Agenda 04/14/2026 Item #16D5 (First Amendment to the Behavioral Health Services Agreement between Collier County, the Collier County Sheriff’s Office, and David Lawrence Mental Health Center, Inc.)4/14/2026
Item # 16.D.5
ID# 2026-705
Executive Summary
Recommendation to approve and authorize the Chair to sign the First Amendment to the Behavioral Health Services
Agreement between Collier County, the Collier County Sheriff’s Office, and David Lawrence Mental Health Center,
Inc., to update language per new requirements. (No Fiscal Impact)
OBJECTIVE: To assist in the operation of Behavioral Health Services to enhance mental health services provided to
those Collier County residents and those inmates at the Collier County jail by continuing to advance the County’s
strategic objective of promoting access to health, wellness, and human services.
CONSIDERATIONS: David Lawrence Center (DLC) is the local community mental health center licensed by the State
of Florida and provides a full continuum of mental health and addiction treatment services in Collier County. DLC
desires to utilize funds under the Low-Income Pool (LIP) Program to provide mental health and substance abuse
services for uninsured and underinsured low-income individuals in Collier County. On November 10, 2025, Agenda
Item #16.D.7., the Board executed an agreement between Collier County, Collier County Sheriff’s Office (CCSO), and
DLC (contractor) to provide mental health services through Behavioral Health Services to Collier County residents in
coordination with CCSO and provide in-jail mental health services while receiving the CCSO funds for the program
through the Low-Income Pool Program rather than directly from CCSO.
The contractor agreement period is from October 1, 2025, through September 30, 2026. The agreement allows for three
(3) one-year renewals, based upon satisfactory performance.
The Agency for Health Care Administration (AHCA) is the State of Florida entity responsible for administering
Medicaid services and managing the Low-Income Pool (LIP) Program. The LIP Program leverages local government
funds to secure federal matching funds to support health care services for low-income and uninsured residents. At the
request of DLC and CCSO, the County will use the funds that CCSO pays to DLC and remit them to the County. These
funds will then be sent to AHCA through the LIP IGT program to maximize the federal return and expand services for
Collier County residents through the central receiving facility.
Amendment #1 will update/add language in the following sections as required:
• Scope of Work: remove “BHIT” and/or “Intervention Team” and replace with “Services”.
• Section 1.1 Policies and Forms: delete ‘forms’ and add ‘special conditions’ and update specific required documents
and add limited proficiency.
• Section 1.2 Program Details: remove “BHIT” and replace with “Behavioral Health Services” and update the
performance deliverables table to include new required exhibits.
• Section 1.6 Notices: update grant coordinator contact information.
• Section 2.2 Records and Documentation: add language on clients served.
• Section 2.3 HIPPA Compliance: remove “BHIT” and replace with “Behavioral Health Services”.
• Section 3.14 Miscellaneous: add language for the location of court actions.
• Section 3.16 Subject to Appropriations: Add language on appropriations.
• Add Exhibits B-1 (Definitions), update Exhibit E (Whistleblower Protections – Organization), add Exhibit E-1
(Whistleblower Protections Certificate-Contractor Staff), add Exhibit F (Conflict of Interest Disclosure Form), add
Exhibit G (Affidavit Regarding Labor and Services), add Exhibit H (Never Contract with the Enemy Certification) add
Exhibit I (Certification Regarding Drug-Free Workplace), add Exhibit J (Certification of Compliance with Anti-
Discrimination, Fair Housing, and Equal Employment Opportunity Laws), and add Attachment to Exhibit J.
Continuing to advance the County’s strategic objective of promoting access to health, wellness and human services.
FISCAL IMPACT: The proposed actions described in this executive summary have no new fiscal impact on the
General Fund (0001), or Mental Health Fund Center (156010).
GROWTH MANAGEMENT IMPACT: There is no Growth Management impact associated with this action.
