than strict
This agreement shall allow reimbursement of expenses for all eligible costs associated with the
agreement and does not require the completion of all agreement milestones for reimbursement
to be paid.
Please note that if any of these activities exceed the timelines by two months a revised work
schedule must be submitted to HHS.
D. OUTCOME PERFORMANCE MEASUREMENTS:
OBJECTIVE OUTCOMES ACTNITY
Prevent approximately
132 individuals /families
from becoming homeless
by providing short term
rent and utility assistance
Across the FRC and
GSS programs, 100%
of clients will have
basic needs met and /or
appropriate referrals
made at the time of
contact for legal and
budget counseline.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 17 of 27
Provide 1 to 3 months
of rental and /or utility
assistance; or refer
client for medium term
assistance as warranted.
Packet Page -1218-
INDICATORS
r nrougn the tunding period —
132 clients assisted with rent or
utility assistance
EXHIBIT "A -1"
CHANGE BY LETTER
"A COLLIER COUNTY GOVERNMENT
Collier County Housing & Human Services
Public Services. Division Address
Date
Contact Name
Name of Firm
Address
RE: Zero Dollar Contract Change Notification
Re: Contract # and Title of Contract
Project #
Purchase Order #
Dear Contact Name:
1/10/2012 Item 16.D.4.
NAPLES, FLORIDA Zip code
PHONE: (239) Phone #
FAX (239) Fax #
By copy of this letter, the above referenced contract is being issued a zero dollar ($0.00) change as indicated below:
r The above referenced contract time is hereby extended by Number of days calendar days. The new completion date shall r
be on or before month and date, Year.
By extending this contract, the County is not relieving your firm of its obligations to perform work in a timely and satisfactory
manner or any consequences resulting from failing to do so. Collier County hereby reserves all legal rights, including, but not
limited to, rights to terminate, suspend or elect any other appropriate course(s) of action should circumstances warrant with
regard to the referenced contract.
Additional Staffing Categories Professional Position(s) Hourly Rate(s)
r Draw against Allowance (specify allowance item and identify specific items and quantities)
F Other: Scope Clarifications as indentified in Schedule B -1, "Clarifications in Scope ", (attached).
Sincerely,
Your name
Title
cc: Contract Specialist Name Contract Specialist, Purchasing Department
Suzanne Boothby, Clerk's Grants Department
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 18 of 27
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EXHIBIT "B"
INSURANCE REQUIREMENTS
The SUBRECIPIENT shall furnish to Collier County, c/o Housing, Human and Veteran Services
Department, 3339 E. Tamiami Trail, Suite 211, Naples, FL 34112, Certificate(s) of Insurance evidencing
insurance coverage that meets the requirements as outlined below:
1. Workers' Compensation as required by Chapter 440, Florida Statutes..
2. Public Liability Insurance on a comprehensive basis in an amount no less than $300,000
per occurrence for combined Bodily Injury and Property Damage. Collier County must be shown as an
additional insured with respect to this coverage.
3. Automobile Liability Insurance covering all owned, non -owned and hired vehicles used in
connection with this contract in an amount not less than $300,000 per occurrence for combined Bodily
Injury and Property Damage.
DESIGN STAGE (IF APPLICABLE)
In addition to the insurance required in 1 — 3 above, a Certificate of Insurance must be provided as
follows:
4. Professional Liability Insurance in the name of the SUBRECIPIENT or the licensed design
professional employed by the SUBRECIPIENT in an amount not less than $300,000 per occurrence
providing for all sums which the SUBRECIPIENT and/or the design professional shall become legally
obligated to pay as damages for claims arising out of the services performed by the SUBRECIPIENT or
any person employed by the SUBRECIPIENT in connection with this contract. This insurance shall be
maintained for a period of two (2) years after the certificate of Occupancy is issued.
CONSTRUCTION PHASE (IF APPLICABLE)
In addition to the insurance required in 1 — 4 above, the SUBRECIPEINT shall provide or cause
its Subcontractors to provide original policies indicating the following types of insurance coverage prior
to any construction:
5. Completed Value Builder's Risk Insurance on an "All Risk" basis in an amount not less
than one hundred (100 %) percent of the insurable value of the building(s) or structure(s). The policy shall
be in the name of Collier County and the SUBRECIPIENT.
