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Backup Documents 05/11/2010 Item #16D5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TOT6D 5 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 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 routine lines #I through #4. complete the checklist and forward to Ian Mitchell Route to Addressee(s) (List in routing order) Office Initials Date 1.Colleen Greene County Attorney (Initial) S,1Z.IU 5.Ian Mitchell, Supervisor BCC Office Board of County Commissioners Agenda Item Number �PI3 to 3. Minutes and Records- Clerk of Court's Office 4. DCF- Challenge Grant Amendment #2 Number of Original 3 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 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 Wendy Klopf, Operations Coordinator Phone Number 252 -2901 Contact a ro riate. (Initial) Applicable) Agenda Date Item was May 11, 2010 Agenda Item Number 16D5 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document DCF- Challenge Grant Amendment #2 Number of Original 3 Attached I resolutions, etc. signed by the County Attorney's Office and signature pages from Documents Attached INSTRUCTIONS & CHF,CKLIViT 1: 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 a ro riate. (Initial) Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be WK 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 WK 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 WK 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 WK 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 Sue Filson 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 May 11, 2010(enter date) and all changes WK made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. 1: Forms/ County Forms/ BCC Forms / Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 16D5 MEMORANDUM Date: May 14, 2010 To: Wendy Klopf, Operations Coordinator Housing & Human Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Amendment to Florida's Department of Children & Families Challenge Grant, changing the administration of the Homeless Management Information System Attached are three (3) original copies of the amendment document referenced above, (Item #16D5) approved by Board of County Commissioners on May 11, 2010. After forwarding to the State of Florida for signature, we would request that an original please be returned to the Minutes and Records Department for the Board's Official Record. If you have any questions, please contact me at 252 -8406. Thank you. Attachment 16D5 STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES Amendment #0002 This amendment, entered into between the State of Florida, Department of Children and Families, hereinafter referred to as °Department', and Collier County Board of County Commissioners, hereinafter referred to as the "Grantee ", amends Grant # HFZ03 to: • Amend Grant Language Challenge Grant Agreement, Page 1, Paragraph 2. is hereby amended as follows: 2. Grantee hereby agrees to perform the tasks and to provide the services described in the application as described in Attachment I with the following exceptions: A. With or prior to requesting the first draw, a copy of the Grantee's executed sub - recipient agreements will be provided to the Department. B. Beginning May 01, 2010, the Grantee will operate and manage the Homeless Management Information System (HMIS) as reflected In the Lead Agencies Continuum of Care. The Grantee will be responsible for all financial obligations to the Collier County Hunger and Homeless Coalition, Inc. pursuant to this grant up to and including April 30, 2010 as it relates to HMIS activities performed before May 01, 2010. Any remaining funds subject to this grant for HMIS activities will be used by the Grantee to manage and operate HMIS. This amendment shall begin on April 15, 2010, or the date which the amendment has been signed by both parties, whichever is later. All provisions in the contract and any attachments thereto in conflict with this amendment shall be and are hereby changed to conform with this amendment. All provisions not in conflict with this amendment are still in effect and are to be performed at the level specked in the contract. This amendment and all of its attachments are hereby made a part of this grant. IN WITNESS THEREOF, the parties hereto have caused this 1 -page amendment to be executed by their officials thereunto duly authorized. PROVIDER: COLLIER COUNTY BOARD OF COUNTY COMMIISSIONE7�tk. SIGNED BY. PRINT NAME: Fred W. Coyle PRINT TITLE: Chairman STATE OF FLORIDA DEPARTMENT OF CHILDREN AND FAMILIES IGNED BY: PRINT NAME: Harriet A. Coleman PRINT TITLE: Circuit Administrator Item # ' (40 57 Agenda Date Date Recd DATE: 05/11/2010 DATE: Provider FEID #: 598000558 Page 1 Amendment 0002 Grant # HFZ03 Approved as to form & legal sufficiency Colleen Greene, Assistant County Attorney K .. `T A7FTEST DWIGHT E :::OROOCIt, clerk; ' By: