Backup Documents 11/13/2012 Item #16D 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING PD 5
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SI ATURE
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 #I through #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
4. quo&
County Attorney's Office
Agenda Item Number
16D5
5. Kristi Bartlett
Board of County Commissioners
Yes
6. Minutes and Records
(Please send Certified Copy to
Geoffrey Magon, HHVS)
Clerk of Court's Office
jlA�1/
Number of Original
3 Agreements
Attached
Lawrence Center, NAMI and the Collier
Documents Attached
County Sheriffs Department
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 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
Contact
Geoffrey Magon
Phone Number
252 -2336
Agenda Date Item was
11/13/12
Agenda Item Number
16D5
Approved by the BCC
Original document has been signed/initialed for legal sufficiency. (All documents to be
Yes
Type of Document
Amendment to Agreement with David
Number of Original
3 Agreements
Attached
Lawrence Center, NAMI and the Collier
Documents Attached
County Sheriffs Department
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
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
aivropriate.
(Initial)
Applicable)
1.
Original document has been signed/initialed for legal sufficiency. (All documents to be
Yes
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
Yes
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
Yes
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
Yes
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
Yes
should be provided to Kristi Bartlett 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 11/13/12 and all changes made
Yes
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
MEMORANDUM
Date: December 11, 2012
To: Geoffrey Magon, Grants Coordinator
Housing, Human & Veteran Services Department
From: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
Re: Amendment No. 2 to Criminal Justice, Mental Health
and Substance Abuse Reinvestment Grant LHZ25 with
the David Lawrence Center, Inc.
Attached per your request, is a certified copy of the grant amendment referenced
above, (Item #16D5) approved by the Board of County Commissioners Tuesday,
November 13, 2012
The original will be held on file in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252 -8406.
Thank you
AMENDMENT NO.2 16D5
AGREEMENT
FOR
CRIMINAL JUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25)
THIS AMENDMENT, made and entered into on this 13th day of November 2012, by and
between David Lawrence Mental Health Center, Inc., EIN 59- 2206025, (d /b /a David
Lawrence Center), authorized to do business in the State of Florida, whose business address
is 6075 Bathey Lane, Naples, Florida, 34116, hereinafter called the "Subrecipient" (or
"Consultant ") and Collier County, a political subdivision of the State of Florida, Collier
County, Naples, hereinafter called the "County ":
Words Str-urs Ti.rcAah are deleted; Words Underlined are added
WITNESSETH•
m
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", Special Conditions, attached as Exhibit
"B", and the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding #LHZ25
with all Attachments, referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of
this Agreement a total amount of TT ndred Eighty -rce Thousand Four Hundred
ight Five 00 /100 Dollars ($283,485.0 Two Hundred Sixty Thousand Four
Hundred Seven and 70/100 Dollars ($260,407.70) over the term of the Agreement with
Ninety Four Thousand Four Hundred Ninety Five and 00/100 Dollars ($94,495.00) for
year one and Eighty Two Thousand Nine Hundred Fifty -Six and 35/100 Dollars
$82,956.35) for year two and Eighty Two Thousand Nine Hundred Fifty -Six and
35/100 Dollars ($82,956.35) for year three of that total amount being awarded beginning
with state fiscal year 2010 -2011, subject to Change Orders as appreved in advanee by th
Couffty. Payment will be made upon receipt of a proper invoice and match
documentation equal to or more than the total of submitted payment requests and upon
Page 1 of 8
approval by Housing, Human and Veteran Services, or his designee, and in lnoiJR5
with Chapter 218, Fla. Stats., otherwise known as the "Local Government Prompt
Payment Act ".
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within si* (6)
months thirty days after completion of ^tr-aet the term of the agreement. Any
untimely submission of invoices beyond the specified deadline period is subject to non-
payment under the legal doctrine of "laches" as untimely submitted. Time shall be
deemed of the essence with respect to the timely submission of invoices under this
agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
David Lawrence Center
6075 Bathey Lane
Naples, Florida 34116
Attn: David C. Schimmel, Chief Executive Officer
Phone: 239- 455 -8500
Fax: 239 - 455 -6561
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: p,.ank n ".,.,sett Housing Manager-
Geoffrey Magon, Grant Coordinator
Telephone: 239 - 252 -2336
Facsimile: 239 -252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS CONTRACT CT AGREEMENT. This T
agreement consists of the attached component parts, all of which are as fully a part of
the eentrae t agreement as if herein set out verbatim: Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 with all Attachments