6. Flood Insurance shall be provided for those properties found to be within a flood hazard
zone, in an amount not less than the full replace values of the completed structure(s) or the maximum
amount of coverage available through the National Flood Insurance Program (NFIP), whichever is
greater. The policy will show Collier County as a Loss Payee A.T.I.M.A. This policy will be provided as
such time that he buildings' walls and roof exist.
OPERATION /MANAGEMENT PHASE (IF APPLICABLE)
After the Construction Phase is completed and occupancy begins, the following insurance must be
kept in force throughout the duration of the loan and/or Contract:
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 19 of 27
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1/10/2012 Item 16.D.4.
7. Public Liability coverage in an amount not less than $1,000,000 per occurrence for
combined Bodily Injury and Property damage. Collier County must be shown as an additional insure
with respect to this coverage.
8. Property Insurance coverage on an "All Risk" basis in an amount not less than one hundred
(100 %) of the replacement cost of the property. Collier County must be shown as a Loss payee with
respect to this coverage A.T.I.M.A.
9.. Flood Insurance coverage for those properties found to be within a flood hazard zone for
the full replacement values of the structure(s) or the maximum amount of coverage available through the
National Flood Insurance Program (NFIP). The policy must show Collier County as a Loss Payee
A.T.I.M.A.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 20 of 27
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1/10/2012 Item 16.D.4.
EXHIBIT "C"
ADDITIONAL HPRP GRANT REQUIREMENTS
1. The Subrecipient will be responsible for providing all reporting data to Collier County upon
request regarding the Federal Funding Accountabihit
y and Trans arenc Act FFATA .
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 21 of 27
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D -1
D -la
D -2
EXHIBIT `11)"
REQUIRED SUBMITTALS
Request for Payment
Release and Affidavit Form
HPRP Monthly Progress Report
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 22 of 27
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1/10/2012 Item 16.D.4.
V1
1/10/2012 Item 16.D.4.
SCHEDULE "D -1"
COLLIER COUNTY HOUSING, HUMAN AND VETERAN SERVICES
REQUEST FOR PAYMENT
SECTION I: REOUEST FOR PAYMENT
Subrecipient Name: Catholic Charities of Collier County
Subrecipient Address: 2210 Santa Barbara Blvd Naples FL 34116
Project Name: Catholic Charities of Collier County HPRP Short Term Rental & Utility
Assistance Program
Project No: S09- UY -12- 0024 - 2009 -05 Payment Request #
Dollar Amount Requested: $
SECTION II: STATUS OF FUNDS
Grant Amount Awarded
2. Sum of Past Claims Paid on this Account
3. Total Grant Amount Awarded Less Sum
Of Past Claims Paid on this Account
4. Amount of Previous Unpaid Requests
5. Amount of Today's Request
6. Current Grant Balance (Initial Grant Amount Awarded
Less Sum of all requests)
$ $150,000
$
I certify that this request for payment has been drawn in accordance with the terms and conditions
of the Agreement/Amendment between the COUNTY and us, as the SUBRECIPIENT. I also certify that
the amount of the Request for Payment is not in excess of current needs.
Signature
Title
Authorizing Grant Coordinator
Date
Supervisor (approval authority under $14,999)
Dept Director
2009 -2010 ARRA- HPRP AMENDMENT 43 TO
CATHOLIC CHARITIES AGREEMENT
Page 23 of 27
(approval required $15,000 and above)
Packet Page -1224-
1/10/2012 Item 16.D.4.
SCHEDULE "D -la"
RELEASE AND AFFIDAVIT FORM
The SUBRECIPIENT certifies for itself and its subcontractors, material -men, successors and
assigns, that all charges for labor, materials, supplies, lands, licenses and other expenses for which
COUNTY might be sued or for which a lien or a demand against any payment bond might be filed, have
been satisfied and paid.
This Release and Affidavit is given in connection with the SUBRECIPIENT's (monthly /final)
Request for Payment.
Witness:
�
Print name and title
STATE OF
COUNTY OF
SUBRECIPIENT
BY:
ITS: President
DATE:
The foregoing instrument was acknowledged before me this day of , 2011,
by � as of
A Choose Not - For - Profit, or Corporation or Municipality on behalf of
Choose Not - For - Profit, Corporation or Municipality . He /She is personally known to me OR has
produced as identification and who did (did not) take an oath.
My Commission Expires:
(AFFIX OFFICIAL SEAL)
2009 -2010 ARRA- HPRP AMENDMENT 43 TO
CATHOLIC CHARITIES AGREEMENT
Page 24 of 27
(Signature)
Name:
(Legibly Printed)
Notary Public, State of.
