Backup Documents 03/27/2012 Item #16D10ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16010
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. nttach to of ittinal document. Original docunicros should he hand delivered to the Board Office. ['he coniplcted routing slip and ori!21111
docnments are to be forwarded to the Board Office onhy after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #I 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)
(List in routing order)
Office
Initials
Date
l .Jennifer B. White
County Attorney
Agenda Item Number
16D 10
2. Ian Mitchell, Supervisor
Board of County Commissioners
tA-
3. Minutes and Records
Clerk of Court's Office
Number of Original
1 a
4.
GCr Fly—
Documents Attached
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5.
ss
6.
contracts, agreements, etc. that have been fully executed by all parties except the BCC
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 Ian Mitchell, 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
Contact
Rosa Munoz, Grants Coordinator
Phone Number
252 -5713
Agenda Date Item was
March 27, 2012
Agenda Item Number
16D 10
Approved by the BCC
Original document has been signed/initialed for legal sufficiency. (All documents to be
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Type of Document
Amendments to Subrecipient Agreement for
Number of Original
1 a
Attached
GCr Fly—
Documents Attached
al, L,_,c
ss
1(i rA fior QM flits
INSTR TIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09
93VI/
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
ap ropriate.
(Initial)
Applicable)
1.
Original document has been signed/initialed for legal sufficiency. (All documents to be
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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 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
NA
Office and all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the
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document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
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signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
NA
should be provided to Ian Mitchell in 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 March 27, 2012 (enter date) and all
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changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed 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, Revised 9.18.09
93VI/
16010
MEMORANDUM
Date: April 10, 2012
To: Rosa Munoz, Grants Mgmt. Coordinator
Housing, Human & Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #3
HUD DPRP Grant #S09- UY -12- 0024 - 2009 -05
Youth Haven — Caring for Families
Attached please find an original copy of amendment #3 for agreement for the
item referenced above (Agenda Item #16D10), approved by the Board of County
Commissioners on Tuesday March 27, 2012.
The Minutes & Records Department will hold the second original of the
agreement in the Official Records of the Board.
If you have any questions, please feel free to contact me at 252 -7240.
Thank you.
16010
AMENDMENT #3 TO THE
AGREEMENT BETWEEN COLLIER COUNTY
AND
YOUTH HAVEN
CARING FOR FAMILIES
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 "Youth Haven," a private not for profit
corporation existing under the laws of the State of Florida, having its principal office at 5867 Whitaker
Rd., Naples, FL, 34112, and its Federal Tax Identification number as 23- 7065187 ( "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 underlining;
deletions from the Agreement are shown by str4kethfo ghs
EXHIBIT "A"
AMENDED
SCOPE OF SERVICES
Youth Haven /S09- UY -12- 0024 - 2009 -05
Youth Haven HPRP Caring for Families
Short & Medium Term Homelessness Assistance and Rapid Re- Housing Program
THE SUBRECIPIENT AGREES TO:
A. PROJECT SCOPE:
Youth Haven's Caring for Families will assist families and individuals who are seriously at -risk of
becoming homeless with both short and medium term rental assistance and utility payments.
Youth Haven will also provide relocation services, moving costs, hotel /motel vouchers and
security and utility deposits for families and individuals who are experiencing homelessness. All
clients receiving more than one month of assistance will be referred for a budget education
program for either classroom or at home instructions.
In addition to the direct services provided above, Youth Haven will provide mobile case
management services, outreach and engagement services, crisis counseling, budget and financial
training, and referral to landlord /tenant mediation and other referrals to help participants achieve
self sufficiency and stable housing.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
YOUTH HAVEN AGREEMENT
Page 1 of 3
16D10
Youth Haven will also coordinate training for participating case managers and provide follow up
case management to participants receiving short term HPRP assistance through Catholic Charities
and the Salvation Army. All services performed and assistance payments dispersed must conform
to the policies and procedures outlined in the HPRP Administrative Plan.
Collier County Housing Human and Veteran Services. is using Department of Housing and Urban
Development (HUD) Homelessness Prevention and Rapid Re- Housing (HPRP) funds in the
amount of Three Hundred Eleven Thousand, Eighty Dollars and .99/100 ($311,080.99) for
Youth Haven's HPRP Caring for Families program.
B. BUDGET: Youth Haven HPRP Caring for Families
Line Item: HPRP Funds Revised Amounts
Short Term Homelessness Prevention
Follow Up Assistance:
(1 -3 months) 23,080.99
Medium Term Homelessness Prevention
Direct Assistance:
Utility and Rental Assistance
Utility deposits 246,000.00 234,000.00
(1 -6 months) (60 families served with
a maximum of $5,000 per family)
Rapid Re- housing Assistance: 2,000
Motel/hotel vouchers, moving costs,
security deposits, utility deposits, rent,
and /or utility assistance
Case Management: 40,000 52,000
Salary, benefits, mileage
Total Funds:
$311,080.99
The Subrecipient agrees that this amends the original Agreement. All other terms and conditions of the
Agreement shall remain in force.
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
YOUTH HAVEN AGREEMENT
Page 2 of 3
16D10
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
1M o,,& c_ t^ , 20 ► a.
ATTEST
D3NICYHT OCK, CLERK
First fitness:
Witness Signature
99,A//V/ Iyy PO',9 C
Type /print witness name
Second Witness:
Witness
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
By: LA).
FRED W. COYLE, CHAI
YOAUTHE EN, INC.
By
t Signat ure
Type /print Subrecipient name and title
�� Cc✓T7�sL 1��n �i��
witii&Yname j --L� L
Ayproved as to form and legal sufficiency:
Jennifer IT White
Assistant County Attorney
2009 -2010 ARRA- HPRP AMENDMENT #3 TO
YOUTH HAVEN AGREEMENT
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