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4/14/2026
Item # 16.D.5
ID# 2026-705
LEGAL CONSIDERATIONS: This item is approved as to form and legality and requires a majority vote for Board
approval. – CLD
RECOMMENDATION(S): To approve and authorize the Chair to sign the First Amendment to the Behavioral Health
Services Agreement between Collier County, the Collier County Sheriff’s Office, and David Lawrence Mental Health
Center, Inc., to update language per new requirements. (No Fiscal Impact)
PREPARED BY: Carolyn Noble, Grant Coordinator, Community and Human Services
ATTACHMENTS:
1. EXECUTED BHIT Agreement
2. BHIT First Amendment with signatures 4.2.26
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I:iscal Year of Auard:202 5
A cl iv ity:
CONTRACTOR David Larvrence
Mental Health Center
Total Award Amount $ 594.235.91
UEI #PBE]LMA8J4YI
FEIN:
Period of Performance:t0/\ l?025-9/30t2026
Fiscal Year End:t212026
FIRST AMENDMENT TO CONTRACTOR AGREEMENT BETWEEN
COLLIEI{COUNTY.
COLLIER COUNTY SHERIFF'S OFFICE
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC
BEHAVIORAL HEALTH SERVICES.
THIS FIRST AMENDMENT, is rnade and entered into on this _ day ol
,2026 by and between Collier County. a political subdivision of the State of
Florida, (COUNTY) having its principal address as 3339 E. Tamiami Trail. Naples FL 34112,
Collier County Sherifls Office (CCSO), authorized to do business under the laws ofthe State of
Florida, having its principal address at 33 l9 Tamiami Trail East, Suite 2l 8, Naples, FL 341 l2; and
David Lawrence Mental Health Center. Inc, (CONTRACTOR) a private not-for-profit corporation
under agreement with the State of Florida, Department of Children and Families, through the
Central Florida Behavioral Health Network. lnc. contract, having its principal address at 6075
Bathey Lane. Naples. FL 341 16.
WHEREAS, on November I l, 2025, Agerrda Item 16.D.7., the Board ol County
Commissioners of Collier County (Board) executed an agreement between COUNTY. CCSO. and
CONTRACTOR in which CONTRACTOR agreed to provide mental health services through
Behavioral Health lntervention services to Collier County residents in coordination with CICSO
and provide in-jail mental health services (the "Agreernent"); and
WHEREAS, the Parties desire to amend the Agreement to update/add language in scope
ot'work, policies and forms. program details, notices. records and documentation, HIPPA.
miscellaneous and Exhibits B- l. E. E- | . Ij. G. 11. I. and J.
NOW, THEREFORE, in consideration of'the foregoing Recitals, and other good and
valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the
Parties agree to modifo the Agreement as follows:
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A ereement No,:BHIl'25-0 r
Behavioral Health
Services
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Words S+ru€k+hrougFare deleted; Words Underlined are added.
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PART I
SCOPE OF SERVICES
The CONTRACTOR shall in a satisfactory and proper manner and consistent with any standards
required as a condition of providing services as provided herein and as determined by Collier
County Community and Human Services (CHS) Division and CCSO, perform the tasks necessary
to provide mental health services to residents of Collier County.
Project Name: Behavioral Health Services
Description of Project: CONTRACTOR shall provide the services required by components
outlined below (i.e., 40 hours per week, excluding paid time off for vacation, holiday, sick
time, and other time away from work in accordance with CONTRACTOR's human
resources policies):
Project Component One: Behavioral Health In+eruention +eam-@+++D Services. Licensed
Clinician: The licensed clinician will participate on all calls with law enforcement in co-
response for the BF+IT Behavioral Health S , and DLC staff shall assist with risk
management, provide wellness checks for clients, and provide referral services and linkage
with the appropriate service to clients.
Project Component Two: Baker Act-Related Psychiatric Services and Coordination:
CONTRACTOR shall provide services for Collier County jail inmates who are under
Baker Act that the CONTRACTOR is unable to accept at its facility, by providing
availability of a Psychiatrist (MD/DO) or Advanced Practice Registered Nurse (APRN),
and Baker Act Coordinator (BAC) for 12 hours (including travel time to jail and/or
courthouse) each, per week, Monday-Friday.
Baker Act Related Psychiatric Services: The Psychiatrist (MD/DO) or Advanced Practice
Registered Nurse (APRN) will:
o Complete Baker Act-mandated evaluations, perform medication consultations, and
satis$ Baker Act release/discharge. Telehealth may be utilized, when necessary, as
agreed by the parties.
o Consult with CCSO contracted medical staff regarding medication
recommendations and client prognoses. These services may be completed via
telehealth.
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Attend Baker Act-related hearings and court proceedings. Such participation will
be in-person unless the magistrate provides express permission for participation via
video conference.
