Backup Documents 03/23/2010 Item #16D 6
ORIGINAL DOCUMENTS CHECKLIST & ROUTING S4Ib D 6
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original documt:nt Original documents should be hand delivered to the Board Olliee. The completed routing slip and original
documents are to be forwarded to the Board Otlicc only after the Board has ta]..CIl 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
# h h kr d" I M h II
excention of the Chairman's sii!:nature, draw a line through routing lines I through #4, comDlete tee ec 1St, an orward to an lie e .
Route to Addressee(s) Office Initials Date
(List in routin!? order)
I.Colleen Greene County Attorney (JY\6- 3.3(,10
5.Ian Mitchell, Supervisor BeC Office Board of County Commissioners ~ "3131/ 10
3. Minutes and Reeords- Clerk of Court's Offiee
4.
5.
6.
PRIMARY CONTACT INFORMATION
(The primary contact is the holder orllle original document pending lICe approval. Normally the primary contact is the person who created/prepared the executive
summary. Primary contact information is needl.:d in rhl.: event one of the addressees above, including Sue Filson, need 10 contact staff for additional or missing
information. All original documents needing the l3CC Chairman's signaLure are to be delivered 10 the BCe olTice only after the Bee has acted to approve the
item.\
Name of Primary Staff Nick Green, Grants Coordinator Phone Number 252-2376
Contact
Agenda Date Item was March 23, 2010 Agenda Item Number 16D6
Annroved bv the BCC
Type of Document Challenge Grant Amendment Number of Original 2
Attached Documents Attached
1.
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/ A" in the Not Applicable column, whichever is
a ro riate.
Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chainnan, with the exception of most leners, must be reviewed and signed
by the Office of the County Attorney. This includes signature pages trom ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages trom
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chainnan and Clerk to the Board and ossibl State Officials.)
All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other arties exce t the BCe Chairman and the Clerk to the Board
The Chainnan's signature line date has been entered as the date ofBCC approval ofthe
document or the final ne otiated contract date whichever is a licable.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
si nature and initials are 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 Bee office within 24 hours ofBeC approval.
Some documents are time sensitive and require forwarding 10 Tallahassee within a certain
time frame or the Bee's actions are nullified. Be aware of 'our deadlines~
The document was approved by the BCC on March 23, 2010(enter date) and all
changes made dnring the meeting have been incorporated in the attached document.
The Count Attorne 's Office has reviewed the chan es, if a lieable.
Yes
(Initial)
NG
N/A(Not
A licable)
2.
3.
4.
5.
6.
NG
NG
NG
NA
NG
1: Forms/ County Forms/ Bee Forms/ Original Documents Routing Slip WWS Original 9.03.04, Rcvised 1.26.05, Revised 2.24.05
To:
From:
Date:
Subject:
l'D6
Memorandum
Minutes & Records
Wendy Klopf
March 30, 2010
Item 1606 BCC Meeting 03-23-10 I Challenge Grant HFZ03
Please return to me the two (2) originals Amendment #0001 once signed by the Chairman of the
BCC as the State of Florida must sign the amendment and return it to the county before it
becomes valid.
Co~r County
~
Public ServiceS DiVISion
Housing & Human Services
1€>D6
MEMORANDUM
Date:
April I, 2010
To:
Wendy Klopf, Operations Coordinator
Housing & Human Services
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
An Amendment to the State of Florida's Department
of Children and Families (DCF) Challenge Grant
to comply with Section 504 of the Rehabilitation Act
of 1973 and the 1990 Americans with Disabilities Act
Attached are two original copies of the amendment document
referenced above, (Item #16D7) approved by Board of County
Commissioners on March 23, 2010.
We request that upon your receipt of a fully executed document
an original copy be returned to the Minutes and Record's
Department for the Board's Official Records.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
I'D6
STATE OF FLORIDA
DEPARTMENT OF CHILDREN AND FAMILIES
Amendment #0001
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:
. Add a new federal requirement.
