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Backup Documents 07/13/2021 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 6 D 5 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. Catherine Sherman on behalf of Rachel Community and Human RB 7/1/2021 Brandhorst Services _ 2. County Attorney Office—JAB County Attorney Office TL-Cc-3 `3I a t 3. BCC Office Board of County - 6 i /.t5c),) Commissioners Ja Y`1 4. Minutes and Records Clerk of Court's Office 1-1(Sid ` 1d3pP PRIMARY CONTACT INFORMATION 1 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 Catherine Sherman,Grants Coordinator 239-252-1425 Contact/ Department Agenda Date Item was 7/13/2021 Agenda Item Number 16.D.5 Approved by the BCC Type of Document FIRST AMENDMENT BETWEEN COLLIER Number of Original 4 Attached COUNTY AND DAVID LAWRENCE Documents Attached MENTAL HEALTH CENTER INC. OFFICE OF JUSTICE PROGRAMS CHECKLIST TO DETERMINE SUBRECPIENT OR CONTRACTOR CLASSIFICATION 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 colu , ' hever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original sign ture STAMP OK RB 2. Does the document need to be sent to another agency for a • 'onal signatur . If yes, N/A 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 RB 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 N/A 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 BC,C approval of the 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 RB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 on above date and all changes made during N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's 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. 1 6D5 MEMORANDUM Date: July 16, 2021 To: Catherine Sherman, Grants Coordinator Community & Human Services From: Teresa CAnnon, Sr. Deputy Clerk Minutes & Records Department Re: Amendment #1 with David Lawrence Mental Health Center, Inc. Office of Justice Programs Checklist Enclosed please find one (1) original of each document referenced above (Agenda Item #16D5), approved by the Board of County Commissioners on Tuesday, July 13, 2021. The Minutes & Records Department has retained an original as part of the Board's Official Records. If you have any questions, please contact me at 252-8411. Thank you. Enclosures 1605 MEMORANDUM Date: July 16, 2021 To: Scott Burgess, President and CEO David LawrenceMental Health Center, Inc. From: Teresa Cannon, Sr. Deputy Clerk Minutes & Records Department Re: Amendment #1 with David Lawrence Mental Health Center, Inc. Enclosed please find one (1) original of the document referenced above (Agenda Item #16D5), approved by the Board of County Commissioners on Tuesday, July 13, 2021. The Minutes & Records Department has retained an original as part of the Board's Official Records. If you have any questions, please contact me at 252-8411. Thank you. Enclosures 1605 FIRST AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA AND DAVID LAWRENCE MENTAL HEALTH CENTER,INC. This Amendment is made and entered into as of this (3 day of - - 2021, by and between Collier County, a political subdivision of the State of Flo .a (CO i TY) and David Lawrence Mental Health Center, Inc. (SUBRECIPIENT), a private not-for-profit type of organization existing under the laws of the State of Florida. WITNESSETH WHEREAS, on April 27, 2021, Agenda Item 16D6, the COUNTY entered into an Agreement with David Lawrence Mental Health Center,Inc.to administer the U.S. Department of Justice - Bureau of Justice Assistance (BJA) Drug Court Discretionary Grant Program; and WHEREAS, the parties wish to amend the Agreement to include the language as stated below. NOW, THEREFORE, in consideration of the mutual promises and covenants contained herein, the parties hereto agree to amend the Agreement as set forth below. Words Struck-Through are deleted; Words Underlined are added. PART 1 SCOPE OF WORK 1.1 GRANT AND SPECIAL CONDITIONS * * * D. Annual Subrecipient Training — All SUBRECIPIENT staff assigned to the administration and implementation of the Project established by this Agreement shall attend the CHS-sponsored Annual Subrecipient Fair Housing training, except those who attended the training in the previous year. In addition, at least one staff member shall attend all other CHS-offered Subrecipient training, relevant to the Project, as determined by the Grants Coordinator, not to exceed four(4) sessions. 1.2 PROJECT DETAILS A. Project Description/Project Budget Description Federal Amount Match Liability Personnel $212,025.00 $150,000.00 [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 Page 1 2020-DC-BX-0138 1605 Training&Travel $15,026.00 $0.00 Supplies&Incidentals $222,949.00 $0.00 Match Funds $150,,000.00-$0.00 Minimum requifed-Mateh 25%of total BJA fumes-expended $150,000.00 Grand Total $600,000.08$450,000.00 $150,000.00 SUBRECIPIENT shall provide Match funds quay monthly throughout the grant term. The monthly match amount shall be no less than 25% of the total invoice amount for that month, until the match requirement is met. The SUBRECIPIENT will accomplish the following checked project tasks: • Maintain and provide beneficiary documentation to the COUNTY, as requested, • Provide Quarterly Progress Reports • Ensure attendance by a representative from executive management at quarterly partnership meetings,as requested by CHS. • Identify Lead Point of Contact/Manager for the project. • Ensure project sites are Section 504/ADA accessible * * * C. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component 1: Personnel Submission of supporting documentsbyt-ef must be provided as backup,as evidenced the month f"^wing by timesheet, payroll register,check the month of service. stubs,bank statements, and any other Monthly submission additional documentation,as requested. within 30 days of the Exhibit B prior month. Project Component 2: Travel and Submission of supporting documents Mon ,�t'0 Training must be provided as backup,as evidenced + by training agenda,check stubs, bank th nth f service statements,and any other additional Monthly submission documentation,as requested. Exhibit B. within 30 days of the prior month. Travel expenses are required to be in compliance with GSA per diem rates. Project Component 3: Incidentals Submission of supporting documents Monthly by the 1 e-ef and Supplies must be provided as backup,as evidenced t, nth f""wing by invoices,check stubs,bank statements, the month of service. and any other additional documentation, Monthly submission as requested. Exhibit B within 30 days of the prior month. [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 2 451 16U5 Match Match documentation along with Monthly by the 10t-ef supporting documents and Exhibit B-1. the month,until 25% ofthe funded a nt Match shall be a minimum of 25%of the is reached. Monthly total invoice amount, until 25% of the submission within 30 funded amount is reached. If match is days of the prior exceeded at any time,match submission month,until 25% of will not be required until expenditures the funded amount is exceed submitted match to date. reached. 1.4 AGREEMENT AMOUNT The COUNTY agrees to make available FOUR HUNDRED AND FIFTY THOUSAND DOLLARS AND ZERO CENTS ($450,000.00) for use by the SUBRECIPIENT during the term of the Agreement(hereinafter,referred to as the"Funds").SUBRECIPIENT is permitted to submit for expenses incurred from January 1,2021 forward.The SUBRECIPIENT shall also submit match funds, in the amount of ONE HUNDRED AND FIFTY THOUSAND DOLLARS AND ZERO CENTS ($150,000.00). Modifications to the"Budget and Scope"may only be made if approved in advance.Budgeted fund shifts between line items shall not be more than 10 percent of the total funding amount. The COUNTY shall reimburse SUBRECIPIENT for the performance of this Agreement upon completion or partial completion of work tasks as accepted and approved by CHS. SUBRECIPIENT may not request disbursement of DOJ funds until needed for eligible costs, and all disbursement requests must be limited to the amount needed at the time of the request. Invoices for work performed are required every month. The COUNTY shall reimburse SUBRECIPIENT for the performance of this Agreement upon completion or partial completion of the work tasks, as accepted and approved by CHS. SUBRECIPIENT may not request disbursement of DOJ funds until funds are needed for eligible costs,and all disbursement requests must be limited to the amount needed at the time of the request. SUBRECIPIENT may expend funds only for allowable costs resulting from obligations incurred during the term of this Agreement. Invoices for work performed are required every month. If no work has been performed during that month,or if the SUBRECIPIENT is not yet prepared to send the required backup,a$0 invoice will be required.Explanations will be required if two consecutive months of$0 invoices are submitted.Payments shall be made to SUBRECIPIENT when requested as work progresses,but not more frequently than once per month. Reimbursement will not occur if SUBRECIPIENT fails to perform the minimum level of service required by this Agreement. Final invoices are due no later than 90 days after the end of the Agreement.Work performed during the term of the program but not invoiced within 90 days after the end of the Agreement may not be processed without written authorization from the Grant Coordinator. [21-GRC-01172/1636741/l] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 3 09 1605 No payment will be made until approved by CHS for grant compliance and adherence to any and all applicable Local, State, or Federal requirements, including timely submission of Performance Deliverables contained in Section 1.2.C. Late submission of deliverables may cause payment suspension of any open pay requests until the required deliverables are received by CHS. Payment will be made upon receipt of a properly completed invoice and in compliance with§218.70,Florida Statutes, otherwise known as the"Local Government Prompt Payment Act." In accepting grant funding from the COUNTY, SUBRECIPIENT agrees that these funds cannot and must not be utilized for expenditures already covered by other funding resources received. SUBRECIPIENT may not request reimbursement for expenses under agreement 2020-DC-BX- 0138 that have been previously submitted under agreement 2017-DC-BX-0053 or any prior agreement. This would be considered a duplication of benefits, which is prohibited by law. If a duplication of benefits occurs,COUNTY reserves the right to recoup those funds. 