CJMHSA Amendment 002 Page 2 of 8
23. MATCH FUNDS.
ant term for this sub-recipient agreement. The Subreci Tent may satisfy the match
requirement by providing services, salaries, fringe rent, office expenditures, cash or in-
kind services that are not otherwise used as match for other state or federal dollars The
percentage of pay requests to total awarded funds must equal or exceed the percentage
of match funds expenditures to total match funds when submitted, or pay requests will
not be paid.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
;4003 Two Hundred Sixty Thousand Four Hundred Seven and 70/100 Dollars
($260,407.70). The Subrecipient shall provide a match of
Theusa a One hundred c , One and 00/1000 Dollars ($1 26 17 n0) One Hundred
Forty -Seven Thousand Five Hundred One and 00 /100 Dollars ($147,501.00) as provided
by Paragraph 23 herein. The
table below, as approved by the grantor agency, provides lise itenns budgeted by State
Funds, Local Match and a Total Line Budget as shown in Exhibit "C ".
YEAR ONE OF THREE
BUDGET DETAIL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$61,395.00
$42,057.00
$103,452.00
Enhancement
$33,100.00
$0.00
$33,100.00
TOTAL YEAR ONE
$94,495.00
$42,057.00
$136,552.00
YEAR TWO OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$61,395.00
$42,0=S !1A
$1:93,452.9
49 856.35
$52,722.00
$102,578.35
Enhancement
$33,100.00
$0.00
$33,100.00
TOTAL YEAR TWO
04,499 0
0 8
82 956.35
$52,722.00
$135.678.35
CJMHSA Amendment 002 Page 3 of 8
YEAR THREE OF THREE 16D5
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$61,395.00
$42 ,OS nn
$193,452.0
Provide case management services
49 856.35
$52,722.00
$102,578.35
Enhancement
$33,100.00
$0.00
$33,100.00
TOTAL YEAR THREE
94,4 AA
$42,0679 o
$436,662 e
Coordinate Enhancement expenditures
82 956.35
52 722.00
5135,678.35
TOTAL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$194,185.0
$126,171.0
$M,485.0
Provide case management services
$161,107.70
$147,501.00
$308,608.70
Enhancement
$99,300.00
$0.00
$99,300.00
TOTAL YEAR ONE
$293,496. A
$326,via a
,g0
Coordinate Enhancement expenditures
$260,407.70
,47.501.00,
$407.908.70
C. PROTECT 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
YEAR ONE THROUGH THREE WORK PLAN
03/2011
02/2014
Collier County provide administrative services
03/2011
02/2014
Provide case management services
03/2011
02/2014
Provide mental health counseling services
03/2011
02/2014
Supervise forensic and clinical activities
03/2011
02/2014
Coordinate and evaluate program
03/2011
02/2014
Coordinate Enhancement expenditures
03/2011
02/2014 1
Collect data and prepare reports
972 011
02/20141
Provide grant accounting/ comptroller services
The above Project Work Plan details items to be completed and submitted by
"Date End ". Modifications to the above Work Plan required the prior written
approval of the County. A Work Plan modification will be required if the listed
activity exceeds the assigned end date by 90 days or greater. Any modification(s)
will be made an integral component of this Agreement.
CJMHSA Amendment 002 Page 4 of 8
D. PAYMENT SCHEDULE 1605
Invoices shall be submitted to the County on a monthly basis by the subrecipient.
The following table details the project deliverables and payment sehedule.-and
corresponding documentation necessary for payment support.
Deliverable
Payment Schedule
Case management
Signed timesheet and evidence of payment
Project Coordination
Signed timesheet and evidence of payment
Program Evaluation
Annual Evaluation Reports
Supplies
Invoice /bill and evidence of payment
Local Travel
Actual travel costs
Rent /Utilities
Signed attestation of Chief Financial Officer
Enchancements
Invoice /bill and evidence of payment
Comptroller Services
Signed timesheet and evidence of payment
EXHIBIT "B"
SPECIAL CONDITIONS
A. MONITORING
The Subrecioient shall hermit all versons who are dulv authorized by the Countv to
inspect and copy any records, papers, documents, facilities, goods and services of the
Subrecipient which are relevant to this agreement, and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County of the
satisfactory performance of the terms and conditions of this agreement. Following such
review, the County will deliver to the Subrecipient a written report of its findings, and
may direct the development, by the Subrecipient, of a corrective action plan where
apvrovriate. The Subrecioient herebv aLyrees to timelv correct all deficiencies identified
in the corrective action plan.
