Backup Documents 06/26/2018 Item #16D15 16015
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting. 'v
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Dawn Whelan Community and Human A .6 5/31/18
Services
2. County Attorney Office County Attorney Office
3. BCC Office Board of Countyft �/
Commissioners Sl 6 '2t•I D
4. Minutes and Records Clerk of Court's Office e—, 6/311b e '( 166i'l
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 Rachel Brandhorst,Grant Coordinator, Phone Number 239-252-4230
Contact/ Department Community and Human Services 239-398-8932
Agenda Date Item was June 26,2018 Agenda Item Number 16D V
Approved by the BCC
Type of Document Amendment S Number of Original 7
Attached Documents Attached
PO number or account
number if document is N/A
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? 5*et 1 a k 144444. N 14
2. Does the document need to be sent to another agency for additional signatures? If yes, RMB Se_e_. ,..*
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. �
3. Original document has been signed/initialed for legal sufficiency. (All documents to be RMB
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 Attorney's N/A
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 RMB
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's RMB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip MB
should be provided to the County Attorney Office at the time the item is input into SIRE. 0 110)-
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's r/ a • ,,, e
Office has reviewed the changes,if applicable. - .
9. Initials of attorney verifying that the attached document is the version approved by theg!-1.-*--q[itilqi
BCC, all changes directed by the BCC have been made,and the document is ready for the 4
Chairman's signature.
5--'
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 <Cs
Instructions
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1) Please send 1 Chairman signed DCF agreement to:
Jennifer Benghuzzi
Contract Manager, Business Operations Unit
Florida Department of Children and Families
Office of Substance Abuse and Mental Health
1317 Winewood Blvd., Bldg. 6, Room 235
Tallahassee, FL 32399-0700
2) Please send 1 Chairman signed DCF agreement to:
Rachel Brandhorst/Dawn Whelan
Grant Coordinator
Collier County Government
3339 Tamiami Trail East
Building H, Suite 211
Naples, FL 34112
DLC:
1) Please send 1 Chairman signed DLC agreement to:
Nancy Dauphinais, COO
David Lawrence Center
6075 Bathey Ln
Naples, FL 34116
2) Please send 1 Chairman signed DLC agreement to:
Rachel Brandhorst/Dawn Whelan
Grant Coordinator
Collier County Government
3339 Tamiami Trail East
Building H, Suite 211
Naples, FL 34112
CCSO:
3) Please send 1 Chairman signed CCSO agreement to:
Marien Ruiz
Collier County Sheriff's Office
3319 Tamiami Trail E.
Naples, FL 33112
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
4) Please send 1 Chairman signed CCSO agreement to:
Rachel Brandhorst/Dawn Whelan
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Grant Coordinator
Collier County Government
3339 Tamiami Trail East
Building H, Suite 211
Naples, FL 34112
NAMI:
5) Please send 1 Chairman signed NAMI agreement to:
Pam Baker
Executive Director/ CEO
NAMI of Collier County, Inc.
6216 Trail Boulevard
Naples, FL 34108
6) Please send 1 Chairman signed NAMI agreement to:
Rachel Brandhorst/Dawn Whelan
Grant Coordinator
Collier County Government
3339 Tamiami Trail East
Building H, Suite 211
Naples, FL 34112
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
Coy.9f Ca.Jlier
CLERK OF THE CIRC IT COURT 16 D 15
COLLIER COUNT\ccOUR OUSE
3315 TAMIAMI TRL E STE 102 I P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Audito t, CListodian of County Funds
June 27, 2018
Jennifer Benghuzzi, Contract Manager
Florida Department of Children & Family
Office of Substance Abuse and Mental Health
1317 Winewood Blvd.
Building 6, Room 235
Tallahassee, FL 32399-0700
Ms. Benghuzzi,
Enclosed is an original Amendment to Contract#LHZ54 approved by the Collier
County Commissioners on Tuesday, June 26, 2018 that requires an additional
signature from John N. Bryant. I have enclosed a second copy to return to my
office once executed. If you have any questions please contact me at 239-252-
8411.
Thank you,
3?J'AIISIThQ—CLA/‘JA.L-7-SSr-----‘
Teresa Cannon, Sr, Deputy Clerk
Minutes & Records Department
3299 Tamiami Trail East, Suite #401
Naples, FL 34112
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
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April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter
referred to as the"Department", and Collier County Board of County Commissioners, hereinafter referred to as the
"Grantee".
Amendment #0001. The purpose of this amendment is to correct contact information in Sections 1.2.2. and C-
1.2.3.; define "successful discharge" in Section A-1.9.; revise the staff to participant ratio in Section C-1.1.3.2.;
remove Section C-1.1.5.;clarify content of the quarterly Planning Council meetings and FIRST Oversight activities in
Section C-1.2.1; clarify annual reporting on to the Planning Council in Section C-1.2.2.; revise staffing levels in
Section C-2.1.3., and Section C-2.1.4.; and revise the performance measure language in Section E-1.9. and the
associated methodology in Section E-2.9.
