Backup Documents 02/12/2013 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING ALA D 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper.Attach to original document.Original documents should be hand delivered to the Board Office.The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the checklist,and forward to Sue Filson(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order) _
1. Rosa Munoz,Grant Coordinator Housing,Human,Veterans Services RM 02/12/2013
Department
2. Jennifer B. White,ACA Office located within Housing,Human,
Veterans Services Department c(3'#° 2 (12,113
4. BCC Office Board of County Commissioners
5. Minutes and Records Clerk of Court's Office 21KtP
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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,including Sue Filson,need to contact staff for additional or missing
information.All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff Rosa Munoz, Grant Coordinator Phone Number 239-252-5713
Contact
Agenda Date Item was 02/12/13 Agenda Item Number 16.D.2.
Approved by the BCC
Type of Document Subrecipient Amendment#1 to Agreement - Number of Original
Attached HOME TBRA Project Documents Attached
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Original document has been signed/initialed for legal sufficiency.(All documents to be signed by the
Chairman,with the exception of most letters,must be reviewed and signed by the Office of the
County Attorney.This includes signature pages from ordinances,resolutions,etc.signed by the RM
County Attorney's Office and signature pages from contracts,agreements,etc.that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and RM
all other parties except the BCC Chairman and the Clerk to the Board 00NC-
3. The Chairman's signature line date has been entered as the date of BCC approval of the document or RM ✓
the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's signature and RM
initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip should be RM
provided to the BCC office within 24 hours of BCC approval. 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!
6. The document was approved by the BCC on 02/12/13 and all changes made during the meeting RM ✓
have been incorporated in the attached document.The County Attorney's Office has rev •e�
the changes,if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
«matter_number»/«document_number»
1602
MEMORANDUM
Date: February 19, 2013
To: Rosa Munoz, Grants Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to HUD Grant #M-11-UC-12-217
Subrecipient Agreement with CCHA
Attached is an original copy of the document referenced above, (Item #16D2)
approved by the Board of County Commissioners on Tuesday, February 12, 2013.
The second original copy will be held on file in the Minutes and Record's
Department for the Board's Official Record.
If you have any questions please call me at 252-8406.
Thank you
1602
Amendment#1
to Agreement between Collier County
and
Collier County Housing Authority, Inc.
Tenant Based Rental Assistance (TBRA) Project
Catalog of Federal Domestic Assistance # 14.239
HUD Grant M-11-UC-12-00217
This Amendment, is entered into this I a day of at, -o , 2013, by and between
Collier County Housing Authority, Inc. a special independent district of e State of Florida, created in
accordance with Florida Statute Section 421.27 et seq., herein after referred to as "SUBRECIPIENT"
and Collier County, Florida, herein after to be referred to as "COUNTY," collectively stated as the
"Parties."
RECITALS
Whereas, on October 25, 2011, the County entered into an Agreement with the Collier County
Housing Authority for Home Investment Partnership Program (HOME) funds to be used for rental,
security and utility deposit assistance (hereinafter referred to as the "Agreement"); and
Whereas, the Parties desire to amend the Agreement to modify the Project Scope and the
Budget sections in Exhibit"A".
NOW THEREFORE, in consideration of the foregoing Recitals, and other good and valuable
consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree
to amend the Agreement as follows:
Words Stmek4hrough are deleted; Words Underlined are added
EXHIBIT "A"
SCOPE OF SERVICES
COLLIER COUNTY HOUSING AUTHORITY, INC.
HOME
TENANT BASED RENTAL ASSISTANCE (TBRA) PROJECT
* * *
A. PROJECT SCOPE:
* * *
The SUBRECIPIENT will be responsible for the following:
* * *
d. Match funding of 25% is required for this activity. The SUBRECIPIENT must provide
documentation regarding match funding for purposes of the HOME program. The
match funding will be met by the SUBRECIPIENT, through a partnership with the
2011 HOME(HM11-01)
CCHA TBRA
Contract Amendment#1 Page 1 of 3
16 0 2
mental health services through a state grant to qualified individuals, including
collaborating with other community agencies.
X X
B. BUDGET:
Collier County Housing, Human and Veteran Services is providing Three Hundred Thousand
Dollars ($300,000.00) in HOME funding for the project scope described above. The 25%
matching funds requirement of$75,000.00 is being met by the CCHA the responsibility of the
SUBRECIPIENT;_ through a state grant to the David Lawrence Center in the amount of
$93,463. -- . . • . - . - - .. _ • •- - •. - - - - (i.e. 25% of
every invoice is adjusted for the 25% until the $75,000.00 is met. Match documentation must
be shown proportionately as invoices are presented.
Line Item Description HOME Funds Matching Funds
Rent $ 300,000.00
Security Deposit
Utilities
$ 75,000.00
Total HOME Funding $ 300,000.00
Total Match $ 75,000.00
Funding
TOTAL PROJECT AMOUNT $ 375,000.00
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.
X X X
2011 HOME(HM11-01)
CCHA TBRA
Contract Amendment#1 Page 2 of 3
16D2
1
IN WITNESS WHEREOF,the Parties have executed this First Amendment effective as of October 25,
2011,the effective date of the Agreement.
ATTEST:_
BOARD •F C t I TY COMMISSIONERS OF
DWIGHT 'BR9Gr( CLERK COLLIE' I • I Y, FLORIDA
r
♦ Ctr a ! ' By: I C '''' .
. _" 7 A. HILLER
ES Q,
'� 1 + ' CHAIRWOMAN
Dated: t3
1. ',. (SEAL)
First Witness COLLIER COUNTY HOUSING AUTHORITY
Esmeralda Serrata,Executive Director
T p-/print Subrecipient ame and title
111 / i V. _.t�.� " V
B A it
uh C1 lA V . 5 l .,rte ,brecipient Signatur,
Type/print witness name J
Approved as to form and legal sufficiency:
L.Itb
Jr B. White l
Assistant County Attorney a
Item# !l QV v
Agenda °).-12.9x1 Date
Date
tl 2:521.)C',4
2011 HOME(HM11-01)
CCHA TBRA I •
Contract Amendment#1 Page 3 of 3 Dep