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Backup Documents 10/22/2019 Item #16D 4 LIST & UTING S ORIGINAL ACCOMPANY ALL ORIGINAL�DOCUMENTOS SENT TOLIp 1 b D 4 THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Rose Munoz Community and Human 10/10/19 Services 2. Jennifer Belpedio County Attorney Office 1K3 I\ 9 3. BCC Office Board of County Commissioners 4. Minutes and Records Clerk of Court's Office 'OJ3 if'20 PRIMARY CONTACT INFORMATION 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,may need to contact staff for additional or missing information. Name of Primary Staff Lisa Oien/CHS Phone Number 252-5713 Contact/ Department Agenda Date Item was 10/22/2019 Agenda Item Number 16.D. Ir) Approved by the BCC Minute Traq item I 10275 Type of Document Subrecipient Agreement Amendmen Number of Original Attached Between Sunrise Community of S FL and Documents Attached 3 Collier County in triplicate PO number or account number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? NA 2. Does the document need to be sent to another agency for additional signatures? If yes, NA provide the Contact Information(Name; Agency; Address; Phone)on an attached sheet. 3. Original document has been signed/initialed for legal sufficiency. (All documents to be RM signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the RM document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's RM signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC 10/22/2019 and all changes made during the RM N/A is not meeting have been incorporated in the attached document. The County Attorney's an option for Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the N/A is not BCC, all changes directed by the BCC have been made,and the document is ready for the an option for Chairman's signature. this line. I.Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 1604 MEMORANDUM Date: October 24, 2019 To: Lisa Oien, Grants Coordinator Community & Human Services From: Teresa Cannon, Senior Deputy Clerk Minutes & Records Department Re: Subrecipient Agreement Amendment w/Sunrise Community of SW FL Attached are two (2) originals of the document referenced above, (Item #16D4) approved by the Board of County Commissioners on Tuesday, October 22, 2019. An original has been kept by the Minutes and Record's Department for the Board's Official Record. If you have any questions, please feel free to contact me at 252-8411. Thank you Attachment 1604 FAIN# B-19-UC-12-0016 B-18-UC-12-0016 B-17-UC-12-0016 Federal Award Date Est. 10/2019 Federal Award Agency HUD CFDA Name Community Development Block Grant CFDA/CSFA# 14.218 Total Amount of Federal Funds $75,000 Awarded Subrecipient Name United Cerebral Palsy of Southwest Florida, Inc. EUG12) Sunrise Community of Southwest Florida, Inc. DUNS# 078476765 FEIN 59-1796622 R&D No Indirect Cost Rate No Period of Performance 10/01/2019-9/30/2020 Fiscal Year End 6/30 Monitor End: 12/2020 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY AND SUNRISE COMMUNITY OF SOUTHWEST FLORIDA,INC.,FORMERLY KNOWN AS UNITED CEREBRAL PALSY SOUTHWEST,FLORIDA,INC. milOk This Amendment is entered into this OtOlday of ©C-t$ 20 lS„by and between Collier County, a political subdivision of the State of Florida, ("COUNTY" or "Grantee") having its principal address at 3339 E Tamiami Trail, Naples FL 34112, and Sunrise Community of Southwest Florida, Inc. formerly known as United Cerebral Palsy of Southwest Florida, Inc., ("Subrecipient"), having its principal office at 9040 Sunset Drive, Miami,FL 33173. RECITALS WHEREAS, on June 25, 2019, the COUNTY entered into an Agreement for awarding Community Development Block Grant Program funds to be used for the Free to Be Me Transportation Services project(hereinafter referred to as the"Agreement"); and GP Sunrise Community of Southwest FL P519-02 Public Services-Free To Be Me-Transportation Services Page 1 1604 WHEREAS, the parties desire to modify the project scope by identifying the subrecipient's new agency name and increase the beneficiary count. NOW, THEREFORE, in consideration of foregoing Recitals, and other good and valuable consideration,the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree to amend the Agreement as follows: Words Struck Throes are deleted; Words Underlined are added PART I SCOPE OF WORK Description of project and outcome: CHS as an administrator of the CDBG program will make available CDBG FY2019-2020 funds up to the gross amount of$75,000 to United Cerebral Palsy of Southwest Florida, Inc. (UCP) Sunrise Community of Southwest Florida, Inc. to be used to support salaries for staff and drivers to transport persons with disabilities. Activities will include but not be limited to: transportation and expanded services for adult persons with disabilities to and from residence, facility and social/community integration and inclusion outing * * * 1.6 NOTICES COLLIER COUNTY ATTENTION: Rose Munoz, Grant Coordinator 3339 E Tamiami Trail, Suite 211 Naples, Florida 34112 Email: Rosa.Munoz@colliercountyfl.gov Telephone: (239)252-5713 SUBRECIPIENT ATTENTION: Kirk Zaremba and Cassy Beaver United Cerebral Palsy of Southwest Florida, Inc. Sunrise Community of Southwest Florida, Inc. 9040 Sunset Drive Miami,FL 33173 Email:kzaremba@sunrisegroup.org cassandrabeaver@sunrisegroup.org Telephone: (305)-273-3055 &(239)-643-5338 Ext 101 Sunrise Community of Southwest FL P519-02 Public Services-Free To Be Me-Transportation Services Page 2 1604 All other references to "United Cerebral Palsy of Southwest Florida, Inc." mentioned in the Agreement shall be replaced with"Sunrise Community of Southwest Florida,Inc."throughout the Agreement. * * * Exhibit "B" is amended as follows: * * * EXHIBIT B COLLIER COUNTY COMMUNITY&HUMAN SERVICES REQUEST FOR PAYMENT Subrecipient Name: United Cerebral Palsy of