The Baker Act Coordinator (BAC) will:
. Complete all necessary Baker Act-related paperwork.
o Attend Baker Act-related hearings and court proceedings as needed to represent
CONTRACTOR. Such participation will be in-person unless the magistrate
provides express permission for participation via video conference.
Project Component Three: Project Recovery Substance Use Treatment Program (PRP).
The CONTRACTOR will operate an intensive outpatient program for substance use
disorders for inmates in the Naples Jail Center.
All professionals provided by CONTRACTOR will:
o Be licensed, certified or registered (as appropriate in the respective areas of
expertise pursuant to applicable law).
o Have personnel files which shall include, but are limited to proof of professional
certification, position responsibilities, and annual security training certification.
Staffing Matrix
* The staff positions listed above are salaried exempt. Assumes Monthly Staffing Reconciliations
will include hours for vacation, sick, holiday, and training.
J
Position*FTE Paid Rate Benefits
Rate
Fully
Loaded
Rate
Qualified Behavioral Health
Professional -BI+II 2 32.46 7.47 39.93
Psychiatrist (MD/DO) - Baker Act 0.30 164.54 37.84 202.38
Baker Act Coordinator - Baker Act 0.30 26.04 5.99 32.03
Qualifi ed Behavioral Supervisor,
Licensed Clinician or master's level
registered intern expected to achieve
licensure within one year of starting
Project Recovery Program (PRP)
Supervisor role
I 39.20 9.02 48.22
Licensed Addiction Counselor - PRP I 36.0s 8.29 44.34
Addiction Counselor - PRP I 28.35 6.52 34.87
Total FTEs 5.60
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4 ,.g
1.1 POLICIES AND+E*A4S SPECIAL CONDITIONS
A. CONTRACTOR must submit the following Policies and Forms to CHS within 60 days
of execution of this Agreement. For policies that were established more than three (3)
date of the R must
of the last review for each policy.
Affirmative Action/Equal Employment Opportunity Policy
Conflict of Interest Policy (COD and related COI Forms
Procurement Policy
Sexual Harassment Policy
Section 504/ADA Policy
Fraud, Waste, and Abuse Policy
Language Assistance and Planning Policy (LAP)
Limited English Proficiency Policy (LEP)
Business Associate Agreement between DLC and CCSO
X Violence Against Women Act Policy (VAWA)
X Personally Identifiable Information Policy (PII)X utpaa poticy
X No Texting while Driving Policy
X Drug-Free Workplace Policy
X Grievance Policy (staff and clients)
X Termination Policy (staff and clients)
X Confidentiality Policy
X Information Technology Policy
X Whistleblower Protections Policy
X Monitoring and Reporting Polic),
X Record Retention Policy
X Code of Ethics Polic),
B. Limited English Proficiency - Persons who. as a result of national origin. do not speak
English as their primary language and who have limited ability to speak. read. write. or
understand English ("limited English proficient persons" or "LEP persons") may be
entitled to language assistance under Title VI of the Civil Rights Act of 1964 (Title VI)
in order to receive a particular service. benefit. or encounter. In accordance with Title
to ensure meaningful access to activities funded with LIP Funds by LEP persons. Any
of the followins actions could "reasonable steos-" deoendins on the
xxxxxx
Nxx
itsVI
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circumstances: acquiring translators to translate vital documents: advertisements or
notices: acquiring intemreters for face-to-face interviews with LEP persons: placing
advertisements and notices in newspapers that serve LEP persons: partnering with other
organizations that serve LEP populations to provide interpretation. translation. or
dissemination of information regarding the project: hiring bilinsual employees or
volunteers for outreach and intake activities: contracting with a telephone line
interpreter service: etc.
I,2 PROGRAM DETAILS
A. Program Description/Program Budget
CONTRACTOR will accomplish the following checked project tasks:
X Maintain and retain at CONTRACTOR location, client files, records, and any other
client information, and provide to the COUNTY and/or CCSO as requested
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Description
Project Component l: The licensed clinician will participate on all calls with law enforcement in
co-response for the BHft Behavioral Health Services, and DLC staff shall assist with risk
management, provide wellness checks for clients and provide referral services and linkage with
the appropriate service to clients.
