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Backup Documents 03/23/2010 Item #16D 9 'I ORIGINAL DOCUMENTS CHECKLIST & ROUTINq,s&lfJ 9 '1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 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. rhe 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 # I through #4 as appropriate for additional signatures, dales, and/or information needed. If the document is already complete with the exccDtion of the Chairman's signature, draw a line through routing lines # I throup"h #4, comnlcte the checklist, and forward to Sue Filson line #5) Route to Addressee(s) Office Initials Date (List in routing order) 1. - 2. - 3. ----- - 4. Colleen M. Greene, ACA County Attorney 0Yl& 04/01/10 5. Ian Mitchell, BCC Office Supervisor Board of County Commissioners JJ.- 4h..ll 0 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending Bee apprnvaJ Normally the primary contact is the person who created/prepared the executive summary. Primary contact information is needed in the event Ol1t' aftile addressees above, including Sue Filson, need to contact staff' for additional or missing information. All original documents needing the Bee Chairman's signature are to be delivered to the BCe olliec only aller the BCe has acted to approve the item.) Name of Primary Staff Sandra Marrero, Grants Coordinator Phone Number 252-2399 Contact Agenda Date Item was 03123/1 0 Agenda Item Number 16-0-9 Approved by the BCC Type of Document Sub-Recipient Agreement Number of Original 2 Attached Documents Attached INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is appropriate. 1. Original document has been signed/initialed for legal sufficiency. (All documents to be 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, t:tc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully executed by all parties except the Bee Chairman and Clerk to the Board and possibly State Officials. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other arties exce t the BCC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date or BeC approval of the document or SM the final ne otiated contract date whichever is a licable. "Sign here" tabs arc placed on the appropriate pages indicating where the Chairman's signatun: and SM initials arc re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson in the BCC office within 24 hours of Bee approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the Bee's actions are nullified. Be aware of lour deadlines! The document was approved by the Bee on 03/23/10 and all changes made during the meeting SM have been incorporated in the attached document. The County Attorney's Office has reviewed the chan es, if a licable. 2. N/A 3. 4. 5. N/A 6 I: Forms/ County Forms/ Bee Forms/ Original Documents Routing Slip WWS Original 9.03.04, RcviSt;d 1.26.05, Rt;vist;d 2.24.05 <(matter ~ numbem/<(document~ numbeD) 16D9 MEMORANDUM Date: April 5,20]0 To: Sandra Marrero, Grants Coordinator Human Services Department From: Ann Jennejohn, Deputy Clerk Minutes and Records Department Re: A Sub-recipient Agreement with the City of Naples for CDBG-Recovery funds acquired through the American Recovery and Reinvestment Act (ARRA) for landscaping improvements in the Anthony (River) Park Community Attached is an original agreement, as referenced above (Item #16D9) approved by the Board of County Commissioners on March 23, 2010. The Minutes and Records Department has held the second original agreement for the Board's Offici a] Record. If you have any questions, please contact me at 252-8406. Thank you. Attachment (1) 16D9 .. AGREEMENT BETWEEN COLLIER COUNTY AND CITY OF NAPLES LANDSCAPING IMPROVEMENT-ANTHONY PARK Catalog of Federal Domestic Assistance # ]4.253 HUD Grant # B-09-UY-]2-0016 THIS AGREEMENT is made and entered into by and between Collier County, a political subdivision of the State of Florida, ("COUNTY"), and "City of Naples," a municipality existing under the laws of the State of Florida, having its principal office at 735 8th Street South Naples, FL 34102, and its Federal Tax Identification number as 59-6000-382, and Dun & Bradstreet number as 084130293 ("SUBRECIPIENT"). WHEREAS, the COUNTY has entercd into an agreement with the United States Department of Housing and Urban Development (HUD) pursuant to the authority of Title XII of the American Recovery and Reinvestment Act of2009 (Public Law I I 1-5)(the Recovery Act). WHEREAS, pursuant to the aforesaid agreement, COUNTY is undertaking certain activities to primarily benefit low and moderate income persons and neighborhoods and to use Community Development Block Grant-Recovery (CDBG-R) tunds for: activities intended to create suitable living environments. provide decent affordable housing and create economic opportunities; and WHEREAS, the Board of County Commissioners of Collier County approved the Collier County Consolidated Plan - One- Year Action Plan for Federal Fiscal Year 2009-20 I 0 lor the CDBG-R Program for April 28, 2009-Agenda Item 1603; and WHEREAS, Consolidated Plan 01-02; and Resolution 08-121 was developed following the Collier County Citizen Participation Plan, adopted on January 9, 2001 with Resolution WHEREAS, HUD has approved the County's Consolidated Plan One-Year Action Plan for Federal Fiscal Year 2009-2010 for the CDBG-R Program and the use of the CDBG-R funds for the activities identified in the Plan; and WHEREAS, the COUNTY and the SUBRECIPIENT desire to provide the activities specified in Exhibit "A" of this Agreement, in accord with the approved Consolidated Plan; and WHEREAS, the COUNTY desires to engage the SUB RECIPIENT to implement such undertakings of the CDBG-R Program as a valid and worthwhile County purpose. NOW, THEREFORE, in consideration of the mutual promises and covenants hercin contained, it is agreed by the Parties as follows: 2009-20 lO CDBCi-R City of Naples Landscaping Improvements-Anthony Park Page I of 30 16D9 I. DEFINITIONS ~~. (A) "COUNTY" means Collier County, and where applicable, it's authorized representative(s ). (B) "ARRA" means the American Recovery and Reinvestment Act (Public Law Ill- S). (C) "CDBG-R" means the Community Development Block Grant-Recovery Program and pursuant to the authority of the ARRA. (D) "HHS" means Collier County Department of Housing and Human Services. (E) "HHS's Approval" means the written approval of the Department of Housing and Human Services or designee. (F) "SUBRECIPIENT" means The CITY OF NAPLES. (G) "HUD" means the U.S. Department of Housing and Urban Development or a person authorized to act on its behalf. (H) "Low and moderate income persons" means the definition set by HUD. (I) "Project" means the work to be performed as set forth in Exhibit "A." II. SCOPE OF SERVICES The SUBRECIPIENT shall, in a satisfactory and proper manner, as determined by HHS, perform the tasks necessary to conduct the program outlined in Exhibit "A." III. TIME OF PERFORMANCE The effective date of the Agreement between HUD and Collier County shall be August 19, 2009. Subrecipients are authorized to incur eligible expenses after that date and prior to execution of this Agreement subject to HHS prior written approval. The services of the SUBRECIPIENT shall be undertaken and completed in light of the purposes of this Agreement. In any event, all services required hereunder shall be completed by the SUB RECIPIENT prior to June 15, 2011. Any funds not obligated by the expiration date of this Agreement shall automatically revert to the HUD. IV. CONSIDERATION AND LIMITATION OF COSTS The SUBRECIPIENT shall be reimbursed by the COUNTY using HUD funding for allowable costs, determined by COUNTY, in an amount not to exceed Thirty thousand three hundred sixty five dollars ($30,365.00) for the services described in Exhibit "A." All improvements specified in Exhibit "A" shall be performed by SUBRECIPIENT employees, or shall be put out to competitive bidding under a procedure acceptable to the COUNTY and Federal requirements. The SUBRECIPIENT shall enter into contract for improvements with the lowest responsive and qualified bidder. Contract administration shall be handled by the SUBRECIPIENT and monitored by HHS, which shall have access to all records and documents related to the proj ect. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 2 of 30 16D9 The County shall reimburse the SUBRECIPIENT for the performance of this Agreement upon completion or partial completion of the work tasks as accepted and approved by HHS pursuant to the submittal of monthly progress reports. Payments shall be made to the SUB RECIPIENT when requested as work progresses but not more frequently than once per month. Payment will be made upon receipt of a proper invoice and in compliance with S 218.70, Fla. Stat., otherwise known as the "Local Government Prompt Payment Act." No payment will be made until approved by HHS. ~ V. NOTICES All notices required to be given under this Agreement shall be sufficient when delivered to HHS at its office, presently located at 3301 E. Tamiami Trail, Bldg H, Suite 211, Naples, Florida 34112, and to the SUBRECIPIENT when delivered to its office at the address listed on page one (1 ) of this Agreement. VI. GENERAL CONDITIONS A. IMPLEMENTATION OF PROJECT The SUB RECIPIENT shall implement this Agreement in accordance with applicable Federal, State, and County laws, ordinances and codes and with the procedures outlined in HHS' Policies and Procedures memoranda. Should a project receive additional funding after the commencement of this Agreement, the SUBRECIPIENT shall notify HHS in writing within thirty (30) days of receiving notification from the funding source and submit a cost allocation plan for approval by HHS or its designee within forty-five (45) days of said official notification. B. DEBARMENT The SUBRECIPIENT certifies that neither it, nor its principals. is presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction by any Federal Department or agency; and, that the SUBRECIPIENT shall not knowingly enter into any lower tier contract, or other covered transaction, with a person who is similarly debarred or suspended from participating in this covered transaction. C. LOCAL AND FEDERAL RULES, REGULA nONS AND LAWS The SUBRECIPIENT agrees to comply with any applicable laws, ordinances, regulations and orders ofthe State, local and Federal governments, including, but not limited to: 1. The American Recovery and Reinvestment Act (Public Law 111-5). Special conditions apply. See Exhibit C (attached and incorporated herein) and for additional information see www.recoverv.gov. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 3 of 30 1609 2. 24 CFR 570, as amended - The regulations governing the expenditure of Community Development Block Grant-Recovery (CDBG-R) funds. 3. 24 CFR 58 - The regulations prescribing the Environmental Review procedure. 4. Title VI of the 1984 Civil Rights Act, 42 USC 9 2000d, et. seq. 5. 24 CFR 107 - The regulations issued pursuant to Executive Order 11063 which prohibits discrimination and promotes equal opportunity in housing. 6. Executive Order 11246 ("Equal Employment Opportunity"), as amended by Executive Orders] ]375 and ]2086 - which establishes hiring goals for minorities and women on projects assisted with federal funds. 7. Title VII of the ]968 Civil Rights Act as amended by the Equal Employment Opportunity Act of ] 972, 42 USC 9 2000e, et. seq. 8. 24 CFR 135 - Regulations outlining requirements of Section 3 of the Housing and Urban Development Act of 1968, as amended. 9. Age Discrimination Act of 1975. 10. Contract Work Hours and Safety Standards Act, 40 USC 327-332. ] 1. Section 504 of the Rehabilitation Act of] 973,29 USC 776(b) (5). ]2. Uniform Relocation Assistance and Real Property Acquisition Policies Act of ] 970, as amended. 13. 29 CFR Parts 3 and 5 - Regulations which prescribe the payment of prevailing wages and the use of apprentices and trainees on federally assisted projects as mandated by the Davis-Bacon Act. HUD Form 40]0 must be included in all construction contracts funded by CDBG-R. (See 42 USC 276a and 24 CFR 135.]] (cl). ] 4. Executive Order] 1 9 1 4 - Prohibits discrimination with respect to the handicapped in federally assisted projects. 15. Executive Order] 1625 and U.S. Department of Housing and Urban Development Circular Letter 79-45 - which prescribes goal percentages for participation of minority businesses in Community Development Block Grant-Recovery Contracts. ] 6. Public Law 1 00-430 - the Fair Housing Amendments Act of 1988. l7. OMB Circular A-133 - concerning annual audits. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 4 of 30 1609 18.0MB Circular A-122 - which identifies cost principles. 19. 24 CFR 84 - Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and Other Non-Profit Organizations. 20. 24 CFR 85- Uniform Administrative Requirements for Grants and Agreements to State and Local Governments. 21. Immigration Reform and Control Act of 1986 as located at 8 USC 1324, et seq. and regulations relating thereto. Failure by the SUBRECIPIENT to comply with the laws referenced herein shall constitute a breach of this agreement, and the County shall have the discretion to unilaterally terminate this agreement immediately. 22. Chapter 112, Florida Statutes. 23. Prohibition Of Gifts To County Employees - No organization or individual shall offer or give, either directly or indirectly, any favor, gift, loan, fee, service or other item of value to any County employee, as set forth in Chapter I 12, Part III, Florida Statutes, Collier County Ethics Ordinance No. 2004-05, as amended, and County Administrative Procedure 53 II. 24. Order of Precedence - In the event of any conflict between or among the terms of any of the Contract Documents, the terms of the Agreement shall take precedence over the terms of all other Contract Documents, except the terms of any Supplemental Conditions shall take precedence over the Agreement. To the extent any conflict in the terms of the Contract Documents cannot be resolved by application of the Supplemental Conditions, if any, or the Agreement, the contlict shall be resolved by imposing the more strict or costly obligation under the Contract Documents upon the Contractor at Owner's discretion. 25. Venue - Any suit or action brought by either party to this Agreement against the other party relating to or arising out of this Agreement must be brought in the appropriate federal or state courts in Collier County, Florida, which courts have sole and exclusive jurisdiction on all such matters. 