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Backup Documents 01/27/2026 Item #16D 3 16L3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 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 Attomey Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. Jennifer Lofendo Community and Human JL 1/22/2026 Services 2. County Attorney Office County Attorney Office Dk197f15451 l z i1 t 3. BCC Office Board of County 2 Commissioners ` k(nb If Z 7 4. Minutes and Records Clerk of Court's Office 60/9- 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 Jennifer Lofendo,Grants Coordinator 252-2593 Contact/Department Agenda Date Item was 1/27/2026 Agenda Item Number 16.D.3. Approved by the BCC Type of Document 2ND AMENDMENT BETWEEN COLLIER Number of Original 3 Attached COUNTY AND COLLIER HEALTH Documents Attached SERVICES, INC. DB/A HEALTHCARE NETWORK 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 JL 2. Does the document need to be sent to another agency for additional signatures? 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 JL 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 BCC approval of the N/A 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 JL 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 �ilklan an option for Chairman's signature. this line. 16D3 FAIN # B-20-UW-12-0016 Federal Award Date 09/22/2020 Federal Award Agency THUD CFDA Name Community Development Block Grant-CV CFDA/CSFA# 14.218 Total Amount of Federal $225,000.00 Funds Awarded Subrecipient Name Collier Health Services, Inc. d/b/a Healthcare Network DUNS# 085019511 FEIN 59-1741277 R&D NA Indirect Cost Rate NA Period of Performance 14/1/2025 —7/1/2026 Fiscal Year End 3/31 Monitor End: 12/2026 SECOND AMENDMENT TO AGREEMENT BETWEEN COLLIER COUNTY,FLORIDA AND Collier Health Services,Inc. d/b/a Healthcare Network CDBG-CV Implementation Plan: Response& Engagement for At Risk Community Health(REACH) Community Health Planningi THIS AMENDMENT is made and entered into this 12T4j day of Ste„ 20261, by and between Collier County, a political subdivision of the State of Florida, (COUNTY) having its principal address at 3339 Tamiami Trail East, Suite 213, Naples FL 34112, and Collier Health Services, Inc. d/b/a Healthcare Networl (SUBRECIPIENT), a'private non-profit organizations having its principal office at 11454 Madison Avenue, Immokalee, FL 34142. WHEREAS, the COUNTY has entered into an Agreement with the United States Department of Housing and Urban Development(HUD)for a grant for the execution and implementation of a Community Development Block Grant (CDBG) Program in certain areas of Collier County, pursuant to Title I of the Housing and Community Development Act of 1974 (as amended), codified as 42 USC 5301 et. se. and subject to 24 CFR Part 570; and WHEREAS,the Board of County Commissioners of Collier County(Board)approved the Collier County Consolidated Plan — One-year Action Plan for Federal Fiscal Year 12019-2020for the CDBG Program onl June 25, 2019 L Agenda Item 16.D.21; and WHEREAS, in accordance with HUD regulations and the Collier County Consolidated Plan concerning the preparation of various Annual Action Plans, the COUNTY advertised the 2019 — 2020 Annual Action Plan,on April 21,2020,with a 5-day Citizen Comment period from April 21,2020,to April 26, 20201; and COLLIER HEALTH SERVICES.INC.d/b/a HEALTHCARE NETWORK CD-CV2 1-09 Community Health Plan AMENDMENT#2 cp,0 1 6D3 WHEREAS, on May 12, 202€, Agenda Item 116.F.1(0;the Board ratified the County Manager's action to amend the 019-202 i One-Year Action Plan to recognize CDBG COVID-19 funding. On November 10, 2020,Agenda Item 16.D.8,the Board approved another substantial amendment recognizing further CDBG COVID-19 funding, bringing the total amount to$4,232,728 respectively WHEREAS,the COUNTY established a program to provide assistance to qualified agencies from its Community Development Block Grant (Program) due to the circumstances of the COVID-19 health crisis; and WHEREAS, the SUBRECIPIENT, based on the information provided, is qualified to receive funding from the Collier County CDBG-CV program; and WHEREAS, the COUNTY and SUBRECIPIENT wish to set forth the responsibilities and obligations of each in undertaking