B. AUDITS
1. In the event the subrecipient expends $500,000 or more in Federal awards durine its
fiscal year, the subrecipient must have a single or program- specific audit conducted in
accordance with the provisions of OMB Circular A -133, as revised. The subrecipeint
agrees to provide a copy of their single audit for the Department's Single Audit to the
County's grant coordinator. In the event the subrecipient expends less than $500,000 in
Federal awards during its fiscal ,year, the subrecipient agrees to provide certification to
the County's grant coordinator that a single audit was not required. In determining the
Federal awards expended during its fiscal ,year, the subrecipient shall consider all
sources of Federal awards, including Federal resources received from the County and
other government agencies. Federal government (direct), other state agencies and other
CJMHSA Amendment 002 Page 5 of 8
non -state entiti
:)n of amounts of F
enl1
e should
in accordance with guidelines established by OMB Circular A -133, as revised. An audit
of the subrecipient conducted by the Auditor General in accordance with the provision
of OMB Circular A -133, as revised, will meet the requirements of this part. In connection
with the above audit requirements, the subrecipient shall fulfill the requirements relative
to auditee responsibilities as provided in Subpart C of OMB Circular A -133, as revised.
2. The schedule of expenditures should disclose the expenditures by agreement or
contract number for each agreement with the County in effect during the audit period.
The financial statements should disclose whether or not the matching requirements was
met for each applicable agreement. All questioned costs and liabilities due the
department shall be fully disclosed in the audit report package with reference to the
specific agreement number.
EXHIBIT "C"
LINE ITEM BUDGET
YEAR ONE OF THREE
Grant Match
David Lawrence Center Funds Funds
1
Salaries
2
Case Manager
31 900.00
3
MA Counselor
$16,500.00
4
Forensic Supervisor
12 300.00
5
Clinical Supervision
7 200.00
6
Proiect Coordinator
9 750.00
7
Fringe Benefits
8
Case Manager
$7,636.00
9
MA Counselor
$4,077.00
10
Travel
11
Local Travel (2 Positions)
1282.00
12
Supplies
455.00
13
Rent /Utilities
2 352.00
14
Enhancements
33100.00
15
Cash
$10,000.00
16
Total
94 495.00
42 057.00
CJMHSA Amendment 002 Page 6 of 8
16D5
YEAR TWO OF THREE
Grant Match
David Lawrence Center Funds Funds
1
Salaries
2
Case Manager
$31,900.00
3
MA Counselor
$16,500.00
4
Forensic Supervisor
12 300.00
5
Clinical Supervision
7 200.00
6
Proiect Coordinator
13 390.00
7
Comptroller
$7,000.00
8
Travel
9
Local Travel (2 Positions)
$1,456.35
10
Supplies
480.00
11
Rent /Utilities
g,.352.00
12
Enhancements
$33,100.00
13
Cash
$ipl. 000.00
14
Total
82 956.35
S52,722.00
YEAR THREE OF THREE
Grant Match
David Lawrence Center Funds Funds
1
Salaries
2
Case Manager
31 900.00
3
MA Counselor
$16,500.00
4
Forensic Supervisor
12 300.00
5
Clinical Supervision
7 200.00
6
Project Coordinator
$13,390.00
7
Comptroller
L7,000.00
8
Travel
9
Local Travel (2 Positions)
1456.35
10
Supplies
$MLO.00
11
Rent /Utilities
$2352.00
12
Enhancements
$33,100.00
13
Cash
$10,000.0 0
14
Total
$82,956.35
$52,722.00
CJMHSA Amendment 002 Page 7 of 8
Js6 9
IN WITNESS WHEREOF, the Subrecipient and the County have each, pec e by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
By:
Approvecf%-tW' in and
legal sufficiency:
110
Jennifer B. White
Assistant County Attorney
First Witness
TType/print wi ss narnet
r
W/ Second ess
TTypet print witness nameT
CJMHSA Amendment 002 Page 8 of 8
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Fred W. Coyle, Chairman � \\
DAVID LAWRENCE MENTAL
HEALTH CENTER (D/ B/ A DAVID
LAWRENCE CENTER)
ByD;(�
David C:
Schimmel
Chief Executive Officer
1605
MEMORANDUM
Date: December 11, 2012
To: Geoffrey Magon, Grants Coordinator
Housing, Human & Veteran Services Department
From: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
Re: Amendment No. 2 to Criminal Justice, Mental Health
and Substance Abuse Reinvestment Grant LHZ25 with
NAMI of Collier County, Inc.