26. Dispute Resolution - Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between the parties, the parties shall make a good faith effort to resolve any such disputes by negotiation. The negotiation shall be attended by representatives of SUBRECIPIENT with full decision-making authority and by COUNTY'S staff person who would make the presentation of any settlement reached during negotiations to COUNTY for approval. Failing resolution, and prior to the commencement of depositions in any litigation between the parties arising out of this Agreement, the parties shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator certified by the State of Florida. The mediation shall be attended by representatives of SUB RECIPIENT with full decision-making authority and by COUNTY'S staff person who would make the presentation of any settlement reached at mediation to COUNTY'S board for approval. Should 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 5 of 30 16D9 either party fail to submit to mediation as required hereunder, the other party may obtain a court order requiring mediation under 9 44.102, Fla. Stat. D. SUBCONTRACTS Any work or services subcontracted by the SUB RECIPIENT shall be specifically by written contract or agreement, and such subcontracts shall be subj ect to each provision of this Agreement and applicable County, State, and Federal guidelines and regulations. Prior to execution by the SUB RECIPIENT of any subcontract hereunder, such subcontracts must be submitted by the SUBRECIPIENT to HHS for its review and approval, which will specifically include a determination of compliance with the terms of the attached Scope of Services set forth in Exhibit "A." This review also includes ensuring that all consultant contracts and fee schedules meet the minimum standards as established by the Collier County Purchasing Department, Florida Statutes and HUD. Reimbursements for such services will be made at SUBRECIPIENT cost. None of the work or services covered by this Agreement, including but not limited to consultant work or services, shall be subcontracted by the SUBRECIPIENT or reimbursed by the COUNTY without prior written approval of the HHS or its designee. E. AMENDMENTS This Agreement, and any exhibit or attachment, may be amended only by written agreement executed by the governing boards of both parties, except that County representative(s) may approve adjustments between line item amounts, scope clarifications, or an extension of time and schedule that do not change the project, or exceed the amount funded by the County, as stated herein. Any moditlcations to this contract shall be in compliance with the County Purchasing Policy and Administrative Procedures in effect at the time such modifications are authorized. F. INDEMNIFICATION To the maximum extent permitted by Florida law, the SUBRECIPIENT shall indemnify and hold harmless Collier County, its officers and employees from any and all liabilities, damages, losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals' fees, to the extent caused by the negligence, recklessness, or intentionally wrongful conduct of the SUB RECIPIENT or anyone employed or utilized by the SUB RECIPIENT in the performance of this Agreement. This indemnification obligation shall not be construed to negate, abridge or reduce any other rights or remedies which otherwise may be available to an indemnified party or person described in this paragraph. This section does not pertain to any incident arising from the sole negligence of Collier County. The foregoing indemnification shall not constitute a waiver of sovereign immunity beyond the limits set forth in Section 768.28, Florida Statutes. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 6 of 30 G. GRANTEE RECOGNITION 1609 All facilities purchased or constructed pursuant to this Agreement shall be clearly identified as to funding source. The SUBRECIPIENT will include a reference to the financial support herein provided by HHS & ARRA in all publications and publicity. In addition, the SUB RECIPIENT will make a good faith effort to recognize HHS & ARRA support for all activities made possible with funds made available under this Agreement. The SUBRECIPIENT will mount a temporary construction sign for projects funded by HHS & ARRA. This design concept is intended to disseminate key information regarding the development team as well as Equal Housing Opportunity to the general public. The construction sign shall comply with applicable County Codes. H. TERMINATION In event of termination for any of the reasons identified in sub-sections 1-3 as follows, all finished or unfinished documents, data studies, surveys, drawings, maps, models, photographs, reports prepared, and capital equipment secured by the SUBRECIPIENT with funds under this Agreement shall be returned to HHS or the COUNTY. In the event of termination, the SUBRECIPIENT shall not be relieved of liability to the COUNTY for damages sustained by the COUNTY by virtue of any breach of the Contract by the SUBRECIPIENT, and the COUNTY may withhold any payment to the SUBRECIPIENT for set-off purposes until such time as the exact amount of damages due to the COUNTY from the SUB RECIPIENT is determined. I. TERMINATION FOR CAUSE If through any cause either party shall fail to fulfill in timely and proper manner its obligations under this Agreement, or if either party shall violate any of the covenants, agreements, or stipulations of this Agreement, either party shall thereupon have the right to terminate this Agreement in whole or part by giving written notice of such termination to the other party and specifying therein the effective date of termination. (See 24 CFR 85.43.) 2. TERMINATION FOR CONVENIENCE At any time during the term of this Agreement, either party may, at its option and for any reason, terminate this Agreement upon ten (10) working days written notice to the other party. Upon termination, the COUNTY shall pay the SUBRECIPIENT for services rendered pursuant to this Agreement through and including the date of termination. (See 24 CFR 85.44.) 3. TERMINATION DUE TO CESSATION In the event the grant to the COUNTY under Title I of the Housing and Community Development Act of 1974 (as amended) is suspended or terminated, this Agreement shall be suspended or terminated effective on the date that HUD specifics. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 7 of 30 16D9 1. INSURANCE SUBRECIPIENT shall obtain and carry, at all times during its performance under the Contract Documents, insurance of the types and in the amounts described herein and further set forth in Exhibit "B" to this Agreement. J. SUBRECIPIENT LIABILITY OBLIGATION Compliance with the insurance requirements in Exhibit "B" shall not relieve the SUBRECIPlENT of its liability and obligation under this subsection or under any subsection of this contract. The contract is contingent upon receipt of the insurance documents within fifteen (15) calendar days after the Board of County Commissioners' approval. If the Insurance certificate is received within the specified period, but not in the manner prescribed in these requirements, the SUBRECIPIENT shall be verbally notified of the deficiency and shall have an additional five (5) calendar days to submit a corrected Certificate to the County. If the SUBRECIPIENT fails to submit the required insurance documents in the manner prescribed in these requirements within twenty (20) calendar days after the Board of County Commissioners' approval, the SUBRECIPlENT shall be in default of the terms and conditions of the contract. K. INDEPENDENT AGENT AND EMPLOYEES The SUBRECIPIENT agrees that it will be acting as an independent agent and that its employees are not Collier County employees and are not subject to the County provisions of law applicable to County employees relative to employments, hours of work, rates of compensation, leave, unemployment and employee beneJ1ts. VII. ADMINISTRATIVE REQUIREMENTS A. FINANCIAL MANAGEMENT The SUBRECIPIENT agrees to comply with OMB Circular A-IIO (Uniform Administrative Requirements for Grants and Agreements with Institutions of Higher Education, Hospitals and other Non-ProJ1t Organizations) and agrees to adhere to the accounting principles and procedures required therein, utilize adequate internal controls, and maintain necessary source documentation for all costs incurred. B. DOCUMENTATION AND RECORDKEEPING ARRA. I. The SUBRECIPlENT shall maintain all records required by CDBG-R and 2. All reports, plans, surveys, information, documents, maps, and other data 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 8 of 30 16D9 procedures developed, prepared, assembled, or completed by the SUB RECIPIENT for the purpose of this Agreement shall be made available to the COUNTY by the SUBRECIPIENT at any time upon request by the COUNTY or HHS. Upon completion of all work contemplated under this Agreement copies of all documents and records relating to this Agreement shall be surrendered to HHS if requested. In any event the SUBRECIPIENT shall keep all documents and records for three (3) years after expiration of this Agreement. 3. The SUBRECIPIENT shall submit reports as required to assist the COUNTY in the preparation of HUD Labor Relations, WBE/MBE, Equal Opportunity Employment, and HUD Section 3 reports, pursuant to 24 CFR 570.502, 507, and 92 (3)(vi). 4. The SUB RECIPIENT shall submit detailed monthly progress reports to HHS outlining the status of specific activities under the project. Each report must account for the total activity for which the SUBRECIPIENT is paid with CDBG-R funds, in part or in whole, and which is required in fulfillment of their obligations regarding the Project. The progress reports shall be submitted on the form Exhibit "0," Schedule "0-2" 5. The SUBRECIPIENT shall maintain records showing compliance with the Davis-Bacon Law, including files containing contractor payrolls, employee interviews, Davis- Bacon wage rates, and administrative cross-referencing. SUBRECIPIENT shall maintain records showing contractor compliance with the Contract Work Hours and Work Safety Law. Similarly, the SUBRECIPIENT shall maintain records showing compliance with federal purchasing requirements and with other federal requirements for grant implementation. 6. If indirect costs are charged, the SUB RECIPIENT will develop an indirect cost allocation plan for determining the appropriate SUBRECIPIENT' s share of administrative costs and shall submit such plan to the COUNTY for approval, in a form specified by the COUNTY. 7. Failure to adequately maintain any former CDBG-R funded project may result in the delay of processing reimbursement requests for ongoing activities or in the forfeiture of future CDBG-R funds. 8. The SUBRECIPIENT will be responsible for the creation and maintenance of income eligible files on clients served and documentation that all households are eligible under HUD Income Guidelines. 9. The SUBRECIPIENT further agrees that HHS shall be the final arbiter on the SUBRECIPIENT's compliance with the above. C. REPORTS, AUDITS, AND EVALUATIONS 1. Quarterly ARRA reporting is required of SUB RECIPIENT and SUBRECIPIENT's vendors, including data elements described in Section 1512 of the ARRA and further outlined at www.federalreporting.gov. HHS will establish timelines for the 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 9 of 30 16D9 submitting of quarterly reports. 2. Monthly progress reports will be submitted using the form attached as Exhibit B and will be accompanied by a Request for Reimbursement if applicable. 3. Reimbursement will be contingent on the timely receipt of complete and accurate reports required by this Agreement, and on the resolution of monitoring or audit findings identified pursuant to this Agreement. 4. The SUBRECIPIENT agrees that HHS will carry out periodic monitoring and evaluation activities as determined necessary. The continuation of this Agreement is dependent upon satisfactory evaluations. The SUBRECIPIENT shall, upon the request of HHS, submit information and status reports required by HHS or HUD to enable HHS to evaluate said progress and to allow for completion of reports required. The SUBRECIPIENT shall allow HHS or HUD to monitor the SUB RECIPIENT on site. Such site visits may be scheduled or unscheduled as determined by HHS or HUD. D. ADDITIONAL HOUSING & HUMAN SERVICES. COUNTY, AND HUD REOUIREMENTS The SUBRECIPIENT agrees to utilize funds available under this Agreement to supplement rather than supplant funds otherwise available for specified activities. E. PRIOR WRITTEN APPROVALS (I) All subcontracts and agreements proposed to be entered into by the SUB RECIPIENT pursuant to this Agreement; (2) All capital equipment expenditures of$I,OOO or more; (3) All out-of-town travel (travel shall be reimbursed in accordance with Chapter 112, Fla. Stat. unless otherwise required by CDBG-R); (4) All change orders; (5) All requests to utilize uncommitted funds after the expiration of this agreement for programs described in Exhibit "N'; and (6) All rates of pay and pay increases paid out ofCDBG-R funds, whether for merit or cost of living. F. PURCHASING All purchasing for services and goods, including capital equipment, shall be made by purchase order or by a written contract and in conformity with the procedures prescribed by the Federal Management Circulars A-II 0, A-122, 24 CFR Part 84, and 24 CFR Part 85. G. AUDITS AND INSPECTIONS I. Non-profit organizations that expend $500,000 or more annually in federal 2009-20 I 0 CDBG-R City of Naples Landscaping Improvements-Anthony Park PagelOof30 1609 awards shall have a single or program-specific audit conducted for that year in accordance with OMB A-133. Non-profit organizations expending federal awards of $500,000 or more under only one federal program may elect to have a program-specific audit performed in accordance with OMB A-133. 2. Non-profit organizations that expend less than $500,000 annually in federal awards shall be exempt from an audit conducted in accordance with OMB A-133, although their records must be available for review (e.g., inspections, evaluations), These agencies are required by HHS to submit "Reduced Scope" audits (e.g., financial audit, performance audits). They may choose. instead of a Reduced Scope Audit, to have a program audit conducted for each federal award in accordance with federal laws and regulations governing the program in which they participate. 