Project Component2: The Psychiatrist (MD/DO) Advanced Practice Registered Nurse (APRN)
will complete Baker Act-mandated evaluations; perform medication consultations; satisfu Baker
Act release/discharge and consult with YesCare Correctional Health medical staff regarding
medication recommendations and client prognoses. These services may be completed via
telehealth. The MD/DO will also attend Baker Act-related hearings and court proceedings. Such
participation will be in-person unless the magistrate provides express permission for participation
via video conference.
The Baker Act Coordinator (BAC) will complete all necessary Baker Act-related paperwork and
attend Baker Act-related hearings and court proceedings as needed to represent CONTRACTOR.
Such participation will be in-person unless the magistrate provides express permission for
participation via video conference.
Project Component 3: Project Recovery Substance Use Treatment Program (PRP). The
CONTRACTOR will operate an intensive outpatient program for substance use disorders for
inmates in the Naples Jail Center.
Project Component 4: All professionals provided by CONTRACTOR will be licensed, certified
or registered (as appropriate in the respective areas of expertise pursuant to applicable law). All
personnel files shall include, but are limited to proof of professional certification, position
responsibilities, and annual security training certifications.
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x
Xxxx
Ensure all client data, files, records, accounts, and any other information of any
nature are maintained in accordance with the Health Insurance Portability and
Privacy Act (HIPAA).
Enter all required data elements into the Collier County Data Collaborative.
Provide Quarterly Performance Reports
Identifr Lead Program Manager
Ensure attendance by a representative from executive management at scheduled
partnership meetings, as requested by CHS
B. Performance Deliverables
Program Deliverable Supporting Documentation Submission Schedule
Insurance Proof of coverage in
accordance with Exhibit A and
Section 3.8
Within 30 days following
Agreement execution and
annually within 30 days
after renewal
Policies Policies as stated in this
Agreement
Within 60 days of
Agreement execution
Quarterly Performance Report Exhibit C Quarterly by 30th of the
month following previous
quarter end.
HIPAA Business Associate
Agreement
Agreement between CCSO and
CONTRACTOR
Executed within 120 days
following agreement
execution
Professional Licenses Copies of CONTRACTOR's
professional licenses, certified
or registered, (in their
respective areas ofexpertise per
State of Florida Law) allowing
them to perform the obligations
of this Agreement
Upon agreement execution
and annually, submitted to
Jail Administration.
CCSO Security Training Certifi cate of Completion Upon Agreement execution
and annually thereafter to
be submitted to CCSO
Administration
Position Responsibilities Job Description Upon Agreement execution
and at any time job
description changes;
submitted to CCSo
Administration
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Program Deliverable Supporting Documentation
Annual Audit Monitoring
Report
Exhibit C Annually, within 60 days
after CONTRACTOR'S
fiscal year end
Financial and Compliance
Audit
Audit, Management Letter, and
Supporting Documentation
Annually: nine (9) months
after FY end for Single
Audit OR one hundred
eighty (180) days after FY
end
Subrecipient/Developer/Vendor
Conflict of Interest Disclosure
Form Foffi- Exhibit F
Upon execution of the
Agreement, for all
employees who work on
activities associated with
the Project and upon hiring
of all new employees who
will work on activities
associated with the project.
Whistleblower Protections
Certification - Organization
Exhibit E Upon execution of the
Agreement ferall-
@
aetivities-*sseeia+e4wi+h
@+inr
@
prior to execution of all
subsequent amendments
Whistleblower Protections
Certification - Contractor Staff
Exhibit E-l Upon execution of lhe
Agreement. for all
employees who work on
activities associated with
the Project and upon hiring
Olall new emoloyees who
will work on activities
associated with the project
Affidavit Regarding Labor and
Services (Trafficking)
A.ffidavi1 Exhibit G (Applicable
to DLC onlv)
Upon execution of this
Agreement and prior to
execution of all subsequent
amendments.
Never Contraqt with the Erremy
Certification
Upon execution of this
Agreement and prior to
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Submission Schedule
Exhibit H
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Program Deliverable Supporting Documentation Submission Schedule
execution of all subsequent
amendments.
Drug-Free Workplace
Certification
Exhibit I Within 30 days of
Agreement execution and
annually throughout the
period of performance.
Exhibit J Within 30 davs ol
Agreement execution and
annual ly throuehlutlhq
period of performance.