1. Page 1,Section 1.2.2.,is hereby is hereby amended to read:
1.2.2. The name, address, telephone number and e-mail address where the Grantee's financial and
administrative records are maintained are:
Name: Kimberley Grant
Address:3339 Tamiami Trail East
Community and Human Services Division
City: Naples State:FL Zip Code: 34112
Phone: c239)252-6287 Ext:_E-Mail:Kimberley.Grantalcolliercountvfi.gov
2. Page 1, Section 1.2.3.,is hereby is hereby amended to read:
1.2.3. The name, address, telephone number and e-mail of the Grantee's representative responsible for the
program under this Grant are:
Name:Kimberley Grant
Address:3339 Tamiami Trail East
Community and Human Services Division
City:Naples State: FL Zip Code: 34112
Phone:(239)252-6287 Ext:_E-Mail:Kimberley.Grantfcolllercountyfl.gov
3. Page 19,Section A-1., is hereby amended to add:
A-1.10. Successful Discharge
Individuals discharged from the Program who are not re-arrested.
4. Page 28,Section C-1.1.3.2., is hereby amended to read:
C-1.1.3.2, Maintain a FIRST staff to participant ratio of 1:30 or lower.
5. Page 28,Section C-1.1.5.,is hereby amended to read:
C-1.1.5. C-1.1.5. is reserved.
CF 1127
Effective July 2015
(CF-1127-1516) 1
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April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
6. Page 28,Sections C-1.2.1,andC-1.2.2.,is hereby amended to read, respectively:
C-1.2.1. Participate in Planning Council meetings quarterly to include strategic planning and processes,and
FIRST Oversight activities; and
C-1.2.2. Conduct an evaluation of the FIRST program and prepare a report to be presented to the Planning
Council no less than annually.
7. Page 29,Sections C-2.1.3.3 through C-2.1.3.6.,is hereby amended to read:
C-2.1.3.3. 0.00 FTE Health Services Administrator;
C-2.1.3.4. 0.16 FTE Grants Coordinator;
C-2.1.3.5. 0.17 FTE Grants Fiscal Clerk;
C-2.1.3.6. 0.40 FTE Reintegration Manager;
8. Page 30, Section C-2.1.4.3., is hereby amended to read:
C-2.1.4.3. 0.30 FTE Financial Assistant.
9. Page 37, Section E-1.9.,is hereby amended to read:
E-1.9. 90% of successfully discharged individuals participating in the Peer Specialist facilitated Quality of Life
Assessment'shall have an improvement score from admission to discharge.
10. Page 38,Section E-2.9.,is hereby amended to read:
E-2.9. For the measure in Section E•1.9., the total number of individuals successfully discharged from the
Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at admission
DIVIDED BY the total number of individuals successfully discharged from Program who agreed to participate in
the Peer Specialist facilitated Quality of Life Assessment at discharge showing improved scores shall be
GREATER THAN OR EQUAL TO 90%.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
2
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April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
This Amendment shall be effective on April 1 2018,or the date on which the amendment has been signed by all
parties hereto,whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall and are hereby
changed to conform to this amendment,
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the
contract.
This amendment and all its attachments are hereby made part of the grant agreement.
IN WITNESS THEREOF, the parties hereto have caused this three (3) page amendment to be executed by their
officials thereunto duly authorized.
GRANTEE: ' •LLI 'COUNTY :%• :% STATE OF FLORIDA: DEPARTMENT
OF COW C. I' - " OF CHILDREN&FAMILIES
SIG SIGNED
BY: BY:
NAME: IL\ t.) 0 y .SC t,..1 Sl NAME: John N.Bryant
TITLE: CAA A (2 (Y\-1:1 'v TITLE: Assistant Secretary, Substance Abuse
and Mental Health
DATE: CD l a 6,VS• DATE:
FEID NUMBER:596000558
CRYSTAL K.KINZEL,
ATTEST: INTERIM CLERK Approved as to form and legality
Assistant County At cis
Attest as to Chairman's
signature only. S 1°`\
451
3
MEMORANDUM 16 D 15
Date: June 27, 2018
To: Nancy Dauphinais, COO
David Lawrence Center
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: First Amendment to Agreement CJMHSA-001
Enclosed please find an original of the document referenced above (Agenda Item
#16D15), approved by the Board of County Commissioners on Tuesday, June 26, 2018.
The Minutes & Records Department has retained the original as part of the Board's
Official Records.
If you have any questions, please contact me at 239-252-8411.
Thank you.
Enclosure
Enclosure
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FIRST AMENDMENT TO AGREEMENT CJMHSA-001 BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
This Amendment, is entered into this 2-1.. 4k day of a'rtic., , 2018, by
and between David Lawrence Mental Health Center, Inc. hereinafter referred to as Subrecipient
and Collier County, a political subdivision of the State of Florida, hereinafter referred to as
"COUNTY," collectively stated as the "Parties."