1.6 NOTICES Notices required by this Agreement shall be in writing and delivered via mail (postage prepaid), commercial courier, personal delivery, or sent by facsimile or other electronic means. Any notice delivered or sent as aforesaid shall be effective on the date of delivery or sending. All notices and other written communications under this Agreement shall be addressed to the individuals in the capacities indicated below, unless otherwise modified by subsequent written notice. COLLIER COUNTY ATTENTION: Catherine Redfi led, Grant—Coordinator--Rachel Brandhorst,Grant Coordinator Collier County Government Community and Human Services Division 3339 E Tamiami Trail, Suite 211 Naples,Florida 34112 Email:Cat herne..Redfi ld collier-e-un Rachel.Brandhorst@colliercountyfl.gov Telephone: 239 252 1425 (239)398-8932 SUBRECIPIENT ATTENTION: Scott Burgess, President and CEO David Lawrence Mental Health Center, Inc. 6075 Bathey Lane Naples,Florida 34116. Email: scottb(a dlcenters.org Telephone: (239)354-1425 * * * 4.3 Compliance with DOJ Grants Financial Guide References to the DOJ Grants Financial Guide are to the DOJ Grants Financial Guide as posted on the OJP website (currently, the "DOJ Grants Financial Guide" available at https://ojp.gov/financialguide/DOJ/index.htm), including any updated version that may be [21-GRC-0 1 1 72/1 63 674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 4 16D5 posted during the period of performance. The recipient agrees to comply with the DOJ Grants Financial Guide. 4.4 Employment eligibility verification for hiring under the award 4. Rules of construction A. Staff involved in the hiring process For purposes of this condition, persons "who are or will be involved in activities under this award" specifically includes(without limitation)any and all SUBRECIPIENT officials or other staff who are or will be involved in the hiring process with respect to a position that is or will be funded (in whole or in part)with award funds. B. Employment eligibility confirmation with E-Verify for each hiring for a po.,'«' • Per Florida Statute 287.137,Verification of Employment Eligibility, as amended, SUBRECIPIENT shall participate in, and use, E-Verify (www.e-verify.gov), provided an appropriate person authorized to act on behalf of the recipient (or subrecipient) uses E-Verify to confirm employment eligibility for each hiring for a position in the United States that is or will be funded(in whole or in part)with award funds. * * * 4.22 Approval of curricula, training materials, proposed publications, reports, or any other written materials The SUBRECIPIENT agrees to submit to Bureau of Justice Assistance (BJA) for review and approval any curricula, training materials, proposed publications, reports, or any other written materials that will be published,including web-based materials and web site content,through funds from this grant at least thirty (30) working days prior to the targeted dissemination date. Any written,visual, or audio publications, except for press releases,whether published at the grantee's or government's expense, shall contain the following statements: "This project was supported by Grant No. 2017 2020-DC-BX-0138 awarded by the Bureau of Justice Assistance. The Bureau of Justice Assistance is a component of the Department of Justice's Office of Justice Programs,which also includes the Bureau of Justice Statistics,the National Institute of Justice,the Office of Juvenile Justice and Delinquency Prevention, the Office for Victims of Crime, and the SMART Office. Points of view or opinions in this document are those of the author and do not necessarily represent the official position or policies of the U.S. Department of Justice." The current edition of the DOJ Grants Financial Guide provides guidance on allowable printing and publication activities. [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 5 1605 IN WITNESS WHEREOF, the SUBRECIPIENT and the COUNTY, have each respectively,by authorized person or agent, hereunder set their hands and seals on the date first written above. ATTEST: ,.