3. When the requirements of OMB A-133 apply, or when the SUB RECIPIENT elects to comply with OMB A-I33, an audit shall be conducted for each fiscal year for which federal awards attributable to this contract have been received by the SUB RECIPIENT. A copy of the audit report must be received by HHS no later than six months following the end of the SUBRECIPIENT's fiscal year. 4. If an audit is required by Section G of this contract, but the requirements of OMB A-133 do not apply or are not elected. the SUBRECIPIENT may choose to have an audit performed either on the basis of the SUBRECIPIENT's fiscal year or on the basis of the period during which HHS-federal assistance has been received. In either case, each audit shall cover a time period of not more than twelve months and an audit shall be submitted covering each assisted period until all the assistance received from this contract has been reported. Each audit shall adhere to all other audit standards of 0 MB A -13 3, as these may be limited to cover only those services undertaken pursuant to the terms of this contract. A copy of the audit report must be received by HHS no later than six months following each audit period. 5. The SUBRECIPIENT shall maintain all contract records in accordance with generally accepted accounting principles, procedures, and practices which shall sufficiently and properly reflect all revenues and expenditures of funds provided directly or indirectly by the County pursuant to the terms of this Agreement. 6. The SUBRECIPIENT shall include in all HHS approved subcontracts each of the recordkeeping and audit requirements detailed in this contract. H. PROGRAM-GENERATED INCOME All income earned by the SUBRECIPIENT from activities financed in whole or in part by funds provided hereunder must be reported to HHS. Such income would include, but not be limited to, income from service fees, sale of commodities, and rental or usage fees. The SUBRECIPIENT shall report its plan to utilize such income to HHS, and said plan shall require the prior written approval of HHS or its designee. Accounting and disbursement of such income shall comply with OMB Circular A-IIO (Uniform Administrative Requirement for Federal 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Pagellof30 16D9 Grants) and other applicable regulations incorporated herein by reference. Program Income, as defined by 24 CFR 570.500(a), may be retained by the COUNTY. Program Income shall be utilized to undertake activities specified in Exhibit "A" of this Agreement, and all provisions of this Agreement shall apply to stated activities. Any Program Income received by the SUBRECIPIENT or its sub-contractors shall be returned to the COUNTY unless the SUB RECIPIENT requests and is authorized by HHS to utilize uncommitted funds. 1. GRANT CLOSEOUT PROCEDURES SUBRECIPIENT's obligation to the COUNTY shall not end until all closeout requirements are completed. Activities during this closeout period shall include, but not be limited to: making final payments, disposing of program assets (including the return of all unused materials, equipment. unspent cash advances, program income balances, and receivable accounts to the COUNTY). and determining the custodianship of records. VIII. OTHER PROGRAM REOUlREMENTS A. OPPORTUNlTIES FOR RESIDENTS AND CIVIL RIGHTS COMPLIANCE The SUBRECIPIENT agrees that no person shall be excluded from the benefits of, or be subjected to, discrimination under any activity carried out by the performance of this Agreement on the basis of race, color, disability, national origin, religion, age, familial status, or sex. Upon receipt of evidence of such discrimination, the COUNTY shall have the right to terminate this Agreement. To the greatest extent feasible, lower-income residents of the project areas shall be given opportunities for training and employment; and to the greatest feasible extent eligible business concerns located in or owned in substantial part by persons residing in the project areas shall be awarded contracts in connection with the project. The SUB RECIPIENT shall comply with Section 3 of the Housing and Community Development Act of 1968. B. OPPORTUNlTIES FOR SMALL AND MINORITY/WOMEN-OWNED BUSINESS ENTERPRISES In the procurement of supplies, equipment, construction, or services, the SUB RECIPIENT shall make a positive effort to utilize small business and minority/women- owned business enterprises of supplies and services, and provide these sources the maximum feasible opportunity to compete for contracts to be performed pursuant to this Agreement. To the maximum extent feasible, these small business and minority/women-owned business enterprises shall be located in or owned by residents of the CDBG-R areas designated by Collier County in the Annual Consolidated Plan approved by HUD. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 12 of30 1609 C. PROGRAM BENEFICIARIES At least fifty-one percent (51 %) of the beneficiaries of a project funded through this Agreement must be low- and moderate- income persons. If the project is located in an entitlement city, as defined by HUD, or serves beneficiaries countywide, more than thirty percent (30%) of the beneficiaries directly assisted under this Agreement must reside in unincorporated Collier County or in municipalities participating in the County's Urban County Qualification Program. The project shall assist beneficiaries as defined above for the time period designated in Exhibit "A" of this Agreement. D. CONFLICT OF INTEREST The SUBRECIPIENT covenants that no person who presently exercises any functions or responsibilities in connection with the Project, has any personal financial interest, direct or indirect, in the target areas or any parcels therein, which would conflict in any manner or degree with the performance of this Agreement and that no person having any conflict of interest shall be employed by or subcontracted by the SUBREClPIENT. Any possible conflict of interest on the part of the SUBRECIPIENT or its employees shall be disclosed in writing to HHS provided, however, that this paragraph shall be interpreted in such a manner so as not to unreasonably impede the statutory requirement that maximum opportunity be provided for employment of and participation of low and moderate-income residents of the project target area. E. PUBLIC ENTITY CRIMES As provided in S 287.133, Fla. Stat. by entering into this Agreement or performing any work in furtherance hereof, the SUBRECIPIENT certifies that it, its affiliates, suppliers, subcontractors and consultants who will perform hereunder, have not been placed on the convicted vendor list maintained by the State of Florida Department of Management Services within the 36 months immediately preceding the date hereof. This notice is required by S 287.133 (3) (a), Fla Stat. F. DRUG-FREE WORKPLACE REQUIREMENTS The SUBRECIPIENT must certify that it will provide drug-free workplaces III accordance with the Drug-Free Workplace Act of 1988 (41 USC 701). G. CERTIFICATION REGARDING LOBBYING The undersigned certifies, to the best of his or her knowledge and belief, that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthon)' Park Page 13 of 30 1609 making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract, grant, loan, or cooperative agreement. 