WHEREAS, on July 11, 2017, the County and Subrecipient entered into an agreement for
Subrecipient to provide "FIRST grant services"to Collier County residents (hereinafter referred to
as the "Agreement"); and
WHEREAS, the parties desire to modify the Agreement to add a definition for successful
discharge and sustainability, add staff to participant ratio, provide clarification to the Planning
Council requirements, outline subrecipient match obligation, modify Exhibit G, add Exhibit J and
add Exhibit K; and
WHEREAS, the effective date of this amendment shall be April 1, 2018.
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 modify the Agreement as follows:
Words Underlined are added
*
1. Exhibit A, Definitions, a new A-1.8 and A-1.9 are being added to read:
A-1.8 Successful Discharge
Individuals discharged from the Program who are not re-arrested.
A-1.9 Sustainability
The capacity of the Grantee and its partners to maintain the service coverage, developed as a
result of this grant, at a level that continues to deliver the intended benefits of the initiative after
the financial and technical assistance from the County is terminated.
2. Exhibit C, C-1, Service Tasks
C-2.1.To support the objective in Section B-2, within three months of execution of this
Grant Agreement, the Subrecipient shall enhance its existing Program and diversion
initiatives to increase public safety, avert increased spending on criminal justice; and
reduce crime, recidivism, and use of forensic institutions among the target population.
To achieve this outcome, the Subrecipient shall:
C•2.1.1 Assist in the development and shall share client information to allow for a
system to track individuals during their involvement with the Program and for one
year after discharge, including but not limited to: arrests, receipt of benefits,
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employment, and stable housing as evidenced by the data shared with NAMI and
reported by NAMI on the quarterly tracking identifying clients served and
progress with above services.
C-2.1.2 Ensure that all staff members are hired to provide services to
accommodate the number of individuals served;
C-2.1.2.1. Hire and train all staff listed in Section C-2.1 as evidenced by payroll
report showing employed staff by name and position (submission required with
initial payment request and only when personnel changes are made thereafter);
and
C-2.1.3 Enhance the FIRST program to focus on serious mental illnesses co-
occurring mental illness and substance use disorders and substance abuse as
evidenced by quarterly client service report.
C-1.1.4 Maintain a FIRST staff to participant ratio of 1:30 or lower.
C-1.2 To support the objective in Section B-2.2., the County encourages
collaboration among key stakeholders, identified in the County's Application. To
achieve this outcome, the Subrecipient shall:
- - = - e = - -• _.e•• ••• == ' =_ - - - = - - - -
Participate in Planning Council meetings quarterly to
include the strategic planning process, and FIRST Oversight activities as
evidenced by the sign in sheet and agenda; and
C.1.2.2 '- - -- _ -- - e - -e••••• -- - -- - - _ -- - - -
-' •••T - - - -• .. - -=- - •- --= -- - - - - -- - =-- . Participate
in the evaluation of the FIRST program by offering data and assistance in the
preparation of the Process and Outcome report to be presented to the Planning
Council no less than annually as evidenced by the final report submitted annually
no later than September 30th to the County and presented in the 4th quarter of the
calendar year to the Planning Council.
C-1.3 To support the program objective the Subrecipient shall refer clients to peer support
services and provide therapies to those clients who agree to participate in an effort to improve
quality of life among Program participants. To achieve this outcome, the Subrecipient shall
provide referral to NAMI for peer support services and therapy data on the quarterly client
service report
3. Exhibit F, F-3
F-1, The Subrecipient shall provide match funds in accordance with the schedule in the table
below
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Program Year One $116,579
Program Year Two $116,579
Program Year Three $116,579
Total Match Required for the grant period 2017-2020
$349,737
- - • -- _- _ - -= -- ---- -- - - - _ - = - - -_ - - The
Subrecipient shall submit match no less than annually (Exhibit H-1) and the amount of the
match submission is not required to be commensurate with the payment/invoice amount.
Match is required to be met on total expenditures paid by the grantor to the County over the
entire grant period. The Subrecipient shall meet the entire program year match obligation at
the end of program year and in the event that the Subrecipient has not satisfied their entire
match obligation by the third quarter of program year 3 payment will be withheld until such
time as the obligation is met. In the event the subrecipient has not satisfied their entire
match obligation, the subrecipient may accept match overage from other subrecipients to
meet their obligation or they may provide their excess to match to other subrecipients under
this grant.
4. Exhibit F, F-1.5 is hereby added:
The SUBRECIPIENT shall submit monthly financial reports on the 30th day after the prior month
end, in accordance with Exhibit G. The SUBRECIPIENT shall submit a final reconciliation of
their expenditures at the end of each program year, no later than August 1. In the event the
annual expenditures are less than the amount paid to the SUBRECIPIENT, the
SUBRECIPIENT shall deduct the over payment amount from the next quarterly billinq. At the
end of the 3-year grant year a final reconciliation shall be submitted and any amount due to the
County shall be reimbursed within 60 days following the end of the aqreement.