Attached per your request, is a certified copy of the grant amendment referenced
above, (Item #16D5) approved by the Board of County Commissioners Tuesday,
November 13, 2012
The original will be held on file in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252 -8406.
Thank you
7
k
AMENDMENT NO.2
AGREEMENT
FOR
CRIMINAL JUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25)
16D5
THIS AMENDMENT, made and entered into on this 13th day of November 2012, by and
between NAMI of Collier County, Inc. (f /k /a National Alliance on Mental Illness of Collier
County, Inc.), EIN 65- 0047747, authorized to do business in the State of Florida, whose
business address is 6216 Trail Boulevard, Building C, Naples, Florida, 34108, hereinafter
called the "Subrecipient" and Collier County, a political subdivision of the State of Florida,
Collier County, Naples, hereinafter called the "County ":
Words Stfuelc Tlueugh are deleted; Words Underlined are added
WITNESSETH:
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", S12ecial Conditions, attached as Exhibit
"B", and the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding
#LHZ25 -002 with all Attachments, referred to herein and made an integral part of this
agreement. This Agreement contains the entire understanding between the parties and
any modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Subrecipient for the performance of
this Agreement a total amount of Ninety Six Thousand Tive Hun-dred Four and 00/100
Dollars ($96,204.00) the term of AgreemeRt with T14ty Two Thousand Sixty Eight and
00/100 Dollars ($32,068 )0 One Hundred Eleven Thousand Two Hundred Eighty -One
30/100 Dollars ($111,281.30) for the term of the Agreement with Thirty -Two Thousand
Sixty -Eight 00/100 Dollars ($32,068.00) for year 1 and Thirty Nine Thousand Six
Hundred -Six 65/100 Dollars ($39,606.65) for year 2 and Thirty Nine Thousand Six
Hundred -Six 65/100 Dollars ($39,606.65) for year 3 of that total amount being awarded
beginning with state fiscal year 2010 -2011, subjeet to Change Orders as approved in
advance by the Count3F, Payment will be made upon receipt of a proper invoice and
match documentation equal to or more than the total of submitted payment requests
and upon approval by Housing, Human and Veteran Services, or his designee, and in
Page 1 of 8
16D5
compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government
Prompt Payment Act ".
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within sip (6)
months thirty days after completion of ^e�ac4—the term of this agreement. Any
untimely submission of invoices beyond the specified deadline period is subject to non-
payment under the legal doctrine of "laches" as untimely submitted. Time shall be
deemed of the essence with respect to the timely submission of invoices under this
agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
NAMI of Collier County
6216 Trail Boulevard
Building C
Naples, Florida 34108
Attn: Kathryn Leib - Hunter, Executive Director
Phone: 239 -434 -6726
Fax: 239 -455 -6561
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: Frank Ramsey,
Housing Manager-
Geoffrev MaLron, Grant Coordinator
Telephone: 239 - 252 -2336
Facsimile: 239 - 252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS CONTRACT AGREEMENT. This CepAract
Agreement consists of the attached component parts, all of which are as fully a part of
Page 2 of 8
1605
the ms agreement as if herein set out verbatim: Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 -002 with all Attachments
Addendum/ Adde-nda.
23. MATCH FUNDS. A match amount of $51,984.00 is required over the three (3) year
grant term for this Subrecipient agreement The Subrecipient may satisfy the match
requirement by providing services, salaries, fringe, rent, office expenditures, cash or in-
kind services that are not otherwise used as match for other state or federal dollars. The
percentage of pay requests to total awarded funds must equal or exceed the percentage
of match funds expenditures to total match funds when submitted or pay requests will
not be paid.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of
Ninety Six TheiAsand Twe Hundred Four and 00 ' 1100 Dollar-s (96,204.00 Thirty-Two
Thousand Sixty -Eight 00/100 Dollars ($32,068.00 ) for year 1 and Thirty Nine Thousand
Six Hundred -Six 65/100 Dollars ($39,606.65) for year 2 and again for ear 3.. The
Subrecipient shall provide a match of Thirty Five Thousand One Hundred Eighty PauF
and 00/100 Dollars ($35,194)— Fifty -One Thousand Nine Hundred Eighty -Four and
00/100 Dollars ($51,984.00) as provided by Paragraph 23 herein. TL, VA;4+„ h will be in fhe
form of p - -fieipant fees, in Lira services, and ea . The table below, as approved by the
grantor agency, provides line items- budgeted b-y State Funds, Local Match and a Total
Line Budget as shown in Exhibit "C.
