Backup Documents 01/13/2009 Item #10H
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP! 0 H
TO ACCOMPANY ALL ORIGlNAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSlONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original documl-'I1t. Original documents should be hand delivered to the Buanl Otlicc. 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.)
ROUTlNG SUP
Complete routing lines #1 through #4 as appropliale for additional signatures, dates, and,"or intollnation needed. If the document is already complete with the
exc tion of the Chainnan's si nature, draw a line throu h routin lines # I throu h #4, com lete the checklist, and lorward to Sue Filson line #5 .
Route to Addressee(s)
List in routin order
Office
Initials
Date
1.
2.
3.
tD~
CAl\
4.
2.- c? 1..'
5. Sue Filson, Executive Manager
Board of County Commissioners
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT lNFORMATION
(The Plimary contact is the holder of the OIiginal document pending Bee approval. Nonnally the primary contact is the person who created/prepared the executive
summary. Primary contact infonnation is needLxJ in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing
infonnation. All original documents needing the BeC Chainnan's signature are to be delivered to the BCe office only aftcr the BeC has acted to approve the
item)
Name of Primary Staff Shawn Tan Phone Number 252-2376
Contact
Agenda Date Item was January 13. 2009 Agenda Item Number 10H
Annroved bv the BCC
Type of Document Form SF 424 Request for Fed Assistance Number of Original 4
Attached Form 2991 Certification of Consistencv Documents Attached
I.
lNSTRUCTlONS & CHECKLIST
Initial the Yes column or mark "N/ A" in the Not Applicable column, whichever is
a ro nate.
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, 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 ossibl State Ot1icials.)
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 ofBCC approval of the
document or the tinal 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 BCC otTice within 24 hours ofBCC approval.
Some documents are time sensitive and require fiJrwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of our deadlines!
The document was approved by the BCe on I (enter date) and all changes
made during the meeting have been incorpor ed n t e attached document. The
Count Attorne 's Office has reviewed the chan es if a licable.
Yes
(Initial)
N/A(Not
A lieable)
2.
3.
4.
5.
6.
1: FOllnsi County Fonns/ Bee Fnnns/ Oliginal Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
lOH
AGENDA CHANGES
BOARD OF COUNTY COMMISSIONERS' MEETING
Januarv 13. 2009
Item 20 should read: "December 5, 2008 - Value Adjustment Board with special Magistrate
Pelletier." (Staff's request.)
Withdraw Item 6A: Public petition request by Demetria Chadbourne to discuss water bill charges
for 6432 Autumn Woods Boulevard. (Petitioner's request.)
Item 10C: Under the Considerations section on the second page of the Executive Summary, the
second sentence should read: "The 2006 rate schedule would represent a rollback of the 29.7%
across the board increase that generated the current rate." Also, the attachment labeled "Road
Rate Comparisons," the last column of the chart should be labeled, "Rate was effective and
represents a rollback of the 29.7% increase of January 1, 2008". Also, Under Considerations,
third paragraph, the word "exasperate" is to be replaced with the word "exacerbate." (Staff's
request.)
Item 10E continued to the Januarv 27. 2009 BCC meetina: This item requires that all participants
be sworn in and ex parte disclosure be provided by Commission members. Recommendation to
deny the Alternative Impact Fee Appeal submitted by Tamiami Square of Naples, LLC (Developer)
and authorize the Chairman to execute a notice to the Developer for the collection of the Collier
Water-Sewer District (CCWSD) Alternative Impact Fee calculation of $120,904 for the existing
tenants of Building 300, with Developers concurrence, or the original amount of $196,873 without
Developers concurrence. (Petitioner's request.)
Item 10F: In the executive summary under Legal Considerations, the second sentence should
read, "This item is not quasi judicial and as such (rather than a ssuch) ex parte disclosure is not
if required." (Commissioner Fiala's request.)
..~.. d on Item 10H: 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. (Staff's request.)
Item 1606: The Executive Summary under Considerations, second paragraph, should read, "A
Summary of Impact Fee Deferral Agreements on the January 13, 2009 Agenda" (rather than
December 16, 2008". (Staff's request.)
Withdraw Item 16E14: Recommendation to approve a resolution supporting full funding of the
Florida Forever Successor Program within the 2009-2010 State budget. (Staff's request.)
Item 16F2: The draft ordinance should read: "(4) Naples Production Park Municipal Service
Taxing and Benefit Unit 90rdinance No. 85-39, as amended." (6) Naples Production Park Street
Lighting Municipal Service Taxing Unit (Ordinance No. 91-07, as amended." (Commissioner
Fiala's request.)