�. BOARD F TY COMMISSIONERS OF CRYST k:KINZEI:A,CLERK ;LFLORØ6LL TY, ex epitty Clerk TA R, CHA RSON� Attest as t© 1 �� Date: 3 DAVID LAWRENCE MENTAL HEALTH Dated: I (Q l ae9J CENTER,INC. (SEAL) 401(eaf , By: aPP-... SCO 'T B 'GESS,PRESIDENT AND CEO Date: (- / 6/2-1 Approved as to fo 1 ity: Jenaif r�.Belpedio �'J Assistant County Attorney Date: 3 a` t Item# 11 , 1 Agenda —1/1/ Date Date ram2 ', p Reed T Deputy Clerk [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 6 16D5 Exhibit C is replaced with the following: EXHIBIT C Bureau of Justice Assistance-Adult Drug Court Discretionary Grant Program David Lawrence Mental Health Center, Inc. Quarterly Program Status Report Reporting Period: Grantee Name: Preparer's Name and Title: Date Prepared: PROGRAM CHARACTERISTICS 1. What is the date that the drug court first enrolled a participant after this BJA program funding was awarded? MM/DD/YYYY: 2. What is the date that the drug court first enrolled a participant? MM/DD/YYYY: 3. Does your drug court program clearly communicate a system of graduated sanctions and incentives that are implemented fairly and with certainty in response to their behavior? Yes No 4. Does your drug court program administer random and observed alcohol and substance abuse testing? Yes No 5. Does your drug court program use evidence-based treatment services? Yes No AMOUNT OF SERVICES ADDED 6. Were your BJA program funds used to add inpatient treatment slots during the reporting period? Yes, number of inpatient slots: No 7. Were your BJA program funds used to add outpatient treatment slots during the reporting period? Yes, number of outpatient slots: No [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 7 1 6 D 5 8. Were your BJA program funds used to add staff who provide new case management or offender supervision services during the reporting period? Yes, number of new staff providing case management or offender supervision services: No 9, Were your BJA program funds used to provide substance abuse treatment services during the reporting period? (For example, these services might include clinical assessment, residential, outpatient group, outpatient individual, intensive outpatient, outpatient detoxification, addiction receiving facility, substance abuse detoxification(residential), in-home counseling, and aftercare) Yes, number of NEW drug court participants who received substance abuse treatment services No 10. Were your BJA program funds used to provide inpatient substance abuse treatment services during this reporting period? Yes,total number of days delivered for inpatient services: No 11. Were your BJA program funds used to provide recovery support services during the reporting period? (For example, these services might include employment, housing, education, mental health, health services such as medical and dental services, pro-social services such as anger and stress management, faith-based services, family counseling, life skills training, mentoring, and other services) Yes No If yes, please enter the total number of sessions delivered for each type of recovery support service during the reporting period. Employment Services Housing Services Education Services Mental Health Services Health Services Pro-Social Services Trauma Treatment Veteran Services Other Services (please explain) 12. What other services are these BJA funds supporting? Offender Supervision/Case Management Equipment Training Evaluations MIS [21-GRC-01 1 72/1 63674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 8 1 60 5 Aftercare Support Enhancing Risk/Assessment Screening Performance Measure Standards Other(please explain) MEDICATION ASSISTED TREATMENT 13. If your treatment program includes medication assisted treatment(MAT), which of the following medications are you utilizing regardless of BJA funding? We do not provide MAT We do not have access to MAT Naltrexone,Vivitrol, Depot, Naltrexone Buprenorphine or Buprenorphine/Naloxone (Bup/NX) (Suboxone) Methadone 14. Of the total participants enrolled in your program, how many were deemed eligible for medication- assisted treatment(MAT), and of those eligible, how many received MAT during the reporting period? Number of individuals eligible for MAT Individuals receiving at least on MAT Treatment SCREENING AND PROGRAM INTAKE 15. Number of drug court candidates who were screened during this reporting period? 16. Of those screened, what is the number of individuals who did not enroll in the Drug Court Program during this reporting period? 17. Of those screened,and did not enroll in the program, enter the number of such individuals based on the following categories Participant Refused Entry Prosecutor Objection Judicial Objection Out of Jurisdiction Arrest, Conviction,or Incarceration on Another Charge No Drug Problem Exclusionary Prior Non-Violent Offense Violent History Mental Health Diagnosis that Cannot be handled by the Court Insufficient Risk(low risk) Ineligible for VA services Accident involving injury Candidate did not complete screening Candidate waiting for program slot [21-GRC-01 1 72/1 63 674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-I3X-0138 Page 9 1605 Other, please explain 18. Of those screened, that did not enroll in the Drug Court Program, please enter the number of such individuals based on the following demographic information. Enter the ethnicity and gender of each individual determined to be ineligible for the Drug Court participation during this reporting period. Ethnicity Males Females Gender Unknown Hispanic or Latino/a Non-Hispanic or Latino/a Unknown TOTAL(should be equal to the number of individuals who were screened and did not enroll during this reporting period) 19. Of those screened, that did not enroll in the Drug Court Program, please enter the number of such individuals based on the following demographic information. Enter the race and gender of each individual determined to be ineligible for the Drug Court participation during this reporting period. Race Males Females Gender Unknown White Black or African American Asian American Indian or Alaska Native Pacific Islander or Native Hawaiian Multiracial Unknown Other TOTAL(should be equal to the number of individuals who were screened and did not enroll during this reporting period) RISK ASSESSMENT 20. Please enter the number of newly admitted drug court participants who were administered a risk and need assessment during the reporting period. 