Page 5, Challenge Grant Agreement, paragraph 26.(1) thru (7) is hereby added as
follows:
26. Support to the Deaf or Hard-of-Hearing
(1) The provider and its partners, subcontractors, and agents shall comply with
section 504 of the Rehabilitation Act of 1973, 29 U.S.C. 794, as implemented by 45
C.F.R. Part 84 (hereinafter referred to as Section 504) and the Americans with
Disabilities Act of 1990, 42 U.S.C. 12131, as implemented by 28 C.F.R. Part 35
(hereinafter referred to as ADA).
(2) The provider shall, if the provider or any of its partners, subcontractors, or agents
employs 15 or more employees, designate a Single-Point-of-Contact (one per firm) to
ensure effective communication with deaf or hard-of-hearing customers or
companions in accordance with Section 504 and the ADA. The name and contact
information for the provider's Single-Point-of-Contact shall be furnished to the
department's Grant or Contract Manager within 14 calendar days of the effective date
of this requirement.
(3) The provider shall, within 30 days of the effective date of this requirement,
contractually require that its partners, subcontractors and agents comply with section
504 and the ADA. A Single-Point-of-Contact shall be required for each partner,
subcontractor or agent that employs 15 or more employees. This Single-Point-of-
Contact will ensure effective communication with deaf or hard-of-hearing customers
or companions in accordance with Section 504 and the ADA and coordinate activities
and reports with the provider's Single-Point-of-Contact.
(4) The Single-Point-of-Contact shall ensure that employees are aware of the
requirements, roles & responsibilities, and contact points associated compliance with
Section 504 and the ADA. Further, employees of providers, its partners,
subcontractors, and agents with 15 or more employees shall attest in writing that they
are familiar with the requirements of Section 504 and the ADA. This attestation shall
be maintained in the employee's personnel file.
(5) The provider's Single-Point-of-Contact will ensure that conspicuous Notices which
provide information about the availability of appropriate auxiliary aids and services at
no-cost to the deaf or hard-of-hearing customers or companions are posted near
where people enter or are admitted within the agent locations. Such Notices must be
posted immediately, but not later than March 12, 2010, with respect to current
providers (partners, subcontractors, and agents). The approved Notice can be
downloaded through the Internet at:
Page I
Amendment 000 I
Grant # HFZ03
liD6
htto://www.dcf.state.fl.us/admin/iq/civilriqhts.shtml.
(6) The provider and its partners, subcontractors, and agents shall document the
customer's or companion's preferred method of communication and any requested
auxiliary aids/services provided in the customer's record. Documentation, with
supporting justification, must also be made if any request was not honored. The
provider shall submit Compliance Reports monthly, not later than the 15th day of each
month, to the department's Grant or Contract Manager. The provider shall distribute
Customer Feedback forms to customers or companions, and provide assistance in
completing the forms as requested by the customer or companion.
(7) If customers or companions are referred to other agencies, the provider must
ensure that the receiving agency is notified of the customer's or companion's
preferred method of communication and any auxiliary aids/service needs.
This amendment shall begin on February 25, 2010, or the date on 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 specified in the contract.
This amendment and all of its attachments are hereby made a part of this contract.
IN WITNESS THEREOF, the parties hereto have caused this ~-page amendment to
be executed by their officials thereunto duly authorized.
PROVIDER: COLLIER COUNTY
BOARD OF COUNTY
COMMIS~~!.o E., RS . ' ,f\
l,l Lv {"....yll<.:z.
SIGNED : ,.' Cl '
NAME: fft'i (,IJ, (oyl('
TITLE: ( ha I r rVla vI
,
DATE: -s( 21, II,)
Provider FEID#: 596000558
STATE OF FLORIDA
DEPARTMENT OF CHILDREN AND
FAMILIES
SIGNED BY:
NAME: Harriet A. Coleman
TITLE: Circuit Administrator
DATE:
Approved as 10 form & legal sufficiency
~~
C;Qlleen <::i(~ene,
Asslslanl:Ooun~'!\ltorney
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Page 2
Amendment 0001
Grant # HFZ03