Agenda 01/13/2009 Item #10HAgo Da
10 H
EXECUTIVE SUMMARY / 1 1310c1
Recommendation that the Board of County Commissioners approve and authorize the Chairman
to sign Department of Housing and Urban Development (HUD) SF424, Application for Federal
Assistance and HUD Form 2991, Certificate of Consistency for the Continuum of Care (CoC)
projects submitted as part of the 2008 CoC Grant application. HUD SF 424 is the cover form for
the grant application and outlines the federal funds requested and match funds being provided
by the participating sub - recipients. HUD Form 2991 confirms the projects included in the
application are consistent with the County's Consolidated Plan.
OBJECTIVE: For the Board to approve and authorize the Chairman to sign HUD Forms SF424 and
Form 2991 for the 2008 Collier County Continuum of Care (CoC) application which was approved on
November 18, 2008 (Item 16134).
CONSIDERATIONS: Grant year 2008 marked the first time HUD mandated the electronic
submission of the CoC application. This electronic submission process required participating non-
profits to submit a Form SF424 and Form 2991 for their projects.
Recently HUD requested the Department of Housing and Human Services (HHS) submit one SF424
on behalf of the five sub recipients. This SF424 must indicate both the amount of federal funds
requested as well as match funds provided by the sub recipient agencies for a total amount of
$1,316,663.00.
HUD also notified HHS that the non - profits inadvertently failed to submit their completed Form 2991,
Certificate of Consistency, which confirms the projects are consistent with the Collier County
Consolidated Plan. This certificate must be signed by the BCC Chairman and received by January 21,
2009 or Collier County will not be considered for funding and could lose up to $761,753 in federal
grant funds for our homeless population. Staff has contacted HUD officials and confirmed that one
completed Form 2991 can be used for all the participating agencies.
FISCAL IMPACT: Failure to get these forms signed and submitted to HUD in a timely manner
could result in a potential loss to Collier County of up to $761,753 in federal grant funds.
GROWTH MANAGEMENT IMPACT: This CoC application is consistent with the Growth
Management Plan.
LEGAL CONSIDERATIONS: This item has been reviewed and approved by the County Attorney's
Office. This item is not quasi judicial, and as such ex parte disclosure is not required. This item
requires majority vote only. This item is legally sufficient for Board action. -CMG
RECOMMENDATION: That the Board of County Commissioners approve and authorize the
Chairman to sign HUD Form SF424 and Form 2991 for the Continuum of Care Grant application to
the U.S. Department of Housing and Urban Development.
PREPARED BY: Shawn Tan, Grant Coordinator
Housing and Human Services Department
OMB Number 4040 -0004
Expiration Date. 01/31/2009
Application for Federal Assistance SF-424 version 02
*1. Type of Submission:
*2. Type of Application • If Revision, select appropriate letter(s)
❑ Preapplication
❑ New
® Application
❑ Continuation *Other (Specify)
❑ Changed /Corrected Application
❑ Revision
3. Date Received: 4. Applicant Identifier:
FL -606
5a. Federal Entity Identifier:
*51b. Federal Award Identifier:
State Use Only: -
6. Date Received by State:
7. State Application Identifier:
8. APPLICANT INFORMATION:
*a. Legal Name: Collier County Board of County Commissioners
*b. Employer/Taxpayer Identification Number (EIN/TIN):
*c. Organizational DUNS:
59- 6000558
076997790
d. Address:
*Street 1: 3301 Tamiami Trail East
Street 2:
*City: Naples
County: Collier County
*State: Florida
Province:
*Country: United States of America
*Zip / Postal Code FL 34112
e. Organizational Unit:
Department Name:
Division Name:
Housing and Human Services
Public Services
f. Name and contact information of person to be contacted on matters involving this application:
Prefix: *First Name: Shawn
Middle Name:
*Last Name: Tan
Suffix:
Title: Program Coordinator
Organizational Affiliation:
Collier County Housing and Human Services