Consent to Vqrfr Immigratiol
Status (SAVE)
NA Not Applicable
,r g J
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 party may change the address to which notices are to be sent to it by giving
written notice of such change to the other parties in the manner herein provided for giving
notice. Any notice, request, instruction, or other document 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: Carolyn Noble, Grant Coordinator
Collier County Government
Community and Human Services Division
2671 Airport Pulling Road, Suite 202
Naples, Florida 34112
Emai I : c aro ly n. no b I e@eetl-iereeun+.v{l-€sv co I lier. gov
Telephone: (239) 252-5321
CCSO ATTENTION: Marien Ruiz, General Accounting Manager
Collier County Sheriffls Office
3319 Tamiami Trail East
Naples, FL 34112
Email : marien.ruiz@col liersheriff.org
Telephone: (239) 252-0852
CONTRACTOR ATTENTION: Scott Burgess, CEO & President
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Anti-Discrimination. Fair
Housing. and Equal
Opportunity Certifi cation
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David Lawrence Mental Health Center. Inc
6075 Bathey Lane
Naples, Florida 34116
Email : scottb@dlcenters.org
Telephone: (239) 354-1425
rt :t ,r
PART II
REQUIREMENTS
*rlr(
2.2 RECORDS AND DOCUMENTATION
The CONTRACTOR and/or its subcontractors shall keep orderly and complete records of
its accounts and operations related to the services provided under this Agreement for the
entire term of the Agreement plus three (3) years. The CONTRACTOR and/or its
subcontractors shall keep these records open to inspection by COUNTY personnel at
reasonable hours during the entire term of this Agreement. If any litigation, claim, or audit
commences prior to the expiration of the three (3) year period and extends beyond this
period, the records must remain available until any litigation, claim, or audit has been
resolved. Any person duly authorized by the COUNTY shall have full access to, and the
right to examine any of said records during said period. Access to Protected Health
Information (PHI) shall comply with federal laws and the Health Insurance Portability and
Accountability Act (HIPAA).
CONTRACTOR shall provide the public with access to public records on the same terms
and conditions that the COLINTY and CCSO would provide the records, and at a cost that
does not exceed the cost provided in Chapter I 19, Florida Statutes or as otherwise provided
by law. CONTRACTOR shall ensure that exempt or confidential public records that are
free from public records disclosure requirements are not disclosed.
IF CONTRACTOR HAS QUESTIONS REGARDING THE
APPLICATION OF CHAPTER II9, FLORIDA STATUTES, TO
CONTRACTOR'S DUTY TO PROVIDE PUBLIC RECORDS
RELATING TO THIS AGREEMENT, IT SHALL CONTACT THE
CUSTODIAN OF PUBLIC RECORDS AT 239-252-0630,
Samantha.Addison@colliersheriff.ore, 3319 Tam iami Trail East, Naples,
FL 34142.
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CONTRACTOR shall be responsible for the creation and maintenance of client files and
documentation that persons served were eligible under State of Florida requirements.
CONTRACTOR aerees that CHS shall be the final arbiter on the CONTRACTOR's
compliance.
CONTRACTOR shall document how it complied with the Program components. the
applicable regulations. and the eligibility requirements under which funding was received.
This includes special requirements such as necessary and appropriate determinations.
2.3 HIPAA COMPLIANCE
Some or all of the Services, and the files, books, accounts, records and other information
of any nature, however recorded or stored (Records), and related to the Services provided
by CONTRACTOR will be subject to the Health Insurance Portability and Accountability
Act (HIPAA) and Section 394.4615, Florida Statutes. Accordingly, Records shall at all
times belong to CONTRACTOR and to the extent possessed by COLINTY and CCSO,
such possession shall be for the operation of the BHIF Behavioral Health Services. The
COUNTY and CCSO's possession of the Records is solely for the pu{pose of enabling
CONTRACTOR to enhance its performance hereunder and upon termination of this
Agreement, the COUNTY and CCSO shall retum any Records in its custody or possession
upon demand by CONTRACTOR.
CONTRACTOR certifies that it will conduct all of its obligations under this Agreement in
full compliance with the Health Insurance Portability and Accountability Act of 1996
(HIPAA) and ensure the complete confidentiality of all participant medical information
that may come into their possession during the term of this Agreement. CONTRACTOR
shall provide the COUNTY and CCSO with a fully executed Business Associate
Agreement as a requirement of this Agreement.