Withdraw Item 16H10: Commissioner Coletta requests Board approval for payment to an
organization that serves a valid public purpose as it relates to Collier County business.
Commissioner Coletta Immokalee Chamber of Commerce Dues for 2009. $150.00 to be paid from
Commissioner Coletta's travel budget. (Commissioner Coletta's request.)
1/15/20091:38 PM
OMS Approval No. 2506-0112 (Exp. 3/3112010)
Certification of Consistency
with the Consolidated Plan
U.S. Department of Housing
and Urban Development
ION
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
Ilem# JQtt
Agenda H~~
Dale
Dale ~
Rec'd
Location of the Project:
Collier County, Florida
Name of the Federal
Program to which the
applicant is applying:
Continuum of Care - Supportive Housing Program
Name of
Certifying Jurisdiction:
Collier County
Approved as to form & legal sufficiency
C~~
Colleen Greene,
Assistant County Attorney
Certifying Official
of the Jurisdiction
Name:
Title:
Chairman, Board of County Commissioners
If~ --t~,-
d/~ ;'.00'
I I
ATTEST;-'
DWIGHt'E,BRCCK, ~
By: jj.w.' u:&.
l~,~.to 't, . ,
.1~A"U.- .
" ""-;,.
'.'
Signature:
Date:
Applicant Name: Project Name:
Shelter for Abused Women and Children Shelter Transitional Housing Renewal
Collier County Hunger and Homeless Coalition Homeless Management Information System (HMIS) Renewal
Saint Matthew's House Wolf Apartments Supportive Housing Program
National Alliance on Mental Illness (NAMJ) of Collier County Supportive Mental Health Services
Immokalee Friendship House Supportive Housing Program
Page 1 of 1 form HUD.2991 (3/9S)
OM :'Ii:;;~'0004
Expir n e /31/2009
Application for Federal Assistance SF-424 Version 02
'1. Type of Submission: '2. Type of Application ' If Revision, select appropriate letter(s)
0 Preapplication 0 New
0 Application 0 Continuation 'Other (Specify)
0 Changed/Corrected Application o Revision
3. Date Received: 4. Applicant Identifier:
FL -606
Sa. Federal Entity Identifier: '5b. Federal Award Identifier:
State Use Only:
6. Date Received by State: T 7. State Application Identifier:
8. APPLICANT INFORMATION:
'a. Legal Name: Collier County Board of County Commissioners
'b. EmployerfTaxpayer Identification Number (EINfTlN): 'c. Organizational DUNS:
59-6000558 076997790
d. Address:
'Street 1: 3301 Tamiami Trail East
Street 2:
'City: Nanles
County: Collier Countv
'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
it}:
OMS Numl (J1J~4
Expiration D. 09
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:
SuoDortive Housina Proaram-SHP
*12 Funding Opportunity Number:
FR-5220-N-01
*Title:
Notice of Fundina Availabilitv for Continuum of Care (CoC) Homeless Assistance Proaram
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
,
OMS N];:O~);~04
Expiration / 009
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. Locai
'e. Other 554,910
'f. Program Income
'g. TOTAL 1,316,663
'19. Is Application Subject to Review By State Under Executive Order 12372 Process?
0 a. This application was made available to the State under the Executive Order 12372 Process for review on_
0 b. Program is subject to E.O. 12372 but has not been selected by the State for review.
rgJ c. Program is not covered by E. O. 12372
'20. Is the Applicant Delinquent On Any Federal Debt? (If "Yes", provide explanation.)
0 Yes rgJ No
21. 'By signing this application, I certify (1) to the statements contained in the list of certifications" and (2) that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to comply
with any resulting terms if I accept an award. I am aware that any false, fictitious, or fraudulent statements or claims may subject
me to criminal, civil. or administrative penalties. (U. S. Code, Title 218, Section 1001)
rgJ "I AGREE
U 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- -8097 I Fax Number: 239-774-3602
11 Email: Ii /I
I "
/ , . ,.f; - Il. . I 'Date Signed: I/,S /2.ooCl
'Signature of Authorized Representative: . ,
.......-..
',. .
Approved as to form & legal sufficiency
C~
Colleen t!lfn~
Assistant County Attorney
_Standard Form 424 (Revised 10/2005)
~. Prescribed by OMB Circular A-102
Authorized for Local Reproduction
ATTEST,
DWIGHT 1:. BROCK, Clerk,
At~S~Ch.~~'
.1Ql1.t..... 011,"
OMB Nu1'errf4fl-fl004
Expiration ate\JI /H009
Application for Federal Assistance SF-424
. Applicant Federal Debt Delinquency Explanation
The following should contain an explanation if the Applicant organization is delinquent of any Federal Debt.
Version 02