Backup Documents 06/26/2012 Item #16D 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP r "'D
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
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
excentinn nfthe Chairman's signature_ draw a line through routine 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
1.Jennifer B. White
County Attorney
Agenda Item Number
16135
2. Ian Mitchell, Smpmrvis -or
Board of County Commissioners
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7 1
3. Minutes and Records
Clerk of Court's Office
Number of Original
4.
Goodwill of SW Florida
Documents Attached
5.
resolutions, etc. signed by the County Attorney's Office and signature pages from
6.
contracts, agreements, etc. that have been fully executed by all parties except the BCC
PRIMARY CONTACT INFORMATION
?PM
(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
June 26, 2012
Agenda Item Number
16135
Approved by the BCC
Original document has been signed/initialed for legal sufficiency. (All documents to be
RM
Type of Document
Amendment to Subrecipient Agreement for
Number of Original
Attached
Goodwill of SW Florida
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 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 June 26, 2012 (enter date) and all
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)wit
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the changes, if applicable.
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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
160 5
M
MEMORANDUM
Date: July 9, 2012
To: Rosa Munoz, Grants Mgmt. Coordinator
Housing, Human & Veteran Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #2 to the Agreement between Collier County &
Goodwill Industries of Southwest Florida, Inc.
HUD Grant #B- 10 -UC -12 -0016, CD 10 -07, IDIS #380
Roberts Center Renovation Project
Attached please find one (1) original document for the item referenced above
(Agenda Item #16D5), approved by the Board of County Commissioners on
Tuesday, June 26, 2012.
An original has been kept by the Minutes & Records Department as part of the
Board's Official Records.
If you have any questions, please feel free to contact me at 252 -7240.
Thank you
�m & -
Amendment No. 2 to the Agreement
Between Collier County and
"Goodwill Industries of Southwest Florida, Inc.
Roberts Center Renovation Project CD10 -07"
Catalog of Federal Domestic Assistance # 14.218
HUD Grant # B- 10 -UC -12 -0016
THIS AMENDMENT, dated T-1-11e_ �2_ � 2012 to the above - referenced
Agreement shall be by and between the parties to the original Agreement, between Goodwill Industries
of Southwest Florida, Inc.," a private not - for - profit corporation existing under the laws of the State of
Florida, having its principal office at 4940 Bayline Drive, North Fort Myers, FL 33917, and its Federal
Tax Identification number as 59- 6196141 and DUNS #, 152823662, ( "SUBRECIPIENT "), and Collier
County, a political subdivision of the State of Florida, (to be referred to as "COUNTY. ")
RE: Contract HUD Grant #B- 10 -UC -12 -0016 CD10 -07, IDIS #380, "Goodwill Industries of SW
Florida, Inc.- Roberts Center Renovation Project."
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 stfikegffoug
EXHIBIT "A"
SCOPE OF SERVICES
GOODWILL INDUSTRIES OF SW FLORIDA, INC.
ROBERT'S CENTER RENOVATION PROJECT
A. PROJECT SCOPE:
On April 27, 2010, the BCC approved the HUD Action Plan allocating funding for this
initiative. Community Development Block Grant (CDBG) funding will be used to renovate the
Robert's Center.
In the Action Plan for this program the intended outcome of this funding is to provide
rehabilitation and upgrades to the Roberts Center. The renovation activities X11 may include
interior /exterior renovations including office build outs, and hurricane hardening and
Renovation activities /items /services may include but not be limited to, demolition, repair
and/or replacement of the following: roofs, floors, ceiling, walls, structural items, doors,
windows, HVAC, electrical, plumbing systems, fixtures, cabinetry, appliances, and ramp for
wheelchair accessibility and exterior improvements as well as associated labor and supervision.
Amendment No. 2 CDI0 -07
Goodwill Industries of SW Florida, Inc. A
Roberts Center Renovation Project
Page 2 of 3
The detailed project scope will be contained in the schedule of values awarded the project's
construction contract. The project construction 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 Four
Thousand, Five Hundred Three Dollars And Six 1y Cents ($174,503.60) in CDBG funding for
the project scope described above.
Line Item Description CDBG Funds
Building Renovation Activities $ 174,503.60
TOTAL $174,503.60
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.
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
11/2010
12/2010
Prepare bid documents
01/2011
02/2011
Procure eligible contractor(s) & conduct preconstruction
conference
03/2011
05,90i I
Obtain permits & contractor(s) orders materials
10/2012
03/2011
07QQl 1
Begin Renovation improvements and associated activities
10/2012
07/2011
090011
Complete final inspections and project close out
10/30/2012
D. PAYMENT SCHEDULE
The following table details the project deliverables and payment schedule.
Deliverable
Payment Schedule
Interior /exterior renovations
I Monthly invoices per contractors schedule of values
Amendment No. 2 CID 10 -07 160
Goodwill Industries of SW Florida, Inc.
Roberts Center Renovation Project
Page 3 of 3
IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY have signed Amendment No. 2 to the
Agreement as of the date first written above.
ATTEST:
DWIGHT FiB CI
..,P..W VqW
Dated:
First Witness
Type/priyd witness name
Second pWitness
p,-,k 1 W —
(ze6V -0'4'� "l
Type /print witness name
BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA
y�
B W.
FRED W. COYLE , HAIRMAN
Goodwill Industries of SW Florida, Inc.
By: � G
Subrecipient Signature
Fred Richards, Vice President Career Dev Services
Type /print Subrecipient name and title
Approved as to form and legal sufficiency:
Jennifer F White
Assistant County Attorney
5