5. Exhibit G, Deliverable and Report Table
Report/Deliverable Name Supporting Document Due Date
Quarterly Payment As detailed in Exhibit F.1.4 5th day of the month
Request and Exhibit H following the end of the
quarter
Match Match documentation, Quarterly Annually
Exhibit H-1
Monthly Financial Report Exhibit J The 30th day after prior
month end
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16015
Reconciliation of Exhibit K 1st day of August
Expenditures following the end of each
fiscal veer
Quarterly Program Quarterly Service Report 5th day of the month
Services Report following the end of the
quarter
Final Program Report Final Program Report 30 days following the
Template ending date of the
agreement
Incident Report Incident Report Per Occurrence
Employment Screening Certification from each July 31 and per
Certification employee working on grant occurrence for each new
hire
Security Awareness Certificate for those staff At contract execution
Training entering data into State and annually thereafter.
System
Insurance(Director& Insurance Within 30 days of
Officer, Workmen's Comp, Certificate/Deceleration expiration
Liability)
Favorable Conditions Attestation Form July 31 and annually
thereafter.
Financial and Compliance Exhibit I Annually within 9 months
Audit of Fiscal Year End
Disaster Plan Plan Within 30 days of
contract execution and
within 30 days of any
changes to the plan.
Deaf-and-Hard of Hearing Single Point of Contact and 5th day of the month
ADA Report following the end of the
quarter
CHS Conflict of Interest Conflict of Interest Form Within 30 day of hire for
each new employee
working on the grant.
6. Exhibit J, Monthly Financial Report is hereby added in its entirety as attached.
7. Exhibit K, Reconciliation of Expenditures is hereby added in its entirety as attached.
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IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person
or agent, have executed this Contract on the date and year first written above.
CRYSTAL K.KINZEL,
ATTEST: INTERIM CLERK David Lawrence Mental Health Center, Inc.
attest astrakii�dfSERK
Title: Chief Executive Officer
*attire Oill'j.
. T
V • Date: S
Approval for form and legality: COLLIER c•UN
By: L
Jenni -r A. Belpedio % Andy Solis, CHAIRMAN
Assistant County Attorney ���
s k
Date: (t,\
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16015
MEMORANDUM
Date: June 27, 2018
To: Marien Ruiz,
Collier County Sheriffs Office
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: First Amendment to Agreement CJMHSA-002
Enclosed please find an original of the document referenced above (Agenda Item
#16D15), approved by the Board of County Commissioners on Tuesday, June 26, 2018.
The Minutes & Records Department has retained the original as part of the Board's
Official Records.
If you have any questions, please contact me at 239-252-8411.
Thank you.
Enclosure
Enclosure
1 6 D 1 5
FIRST AMENDMENT TO AGREEMENT CJMHSA-002 BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
COLLIER COUNTY SHERIFF'S OFFICE
This Amendment, is entered into this :x.44.4% day of , 2018, by
and between the Collier County Sheriff's Office hereinafter referred to as Subrecipient and Collier
County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY,"
collectively stated as the "Parties."
WHEREAS, on July 11, 2017,the County and Subrecipient entered into an agreement for
Subrecipient to provide"FIRST grant services"to Collier County residents(hereinafter referred to
as the"Agreement"); and
WHEREAS,the parties desire to modify the Agreement to add a definition for successful
discharge and sustainability, clarify quarterly CIT training requirement, provide clarification on the
Planning Council requirements, reflect staffing changes, and outline subrecipient match
obligation; and
WHEREAS,the effective date of this amendment shall be April 1, 2018.
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 modify the Agreement as follows:
Words Underlined are added
*
1. Exhibit A, Definitions, a new A-1.8 and A-1.9 are being added to read:
A-1.8 Successful Discharge
Individuals discharged from the Program who are not re-arrested.
A-1.9 Sustainabilitv
The capacity of the Grantee and its partners to maintain the service coverage.
developed as a result of this grant, at a level that continues to deliver the
intended benefits of the initiative after the financial and technical assistance from
the County is terminated.
2. Exhibit C, C-1, Service Tasks
C-1.1.To support the objective in Section B-2, within three months of execution of this
Grant Agreement, the Subrecipient shall enhance its existing Program and diversion
initiatives to increase public safety, avert increased spending on criminal justice; and
reduce crime, recidivism, and use of forensic institutions among the target population.
To achieve this outcome, the Subrecipient shall:
C-1.1.1 Assist in the development and shall share client information to allow for a
system to track individuals during their involvement with the Program and for one
year after discharge, including but not limited to: arrests, as evidenced by the
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data shared with DLC and reported by DLC to NAMI on the quarterly tracking
identifying clients served, assessed and referred.