the CDBG-CV project—ICD-CV21-09- Implementation Plan: Response & Engagement for At Risk Community Health (REACH)Community Health Plan; and WHEREAS, on April 8, 2025, Agenda Items 16.D.8, the COUNTY entered into an Agreement (the "Agreement") with SUBRECIPIENT which set forth the responsibilities and obligations of each in undertaking the CDBG-CV project—!CD-CV21-09- Implementation Plan: Response&Engagement for At Risk Community Health (REACH)Community Health Plan; and WHEREAS, on September 23,2025,Agenda Items 16.D.1,the Board of County Commissioners (Board) approved the First Amendment between Collier County and Collier Health Services CDBG-CV project—CD-CV21-09 - Implementation Plan: Response & Engagement for At Risk Community Health (REACH); and WHEREAS, the parties wish to amend the agreement, incorporated herein by reference, to revise the project scope, components, and payment deliverables to better align with available authority and resources while ensuring continued focus on high-risk and vulnerable community populations. 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 Through are deleted; Words Underlined are added. PART I SCOPE OF WORK The SUBRECIPIENT shall, in a satisfactory and proper manner and consistent with any standards required as a condition of providing CDBG-CV assistance as provided herein and, as determined by Collier County COLLIER HEALTH SERVICES,INC.d/b/a HEALTHCARE NETWORK CD-CV21-09 Community Health Plan AMENDMENT#. CAO 16 D 3 Community and Human Services (CHS) Division, perform the tasks necessary to conduct the program as follows: Project Name: CD-CV21-09 - Implementation Plan: Response & Engagement for At Risk Community Health (REACH)Community Health Plan Description of project and outcome: CHS, as administrator of CDBG-CV funds, will make available FY 2021-2022 funds up to the gross amount of$225,000.00 to Collier Health Services, Inc. to fund the creation of REACH a Community Health Plan and support outreach efforts to address healthcare access, preventative care and responsiveness help mitigate the risk of future public health emergencies. The plan will benefit the community while focusing on high risk vulnerable persons. Activities will include an initial survey development and distribution, stakeholder meetings, infographic of health best practices, and activities to include the collaboration with health care stakeholder/community partners engagement and produce a comprehensive community health REACH Implementation plan. Project Component One: Increase education to the community to address strategic health planning to include but not limited to healthcare access, preventative care and responsiveness through supporting the salaries(not including benefits)of two full-time equivalent(FTE)positions: one(1) healthcare worker and one (1) data analyst. Activities to include but not limited to conducting training sessions, providing outreach materials and best practice infographic, analyzing data in support of developing a comprehensive community risk.map, and any other supporting activities related to increasing the awareness of healthcare access, preventative care and future public health emergencies. Quarter One Project Component Two: Prepare and distribute e h REACH partner meeting schedule along with stakeholder/community meeting calendar dates to include no less than 12 throughout the agreement term. Meet with community stakeholders to develop an interagency protocol. Quarter Two Project Component Three: Develop a best practice infographic and a list of recipients receiving best practices infographic. Review summary of community needs assessment with stakeholder and document their input. Provide documentation of stakeholder analysis. Conduct 3 nityhealth REACH partner/stakeholder meetings and provide meeting minutes,agenda and sign-in sheet. Quarter Three Project Component Four: Develop a Community Risk map based on previous discussions, federal SANAM reports, and outreach survey of community needs. Conduct 3 eenimuftity—health REACH partner/stakeholder meetings, along with the first draft of the Community Health Implementation Plan and draft executive summary. Provide meeting minutes, agenda and sign-in sheet community health REACH