YEAR ONE OF THREE
BUDGET DETAIL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$32,068.00
$11,728.00
$43,796.00
TOTAL YEAR ONE
$32,068.00
$11,728.00
$43,796.00
Page 3 of 8
YEAR TWO OF THREE
BUDGET DETAIL
16D5
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$328.98
r, i,728
`a43,796:90
Provide Peer Specialist Services
39 606.65
$20,128.00
59 734.65
TOTAL YEAR TWO
1;►96,284rA9
W'728AO
$43r7�B.AA
02 2014
39 606.65
20128.00
$59734.65
YEAR THREE OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$32,068.8
$11
X43,796:89
Provide Peer Specialist Services
39 606.65
$20,128.00
59 734.65
TOTAL YEAR THREE2zA68.A8
1;►96,284rA9
$8.80
$ �
02 2014
122&06.6-5
20128.00
59 734.65
TOTAL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$96,204.0
$3548 nn
$131,388. nn
Provide Peer Specialist Services
95 494.00
$51,984.00
1146,758.00
TOTAL YEAR ONE
1;►96,284rA9
S�" 1 1514.w
ir388.aA
02 2014
1111,281.30
$S1.984.Q0
5161265.30
C. PROTECT 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
YEAR ONE THROUGH THREE WORK PLAN
03/2011
02/2014
Collier County provide admutistrative services
03/2011
02/2014
Provide Peer Specialist Services
03/2011
02/2014
Provide Peer Specialist Supervision
03/2011
02/2014
Training to Peer Specialist in SSI Outreach Access Recovery
SOAR
07 2012
02 2014
Provide CIT Training Volunteer Services
Page 4 of 8
} 1605
The above Project Work Plan details items to be completed and submitted by
"Date End ". Modifications to the above Work Plan required the prior written
approval of the County. A Work Plan modification will be required if the listed
activity exceeds the assigned end date by 90 days or greater. Any modification(s)
will be made an integral component of this Agreement.
D. PAYMENT SCHEDULE
Invoices shall be submitted to the County on a monthly basis by the subrecipient.
The following table details the project deliverables and payment sehedul . and
corresponding documentation necessary for payment support.
Deliverable
Payment
Schedule
Peer Specialist Services
Signed
timesheet and evidence of payment
Project Coordination
Signed
timesheet and evidence of payment
CIT Training Volunteer
Signed
timesheet
Local Travel
Actual Travel Costs
EXHIBIT "B"
SPECIAL CONDITIONS
A. MONITORING
The Subrecipient shall permit all persons who are duly authorized by the County to
inspect and copy any records, papers, documents, facilities, goods and services of the
Subrecipient which are relevant to this agreement, and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County of the
satisfactory performance of the terms and conditions of this agreement. Following such
review, the County will deliver to the Subrecipient a written report of its findings, and
may direct the development, by the Subrecipient, of a corrective action plan where
apropriate. The Subrecipient hereby agrees to timely correct all deficiencies identified
in the corrective action plan.
B. AUDITS
1. In the event the Subrecipient expends $500,000 or more in Federal awards during its
fiscal year, the Subrecipient must have a single or program- specific audit conducted in
accordance with the provisions of OMB Circular A -133, as revised. The Subrecipeint
aglees to provide a copy of their single audit for the Department's Single Audit to the
County's grant coordinator. In the event the Subrecipient expends less than $500,000 in
Federal awards during its fiscal year, the Subrecipient agrees to provide certification to
the County's grant coordinator that a single audit was not required. In determining the
Federal awards expended during its fiscal year, the Subrecipient shall consider all
Page 5 of 8
1605
Federal resource;
received from the County and other government agencies. Federal government (direct
other state agencies and other non -state entities. The determination of amounts of
Federal awards expended should be in accordance with guidelines established by OMB
Circular A -133, as revised. An audit of the Subrecipient conducted by the Auditor
General in accordance with the provision of OMB Circular A -133, as revised, will meet
the requirements of this arp t. In connection with the above audit requirements,_ the
Subrecipient shall fulfill the requirements relative to auditee responsibilities as provided
in Subpart C of OMB Circular A -133, as revised.
2. The schedule of expenditures should disclose the expenditures by agreement or
contract number for each agreement with the County in effect during the audit period.