*Telephone Number: 239 - 252 -2376 Fax Number: 239 - 252 -2331
*Email: shawntan @colliergov.net
OMB Number: 4040 -0004
Exyirdion Date: 01/31/2009
Application for Federal Assistance SF -424 version 02
'9. Type of Applicant 1: Select Applicant Type:
B.County Government
Type of Applicant 2: Select Applicant Type:
Type of Applicant 3: Select Applicant Type:
`Other (Specify)
'10 Name of Federal Agency:
11. Catalog of Federal Domestic Assistance Number:
14 -235
CFDA Title:
Supportive Housing Program -SHP
'12 Funding Opportunity Number:
FR- 5220 -N -01
`Title:
Notice of Funding Availability for Continuum of Care fCoC) Homeless Assistance Program
13. Competition Identification Number:
Title:
14. Areas Affected by Project (Cities, Counties, States, etc.):
Collier County, Florida
`15. Descriptive Title of Applicant's Project:
Collier County Continuum of Care Program
OMB Number: 4040 -0004
Fxpira[ion Date: 01/312009
Application for Federal Assistance SF-424 Version 02
16. Congressional Districts Of:
*a. Applicant: 14 *b. Program /Project: 14
17. Proposed Project:
*a. Start Date: September 1, 2009 *b. End Date: August 30, 2011
18. Estimated Funding ($):
*a. Federal 761,753
*b. Applicant
*c. State
*d. Local 554,910
*e. Other
*f. Program Income
*g. TOTAL 1,316,663
"19. Is Application Subjectto Review By State Under Executive Order 12372 Process?
❑ a. This application was made available to the State under the Executive Order 12372 Process for review on
❑ b. Program is subject to E.O. 12372 but has not been selected by the State for review.
® c. Program is not covered by E. 0. 12372
*20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes ", provide explanation.)
❑ Yes ® No
21. *By signing this application, 1 certify (1) to the statements contained in the list of certifications "* and (2) that the statements
the required assurances`* and agree to comply
herein are true, complete and accurate to the best of my knowledge. I also provide
I that any false, fictitious, or fraudulent statements or claims may subject
with any resulting terms if I accept an award. am aware
me to criminal, civil, or administrative penalties. (U. S. Code, Title 218, Section 1001)
**I AGREE
®
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or
agency specific instructions
Authorized Representative:
Prefix: *First Name:
Middle Name:
*Last Name:
Suffix:
*Title: Chairman, Board of County Commissioners
*Telephone Number: 239 - 774 -8097
Fax Number: 239 - 774 -3602
* Email:
*Signature of Authorized Representative:
*Date Signed:
Authorized for Local Reproduction Standard Form 424 (Revised 10/2005)
Prescribed by OMB Circular A -102
OMB Number: 4040 -0004
Expiration Daze: 01/31/2009
Application for Federal Assistance SF-424 version 02
"Applicant Federal Debt Delinquency Explanation
The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
OMB Approval No. 2506 -0112 (Exp. 3131/201C
Certification of Consistency U.S. Department of Housing
and Urban Development
with the Consolidated Plan
I certify that the proposed activities /projects in the application are consistent with the jurisdiction's current, approved Consolidated Plan.
(Type or clearly print the following information:)
Applicant Name: See Below
Project Name: See Below _
Location of the Project: Collier County, Florida
Name of the Federal
Program to which the
i
applicant s applying: Continuum of Care - Supportive Housing Program
__.
Name of Collier County
Certifying Jurisdiction:
Certifying Official
of the Jurisdiction
Name:
Approved as to form & legal sufficiency
Colleen Greene,
Assistant County Attorney
ATTEST:
Title: Chairman, Board of County Commissioners DWIGHT E, BROCK, Clerk
Signature:
Date:
Applicant Name:
Shelter for Abused Women and Children
Collier County Hunger and Homeless Coalition
Saint Matthew's House
National Alliance on Mental Illness (NAMI) of Collier County
Immckalee Friendship House
Page 1 of 1
By:
Project Name:
Shelter Transitional Housing Renewal
Homeless Management Information System (HMIS) Renewal
Wolf Apartments Supportive Housing Program
Supportive Mental Health Services
Supportive Housing Program
form HUD -2991 (3198)