2. If any funds other than Federal appropriated funds have been paid or will be paid to any person for influencing or attempting to influence an officer or employee of any agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal eontract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub- grants, contracts under grants, loans, and cooperative agreements) and that all SUB RECIPIENTS shall certify and disclose accordingly. H. REAL PROPERTY Any real property acquired by the SUBRECIPIENT for the purpose of carrying on the projects stated herein, and approved by the COUNTY in accordance with the Uniform Relocation Assistance and Real Property Acquisition Policies Act of 1970 and 49 CFR 24.101, shall be subject to the provisions of CDBG-R including, but not limited to, the provisions on use and disposition of property. Any real property within the SUBRECIPIENT control, which is acquired or improved in whole or part with CDBG-R funds in excess of $25,000, must adhere to the CDBG-R Regulations at 24 CFR 570.505. IX, ENVIRONMENTAL CONDITIONS A. AIR AND WATER The SUB RECIPIENT agrees to comply with the following requirements: I. Clean Air Act, 41 USC 7401, et seq. 2. Federal Water Pollution Control Act, 33 USC 1251, et seq., as amended. B. FLOOD DISASTER PROTECTION In accordance with the requirements of the Flood Disaster Protection Act of 1973 (42 USC 4002), the SUBRECIPIENT shall assure that for activities located in an area identified by FEMA as having special flood hazards, flood insurance under the National Flood Insurance Program is obtained and maintained. If appropriate, a letter of map amendment (LOMA) may be obtained from FEMA. which would satisfy this requirement and/or reduce the cost of said flood insurance. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 14000 1609 C. LEAD-BASED PAINT The SUBRECIPIENT agrees that any construction or rehabilitation of residential structures with assistance provided under this contract shall be subject to HUD Lead-Based Paint Poisoning Prevention Act found at 24 CFR 570.608. D. HISTORIC PRESERVATION The SUB RECIPIENT agrees to comply with the Historic Preservation requirements set forth in the National Historic Preservation Act of 1966, as amended (16 USC 470) and the procedures set forth in 36 CFR 800, Advisory Council on Historic Preservation Procedures for Protection of Historical Properties. X. CONDITIONS FOR RELIGIOUS ORGANIZATIONS CDBG-R funds may not be used for religious activities or provided to primarily religious organizations. Section 24 CFR 570.200(j) specifies the limitations on CDBG-R funds. XI, REVERSION OF ASSETS Upon expiration of the Agreement, the SUBRECIPIENT shall transfer to the COUNTY any CDBG-R funds on hand at the time of expiration, any accounts receivable attributable to the use of CDBG-R funds, and any non-expendable personal property that was purchased with CDBG-R funds. Any real property under SUBRECIPIENT control will be covered by the regulations 24 CFR 570.503(B) (8). XII. SEVERABILITY Should any provision of the Agreement be determined to be unenforceable or invalid, such a determination shall not affect the validity or enforceability of any other section or part thereof. XIII. COUNTERPARTS OF THE AGREEMENT This Agreement, consisting of Thirty (30) enumerated pages, which include the exhibits referenced herein, shall be executed in two (2) counterparts, each of which shall be deemed to be an original, and such counterparts will constitute one and the same instrument. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 15 of30 1609 v XIV, ENTIRE UNDERSTANDING This Agreement and its provisions merge any prior agreements, if any, between the parties and constitutes the entire understanding. The parties hereby acknowledge that there have been and are no representations, warranties, covenants, or undertakings other than those expressly set forth herein. 2009-20] 0 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 16 of 30 1609 IN WITNESS WHEREOF, the Subrecipient and the County, have each, respectively, by an authorized perso~,or agent, hereunder set their hands and seals on this March 23, 2010, ,,~," . !) ~: I' "', \,."J., /.... '" ATTEST: ,;-'........<:u . DWIGl-!:r' E~~~C~'$tFRK D3.. ~tft..~~~.~: (jl. I , y' ,- Dated: ~V1 \5,;' ' lb ftUm... ........'t tt....... on t . ATTEST: T8:~~>f:;:; Approved as to form and legality: ~,~~ \), ~\\~}J\, Robert D. Pritt, City Attorney 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park BOARD OF COUNTY COMMISSIONERS OF ::LL1ER C7=iL~IDS:t- FRED W. COYLE, CHAlRMA CITY OF NAPLBS / ,,/ /' -- By:,..," { {/ ' c...-------- C' Subrecipient Signature BILL BARNETT, MAYOR Ty pe/prin~. Ub~eci,p~en tn ame~d t!,!!>_r' ;Il. ,I,' :-r:J ( .....;' . iI, K, , ',,' i" lit. ,I" Approved as to form and legal sufficiency: &P~7r1~ Colleen M. Greene Assistant County Attorney Item' j le tt?I Agenda 3 - '63-J() Date Page 17 of30 16D9 EXHIBIT "A" SCOPE OF SERVICES CITY OF NAPLES ANTHONY PARK IMPROVEMENTS THE SUB RECIPIENT AGREES TO: A, PROJECT SCOPE: The City of Naples proposes to provide irrigation to support community landscaping improvements to a City owned vacant parcel located adjacent and contiguous to Anthony Community Park within the River Park Community. Anthony Community Park serves the River Park community as well as the George Washington Carver Section 8 Apartment complex. The parcel is located at 15 5th Avenue, North, Naples, FL (Folio # 181635200008), on the south side of Anthony Park and on the west side of 5th Avenue North. This project will expand the use of the existing developed park. It is estimated this project will retain .28 of full-time equivalent employees (FTE's) which was determined by OMB formula. This project will only support the retention of FTE's, by using the CDBG-R funds award to the City of Naples for payment. Collier County Department of Housing and Human Services IS funding THIRTY THOUSAND THREE HUNDRED SIXTY-FIVE DOLLARS ($30,365) with CDBG-R funds to provide irrigation to support community landscaping improvements to a City owned vacant parcel. In addition to documents requested pursuant to the agreement, the Subrecipient will be responsible for submitting the following to HHS: a. Monthly submission of completed person hours to for the FTE's with the monthly report which is due by the lOth of each month. The documentation submitted must indicate the amount of time the retained employee's have spent on the CDBG-R job- site. B. BUDGET - Anthony Park Improvements Line Item: CDBG-R Funds $30,365 DESIGN Coverage Water capacity determination Piping diameter determination $ 0.00 $ 0.00 $ 0.00 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 18 of30 16119 LABOR Trenching/and filling Pipe lying and connections Main water supply connections Sprinkler head insertion Water coverage testing and adjustment Misc Labor $ 2,374 $ 2,367 $ 840 $ 1,243 $ 524 $ 850 $ 8,198 MATERIALS Equipment Staging Piping/Connections Timers/Wires/Electrical Various connection fittings Sprinkler Heads Misc Materials $ 440 $13,050 $ 2,431 $ 2.159 $ 850 $ 200 $19.130 Contingency for the above mentioned items $ 3,037 Total Estimated Project Cost $30,365 Further clarifications to the quantity and types of work to be conducted under Exhibit A will be processed by a Change by Letter, Exhibit A-I, and made an integral component of this Agreement, if necessary. C. PROJECT MILESTONE SCHEDULE The time frame for completion of the outlined activities shall be: MILESTONE/TASK START END DATE DATE Design and obtain permits March. 