Backup Documents 09/15/2009 Item #16D17
ORIGlNAL DOCUMENTS CHECKLIST & ROUTING SLIP16
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO D I?
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink pap<:r. Attach tll origil.al document. Original doeum<:nts should be hand del1\'ercd ttl tl1<: Iloard Officc. Th<: completed routing slip and original
doeu1l1ents arc to be t,)[\\ankd to the Board Office only afll'r th<: II, lard has taken action on the item)
ROUTING SLIP
Complete routing lines # I through !i4 as appropriate for additional signatures, dates, and/or int,][mation needed. If the document is already complete with the
exception of the Chairman's signatllfe, draw a line through routing lines # I through #4, complete the checklist. and forward to Sue Filson (line #5)
Route to Addressee(s) Office Initials Date
(List in routing order) ---- ----
l.Sandra Marrero Housing and Human Services ~ 09/15/09
2. Chairman Donna Fiala BCC
3.
4.
I
5. Ian Mitchell, Executive Manager Board of County Commissioners ( ~/I I
/V'-- ( ~ Ib')
6. Minutes and Records Clerk of Court's Office
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 BCe Chairman's signature are to be delivered to the BeC office only after the Bee has acted to approve the
item.)
Name of Primary Staff Margo Castorena, Manager Phone Number 252-2912
Contact
Agenda Date ltem was 09/15/2009 Agenda Item Number 16D-17
Approved by the BCC
Type of Document Amendment Number of Original I
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes I N/A (Not
appropriate. (Initial) Applicable)
I. Original document has been signed/initialed for legal sufficiency. (All documents to be X
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
Chainnan and Clerk to the Board and possiblv State Officials.)
2. All handwritten strike-through and revisions have been initialed by the County Attorney's X
Office and all other parries except the BCC Chainnan and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date of BCC approval ofthe X
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 X
signature and initials are required.
5. In most cases (some contracts are an exception), the original document and this routing slip X
should be provided to Ian Mitchell in the Bee office within 24 hours of Bee approval.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCe's actions are nullified. Be aware ofvour deadlines!
6. The document was approved by the BCC on 07/15/2009 and all changes made during X
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 Form,/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revis~d 2.24.05
16D17
MEMORANDUM
Date: September 17, 2009
To: Margo Castorena
HUD Federal Grants Manager
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to "The Shelter for Abused Women &
Children"
Enclosed please one (1) copy original of the document referenced above (Agenda
Item #16DI7) as approved by the Board of County Commissioners on Tuesday,
September 15, 2009.
If you have any questions, please call me at 774-8411.
Thank you.
Enclosures (1)
16D 17
EXHIBIT A-I Contract Amendment # I
"The Shelter for Abused Women & Children Inc."
~ -1-'1-\.
This amendment, dated I . 'P.J-t::~ he",., IS-, 2009 to the referenced agreement shall be by
and between the parties to the original Agreement, The Shelter for Abused Women & Children Inc. (to be
referred to as Sponsor) and Collier County, a political subdivision of the state of Florida, (to be referred to
as "County").
Statement of Understanding
RE: Contract # FL14870-6001 "The Shelter for Abused Women & Children Inc. Construction and Services."
In order to continue the services provided for in the original Agreement document referenced above, the Sub-
Recipient agrees to amend the above referenced Agreement as follows:
Note: Words struek threl:lgh have been deleted; words underlined have been added.
AMEND ARTICLE THREE: TIME OF PERFORMANCE
Delete:
IR any eveRt, all services reql:lired herel:lflder shall be I:lRdertakeR by the SUBRECIPIENT prior te ,A.priI30, 2009.
Add: In any event, all services required hereunder shall be undertaken by the SUBRECIPIENT prior to
September 9, 2009.
AMEND ARTICLE FIVE: PA YMENTSINOTICES:
Delete:
HHS shall not be respoRsible fer payrneRt of any charges, elaims, or dema-Rds of the SUBRECIPIENT reeeiyed after
May 15, 2009.
Add: HHS shall not be responsible for payment of any charges, claims or demands of the SUB RECIPIENT
incurred after September 9,2009.
AMEND: ENTIRE UNDERSTANDING
Delete: IN WIHiESS THEREOF, the J:larties hereto have cal:lsed this 21 page agreemeRt to be exeeuted by
their I:lRoersigned officials as dl:lly authorized effeeti'/e the I'" day of May, 2008.
Add: IN WITHNESS THEREOF, the parties hereto have caused this 2.1 page agreement to be executed by their
undersigned officials as duly authorized effective the 9th day of September, 2008.
AMEND ARTICLE FOUR: Consideration and Limitation of Costs Letter C
Delete: Match fundiRg of25% is required for Sl:lpportive Services and 20% is reql:lired fer OperatiBg Services
as reql:lired by HUD.
Add: Match funding of20% is required for Supportive Services and 25% is required for Operating Services
as required by HUD.
Exhibit A-I Contract Amendment #1 160
FL14B70-6001 17
Shelter for Abused Women & Children Inc.
Page 2 of3
AMEND ARTICLE TEN: MONTHLY REPORTS, EVALUATIIONS, AUDITS AND INSPECTIONS
Delete: SA WCC will be reql:lired to Sl:lBmit its Aflfll:lal Performaece Report (;WR) to HHS by JI:IRe I, 2909.
Add: SA WCC will be required to submit its Annual Performance Report (APR) to HHS by September 30, 2009.