The financial statements should disclose whether or not the matching requirements was
met for each applicable agreement. All questioned costs and liabilities due the
department shall be fully disclosed in the audit revort package with reference to the
specific agreement number.
EXHIBIT "C"
LINE ITEM BUDGET
YEAR ONE OF THREE
Grant Match
NAMI Funds Funds
1
Salaries
2
Peer Counselor
$28,000.00
3
NAMI Director
7 500.00
4
Frinee Benefits
5
Peer Counselor
$2,786.00
4
Travel
$1,282. 00
5
Rent /Utilities
1728.00
7
Cash
$L500.00
9
1 Total
5R&68.00,
JUZ28.00
Page 6 of 8
YEAR TWO OF THREE 1605
Grant Match
NAMI Funds Funds
1
Salaries
_
2
Peer Counselor
$32,454.65
3
NAMI Director
12 900.00
4
1 Travel
$4,152. 00
5
Rent /Utilities
1728.00
6
CIT Training
$3,000.0 0
7
Cash
5 r00
8
CIT Materials & Supplies
121Q00-00
9
Total
39 606.65
$ZQL28.00
YEAR THREE OF THREE
Grant Match
NAMI Funds Funds
1
Salaries
2
Peer Counselor
$32,454.65
3
NAMI Director
12 900.00
4
Travel
14,152.00
5
Rent /Utilities
$1,728.00
6
CIT Training
$3,000.00
7
Cash
2 500.00
8
CIT Materials & Sup plies
$3,000.00
9 1
Total
$39,606.65
$20,128.00
Page 7 of 8
1605'
IN WITNESw6"AEttE0F, the Subrecipient and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
t `
r
Appr®ved ta. form and
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
Fred W. Coyle, Chairman
legal sufficiency: a_
Jennier B. White
Assistant County Attorney 1::4
NAMI of Collier County, Inc. (f /k /a National
First Witness Alliance on ental Illness of Collier County, Inc.)
By: % 4,1
TType /print wits ss nameT Kathryn Leib - Hunter
Executive Director
Second W
/print witness nameT N \."Dk
Page 8 of 8
1605
MEMORANDUM
Date: December 11, 2012
To: Geoffrey Magon, Grants Coordinator
Housing, Human & Veteran Services Department
From: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
Re: Amendment No. 2 to Criminal Justice, Mental Health
and Substance Abuse Reinvestment Grant LHZ25 with
the Collier County Sheriffs Office
Attached per your request, is a certified copy of the grant amendment referenced
above, (Item #16D5) approved by the Board of County Commissioners Tuesday,
November 13, 2012
The original will be held on file in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252 -8406.
Thank you
16D5
AMENDMENT NO.2
AGREEMENT
FOR
CRIMINAL JUSTICE, MENTAL HEALTH AND
SUBSTANCE ABUSE REINVESTMENT GRANT (LHZ 25)
THIS AMENDMENT, made and entered into on this 13th day of November 2012, by and
between Collier County Sheriff's Office, whose business address is 3319 Tamiami Trail E.,
Naples, Florida, 34112, hereinafter called the "Subrecipient" and Collier County, a political
subdivision of the State of Florida, Collier County, Naples, hereinafter called the "County ":
Words Stfuck Thre are deleted; Words Underlined are added
WITNESSETH:
2. STATEMENT OF WORK. The Subrecipient shall provide services in accordance with
the Scope of Services, attached as Exhibit "A ", Special Conditions, attached as Exhibit
"B", a-nd the County's application submitted to, and approved by, the State of Florida
Department of Children and Families, and the Memorandum of Understanding #LHZ25
with all Attachments, referred to herein and made an integral part of this agreement.
This Agreement contains the entire understanding between the parties and any
modifications to this Agreement shall be mutually agreed upon in writing by the
Subrecipient and the County project manager or his designee, in compliance with the
County Purchasing Policy and Administrative Procedures in effect at the time such
services are authorized.
3. THE CONTRACT SUM. The County shall pay the Contractor Subrecipient for the
performance of this Agreement a total amount of One 14undred Fourteen : P e a a
Eight 14 indfed One and 00 /400v0 Pell^rrs — ($444,804.00) One Hundred Twenty -Two
Thousand Eight Hundred One and 00/100 Dollars ($122,8011 over the term of the
Agreement with Thirty Eight Thousand Two Hundred Sixty Seven and 00/100 Dollars
($38,267.00) for year one and Forty -Two Thousand Two Hundred Sixty -Seven and
00/100 Dollars ($42,267.00 ) for year two and Forty -Two Thousand Two Hundred Six!,-
Seven and 00/100 Dollars ($42,267.00 )again for year three of that total amount being
awarded beginning with state fiscal year 2010 -2011, subject to Change Or-ders —as
approved in advance by the County-. . Payment will be made upon receipt of a proper
invoice and match documentation equal to or more than the total of submitted Davment
requests and upon approval by Housing, Human and Veteran Services, or his designee,
Page 1 of 7
compliance with Chapter 218, Fla. Stats., otherwise known as the "Local Government
Prompt Payment Act".