2010 Mav, 2010 Bid Prenaration and Float Bids June,2010 Julv , 2010 Bidders Meeting and Vendor Selection August, 2010 Sentember , 2010 Construction/Implementation October. February, 2011 2010 Comolete oroiect, insoections March, 2011 Aoril, 20 II Closeout Mav, 20] 1 June 15,20]1 2009.2010 CDBG-R City of Naples Landscaping. Improvements-Anthony Park Page 19 of30 16D9 NOTE: Performance milestones are in effect for program monitoring requirements only, and as such, are used by HUD and other grantor agencies as general target goals rather than strict performance requirements. This agreement shall allow reimbursement of expenses for all eligible costs associated with the agreement and does not require the completion of all agreement milestones for reimbursement to be paid. Please note that if any of these activities exceed the timelines by two months a revised work schedule must be submitted to HHS. E. OUTCOME PERFORMANCE MEASUREMENTS: OBJECTIVE OUTCOMES ACTIVITY INDICA TORS Enhance the The enhanced open space This is a Public Anticipated vendor neighborhood and adjacent park will Facilities project to job retention of character and serve approximately 420 assist a suitable living 0.28 FIE's high quality of single-family and multi- environment and residential life. family housing units in a increase neighborhood RECOVERY: LMl neighborhood facilities quality for Objective lS low-income families'. vendor i anticipated FTE' I retention of 0.28 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 20 of 30 16D9 EXHIBIT "A-I" CHANGE BY LETTER ;'\ COLLIER COUNTY GOVERNMENT Collier County Housing & Human Services Public Services Division Date User Name Address NAPLES, FLORIDA Zip code PHONE: (239) Phone # FAX (239) Fax # Contact Name Name afFirm Address RE: Zero Dollar Contract Change Notification Re: Contract # and Title of Contract Project # Purchase Order # Dear Contact Name: By copy of this letter, the above referenced contract is being issued a zero dollar ($0.00) change as indicated below: r The above referenced contract time is hereby extended by Number of days calendar days, The new completion date shall be on or before month and date, Year. By extending this contract, the County is not relieving your firm of its obligations to perform work in a timely and satisfactory manner or any consequences resulting from failing to do so, Collier County hereby reserves all legal rights, including, but not limited to, rights to terminate. suspend or elect any other appropriate course(s) of action should circumstances warrant with regard to the referenced contract. r Additional Staffing Categories Professional Position(s) Hourly Rate(s) r Draw against Allowance (specify allowance item and identify specific items and quantities) r Other: Scope Clarifications as indentified in Schedule B-1, "Clarifications in Scope", (attached). Sincerely, Your name Title cc: Contract Specialist Name Contract Specialist, Purchasing Department Suzanne Boothby, Clerk's Grants Department 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 21 of30 16D9 EXHIBIT "B" INSURANCE REQUIREMENTS The SUBREClPIENT shall furnish to Collier County, c/o Housing and Human Services Department, 3301 E Tamiami Trail, Bldg H, Suite 211, Naples, Florida 34112, Certificate(s) of Insurance evidencing insurance coverage that meets the requirements as outlined below: I. Workers' Compensation as required by Chapter 440, Florida Statutes. 2. Public Liability Insurance on a comprehensive basis in an amount no less than $300,000 per occurrence for combined Bodily Injury and Property Damage. Collier County must be shown as an additional insured with respect to this coverage. 3. Automobile Liability Insurance covering all owned, non-owned and hired vehicles used in connection with this contract in an amount not less than $300,000 per occurrence for combined Bodily Injury and Property Damage. DESIGN STAGE (IF APPLICABLE) In addition to the insurance required in I ~ 3 above, a Certificate of Insurance must be provided as follows: 4. Professional Liability Insurance in the name of the SUBRECIPIENT or the licensed design professional employed by the SUB RECIPIENT in an amount not less than $300,000 per occurrence providing for all sums which the SUBREClPIENT and/or the design professional shall become legally obligated to pay as damages for claims arising out of the services performed by the SUBRECIPIENT or any person employed by the SUB RECIPIENT in connection with this contract. This insurance shall be maintained for a period of two (2) years after the certificate of Occupancy is issued. CONSTRUCTJON PHASE (IF APPLICABLE) In addition to the insurance required in 1 - 4 above, the SUB RECIPIENT shall provide or cause its Subcontractors to provide original policies indicating the following types of insurance coverage prior to any construction: 5. Completed Value Builder's Risk Insurance on an "All Risk" basis in an amount not less than one hundred (100%) percent of the insurable value of the building(s) or structure(s). The policy shall be in the name of Collier County and the SUBRECIPIENT. 6. Flood Insurance shall be provided for those properties found to be within a flood hazard zone, in an amount not less than the full replace values of the completed structure(s) or the maximum amount of coverage available through the National Flood Insurance Program (NFIP), whichever is greater. The policy will show Collier County as a Loss Payee A.T.1.M.A. This policy will be provided as such time that he buildings' walls and roof exist. OPERA TION/MANAGEMENT PHASE (IF APPLICABLE) 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 22 of30 16D9 After the Construction Phase is completed and occupancy begins, the following insurance must be kept in force throughout the duration of the loan and/or Contract: 7. Public Liability coverage in an amount not less than $1,000,000 per occurrence for combined Bodily Injury and Property damage. Collier County must be shown as an additional insured with respect to this coverage. 8. Property Insurance coverage on an "All Risk" basis in an amount not less than one hundred (100%) of the replacement cost of the property. Collier County must be shown as a Loss payee with respect to this coverage AT.I.M.A 9. Flood Insurance coverage for those properties found to be within a flood hazard zone for the full replacement values of the structure(s) or the maximum amount of coverage available through the National Flood Insurance Program (NFIP). The policy must show Collier County as a Loss Payee AT.I.M.A 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 23 of 30 1'(1)9 EXHIBIT "C" ADDITIONAL CDBG-R GRANT REOUlREMENTS Strict Compliance with all aspects of the American Recovery and Reinvestment Act ("ARRA") is required which includes but is not limited to governance, transparency, data collection and resources. Please see www.recoverv.org for additional information. (1) Title I of the Housing Community Development Act of 1974 (42 USC 5301 et. seq.). Section 109 provides that no person in the United States shall, on the ground of race, color, national origin, religion, or sex, be excluded from participation in, be denied the benefits of, or be subjected to discrimination under any program or activity funded in whole or in part with Federal financial assistance. (2) The Buy American rule as outlined in section 1605 of the ARRA. All equipment and products purchased with grant funds should be American made under the provisions entitled "Required Use of American Iron, Steel and Manufactured Goods." (3) The Davis-Bacon Act as outlined in Section 1606 of the ARRA. (4) The National Environmental Policy Act of 1969 (42 USC 4321 et. seq.). (5) Requirements for Implementing Sections 1512, 1605, and] 606 of the ARRA for Financial Assistance Awards. (6) All subrecipients and contractors are required to obtain a DUNS number and register with the Central Contractor Registration. 