C-1.1.2 Ensure that all staff members are hired to provide services to
accommodate the number of individuals served;
C-1.1.2.1. Hire and train all staff listed in Section C-2.1 as evidenced by payroll
report showing employed staff by name and position; and
C-1.1.3 Enhance the FIRST program to focus on serious mental illnesses,
substance abuse and co-occurring substance use disorders as evidenced by
quarterly client service report.
• - _ T. • -- _ -.e.: -
Provide quarterly CIT training to law enforcement officers and law
enforcement personnel.
C-1.2. To support the objective in Section B-2.2., the County encourages collaboration
among key stakeholders, identified in the County's Application. To achieve this
outcome, the Subrecipient shall:
•
•_--, - e - - - . .. __ __ - - - _- - -
Participate in Planning Council meetings quarterly to
include strategic planning processe. and FIRST Oversight activities as evidenced
by a sign in sheet and agenda; and
C-1.2.2 - • - -- - - •- - _ - • - •. ...• -- - - - _ _ _ - - -
attendance.Participate in the evaluation of the FIRST program by offering data
and assistance in the preparation of the Process and Outcome report to be
presented to the Planning Council no less than annually as evidenced by the final
report submitted annually no later than September 30th to the County and
presented in the 4th quarter of the calendar year to the Planning Council.
C-1.3 To support the program objective the Subrecipient shall refer all eligible
screened clients to peer support services and therapies for those clients who agree to
participate in an effort to improve quality of life among Program participants.
3. Exhibit C, C-2, Administrative Tasks
C-2.1 Staffing
C-2.1.1. The Grantee shall assign and maintain the following staff, as detailed in the Grantee's
Application and supported by this Grant Agreement,through a subcontract or subgrant agreement
with CCSO:
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C-2.1.1.1. 2.0 FTE Discharge Planner;
C-2.1.1.2. 0.20 FTE DIC Plan Supervisor/Program Evaluation Team;
. " - _- - - _ • •-_- -•••- - - ;
; 0.16 FTE Grants Coordinator
C-2.1.1.5.4 ; 0.17 Grants Fiscal Clerk
C-2.1.1.6.5. ; 0.40 Reintegration Manager
C-2.1.14.6. 0.50 FTE Reintegration Program Supervisor;
C-2.1.1.8x7. 0.15 FTE Reintegration Specialist#1;
C-2.1.1.8.8. 0.15 FTE Reintegration Specialist#2;
C-2.1.1.48x9. 0.15 FTE Reintegration Specialist#3;
C-2.1.1.44.10.0.20 FTE Reintegration Specialist#4; and
C-2.1.1.42.11. 1.0 FTE Reintegration Specialist#5.
4. Exhibit F, F-3
F-3. The Subrecipient shall provide match funds in accordance with the schedule in the table
below:
Program Year One $484,047 $184,017
Program Year Two $181,017 $184,017
Program Year Three $481,016 $184,016
Total Match Required for the grant period 2017-2020
$462r440 $552,050
Subrecipient shall submit match no less than annually (Exhibit H-1) and the amount of the
match submission is not required to be commensurate with the payment/invoice amount. Match
is required to be met on total expenditures paid by the grantor to the County over the entire
grant period. The Subrecipient shall meet the entire program year match obligation at the end
of program year and in the event, that the Subrecipient has not satisfied their entire match
obligation by the third quarter of program year three reimbursement will be withheld until such
time as the obligation is met. In the event the subrecipient has not satisfied their entire match
obligation. the subrecipient may accept match overage from other subrecipients to meet their
obligation or they may provide their excess to match to other subrecipients under this grant.
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16015
IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person
or agent, have executed this Contract on the date and year first written above.
Collier County Sheriffs Office
By:
Approved for legal
fol and . 1C'" cy. Title: Sheriff
/�� Date: 5
_ J19
COLLIER •OU
1 _ By:
Andy Solis, CHAIRMAN
Date: LO , a"S 1\
CRYSTAL K.KINZEL,
Ai I EST INTERIM CLERK
Approved as to form and legality
)c)"4--
nao.S as to Chairman's Assi t County Attoruc
signature only. c41Y> crt>
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MEMORANDUM
Date: June 27, 2018
To: Pam Baker, CEO
NAMI of Collier County, Inc.
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: First Amendment to Agreement CJMHSA-003
Enclosed please find an original of the document referenced above (Agenda Item
#16D15), approved by the Board of County Commissioners on Tuesday, June 26, 2018.
The Minutes & Records Department has retained the original as part of the Board's
Official Records.
If you have any questions, please contact me at 239-252-8411.
Thank you.
Enclosure
Enclosure
16015
FIRST AMENDMENT TO AGREEMENT CJMHSA-003 BETWEEN
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
AND
NAMI OF COLLIER COUNTY, INC.
This Amendment, is entered into this h day of 2018, by
and between the NAMI of Collier County, Inc., hereinafter referred to as ubrecipient and Collier
County, a political subdivision of the State of Florida, hereinafter referred to as "COUNTY,"
collectively stated as the "Parties."
