Backup Documents 09/24/2013 Item #16D13ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGN 3
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded he County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
* *NEW ** ROUTING SLIP
Complete routing lines #I 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 #I through #2, complete the checklist, and forward to the County Attorney Office.
Route to Addressees (List in routing order)
Office
Initials
Date
1. Lisa Carr
HHVS
11C
9/24/13
2. Jennifer B. White, ACA
Office located in HHVS
Agenda Item Number
16D13
County Attorney Office
Department
NO
3. BCC Office
Board of County
VW
2 i/
Attached
Commissioners
Documents Attached
Z
4. Minutes and Records
Clerk of Court's Office
YES
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
W
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
Lisa Carr
Phone Number
252 -2336
Contact / Department
J .*��{��cx+o �. Sevv \,-5
(Initial)
Applicable)
Agenda Date Item was
9/24/13
Agenda Item Number
16D13
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
NO
Type of Document
2° Amendment to Agreement
Number of Original
2 i/
Attached
y ����� eanc�
Documents Attached
PO number or account
signed by the Chairman, with the exception of most letters, must be reviewed and signed
YES
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
y_E-&_
1j + is
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
alvroDriate.
(Initial)
Applicable)
1.
Does the document require the chairman's original signature?
YES
2.
Does the document need to be sent to another agency for additional signatures? If yes,
NO
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
signed by the Chairman, with the exception of most letters, must be reviewed and signed
YES
by the Office of the County Attorney.
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
y_E-&_
1j + is
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
YES
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
YES
si nature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE.
ro
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 9/24/13 (enter date) and all changes
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
9.
Initials of attorney verifying that the attached document is the version approved by the
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
16D13
MEMORANDUM
Date: October 3, 2013
To: Lisa Carr, Grants Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Second Amendment to an Agreement with the David
Lawrence Center for substance abuse and mental health
services to reallocate specific program funding amounts
Attached is an original copy of the document referenced above, (Item #16D13)
approved by the Board of County Commissioners on September 24, 2013.
The Minutes and Record's Department has held the second original copy for the
Board's Official Record.
If you have any questions please call me at 252 -8406.
Thank you
Attachment
16013
SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
This Amendment, is entered into this ;�L'iO� day of S"t rr,be�r` , 2013,
by and between David Lawrence Mental Health Center, Inc., d/b /a David Lawrence Center, a
private not - for - profit corporation existing under the laws of the State of Florida, hereinafter
referred to as David Lawrence Center and Collier County, Florida, herein after to be referred to
as "COUNTY," collectively stated as the "Parties."
WHEREAS, on December 11, 2012, the County entered into an agreement with David
Lawrence Center for it to provide substance abuse and mental health services to Collier County
residents (hereinafter referred to as the "Agreement ") which was amended on June 25, 2013; and
WHEREAS, the Parties desire to amend the Agreement by modifying the chart set forth
in Article III of the agreement pertaining to compensation for identified program outcomes.
NOW, THEREFORE, in consideration of foregoing Recitals, and other good and
valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged,
the Parties agree to amend the Agreement as follows:
1. The total program budget will remain the same. The reallocation of funds for the
program services only effect the fourth quarter of the budget. However, the allocation
amounts for each specific program area are modified to meet program needs and budget.
To that end, the chart set forth in Article III of the Agreement is replaced with the
attached chart.
2. David Lawrence Center shall keep and maintain public records that ordinarily and
necessarily would be required by the County in order to perform the service.
3. David Lawrence Center shall provide the public with access to public records on the
same terms and conditions that the County would provide the records and at a cost that
does not exceed the cost provided in Chapter 119, Florida Statutes, or as otherwise
provided by law.
4. David Lawrence Center shall ensure that public records that are exempted or confidential
and exempt from public records disclosure requirements are not disclosed except as
authorized by law.
5. David Lawrence Center shall meet all requirements for retaining public records and
transfer, at no cost, to the County all public records in possession of the contractor upon
termination of the contract and destroy any duplicate public records that are exempt or
confidential and exempt from public records disclosure requirements. All records stored
electronically must be provided to the County in a format that is compatible with the
information technology systems of the County.
a�
16D13
6. All other terms and conditions of the Agreement remain in full force and effect. This
Amendment merges any prior written and oral understanding and agreements, if any,
between the parties with respect to the matters set forth herein.
IN WITNESS WHEREOF, the Parties have executed this Amendment, on the date and year first
above written.
DAVID LAWRENCE CENTER:
By: ,/L ,y i, %
Name (print)
e
(Signature of authorized officer)
Title
Date
LP. �Q
ATTESt.
F DWIGHT �z- BROCK, Clark
Y - ,
r 8Y.
Ate, as
an's,
Signature only.
COLLIER COUNTY:
By: or, is
Na , ej :pr'nt)
(Sii qbt -6re of authorized officer)
Chairwoman, Board of County Commissioners
Title
lay 1�
Date
Approved as to form and legalil ,'
Assistant l uuu w ty AL LO
Item #
Agend
Date
Date �� O�
Redd
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