partner/stakeholder meetings. COLLIER HEALTH SERVICES,INC.d/b/a HEALTHCARI NETWORK CD-C V2 1-09 Community Health Plan AMENDMENT#2 CAO 16D3 Quarter Four Project Component Five: Provide and facilitate 3 community health REACH partner/ stakeholder meetings to include minutes, agenda, and sign-in sheet. Final draft of the Community Health REACH Implementation Plan and final draft executive summary. Quarter Five Project Component Six: A summary report on outreach efforts conducted by CHSI. Conduct 3 community health REACH partner/stakeholder meeting minutes,agenda, sign-in sheet, and final CHSI board- approved Community Health REACH Implementation Plan with final Executive Summary. PROJECT DETAILS E. Project Description/Project 13udget Description Federal Amount Project Component One: Salaries(not including benefits)of two full-time $75,000.00 equivalent(FTE) positions: one (1) healthcare worker to perform education and outreach and one (1) data analyst to aggregate and analyze data in support of developing a comprehensive community risk map. Quarter One Project Component Two: Prepare and distribute community $25,000.00 health REACH partner meeting schedule with 12 stakeholder/community meeting calendar dates. Meet with community stakeholders to develop an interagency protocol. Quarter Two Project Component Three: Develop a best practice $25,000.00 infographic and a list of recipients receiving best practices infographic. Review summary of community needs assessment with stakeholder and document their input. Provide documentation of stakeholder analysis. Conduct community health REACH partner/stakeholder meetings and provide meeting minutes, agenda and sign-in sheet. Quarter Three Project Component Four: Develop a Community Risk map $25,000.00 based on previous discussions,federal SANAM reports, and outreach survey of community needs. Conduct community health REACH partner/stakeholder,along with the first draft of the Community Health Implementation Plan and draft e ..tive Provide meeting minutes, agenda and sign-in sheet, community health REACH partner/ stakeholder meetings. Quarter Four Project Component Five: Provide and facilitate sem-men-4y $25,000.00 health REACH partner/stakeholder meetings to include minutes, agenda, and sign-in sheet. Final draft of the C REACH Implementation Plan and final draft executive summary. Quarter Five Project Component Six: A summary report on outreach $50,000.00 efforts conducted by CHSI. Community health REACH partner/ stakeholder meeting minutes, agenda, sign-in sheet, and final CHSI board- approved Community Health REACH Implementation Plan with final Executive Summary. Total Federal Funds: $225,000.00 COLLIER HEALTH SERVICES.INC.d/b/a HEALTHCARE NETWORK CD-CV2 1-09 Community Health Plan AMENDMENT#21 CAO 16 Dr 3 H. Payment Deliverables Payment Deliverable Payment Supporting Documentation Submission Schedule Project Component One: Salaries Submission of supporting documents Quarterly invoices (not including benefits)of two must be provided as backup, as due on the 10th day full-time equivalent(FTE) evidenced by Exhibit B,timesheets, following the end of positions: one(1)healthcare payroll registers/summary, and any other the quarter. worker to perform education and additional documentation as requested. outreach.One (1) data analyst to Payment will be on a aggregate and analyze data in Cost Reimbursement support of developing a basis. comprehensive community risk map. Quarter One Project Component Submission of supporting documents Quarterly invoices Two: Prepare and distribute must be provided as backup, as due on the 10th day community health REACH evidenced by Exhibit B, copy of following the end of partner meeting schedule along stakeholder/community calendar dates, the quarter. with stakeholder/community agenda, meeting minutes, a copy of meeting calendar dates. Meet with stakeholder/community list and contact community stakeholders to information, and any other additional Payment will be on a develop an interagency protocol. documentation as requested. Fixed Price basis. Quarter Two Project Component Submission of supporting documents Quarterly invoices Three: Develop a best practice must be provided as backup, as due on the 10th day