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PART III
TERMS AND CONDITIONS
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CONTRACTOR shall take reasonable cybersecurity and other measures to safeguard
information including protected personally identifiable information (PII) and other types
of information in accordance with 2 CFR 200.303(e). This includes information that +{UD
DCF. CCSO or the COUNTY designates as sensitive, or other information the COUNTY
considers sensitive and is consistent with applicable Federal, State, and Local laws
regarding privacy and responsibility over confi dentiality.
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3.13 MISCELLANEOUS
CONTRACTOR, CCSO, and COUNTY each binds itself, its partners, successors, legal
representatives, and assigns of such other party in respect to all covenants of this
Agreement.
CONTRACTOR represents and warrants that the financial data, reports, and other
information it furnished to the COUNTY and CCSO regarding the Program are accurate
and complete, and financial disclosures fairly represent the financial position of
CONTRACTOR.
CONTRACTOR understands that client information collected under this Agreement is
private and the use or disclosure of such information, when not directly connected with the
administration of the COUNTY's, CCSO's, or CONTRACTOR's responsibilities with
respect to services provided under this Agreement, is prohibited unless written consent is
obtained from such person receiving service and, in case of a minor, that of a responsible
parent/guardian.
CONTRACTOR certifies that it has the legal authority to receive the Funds under this
Agreement, and its governing body has authorized the execution and acceptance of this
Agreement. CONTRACTOR also certifies that the undersigned person has the authority to
legally execute and bind CONTRACTOR to the terms of this Agreement.
The section headings, subheadings, and numbers contained in this Agreement are included
for convenience of reference only and shall not limit or otherwise affect the terms of this
Agreement. If there is any conflict between any such headings, subheading, or numbers,
and the text of this Agreements, the text shall control. Each of the statement set forth in the
premises of this Agreement is incorporated in the Agreement as a valid and binding
representation of the party or parties to whom it relates.
All activities authorized by this Agreement shall be subject to and performed in accordance
with the provisions of the terms and conditions of the Agreement; the Regulations; and all
applicable Federal, State, and Municipal laws, ordinances, regulations, orders, and
guidelines, including but not limited to any applicable regulations issued by the COUNTY
and CCSO.
The Agreement Documents shall be construed in accordance with and governed by the
laws of the State of Florida. without giving effect to its provisions regarding choice of laws.
Any suit or action broueht by either parf.v to this Agreement against the other paqy relating
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to or arising out of this Agreement must be brought in the appropriate federal or state courts
in Collier Countv" Florida. which courts have sole and exclusive jurisdiction on all such
matters.
The CONTRACTOR and/or its subcontractors shall obtain and possess throughout the
term of this Agreements all licenses and permits applicable to its operations under federal,
state, and local laws, and shall comply with all fire, health, and other applicable regulatory
codes.
Electronic Signatures. This Agreement, and related documents entered into in connection
with this Agreement, are signed when a party's signature is delivered by facsimile, e-mail,
or any other electronic medium. These signatures must be treated in all respects as having
the same force and effect as original signatures.
3.16 SUBJECT TO APPROPRIATIONS
It is further understood and agreed by and between the parties herein that this Agreement
is subject to appropriation by the Board of County Commissioners.
,.*
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EXHIBIT B.I
Exhibit B Definitions Behavioral Health Services Grant
Metric 3. Number of Provider visits with CCJ inmates under a Baker Act is defined as any
provider service completed with an individual who is physically located at the iail while under a
Baker Act. This includes any psychiatric evaluation or medication management service, and
includes both in-
c4o
Metric 1. Number of Persons Received at DLC under a Baker Act is defined as anv
admission to Crisis Stabilization or Emergency Services. which includes adult and children.
This would also include any client admitted. transferred. or released. reeardless ofreferral
source. This would also include voluntary and involuntary referrals under the Baker Act.
Referral sources will consist of law enforcement. ex parte. intemal and external outpatient
nrovider. hospital. and self-refenals.
Metric 2. Number of Admissions delivered to DLC bv CCSO under a Baker Act initiated by
DLC Mobile Response Team (MRT) is defined as any admission where an MRT clinician
completed the reouest for involuntarv examination (i.e.. the Baker Act form). and then called
CCSO to transoort the individual to DLC to comolete the Baker Act evaluation process.