WHEREAS, on July 11, 2017, the County and Subrecipient entered into an agreement for
Subrecipient to provide "FIRST grant services"to Collier County residents (hereinafter referred to
as the "Agreement"); and
WHEREAS, the parties desire to modify the Agreement to add a definition for successful
discharge and sustainability, provide clarification on Planning Council requirements, reflect
staffing changes, revise performance measure language and methodology, outline subrecipient
match obligation, modify Exhibit G, add Exhibit J and add Exhibit K; and
WHEREAS, the effective date of this amendment shall be April 1, 2018.
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 modify the Agreement as follows:
Words Underlined are added
1. Exhibit A, Definitions, a new A-1.8 and A-1.9 are being added to read:
A-1.8 Successful Discharge
Individuals discharged from the Program who are not re-arrested.
A-1.9 Sustainability
The capacity of the Grantee and its partners to maintain the service coverage, developed as
a result of this grant, at a level that continues to deliver the intended benefits of the initiative
after the financial and technical assistance from the County is terminated.
2. Exhibit C, C-1, Service Tasks
C.1.1 To support the objective in Section B-2, within three months of execution of this
Grant Agreement, the Subrecipient shall enhance its existing Program and diversion
initiatives to increase public safety, avert increased spending on criminal justice; and
reduce crime, recidivism, and use of forensic institutions among the target population.
To achieve this outcome, the Subrecipient shall:
C-1.1.1 Develop, an information system to track individuals served by Peer
Support Specialist and the David Lawrence Center and Collier County Sherriff
Office, during their involvement with the Program and for at least a minimum of
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one year after discharge, including but not limited to: arrests, receipt of benefits,
employment, and stable housing as evidenced by quarterly tracking and reported
to the County at the end of each quarter.
C-1.1.2 Ensure that all staff members are hired to provide services to
accommodate the number of individuals served;
C-1.1.2.1. Hire and train all staff listed in C.2.2.1. as evidenced by payroll report
showing employed staff by name and position (submission required with initial
payment request and only when personnel charges are made thereafter);
C-1.1.3 Provide CIT training to law enforcement officers, emergency personnel,
civilian deputies and law enforcement personnel as evidenced by the sign in
sheet from each training session.
C-1.2 To support the objective in Section B-2.2., the Grantee encourage
collaboration among key stakeholders, identified in the Subrecipients Application. To
achieve this outcome, the Grantee shall:
cign in sheets; and Participate in Planning Council meetings quarterly to include
the strategic planning process, and FIRST Oversight activities as evidenced by
the sign in sheet and agenda; and
C-1.2.2 - - :. - - e - - - '-' __ - -- - _ _ _ ' -- -- - -e
•
' .•-••e. - -- -- _ - - _ - _ -- - - - - -- - --- . Facilitate
the evaluation of the FIRST program by gathering data and completing the
preparation of the Process and Outcome report to be presented to the Planning
Council no less than annually as evidenced by the final report submitted no later
than September 30th to the County and presented in the 4th quarter of the
calendar year to the Planning Council.
3. Exhibit C, C-2, Administrative Tasks
C-2.1 Staffing
C-2.1.1. The Subrecipient shall assign and maintain the following staff, as detailed in the
Subrecipient's Application as evidenced by Payroll Summary identifying staff, title and job
description (submission required upon hiring and at execution agreement through:
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16 D 1 5
1
C-2.1.1. 0.75 FTE Certified Recovery Peer Specialist;
C-2.1.2. 0.15 FTE Executive Director; and
C-2.1.3. 0.3 FTE CIT and Event Coordinator 0.30 FTE Financial Assistant
4. Exhibit E, E-1, Minimum Performance Measures
E-1.2. •.o - -- - -- - -- - - -- - ' - -- =-- • - _
- - -••-• - - e-- • - - - ---- . 90% of successfully
discharged individuals participating in the Quality of Life Assessment
facilitated by the Peer Specialist shall have an improvement score from
admission to discharge.
5. Exhibit E, E-2, Performance Evaluation Methodology
EQUAL TO 90%. For the measure in Section E-1.2., the total number of
individuals successfully discharged from the Program who agreed to participate in
the Quality of Life Assessment facilitated by the Peer Specialist at admission
DIVIDED BY the total number of individuals successfully discharged from Program
who agreed to participate in the Quality of Life Assessment facilitated by the Peer
Specialist at discharge showing improved scores shall be GREATER THAN OR
EQUAL TO 90%.