3.1 Payments will be made for services furnished, delivered, and accepted, upon
receipt and approval of invoices submitted on the date of services or within sue;
menth, thirty days after completion of EORtFaEt the term of the agreement. Any
untimely submission of invoices beyond the specified deadline period is subject to non-
payment under the legal doctrine of "laches" as untimely submitted. Time shall be
deemed of the essence with respect to the timely submission of invoices under tliis
agreement.
5. NOTICES. All notices from the County to the Subrecipient shall be deemed duly
served if mailed or faxed to the Subrecipient at the following Address:
Collier County Sheriffs Office
3319 Tamiami Trail E.
Naples, Florida 34112
Attn: Kevin Rambosk, Sheriff
Phone: 239 - 252 -0554
Fax: 239 -793 -9333
All Notices from the Subrecipient to the County shall be deemed duly served if mailed
or faxed to the County to:
Collier County Government Center
Housing, Human and Veteran Services
3339 Tamiami Trail, East, Suite 211
Naples, Florida 34112
Attention: Frank Ramsey, Housing Manage
Geoffrey Magon, Grant Coordinator
Telephone: 239- 252 -2336
Facsimile: 239 -252 -6542
The Subrecipient and the County may change the above mailing address at any time
upon giving the other party written notification. All notices under this Agreement must
be in writing.
15. COMPONENT PARTS OF THIS CONTRACT AGREEMENT. This Cent -ae
agreement consists of the attached component parts, all of which are as fully a part of
Page 2 of 7
1605
the cent ac agreement as if herein set out verbatim; Insurance Certificate, Scope of
Services and Memorandum of Understanding #LHZ25 -002 with all Attaclunents
23. MATCH FUNDS. A match amount of $325,292.00 is required over the three (3) year
grant term for this Subrecipient agreement. The Subrecipient may satisfy he match
requirement by providing, services, salaries, fringe, rent, office expenditures cash or in-
kind services that are not otherwise used as match for other state or federal dollars. The
percentage of pay requests to total awarded funds must equal or exceed the percentage
of match funds expenditures to total match funds when submitted or pay requests will
not be paid.
EXHIBIT "A"
SCOPE OF SERVICES
B. BUDGET
Collier County Housing, Human and Veteran Services is providing a total amount of ate
One
Hundred Twenty -two Thousand Eight Hundred One and 00/100 ($122,801.00). The
Subrecipient shall provide a match of Twee - Hundred One Thousand Six HT a e4
Three Hundred Twenty -Five Thousand
Two Hundred Ninety -Two and 00/100 Dollars ($325,292.00) as provided by paragraph 23
herein. The ffiateh will be in the form f�d seT-y Ees, and cash. The table below, as
approved by the grantor agency, provides line ite budgeted by State Funds, Local
Match and a Total Line Budget as shown in Exhibit "C ".
YEAR ONE OF THREE
BUDGET DETAIL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$38,267.00
$100,564.00
$138,831.00
TOTAL YEAR ONE
$38,267.00
$100,564.00
$138,831.00
Page 3 of 7
16D5
YEAR TWO OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$38,26:7.00
$i00,56 0o
$138,831.0
42 267.00
$112,364.00
$154,631.00
TOTAL YEAR TWO
X8,267,88
=100364.80
S4�A
42 267.00 1
$112,364.00
$154,631.00
YEAR THREE OF THREE
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
$38,267-.0
x$100,564 gg
$138,831.9
42 267.00
$112,364.00
1154,631.00
TOTAL YEAR THREE
$ag,267
s
$139,931.0 9
42 267.00
$112.364.00
$154.631.00
TOTAL
BUDGET DETAIL
Line Item Description
State Funds
Local Match
Total Line Budget
Contractual
�'t„ w
"301,692,00
�9
$122,801.00
$325,292.00
$448,093.00
TOTAL YEAR ONE
$122,801.00
5325,292.00
$448.093.00
EXHIBIT "B"
SPECIAL CONDITIONS
A. MONITORING
The Subrecipient shall permit all persons who are duly authorized by the County to
inspect and copy any records papers, documents facilities goods and services of the
Subrecipient which are relevant to this agreement and to interview any clients,
employees and subcontractor employees of the Subrecipient to assure the County of the
satisfactory performance of the terms and conditions of this agreement Following such
review, the County will deliver to the Subrecipient a written report of its findings, and
may direct the development, by the Subrecipient, of a corrective action plan where
appropriate. The Subrecipient hereby agrees to timely correct all deficiencies identified
in the corrective action plan.