21. Please name the risk assessment that is used to assess risk and need: [21-GRC-0 1 1 72/1 63674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 10 1bD5 22. Of those newly admitted participants who were administered a risk and needs assessment during the reporting period, please enter the number of such individuals who were identified as having high criminogenic risks and high abuse treatment needs. NUMBER OF DRUG COURT PARTICIPANTS RECEIVING SERVICES 23. Has the Drug Court program admitted any new participants during the reporting period? Yes,enter how many new participants: If no, please explain: Total number of participants at the end of reporting period (new admissions and those previously reported) 24. Please enter the ethnicity and gender of each participant newly admitted to the drug court program during this reporting period. For the first reporting period, include all participants enrolled in the drug court program. Ethnicity Males Females Gender Unknown Hispanic or Latino/a Non-Hispanic or Latino/a Unknown TOTAL (should be equal to newly admitted participants to the program during this reporting period) 25. Please enter the race and gender of each participant newly admitted to the Drug Court Program during this reporting period. For the first reporting period, include all participants enrolled in the Drug Court Program. Race Males Females Gender Unknown White Black or African American Asian American Indian or Alaska Native Pacific Islander or Native Hawaiian Multiracial Unknown Other TOTAL(should be equal to newly admitted participants to the program during this reporting period) PROGRAM COMPLETION AND JUDICIAL INTERACTION 26. Please enter the number of drug court participants who successfully completed all program requirements during this reporting period. [21-GRC-01172/1636741/I] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 11 16D5 27. Of those who successfully completed all program requirements, from start to finish, please indicate when these participants graduated from the program within the following time frames: 0-6 months 7-12 months 13-18 months 19-24 months 25 months or more TOTAL(should be equal to the total number of successful completions) 28. Please enter the ethnicity and gender of each participant who successfully completed all program requirements excluding financial obligations during the reporting period: Ethnicity Males Females Gender Unknown Hispanic or Latino/a Non-Hispanic or Latinola Unknown TOTAL(should be equal to the total number of participants who successful completed all program requirements) 29. Please enter the race and gender of each participant who successfully completed all program requirements during this reporting period: Race Males Females Gender Unknown White Black or African American Asian American Indian or Alaska Native Pacific Islander or Native Hawaiian Multiracial Unknown Other TOTAL (should be equal to the total number of participants who successful completed all program requirements) 30. Please enter the number of individuals who exited the program unsuccessfully for the categories below. (Participants should not fit in more than one category, so choose the option that best represents why these individuals did not complete the program) Number of participants no longer in the program due to court or criminal involvement(technical violation,arrest,conviction,revocation, reincarceration) Number of participants no longer in the program due to a lack of engagement(no-shows and non-responsive participants) Number of participants no longer in the program due to absconding [21-GRC-01172/1636741/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 12 e 1 605 Number of participants no longer in the program due to relocating or case transfer Number of participants no longer in the program due to death or serious illness Number of participants who did not complete the program for other reasons (please specify) TOTAL 31. Of those drug court participants who exited the Drug Court Program unsuccessfully or did not complete the program, please indicate when these participants left the program based on the following time frames: 0-3 months 4-6 months 7-9 months 10-12 months 13-18 months 19 or more months TOTAL 32. Please enter the ethnicity and gender of each participant who exited the program unsuccessfully during the reporting period: Ethnicity Males Females Gender Unknown Hispanic or Latino/a Non-Hispanic or Latinola Unknown TOTAL(should be equal to the total number of participants who exited the program unsuccessfully this