infographic and a list of recipients evidenced by an Exhibit B, Best practices following the end of r receiving best practices infographic draft document, infographic the quarter. infographic. Review summary of distribution list, copy of community community needs assessment with needs assessment with stakeholder Payment will be on a stakeholder and document their analysis, community health REACH Fixed Price basis. input. Provide documentation of partner/stakeholder meeting minutes, stakeholder analysis. Conduct agenda and sign-in sheet and any other community health REACH additional documentation as requested. partner/stakeholder meetings and provide meeting minutes, agenda and sign-in sheet. Quarter Three Project Component Submission of supporting documents Quarterly invoices Four: Develop a Community Risk must be provided as backup, as due on the 10th day map based on previous evidenced by Exhibit B, Community following the end of discussions, federal SANAM Risk map, stakeholder/community the quarter. reports, and outreach survey of meeting minutes, agenda and sign-in sheet:documentation, Community Health Payment will be on a community needs. Conduct community health REACH Implementation Plan first draft, Fixed Price basis. partner/stakeholder meetings_ Community Health Implementation Plan along with the first draft of the , and any COLLIER HEALTH SERVICES.INC.d/b/a HEALTHCARE NETWORK CD-CV21-09 Community Health Plan AMENDMENT#2 CAO 16D3 Community Health other additional documentation as Implementation Plan and draft requested executive summary. Provide meeting minutes, agenda and sign-in sheet community-head REACH partner/stakeholder meetings. Quarter Four Project Component Submission of supporting documents Quarterly invoices Five: Provide and facilitate must be provided as backup, as due on the 1Oth day community health REACH evidenced by Exhibit B, following the end of partner/stakeholder meetings to stakeholder/community meeting minutes, the quarter. include minutes, agenda, and agenda and sign-in sheet documentation, sign-in sheet. Final draft of the final draft Community Health Payment will be on a Community Health REACH Implementation plan, final draft Fixed Price basis. Implementation Plan and final Community Health REACH draft executive summary. Implementation Plan executive summary, and any other additional documentation as requested. Quarter Five Project Component Submission of supporting documents Quarterly invoices Six: A summary report on must be provided as backup, as due on the 1Oth day outreach efforts conducted by evidenced by Exhibit B, following the end of CHSI. Community health stakeholder/community meeting the quarter. REACH partner/stakeholder documentation, and the final approved meeting minutes, agenda, sign-in plan with a final executive summary. sheet, and final CHSI board- Summary report of outreach efforts and Payment will be on a any other additional documentation as Fixed Price basis. approved Community Health REACH Implementation Plan requested. with final Executive Summary. 1. Except as set forth herein,the Agreement remains in full force and effect. Remainder of Page Intentionally Left Blank (Signature Page to Follow) COLLIER HEALTI I SERVICES,INC.d/b/a HEALTHCARE NETWORK CD-CV21-09 Community Health Plan AMENDMENT 0 CAO 16 D 3 IN WITNESS WHEREOF, the SUBRECIPIENT and COUNTY, have each respectively, by an authorized person or agent, hereunder set their hands and seals on the date first written above. ATTEST: AS TO COUNTY: CRYSTAL K. KINZEL, CLERK vr, BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA Attes# Eh�l'r eP Y ut Clerk /,------ _____C) sigturo o, ly , By: r c .; , ;;,` ': DANIEL KOWAL, HAIRPERS Dated: _''`'4/ b .� (SEAL) Date: l/2 3/26 _ AS TO SUBRECIPIENT: WIC• ' �� iCOLLIER HEALTH SERVICES, INC. d/b/a �0� _ HEALTHCARE NETWORK ItAAN he- By: Witness #1 Printed Name TAM ZNOF , C I 'F FINANCIAL OFFICER 1 Witness 2 Signature /Date: / /e)-0e10 Ari ctlrn of (2 o Witness #2 Printed Name [Please provide evidence of signing authority] Approved 1. o 1.i a a - _ality: 1,10 ► Jeffrey A. 'atzk i w, Collier County Attorney Date: I 1 0 S COLLIER HEALTFI SERVICES,INC.d/b/a HEALTHCARE NETWORK CD-CV2I-09 Community I Iealth Plan AMENDMENT NZ Ct