Southwest Florida, Inc. (UCP) Sunrise Community of Southwest Florida,Inc. Subrecipient Address: 9040 Sunset Drive,Miami FL 33173 Project Name: Free to Be Me-Transportation Program Project No: PS 19-02 IDIS# 606 Payment Request# Total Payment Minus Retainage Period of Availability: 10/1/2019 through 09/30/2020 Period for which the Agency has incurred the indebtedness through * * Exhibit"C" is amended as follows: * * * EXHIBIT C QUARTERLY PERFORMANCE REPORT DATA * * * Agency Name: United Cerebral of Southwest FL(UCP) Date: Sunrise Community of Southwest Florida,Inc. Project Title: Public Services—Free to be Me IDIS#: 606 Transportation Program _ Program Contact: Kirk Zaremba and/or Cassy Beaver Telephone Number: (305)273-3055 and ucr Sunrise Community of Southwest FL PS19-02 Public Services-Free To Be Me-Transportation Services Page 3 16D4 IN WITNESS WHEREOF, the SUBRECIPIENT and the County. have each, respectively, by an authorized person or agent. hereunder set their hands and seals on the date first written above. .TTEST: BOARD OF erNTY i'i MISS •NERS OF CRYSTAL K L,CLERK C� • •. . FLORID' e [J r • `ems' .�, �,,,,,'_•�± q j liam L. McDaniel Jr..CHAI•MAN pito tap.j •('rilerk Date: {V 122 `i 1 y SUNRISE COMMUNITY OF SOUTHWEST FLORIDA. INC. By: John Kelleher. CFO-Secretary/ Tre urer Date: Approved as to form and legality: Jen r A. Belpedi \-1) �� Assistant County Atto ey (DO-1 7 6C-O Sunrise Community of Southwest FL PS19-02 Public Services-Free To Be Me-Transportation Services Page 6 S 1604 (239)643-5338 Ext 101 REPORT FOR QUARTER ENDING: (check one that applies to the corresponding grant period): 12/31/19 3/31/20 6/30/20 9/30/20 Please note: The CDBG/HOME/ESG Program year begins October 1,2019—September 30,2020.Each quarterly report must include cumulative data beginning from the start of the program year October 1,2019. 1. Please list the outcome goal(s)from your approved application and subrecipient agreement and indicate your progress in meeting those goals since October 1,2019. a. Outcome Goals: list the outcome goal(s)from your approved application and subrecipient agreement Outcome 1: 43 55 Adult persons with disabilities will benefit from the transportation services. Outcome 2: Maintain staff and drivers to deliver the transportation program. Outcome 3: Documentation of National Objective achievement: LMI/LMC Presumed Low Mod Clientele— must document that 51%of persons served are at low to moderate income. b. Goal Progress: Indicate the progress to date in meeting each outcome goal. Outcome 1: Outcome 2: Outcome 3: 2. Is this project still in compliance with the original project schedule: Yes No If No,Explain: 3. Since October 1,2019;of the persons assisted,how many... Answer ONLY for Public Facilities&Infrastructure Activities *03 Matrix Codes a. ...now have new access(continuing)to this service or benefit? 0 b. ...now have improved access to this service or benefit? 0 c. ...now receive a service or benefit that is no longer substandard? 0 Total 0 EXHIBIT E ANNUAL AUDIT MONITORING REPORT Circular 2 CFR Part 200.331 requires Collier County to monitor subrecipients of federal awards to determine if subrecipients are compliant with established audit requirements (Subpart F). Accordingly, Collier County requires that all appropriate documentation is provided regarding your organization's compliance. In determining Federal awards expended in a fiscal year, the entity must consider all sources of Federal awards based on when the activity related to the Federal award occurs, including any Federal award provided by Collier County. The determination of amounts of Federal awards expended shall be in accordance with the guidelines established by established by 2 CFR Part 200, Subpart F—Audit Requirements. This form may be used to monitor Florida Single Audit Act (Statute 215.97) requirements. Subrecipient United-Ceceb-ral ' . - _ - • - , _ _ Name Sunrise Community of Southwest Florida, Inc. First Date of Fiscal Year (MM/DD/YY) Last Date of Fiscal Year (MM/DD/YY) Total Federal Financial Assistance Expended Total State Financial Assistance Expended during during most recently completed Fiscal Year most recently completed Fiscal Year $ $ Sunrise Community of Southwest FL P519-02 Public Services-Free To Be Me-Transportation Services Page 4 1604 Check A. or B. Check C if applicable A. The federal/state expenditure threshold for our fiscal year ending as indicated above has n been met and a Single Audit as required by 2 CFR Part 200, Subpart F has been completed or will be completed by . Copies of the audit report and management letter are attached or will be provided within 30 days of completion. B. We are not subject to the requirements of OMB 2 CFR Part 200, Subpart F because we: ❑ Did not exceed the expenditure threshold for the fiscal year indicated above ❑ ❑ Are a for-profit organization ❑ Are exempt for other reasons —explain An audited financial statement is attached and if applicable, the independent auditor's management letter. C. Findings were noted, a current Status Update of the responses and corrective action plan is included separate from the written response provided within the audit report. While we understand that the audit report contains a written response to the finding(s), we are requesting an updated status of the corrective action(s) being taken. Please do not provide just a copy of the written response from your audit report, unless it includes details of the actions, procedures, policies, etc. implemented and when it was or will be implemented. Certification Statement I hereby certify that the above information is true and accurate. Signature Date Print Name and Title 06/18 SIGNATURE PAGE TO FOLLOW * * * ucP Sunrise Community of Southwest FL PS19-02 Public Services-Free To Be Me-Transportation Services Page 5