AMEND "EXHIBIT A" REPORTS:
Delete: S;\ WCC, IRe will be required to sl:lBmit its ARRl:lal Performance Rep8rt (.^.PR) t8 HHS ey JURe I, 2009.
Add: SA WCC, Inc. will be required to submit its Annual Performance Report (APR) to HHS by September 30,
2009
AMEND "EXHIBIT A" letter "C" ONE YEAR BUDGET:
Delete: SHflP8rti'lc Services ReS81:lfces $14, 125.00 (f.pplicant 25% Cash Match)
Add: Supportive Services-Resources $14, 125.00 (Applicant 20% Cash Match)
Delete: OperatiRg E){penses Resol:lfces $14, 125. 00 (ApplicaFlt 25% Cash Match)
Add: Operating Expenses-Resources $18,833.25 (Applicant 25% Cash Match)
$14,125.00
$18.833.25
Total Match Funds $32,958.25
AMEND "EXHIBIT A" ONE YEAR BUDGET: Less than 10% reallocation within line items.
Shelter for Abused Women & Children Inc.
Oriainal Line Item Oriainal Budaet New Line Item New Budget
-Transitional Living Advocate, salary &
benefits, 80%
-Childcare Supervisor, salary & benefits.
80%
-Childcare Advocate, Salary & benefits,
Supportive Services-Transitional 80%
Living Advocate, 1 FTE, salary, -Childcare Program Support, salary &
benefits, and taxes $ 56,500.00 benefits, 50% $ 61,415.00
-Utilities, insurance, maintenance
supplies, etc, 75%
-Computers & printers for residents for
employment training programs, 5@
Operations-Maintenance, repair, $800.00 each, 75%
staff-Facility Manager, Utilities, -Playground equipment for childcare
equipment, supplies, insurance, program, furnishings, supplies, staff
furnishinas $ 56, 500.00 trainina, certification fees, etc., 75% $ 51,585.00
Total $113,000.00 Total $113,000.00
Exhibit A-I Contract Amendment #1 16D
FL14B70-6001 17
Shelter for Abused Women & Children Inc.
Page 3 of3
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Sub-Recipient and the Owner have each, respectively, by an authorized person or
agent, hereunder set their hands and seals on the date(s) indicated below.
~
Accepted: Q/pt. 15 ,2009
~1;'tESi: COUNTY:
'#'.'.',
" D~ight E.' B;t;.~.ck; perk
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'" '<'; :~ ' " ~. ~ ' , ~ By:
,.' k " "
, Att'st,.I" to 0.. frNw . Donna Fiala, Chairman
, 't',' .
, ,.s..t'WU.,.. CMII..
Sub- RecIpIent:
The Shelter for Abused Women & Children
Inc. /~L~
By: By:
Linda Oberhaus, Executive Director
WIT~~~S~TO SU~ -.
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/ /
~:~/ '/??'o- /
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PS/f //t./~r~.
Print Name and Title CONTRACT SPECIALIST, vtR
By ~nl ~LJi
( Lyn Wood
t
Approved as to form and GRA~INATOR
Legal Sufficiency: By: ~~c:JJ?~~~
~,;~:~
Sandra Marrero
CDl\eet\ M. 6Yeene..
Printed Name
ftem# Lb12t+
..- .161111
fpati g-/2//o7
CONTRACTIWORK ORDER MODIFICATION (fl')
CHECKLIST FORM ~O(
PROJECT NAME: SAWCC. INC. SUDDortive Services and ODeratina Costs PROJECT #: FL 14B70-6001 Ac::flA.\.lI\ V\ j
PROJECT MANAGER: S. Marrero
BID/RFP #: N/A MOD#: ---1...- PO#: 4500102367 WORK ORDER #: NIA
DEPARTMENT: Housina and Human Services CONTRACTOR/FIRM NAME: Shelter for Abused Women & Children
Inc. (SAWCC)
Original Contract Amount: $ 113.000.00
(Starting Point)
Current BCC Approved Amount: $ 113.000.00
(Last Total Amount Approved by the BCG)
Current Contract Amount: $ 113.000.00
(Including All Changes Prior To This Modification)
Change Amount: $ 0
Revised ContractIWork Order Amount: $ 113.000.00
(Including This Change Order)
Cumulative Dollar Value of Changes to
this ContractIWork Order: $ 0
Date of Last BCC Approval 9-9-08 Agenda Item # 10F2F
Percentage of the change over/under current contract amount 0 %
Formula: (Revised Amount 1 Last BCC approved amounl)-1
CURRENT COMPLETION DATE (S): ORIGINAL: 9-9-2009 CURRENT: 9-9-2009
Describe the change(s):
-Updates to endina date of contract. match fundina. due date of reports and additional items to the scope.
Specify the reasons for the change(s) r 1. Planned or Elective r 2. Unforeseen Conditions (~ 3. Quantity
Adjustments I3l 4. Correction of Errors (Plans, Specifications or Scope of Work) r 5. Value Added
r 6. Schedule Adjustments Note: One or more may be checked, depending on the nature of the change(s).
Identify all negative impacts to the project if this change order were not processed: The proiect would not be
able to be completed.
This change was requested by: 0 Contractor/Consultant 0 Owner PI Using Department r COES
r Design Professional r1Regulatory Agency (Specify) P'IOther (Specify) SAWCC
CONTRACT SPECIALIST PARTICIPATION IN NEGOTIATIONS: r ~ No
Yes
This form is to be signed and dated.
APPROVED BY: Sandra Marrero Date: 8-21-09
Project Manager
REVIEWED BY: Date: y-J,./-CJf
Revised 11.19.2007