Backup Documents 04/24/2012 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
16U
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 forNNarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines 41 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 41 through 44, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
].Jennifer B. White
County Attorney
1-a 6 L-,)
Applicable)
2. Ian Mitchell, Supervisor
Board of County Commissioners
S1
2� O
3. Minutes and Records
Clerk of Court's Office
4.
David Lawrence Center - Amendment.
Number of Original
1
5.
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
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
Sandra Marrero, Grants Coordinator
Phone Number
252 -2399
Contact
appropriate.
(Initial)
Applicable)
Agenda Date Item was
April 24, 2012
Agenda Item Number
16132
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
David Lawrence Center - Amendment.
Number of Original
1
Attached
resolutions, etc. signed by the County Attorney's Office and signature pages from
Documents Attached
INSTRUCTIONS & 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
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(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
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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 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 April 24, 2012 (enter date) and all
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snow—
changes made during the meeting have been incorporated in the attached document.
The Count 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
MEMORANDUM
Date: May 1, 2012
To: Sandra Marrero, Grants Coordinator
Housing, Human & Veteran Services
From: Teresa Polaski, Deputy Clerk
Minutes and Records Department
Re: Amendment #1 to Sub - recipient Agreement w/David
Lawrence Center
16D2
Attached are originals of the agreement amendment referenced above
(Item #16D2) approved by the Board of County Commissioners on April 24,
2012.
The Minutes and Records Department has held the original for the Board's
Official Record.
If you have any questions, please contact me at 252 -8411.
Thank you.
Attachment
1602
EXHIBIT A -1 Amendment to Sub - Recipient Agreement #1
"David Lawrence Mental Health Center Inc.
d/b /a David Lawrence Center
CDBG Emergency Back-Up Generator"
This amendment, dated.�,� r-i '�f . /� . 2012 to the referenced agreement shall be by and
between the parties to the oAgreement, David Lawrence Mental Health Center, Inc., a private not -for-
profit corporation existing under the laws of the State of Florida (to be referred to as Subrecipient) and Collier
County, Florida, (to be refer to as "COUNTY. ")
Statement of Understanding
Words Shmek Tlareugl3 are deleted; Words Underlined are added
RE: Sub reeipieo AgmemeM HUD. AgmjMMU # B- 11 -UC-12 -0016 Emergency Back -Up Generator"
"David Lawrence Mental Health Center, Inc.,
In order to continue the services provided for in the original G et—Sub- recipient Agreement document
referenced above, the Sub - Recipient agrees to amend the Sub - recipient Agreement as follows:
C. LOCAL AND FEDERAL RULES, REGULATIONS AND LAWS
26. 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 fmancial assistance provided under this contract and
binding upon the Grantee. the Subrecipient and any of the Subre-cipienfs subrecipi=U
and subcontractors. Failure to fulfill these reguirements shall subject the Grantee. the
Subreeipient and any of the Subrecipient's subrecipients and subcontractom their
successors and assigns to those sanctions specified by the Agreement tbrough which
Federal assistance is pmvided. 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 lan=ge in all subcontracts exmuted under this
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David Lawrence Mental Health Center, Inc.
Emergency Back -Up Generator
Contract Amendment #1 Page 1 of 6
16D2
The Subrecigient further agrees to ensure that o�ortumties for training and
employment arising m connection with a housing rehabilitation (including
reduedon and abatement
of lead based paint haMrds housing ing consavction, or
other public construction pMect are given to low and very low-income persons
residing within the metropolitan
area in which the CDBG- funded project is
located: where feasible
gdg ty should be given to low- and very low-income
persons within the service
area of the project or the neighborhood in which the
project is locate& and
to low and very low - income pants in other HUD
programa: and award
contracts for work undertaken in connection with a
hoimg rehabilitation
Cmduding reduction and abatement of lead - based in
hazards how constructim
or other ggklic construction project to business
concerns that provide
economic opportunities for low and very low- income
persons residing witbin
project is located: where
the metropolitan area in which the CDBG -fimded
feasible priority should be given to business concerns
that economic
opportunities to low and very low-income residents
,provide
within the service area
to low and very low- income
'Me Subrecipient certifies
or the neighborhood in which the gMjgq is located, and
V@Mgg= in other HUD Z2&U=.
and agrees that no contractual or other lgga�
Wg parity exists thax would
prevent compliance with these requirements
a. Notifications
The Subredvient agrees
to send to each labor organization or representative of
workers with which it bas
a collective bargajnintr, agreement or other contract or
understanding. if any
a notice advising said labor organization or worker's
rem==tadve of its commitments
under this Section 3 clause and shall pcL
Mies of the notice in conspicuous
places available to emklovees and applicants
for employment or trajning.
b. Subcontracts
The Subrecipient will include
this Section 3 clause in every s ibcontiract and will
take appropriate action pursuant to the subcontract upon a finding that the
subcontractor is in violation
S19 ff-a paent will not
of regulations issued by the grantor agency. The
subcontract with any MUity where it has notice or
knowl2dge 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 My -,dded
it with a prelmunary statement of ability to comply with the reau=ments of
David Lawrence Mental Health Center, Inc.