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EXHIBI+
WHISTLEDLoW*R PRETEETISNS EERTIFI€ATIEN
Effipleyee}Iame;-
federal funds; an abuse efautheriB relafing to a federal eentraet er grants; a substantial and speeifie danger
ing
The list ef persons and entities refereneed in the paragraph abeve ineludes the fellew'ing:
r r\ member ef eongress er a representative ef a eemmittee of eongress
@
r 4n authorized effieial ef the Department of Justiee or other larv enforeement ageney
+--+-eou*ergran+Fry
ies
ies
as"r€vided-above=
ie*ignatur€
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EXHIBIT E
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION-ORGANIZATION
CONTRACTOR Name:
CONTRACTOR Address:
Proiect Name:
Proiect No:
In accordance with 2 CFR 200.2 I 7 and .11 U.S.C. s\ ,17 I 2. CONTRACTOR may not discharge. demote. or
otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities
provided below. information that the emplo)ree reasonabl), believes is evidence of gross mismanagement of
a federal contract or grant. a gross waste offederal funds. an abuse ofauthoritv relating to a federal contract
or grants. a substantial and specific danger to public health or safetv. or a violation of law. rule. or regulation
related to a federalcontract (including the competition for or negotiation of a contract) or grant.
The list of persons and entities referenced in the paragraph above includes the following:
A member of Congress or a representative of a committee of Congress
An Insoector Genqral
The Government Accountabi litv Offi ce
A Treasury employee responsible for contract or grant oversight or management
An authorized official of the Department of Justice or other law enforcement agency
A court or grandjury
A management official or other employee of SUBRECIPIENT. contractor. or subcontractor who
has the responsibilitv to investigate. discover" or address misconduct
CONTRACTOR shall inform its employees in writing of whistleblower rights and remedies provided under
section 41 U.S.C. $ 4712. in the predominant native language of the workforce.
By sisnins this form. I certifo that Contractot Namg will complv with all Whistleblower riehts and
protections for its employees.
Name:
Sisnatrrre:
Title'
a
a
a
a
a
a
a
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Date:
Page 2255 of 3203
EXHIBIT E.l
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
WHISTLEBLOWER PROTECTIONS CERTIFICATION - CONTRACTOR STAFF
CONTRACTOR Name:
CONTRACTOR Address:
Employee Name:
Proiect Name:
Project No:
A member of Congress or a representative of a committee of Congress
An Inspector General
The Government Accountabilitv Office
A Treasury employee responsible for contract or grant oversight or management
An authorized official of the Department of Justice or other law enforcement aeencv
A court or grandjury
A management official or other emplo)ree of CONTRACTOR. contractor. or subcontractor who
has the responsibility to investigate. discover. or address misconduct
CONTRACTOR shall inform its employees in writing of whistleblower rights and remedies provided under
section 41 U.S.C. $ 4712. in the predominant native language of the workforce.
By signing this form. I certiil that I have reviewed and understand my Whistleblower rights and protections
as stated above.
Name:
Siqnatrrre
F)ate
Title'
The list of persons and entities referenced in the paragraph above includes the following:
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In accordance with 2 CFR 200.217 and -{ I U.S.C. s\ 4712. CONTRACTOR may not discharge. demote. or
otherwise discriminate against an employee in reprisal for disclosing to any of the list of persons or entities
provided below. information that the employee reasonably believes is evidence of gross mismanagement
of a federal contract or grant- a gross waste of federal funds. an abuse of authoritv relating to a federal
contract or grants. a substantial and specific danger to public health or safety. or a violation of law. rule. or
regulation related to a federal contract (including the competition for or negotiation of a contract) or grant.
Page 2256 of 3203
EXHIBIT F
Collier Countv Denartment of Communitv and Human Serwices (CHS)
SubrecinientlDeveloner/Vendor Conflict of Interest Disclosure Form
The purpose of this document is to assist in the determination of whether additional restrictions. oversight.
or other conditions might be advisable prior to execution of any contract or providing assistance. The term
"Conflict of Interest" refers to situations in which financial or other personal considerations may
compromise. or have the appearance of compromising. professionaljudgment in following the rules and
regulations applicable to your award.
Please answer every question in this form and complete the form attachment. if applicable. This form must
be provided to your assigned CHS Grant Coordinator.
Employee Name:
Subrec i pient/Sponsor Name :
Subrecipient/Sponsor Address:
Subrecipient/Sponsor Citv. State. Zip
Code:
Agreement Number
Funding Source:
Agreement Amount:
A. Family Relationships:
Does any employee. board member or person in your agency have a family member directly or indirectly
involved or employed with CHS or Collier County that creates a conflict of interest. or the appearance of a
conflict under HUD's Conflict of Interest regulations?