6. Exhibit F, F-1.6
F-1.6. The Subrecipient shall provide match funds (Exhibit H-1) in accordance with the schedule
in the table below:
Program Year One $34,139
Program Year Two $34,139
Program Year Three $34,139
Total Match Requirement 2017-2020 $102,417
_- -. 2: - -- ••• -- - - . • -- e_ - - - -_ - -- . The Subrecipient shall submit
match no less than annually (Exhibit H-1)and the amount of the match submission is not required
to be commensurate with the payment/invoice amount. Match is required to be met on total
expenditures paid by the grantor to the County over the entire grant period. The Subrecipient shall
meet the entire program year match obligation at the end of the program year and in the event
that the Subrecipient has not satisfied their entire match obligation by the third quarter of program
year 3, payment will be withheld until such time as the obligation is met. In the event the
subrecipient has not satisfied their entire match obligation, the subrecipient may accept match
overage from other subrecipients to meet their obligation or they may provide their excess to
match to other subrecipients under this grant.
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7. Exhibit F, F-1.8 is hereby added:
The SUBRECIPIENT shall submit quarterly financial reports five days after the end of the
preceding quarter in accordance with Exhibit G. The SUBRECIPIENT shall submit a final
reconciliation of their expenditures at the end of each program year, but no later than August 1.
In the event the annual expenditures do not equal the amount paid to the SUBRECIPIENT, the
SUBRECIPIENT shall deduct the over payment amount from the next quarterly billing. At the end
of the 3-year grant a final reconciliation shall be submitted and any amount due to the County
shall be reimbursed within 60 days following the end of the agreement.
8. Exhibit G, Deliverable and Report Table
Report/Deliverable Name Supporting Document Due Date
Quarterly Payment As detailed in Exhibit F.1.4 5th day of the month
Request and Exhibit H following the end of the
quarter
Match Match documentation, Quarterly Annually
Exhibit H-1
Quarterly Financial Report Exhibit J 10th day of the month
following the end of the
quarter
Reconciliation of Exhibit K 1st day of August
Expenditures following the end of each
fiscal year
Quarterly Program Quarterly Service Report 5th day of the month
Services Report following the end of the
quarters
Final Program Report Final Program Report 30 days following the
Template ending date of the
agreement
incident Report incident Report Per Occurrence
Employment Screening Certification from each July 31 and per
Certification employee working on grant occurrence for each new
hire
Security Awareness Certificate for those staff At contract execution and
entering data into State
4
C
161315
Training System annually thereafter.
Insurance(Director& Insurance Within 30 days of
Officer, Workmen's Comp, Certificate/Deceleration expiration
Liability)
Favorable Conditions Attestation Form July 31 and annually
thereafter.
Financial and Compliance Exhibit 1 Annually within 9 months
Audit of Fiscal Year End
Disaster Plan Plan Within 30 days of contract
execution and within 30
days of any changes to
the plan.
Deaf-and-Hard of Hearing Single Point of Contact and 5th day of the month
ADA Report following the end of the
quarter
CHS Conflict of Interest Conflict of Interest Form Within 30 days of hire for
each new employee
working on the grant.
9. Exhibit J, Quarterly Financial Report is hereby added in its entirety as attached.
10. Exhibit K, Reconciliation of Expenditures is hereby added in its entirety as attached.
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IN WITNESS WHEREOF, the parties hereto, have each, respectively, by an authorized person
or agent, have executed this Contract on the date and year first written above.
ATTEST: CRYSTAL K.KINZEL, NAMI of Collier County, Inc.
INTERIM CLERK
By:
,A:?vstaS,iv JJ 1SERK 73
.- sig na re only. Title:
. Date: /7/r9d/(�
\• Fa/,s ,v
is't0
Approval for form and legality: COLLIER '• N
t/.
By: IA Alt
Jennifer A. Belpedio rn y Solis, CHAIRMAN
Assistant County Attorney ,.- 03?' 5`\S
Date: CO ` D•.CQ ``E
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PpEPARr�� 16 015
1...\ Rick Scott
o State of Florida Governor
Department of Children and Families
" Mike Carroll
t
Secretary ,
N AND 2 1
MYFLFAMILIES.COM
IS
July 2, 2018
Ms. Kimberly Grant
Community and Human Services Division
3339 Tamiami Trail East, Suite 403
Naples, FL 34112
Re: Grant Agreement #LHZ54—Executed Amendment #0001
Dear Ms. Grant:
Enclosed is an original copy of executed Amendment #0001 for the Collier County
BOCC Criminal Justice, Mental Health and Substance Abuse (CJMHSA) Reinvestment
Grant Agreement.
If you have any questions or need any assistance, please feel free to contact me at
(850) 717-4348.
Respectfully,
EA- itaifik44,1144q 411114 I
Jennifer Benghuzzi
Grant Manager
cc: Contract File
1317 Winewood Boulevard, Tallahassee, Florida 32399-0700
Mission: Work in Partnership with Local Communities to Protect the Vulnerable, Promote Strong and
Economically Self-Sufficient Families, and Advance Personal and Family Recovery and Resiliency
16015
April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
THIS AMENDMENT, entered into between the State of Florida, Department of Children and Families, hereinafter
referred to as the "Department", and Collier County Board of County Commissioners, hereinafter referred to as the
"Grantee".