Emergency Back-Up Generator
Contract Amendment #I Page 2 of 6
EXHIBIT "A"
SCOPE OF SERVICES
David Lawrence Center
Auxiliary Power/Emergency Back-up Generator
A. PROJECT SCOPE:
1602 "
On July 26, 2011, the BCC approved the HUD Action Plan allocating funding for this
initiative. Community Development Block Grant (CDBG) funding will be used for the
purchase and installation of a back -up generator(s).
In the Action Plan for this program the intended outcome of this funding is to upgrade David
Lawrence Center's current ability to provide auxiliary power in several key buildings at its
main campus by purchasing equipment and installing connectivity that will provide the
capacity to generate full power to acute care, outpatient and administrative offices in the event
of a power failure.
Activities /items/services may include but not be limited to, de�_permi4. insurance.
purchase, installation, demolition, repair and/or replacement of the following: the purchase of
equipment, structural items, electrical, accessibility and exterior improvements as well as
associated labor and supervision. The detailed project scope will be contained in the schedule
of values awarded in the project's construction contract. The project contract will include
details sufficient to document the number, amount, and costs associated with all activities.
The project activities will meet the U.S. Department of Housing and Urban Development's
national objective to benefit low and moderate income persons and improve the
quality /quantity of neighborhood facilities for low - income persons.
B. BUDGET:
Collier County Housing, Human and Veteran Services is providing One Hundred Seventy Five
Thousand. ($175.000.00 ) in CDBG funding for the project scope described above.
Line Item Description CDBG Funds
Design. Permits. Insumnce
Purchase and Installation Activities $ 175,000.00
TOTAL $175,000.00
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
David Lawrence Mental Health Center, Inc.
Emergency Back -Up Generator
Contract Amendment #1 Page 3 of 6
16D2
C. PROJECT WORK PLAN
The following Project Work Plan is in effect for program monitoring requirements only and as
such, is not intended to be used as a payment schedule.
Date Start
Date End
Work Plan
11/2011
i4012
Prepare bid documents
Activities
QMQL2
W12M2
03AM
Procure eligible contractor(s) & conduct preconstruction
Q4aO
O1
conference
034M
NAM
Obtain permits
06/2012
07/2012
054M
noM012
Begin improvements and associated activities
07/2 12
09/2012
09#9012
094012
Complete final inspections and project close out
/2012
10/24/2012
D. PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule.
Deliverable
Pament Schedule
Design. Permits. Insurance.
Submission of monthly invoices on AIA G702-
Purchase and Installation
1992 form or equivalent document when
Activities
lipA cable. per contractor's Schedule of Values.
Supporting documents must be provided as back
UP.
Design. Permits. Insurance,
Final 10% ($17,500.00) released upon Certificate
Purchase and Installation
of Completion and final waiver of lien.
Activities
David Lawrence Mental Health Center, Inc.
Emergency Back -Up Generator
Contract Amendment #I Page 4 of 6
EXHIBIT "C"
1602
ADDITIONAL CDBG GRANT REQUIREMENTS
1. The Subree -Wient will be responsible for nrovidim all repo dab to Colder County
upon rearrest renardin¢ the Federal Fading Accountability and Transparency Act
TA.
David Lawrence Mental Health Center, Inc.
Emergency Back -Up Generator
Contract Amendment #1 Page 5 of 6
IN WITNESS WHEREOF, the DEVELOPER/SPONSOR and the County, 1 &0 2
respectively, by an au orized person or agent, hereunder set their hands and seals on this
Yh day of _ 20 /x.
ATTEST: .
Dwi # i 1 4 Jerk of Courts
,qd
B
vied•
i T.
( i�A �
First Witness
Type /print witness name
Se itness
:S An 1,4 M i LL A Rb
Type /print witness name
Approved as to form and
Legal sufficiency:
Jennife B. White {y,�
Assistant County Attorney �� J
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
FRED W. COYLE, Chairman kJ
David Lawrence Mental Health Center, Inc.
d/b /a David Lawrence Center
By:
rec%ient signature
SGh irn
Dave Schimmel, CEO
(Print Name)
David Lawrence Mental Health Center, Inc.
Emergency Back -Up Generator
Contract Amendment #1 Page 6 of 6