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 24 of 30 16D9 EXHIBIT "D" REQUIRED SUBMITTALS D-l Request for Payment D-la Release and Affidavit Form D-2 CDBG-R Monthly Progress Report 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 25 of 30 16D9 SCHEDULE "D-I" COLLIER COUNTY HOUSING AND HUMAN SERVICES REQUEST FOR PAYMENT SECTION I: REQUEST FOR PA YMENT Subrecipient Name: Citv of Naples Subrecipient Address: 735 8th Street South, Naples, FL 34102 Project Name: Landscaping Improvement-Anthonv Park Project No: CDBGR-09-03 Payment Request # Dollar Amount Requested: $ SECTION II: STATUS OF FUNDS I. Grant Amount Awarded $ 30,365.00 2. Sum of Past Claims Paid on this Account $ 3. Total Grant Amount Awarded Less Sum Of Past Claims Paid on this Account 4. Amount of Previous Unpaid Requests $ $ 5. Amount of Today's Request $ 6. Current Grant Balance (Initial Grant Amount Awarded Less Sum of all requests) $ I certify that this request for payment has been drawn in accordance with the terms and conditions of the Agreement between the COUNTY and us, as the SUBRECIPIENT. I also certify that the amount of the Request for Payment is not in excess of current needs. Signature Date Title Authorizing Grant Coordinator Supervisor (approval authority under $14,999) Dept Director (approval required $15,000 and above) 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 26 of 30 1609 SCHEDULE "D-la" RELEASE AND AFFIDAVIT FORM The SUBRECIPIENT certifies for itself and its subcontractors, material-men, successors and assigns, that all charges for labor, materials, supplies, lands, licenses and other expenses for which COUNTY might be sued or for which a lien or a demand against any payment bond might be filed, have been satisfied and paid. This Release and Affidavit IS given III connection with the SUBRECIPIENT's (monthly/final) Request for Payment. SUB RECIPIENT Witness: BY: BY: ITS: President DATE: Print name and title STATE OF COUNTY OF The foregoing instrument 2010, was acknowledged before me this day of ~ u of A Choose Not-For-Profit, Municipality on behalf of Choose Not-For-Profit, Corporation or He/She is personally known to me OR has produced as identification and who did (did not) take an oath. or Corporation or Municipality My Commission Expires: (Signature) Name: (Legibly Printed) (AFFIX OFFICIAL SEAL) Notary Public, State of: Commission No.: 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 27 of 30 16D9 SCHEDULE "D-2" CDBG-R MONTHLY PROGRESS REPORT Complete form for past month and submit to Housing & Human Service's staff by the 1 rfh of the following month. Status Report for Month of Submittal Date: Project Name Citv of Naples -Landscaping Improvements Anthonv Park Project Number CDBG-R 09-03 Activity Number Subrecipienl: City of Naples Contact Person Greg Givens Telephone: 239 -213-1816 Fax: 239-213-1033 E-mail: ggi venslalnaples gov. com L Activity StatuslMilestones (describe any action taken, relating to this project, during the past month): 2. What events/actions are scheduled for the next two months? 3. Describe any affirmative marketing you have implemented regarding this project. Please list and attach any recent media coverage of your organization relating to this project. 4. List any additional data relevant to the outcome measures listed on the application for this project. 5. Identify any potential issues that may cause delay. New contracts executed this month (if applicable): 2009-201 0 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 28 of 30 16D9 Name of Contractor or Amount of Contractor Race Ethnicity Subcontractor, Address & Phone Contract Federal ID (see definitions (see definitions Number Number on following on following page) page) For projects that serve a particular clientele, please complete the following information by entering the appropriate number in the blank spaces and in the chart below. Complete the below chart for NEW clients served this month. DO NOT DUPLICATE clients served in previous montbs. You may provide data by either households or persons served. However, if one person received TWO services this counts as TWO SERVICE UNITS: TOTAL BENEFICIARIES This project benefits "households" or "persons"). INCOME households or persons. Please circle one category (either Enter the number of beneficiaries in the blank space and in Box 1." Of the households or persons assisted, are extremely low-income income (0-30%) of the current Median Family Income (MFI). Enter this number in Box "2. .. Of the households or persons assisted, are very low-income (31-50%) of the current Median Family Income (MFI). Enter this number in Box "], ,. Of these households or persons assisted, are low-income (51-80%) of the current Median Family Income (MFl). Enter this number in Box "4. .. NOTE: The total of Boxes 2, 3 and 4 should equal the number in Box 1. FEMALE HEAD OF HOUSEHOLD This project assisted Female Head of Households REGARDLESS of income. Enter this number in box "5" below, BOX 1 BOX2 BOX 3 BOX4 BOX 5 Total Number of Extremely Very Low Income Female Head of Households or Low Income Low Income (51-80%) Household Persons Assisted (0-30%) (31-50%) i I I 2009-2010 CDBG-R City of Naples Landscaping Improvements-Anthony Park Page 29 of 30 1689 Subrecipient's must indicate total beneficiaries for Race AND Ethnicitv Definitions of Race: White: A person having origins in any of the original peoples of Europe, the Middle East, or North Africa. Black or African-American: A person having origins in any of the black racial groups of Africa. Asian: A person having origins in any of the original peoples of the Far East, Southeast Asia, or the Indian subcontinent including, for example, Cambodia, China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and Vietnam. American Indian or Alaska Native: A person having origins in any of the original peoples of North and South America (including Central America), and who maintains tribal affiliation or community attachment. Native Hawaiian or Other Pacific Islander: A person having origins in any of the original people of Hawaii, Guam, Samoa, or other Pacific Islands. Definitions of Ethnicity: Hispanic or Latino: A person of Cuban, Mexican, Puerto Rican, South or Central American, or other Spanish culture or origin, regardless of race. Tabulation Table of Race and Ethnicity Beneficiaries Race # Total # Hispanic White Black or African American Asian American Indian or Alaskan Native Native Hawaiian or Other Pacific Islander American Indian/Alaska Native and White Asian and White Black/ African American and White American Indian/Alaskan Native and Black/African American Other Multi-Racial TOTAL: 08-PRC-01009/ 2009-2010 CDBG-R City of Naples Landscaping Improvements~Anthony Park Page 30 of30