Amendment #0001. The purpose of this amendment is to correct contact information in Sections 1.2.2. and C-
1.2.3.; define "successful discharge" in Section A-1.9.; revise the staff to participant ratio in Section C-1.1.3.2.;
remove Section C-1.1.5.;clarify content of the quarterly Planning Council meetings and FIRST Oversight activities in
Section C-1.2.1; clarify annual reporting on to the Planning Council in Section C-1.2.2.; revise staffing levels in
Section C-2.1.3., and Section C-2.1.4.; and revise the performance measure language in Section E-1.9. and the
associated methodology in Section E-2.9.
1. Page 1,Section 1.2.2.,is hereby is hereby amended to read:
1.2.2. The name, address, telephone number and e-mail address where the Grantee's financial and
administrative records are maintained are:
Name: Kimberley Grant
Address:3339 Tamiami Trail East
Community and Human Services Division
City: Naples State: FL Zip Code:34112
Phone: (239)252-6287 Ext:—E-Mail:Kimberley.Grantalcoiliercountyfl.gov
2, Page 1,Section 1.2.3.,is hereby is hereby amended to read:
1.2.3. The name, address, telephone number and e-mail of the Grantee's representative responsible for the
program under this Grant are:
Name:Kimberley Grant
Address:3339 Tamiami Trail East
Community and Human Services Division
City:Naples State: FL Zip Code: 34112
Phone:(239)252-6287 Ext:_E-Mail:Kimberley.Granacolllercountyfl.00v
3. Page 19,Section A-1., Is hereby amended to add:
A-1.10. Successful Discharge
Individuals discharged from the Program who are not re-arrested.
4. Page 28,Section C-1.1.3.2., is hereby amended to read:
C-1.1.3.2. Maintain a FIRST staff to participant ratio of 1:30 or lower.
5. Page 28,Section C-1.1.5.,is hereby amended to read:
C-1.1.5. C-1.1.5.is reserved.
CF 1127
Effective July 2015
(CF-1127-1516) 1
16015
April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
6. Page 28,Sections C-1.2.1.andC-1.2.2., is hereby amended to read, respectively:
C-1.2.1. Participate in Planning Council meetings quarterly to include strategic planning and processes,and
FIRST Oversight activities;and
C-1.2.2. Conduct an evaluation of the FIRST program and prepare a report to be presented to the Planning
Council no less than annually.
7. Page 29,Sections C-2.1.3.3 through C-2.1.3.6.,is hereby amended to read:
C-2.1.3.3. 0.00 FTE Health Services Administrator;
C-2.1.3.4. 0,16 FTE Grants Coordinator;
C-2.1.3.5. 0.17 FTE Grants Fiscal Clerk;
C-2.1.3.6. 0.40 FTE Reintegration Manager;
8. Page 30, Section C-2.1.4.3., is hereby amended to read:
C-2.1.4.3. 0.30 FTE Financial Assistant.
9. Page 37,Section E-1.9.,is hereby amended to read:
E-1.9. 90% of successfully discharged individuals participating in the Peer Specialist facilitated Quality of Life
Assessment'shall have an improvement score from admission to discharge.
10. Page 38,Section E-2.9., is hereby amended to read:
E-2.9. For the measure in Section E-1.9., the total number of individuals successfully discharged from the
Program who agreed to participate in the Peer Specialist facilitated Quality of Life Assessment at admission
DIVIDED BY the total number of individuals successfully discharged from Program who agreed to participate in
the Peer Specialist facilitated Quality of Life Assessment at discharge showing improved scores shall be
GREATER THAN OR EQUAL TO 90%.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
2
16D15
April 1, 2018 Contract#LHZ54
Collier County BOCC Amendment#0001
This Amendment shall be effective on April 1120183 or the date on which the amendment has been signed by all
parties hereto,whichever is later.
All provisions in the contract and any attachments thereto in conflict with this amendment shall and are hereby
changed to conform to this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at the level specified in the
contract.
This amendment and all its attachments are hereby made part of the grant agreement.
IN WITNESS THEREOF, the parties hereto have caused this three (3) page amendment to be executed by their
officials thereunto duly authorized.
GRANTEE: ' •LLI ' COUNTY :% STATE OF FLORIDA: DEPARTMENT
OF COU Cs I` •, OF CHILDREN&FAMILIES
SIG SIGN ' t
BY: BY: ��
NAME: \ tJ `) SO LA S NAME: John N. Bryant
TITLE: CAA A R. (44 ry TITLE: Assistant Secretary, Substance Abuse
and Mental Health
DATE: Co 1016\\ DATE: '7 - A -'I*
FEID NUMBER:596000558
CRYSTAL K. KINZEL,
ATTEST: INTERIM CLERK
Approved as to form and legality
Assistant County At
Attest as to Chairman's \g
signature only. S?"
3