Commission No.:
Packet Page -1225-
1/10/2012 Item 16.D.4.
SCHEDULE "D -2"
HPRP MONTHLY PROGRESS REPORT
Complete form for past month and submit to Housing, Human & Veteran Service's staff by the
10`" of the following month.
Status Report for Month of
Submittal Date:
Project Name: Catholic Charities of Collier County HPRP Short Term Rental & Utility
Assistance Program
Project Number S09- UY -12- 0024 - 2009 -05 Activity Number
Subrecipient: Catholic Charities
Contact Person
Telephone: 239 - 455 -2655 ext 101 Fax: 239 - 455 -7235
E -mail: bob(a catholiccharitiescc.orl?
1. Activity Status/Milestones (describe any action taken, relating to this project, during the
past month):
2. What events /actions are scheduled for the next two months?
3. Describe any affirmative marketing you have implemented regarding this project.
Please list and attach any recent media coverage of your organization relating to this project.
4. List any additional data relevant to the outcome measures listed on the application
for this project.
5. Identify any potential issues that may cause delay.
2009 -2010 ARRA- HPRP AMENDMENT0 TO
CATHOLIC CHARITIES AGREEMENT
Page 25 of 27
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1/10/2012 Item 16.D.4.
New contracts executed this month (if applicable):
Name of Contractor or
Subcontractor, Address & Phone
Number
Amount of
Contract
Contractor
Federal ID
Number
Race
(see definitions
on following
page)
Ethnicity
(see definitions
on following
Page)
Total Number of
Extremely
Very
Low Income
I Female Head of
For projects that serve a particular clientele, please complete the following information by
entering the appropriate number in the blank spaces and in the chart below. Complete the below chart for
NEW clients served this month. DO NOT DUPLICATE clients served in previous months. You may
provide data by either households or persons served. However, if one person received TWO services this
counts as TWO SERVICE UNITS:
TOTAL BENEFICIARIES
This project benefits households or persons. Please circle one category (either "households"
or "persons "). Enter the number of beneficiaries in the blank space and in Box "1. " law
INCOME
Of the households or persons assisted, are extremely low- income income (0 -30 %) of the
current Median Family Income (MFI). Enter this number in Box "2. "
Of the households or persons assisted, are very low - income (31 -50 %) of the current Median
Family Income (MFI). Enter this number in Box "3. "
Of these households or persons assisted, are low- income (51 -80 %) of the current Median
Family Income (MFI). Enter this number in Box "4. "
NOTE. The total of Boxes 2,3 and 4 should equal the number in Box].
FEMALE HEAD OF HOUSEHOLD
This project assisted Female Head of Households REGARDLESS of income. Enter this
number in box "S" below.
BOX 1
BOX 2
BOX 3
BOX 4
BOX 5
Total Number of
Extremely
Very
Low Income
I Female Head of
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
CATHOLIC CHARITIES AGREEMENT
Page 26 of 27
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1/10/2012 Item 16.D.4.
Households or
Persons Assisted
Low Income
(0 -30 %)
Low Income
(31 -50 %)
(51 -80 %)
Household
Black or African American
Asian
Subrecipient's must indicate total beneficiaries for Race AND Ethnicity
Definitions of Race:
White: A person having origins in any of the original peoples of Europe, the Middle East, or North
Africa.
Black or African- American: A person having origins in any of the black racial groups of Africa.
Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the
Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia,
Pakistan, the Philippine Islands, Thailand, and Vietnam.
American Indian or Alaska Native: A person having origins in any of the original peoples of North
and South America (including Central America), and who maintains tribal affiliation or community
attachment.
Native Hawaiian or Other Pacific Islander: A person having origins in any of the original people of
Hawaii, Guam, Samoa, or other Pacific Islands.
Definitions of Ethnicity:
Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other
Spanish culture or origin, regardless of race.
Tabulation Table of Race and Ethnicity Beneficiaries
Race
# Total
# His anic
White
Black or African American
Asian
American Indian or Alaskan Native
Native Hawaiian or Other Pacific Islander
American Indian/Alaska Native and White
Asian and White
Black/African American and White
American Indian/Alaskan Native and Black/African American
Other Multi- Racial
TOTAL:
2009 -2010 ARRA- HPRP AMENDMENT0 TO
CATHOLIC CHARITIES AGREEMENT
Page 27 of 27
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