reporting period) 33. Please enter the race and gender of each participant who exited the program unsuccessfully during the reporting period. Race Males Females Gender Unknown White Black or African American Asian American Indian or Alaska Native Pacific Islander or Native Hawaiian Multiracial Unknown Other TOTAL ALCOHOL AND SUBSTANCE ABUSE INVOLVEMENT [21-GRC-0 1 1 72/1 63 674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 Page 13 ID 2020-DC-BX-0138 16D5 34. Of those enrolled in the drug court program at least 90 days, please enter the total (unduplicated) number of participants tested for alcohol, non-prescribed medications, or illegal substances during the reporting period and those that tested positive for the presence of alcohol, non-prescribed medications, or illegal substances during the reporting period. Number of participants tested: Number of participants who tested positive: AFFORDABLE CARE ACT 35. Does your program track healthcare coverage for participants? (This includes screening participants for healthcare eligibility, providing enrollment services/support, or tracking/gathering information regarding participants who already have healthcare. Healthcare includes benefits such as Medicaid, Medicare, or veterans benefits) Yes No 36. Please complete the following table about health care and Medicaid coverage for your program during the reporting period Measure How many new How many program How many program program participants were participants were participants came found to be eligible: enrolled:(enrolled into the program (eligible participants are those participants are those who were that meet the requirements to enrolled in health care benefits with: qualify for health care coverage. during the reporting period) Not all eligible applicants will necessarily be enrolled in coverage) ANY health care coverage(private, government,self,employment based,Medicare,Medicaid, military) Of those, Medicaid coverage 37. Please complete the following table for health care and Medicaid coverage for participants EXITING the program during this reporting period. (Program exit can mean successfully completing the program requirements or unsuccessfully exiting the program without completing the requirements and can occur at anytime during this reporting period) Measure How many program How many program participants were found to participants were enrolled be eligible at EXIT for: (eligible at EXIT (enrolled participants are those participants are those that meet the who were enrolled in health care benefits at requirements to qualify for health care program exit) coverage.Not all eligible applicants will necessarily be enrolled in coverage) ANY health care coverage (private,government,self,employment based, Medicare,Medicaid,military) Of those, Medicaid coverage NARRATIVE QUESTIONS [21-GRC-0 1 1 72/16 3674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 14 1605 The following questions must be answered in January and July of each calendar year. Please answer based on your experience for the last 6-month period. 1. What were your accomplishments during this reporting period? 2. What goals were accomplished as they relate to your grant application? 3. What problems/barriers did you encounter, if any, within the reporting period that prevented you from reaching your goals or milestones? 4. Is there any assistance that BJA can provide to address any problems/barriers identified in Question#3? 5. Are you on track to fiscally and programmatically complete your program as outlined in your grant application? If no, please explain. 6. What major activities are planned for the next six months? 7. Based on your knowledge of the criminal justice field, are there any innovative programs/accomplishments that you would like to share with BJA? [21-GRC-01 1 72/1 63674 1/1] DAVID LAWRENCE MENTAL HEALTH CENTER,INC. 2021-2023 2020-DC-BX-0138 Page 15 • • 1 60 5 ir Office of Justice Programs Checklist to Determine Subrecipient or Contractor Classification INSTRUCTIONS: To help make the determination,please first review the Office ofJustice Programs(0IP).subaward vs Procurement Contract Toolkit. Complete Sections I and 2 which describe the characteristics that may be present in subrecipient and contractor relationships. The section with the greatest number of marked characteristics indicates the likely type of relationship. The substance of the relationship should be given greater consideration than the form of agreement between the prime recipient and the outside entity. Section 3 should be used to provide a written justification for determining the proper relationship classification. Maintain a copy of this form in the subaward or procurement tile. DEFINITIONS FROM UNIFORM GUIDANCE (2 CFR, PART 200): §200.86 Recipient Recipient means a non-Federal entity that receives a Federal award directly from a Federal awarding agency to carry out an activity under a Federal program. The term recipient does not include subrecipients. §200.69 Non-Federal entity Non-Federal entity means a state, local government, Indian tribe, institution of higher education (IHE), or nonprofit