Page 4 of 7
16D5
B. AUDITS
1. In the event the Subrecipient expends $500,000 or more in Federal awards during its
fiscal year, the Subrecipient must have a single or ro rg am- specific audit conducted in
accordance with the provisions of OMB Circular A -133 as revised. The Subreci ip ent
agrees to provide a copy of the single audit for the Department's Single Audit to the
Count grant coordinator. In the event the Subrecipient expends less than $500,000 in
Federal awards during its fiscal year, the Subrecipient agrees to provide certification to
the Count grant coordinator that a single audit was not required In determining the
Federal awards expended during its fiscal year, the Subrecipient shall consider all
sources of Federal awards, including Federal resources received from the County and
other government agencies. Federal government (direct), other state agencies and other
non -state entities. The determination of amounts of Federal awards expended should be
in accordance with guidelines established by OMB Circular A -133, as revised. An audit
of the Subrecipient conducted by the Auditor General in accordance with the provision
of OMB Circular A -133, as revised, will meet the requirements of this part. In connection
with the above audit requirements, the Subrecipient shall fulfill the requirements
relative to auditee responsibilities as provided in Subpart C of OMB Circular A -133 as
revised.
2. The schedule of expenditures should disclose the expenditures by agreement or
contract number for each agreement with the County in effect during the audit period.
The financial statements should disclose whether or not the matching requirements was
met for each applicable agreement. All questioned costs and liabilities due the
department shall be fully disclosed in the audit report package with reference to the
specific agreement number.
Page 5 of 7
1605
EXHIBIT "C"
LINE ITEM BUDGET
YEAR ONE OF THREE
Grant Match
CCSO Funds Funds
1
Salaries
2
Discharge Planner
$30,000.00
3
D/C Plan Supervisor
9 000.00
4
Grant Coordinator Meetings
2 684.00
5
Fringe Benefits
560.00
6
Discharge Planner
$7,812.00
6
Supplies
455.00
2 448.00
7
I Rent /Utilities
2 448.00
8
CIT Training
76 432.00
9
Cash
42 267.00
10 000.00
10
Total
3$ 267.00
$100,564.00
YEAR TWO OF THREE
Grant Match
CCSO Funds Funds
1
Salaries
2
Discharge Planner
$41,812.00
3
D/C Plan Supervisor
9 000.00
4
Grant Coordinator Meetings
$2&84.00
5
Grant Accountant
560.00
6
supplies
455.00
7
Rent /Utilities
2 448.00
8
CIT Training
$87,672.00
9
Cash
$10,000.00
10
Total
42 267.00
$112,364.00
Page 6 of 7
1605
CCSo
YEAR THREE OF THREE
Grant Match
Funds Funds
I
Salaries
2
Discharpae Planner
$41,812,00
3
D/C Plan Supervisor
�00100
4
Grant Coordinator Meetings
�84.00
5
Grant Accountant
$560.00
6
Supplies
$455.00
7
,Rent/Utilities
$ 448.00
8
CIT Training
87 672.00
9
Cash
�100-00
10
Total
$42,267.00
$112,364.00
IN WITNESS WHEREOF, the Subrecipient and the County have each, respectively, by an
authorized person or agent, hereunder set their hands and seals on the date and year first above
written.
ATTEST:
Dwight E. Brock, Clerk of Courts
A
By:
'Iv ry
Appftwed a`9 t�4�)i' M." �hd
legal'
su
Jennifer B. White \'-k-
Assistant County Attorney 0- t'\'
First Witness
T'rype/print witnes/nameT
Second
TType//rint witness nameT
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA ,
By: I "
Fred W. Coyle, Chairman
COLLIER COUNTY SHERIFF'S OFFICE
By: //;L
Ke',in R'arnbosk
Sheriff
Page 7 of 7
\.' \\'-A `\ 2--
Approved for legal