organization that carries out a Federal award as a recipient or subrecipient. §200.92 Subaward Subaward means an award provided by a pass-through entity to a subrecipient for the subrecipient to carry out part of a Federal award received by the pass-through entity. It does not include payments to a contractor or payments to an individual that is a beneficiary of a Federal program. A subaward may be provided through any form of legal agreement, including an agreement that the pass-through entity considers a contract. §200.93 Subrecipient Subrecipient means a non-Federal entity that receives a suhaward_from a pass-through entity to carry out part of a Federal program; but does not include an individual that is a beneficiary of such program. A subrecipient may also he a recipient of other Federal awards directly from a Federal awarding agency. §200.22 Contract Contract means a legal instrument by which a non-Federal entity purchases property or services needed to carry out the project or program under a Federal award. §200.23 Contractor Contractor means an entity Thal receives a contract as defined in§200.22 Contract. Page 1 of 3 June 2017 1605 David Lawerence Mental Health Center, Inc. NAME OF SUBRECIPIENT/CONTRACTOR ENTITY: SECTION 1 - SUBRECIPIENT Description: A subaward is for the purpose of carrying out a portion ofa Federal award and creates a Federal assistance relationship between the recipient and the subrecipient. Subrecipients may have one or more of the following characteristics: • 1. May determine who may be eligible to receive Federal assistance under the program guidelines. For example:A subrecipient that identifies mentors and menlees under a mentoring program. ✓ 2. Has its performance measured in relation to whether objectives of a Federal program were met. The recipient will rely upon the subrecipienl's data to submit its own performance data to OJP. lr l 3. Has responsibility for programmatic decision making. For example: If the recipient funds `- J a subrecipient to develop (or improve)a particular program and the subrecipient will use its own judgment, discretion, and expertise to develop all or part of the program. • 4. In accordance with its subasard agreement(which may be in the legal form of a contract), the subrecipient uses the Federal funds to carry out a program for a public purpose specified in authorizing statute,as opposed to providing goods or services for the benefit of the recipient. For example: To provide crime- or criminal-justice-related services (and, in the case of crime victims, compensation) to individual members of the public, such as victims of crime, or at-risk youth. 5. The subrecipient will not earn a profit under the arrangement. • 6. The subrecipient is required to contribute cash or in-kind match in support of the subaward. SECTION 2- CONTRACTOR Description:A contract is fOr the purpose of obtaining goods and services for the recipient's own use and creates a procurement relationship hehreen the recipient and the contractor.A contractor relationship may have one or more of the following characteristics: I. Provides goods and services within normal business operations; E2. Provides similar goods or services to many different purchasers; 3. Normally operates in a competitive environment: ri4. Provides goods or services that are ancillary to the operation of the Federal program. Examples include hut are not limited to: Office equipment, supplies, software licenses, reference books, chemical reagents, cell phones. body-worn cameras, body armor, internet services, cell phone service, website hosting, copying/printing, lodging 5. The entity may earn a profit under the contract. FINAL DETERMINATION: SUBRECIPIENT CONTRACTOR n Page 2 of 3 June 2017 1605 SECTION 3 - Justification In determining whether an agreement between a recipient and another non-Federal entity reflects a subrecipient or a contractor relationship, the substance of the relationship is more important than the.form of the agreement. Considering the characteristics checked above,provide a written justification for the,final determination of either a suhrecipient or contractor relationship The checklist and justification should be prepared by the person who.signed the suhawardor contract agreement and reviewed by the Point of Contact(POC) or Financial Point of-Contact(FPO ). .Justification of Determination: Collier County sub awarded a portion of the Federal Award to David Lawrence. David Lawrence will determine who may be eligible to receive financial assistance under the program deadlines. The recipient (Collier County) will rely upon the sub recipient's (David Lawrence Mental Health Center, Inc.)data to complete all performance data and requests from DOJ. The sub recipient is required to provide match in support of the sub award. *._Prepared By: Date: , 1►3 \a Title: Penny Taylor, Chairrerson Reviewed By: k _ Date: L• ! Ja 1 Title: _�aur)(-x.alt.1. •c u �t, ISOa Page 3 of ~' r-,' �r, - as to forma hgalily 4: -, Ap ovcd June 2017 ,\rlES1 !, - Kl% I.k.iI& ,CLERK So_ As, stan County Atton �-' r 1 Ilik ._ : . •t fla arm 's S':ni:2tre only.