B. Program Relationships:
Does any employee. board member or person in your agency serve or is appointed to an CHS and/or Collier
County Board/Committee that may create a conflict of interest. or the appearance of a conflict under the
Conflict of Interest regulations?
the
Does an employee of CHS and/or Collier Countv serve on your agency's Board of Directors. staff. or in
any capacitv which may create a conflict of interest. or the appearance of a conflict under the Conflict of
Interest regulations?
e
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Please Note: A family member is defined as: a spouse. child. stepchild. parent. sibling. domestic partner or
relative by marriage.
Page 2257 of 3203
Does any elected officialof Collier Count-v serve on the agency's Board of Directors. which may create a
conflict of interest. or the appearance of a colflict under the Conflict of Interest regulations?
l-l Yes [-l No (lf YES. please complete the attachment)
Is any employee. board member and/or person (as described above) in your agency involved in any other
activity. directly or indirectly. with CHS and/or Collier Counlv of that may create a conflict of interest or
the appearance of a conflict under the Conflict of Interest regulations?
C. Business Relationships:
Is any employee. board member. person in your agency. or a family member involved as an investor. owner.
employee. consultant. contractor. or board member with an entiW that has a contractual relationship with
CHS and/or Collier Countv to provide goods or services. sponsor development activities. and/or receive
referrals from CHS and/or Collier County?
n Yes n No (lf YES. please complete the attachment)
I understand that. under this agreement. no employee. board member. person in my agency" or family
member involved in working on the grant program. in any capacity. rnay be involved as an investor. owner.
employee. consultant. contractor. or board member with an entity that has a contractual relationship with
mv orsanization to provide goods or services. sponsatd€velopEent activities. and/or r
Ives INo
I have read and understand the Con-llict o.f Interest Disclosure Form. I have disclosed all i4formation
required blt this disclosure, if anJt. in an attached statement. I agree to comply with an\t conditions or
restrictions imposed by the CHS and/or Collier Countlt to reduce or eliminate actual and/or potential
conflicts oJ interest. I will update this disclosure .form promotllt. if relevant circumstances change. I
understand that this Disclosure is not a confidential document.
If DCF determines that a conflict of interest exists. this contract mqt be voided, and terminated and you
mqv be required to return aryt and allfunding allocated. whether used or not used.
Printed Name Date
Signature
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Page 2258 of 3203
Collier Countv-CHS
Conflict of Interest Disclosure Form Attachment
Employee Name:
CONTRACTOR Name:
CONTRACTOR Address:
CONTRACTOR Citv. State" Zip
Code:
Agreement Number
Funding Source:
Agreement Amount:
If you answered YES to an), question on the previous page. please complete the relevant section(s) below
and provide this completed form to your Grant Coordinator.
If you answered NO to ALL the questions. you ma), discard this attachment.
A. Family Relationships:
1. Name of the family member(s) directl), or indirectl),
involved or employed by CHS/Collier County:
2. Do any of the family members work in the program
area?
3. Are any of the family members elected officials of
Collier Countv?
4. Relationship:
5. Position:
B. Program Relationships:
L Other Activities: Name and describe and
federal/coun0r activitv and/or program that you/your
organization are directly or indirectl), involved with?
2. Have you used the agencies' name. resources
(facilities. personnel. or equipment). or confidential
information in connection with the activitv and/or
program described in #l above?
If YES. describe the resource used
3. Name of the employee. board member or person (as
described above) serving or appointed to serve on an
C HS and/or Col I ier Countv Comm ittee/Board/pro gram :
4. Name of board/committee:
5. Does any CHS employee or Coun8 official serve on
your agency's Board of Directors?
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I vr,s I No
Ivps INo
l-l vps l-l No
I vps l--l No
Page 2259 of 3203
If yes. please complete the following information:
Name:
Position:
Department:
Supervisor:
C. Business Relationships:
Please complete this section for EACH business relationship or attach a separate explanation of
business and research activities.
l. Name of Business:
2. Categorize the business' relationship with n Consultant or Advisor
CHS and/or Collier Countv: n Research Activities
n Business or Referrals
n Other contractual or business relationship
Briefly describe the business. or licensing
activitv:
3. Who is involved with the business? - Check
all that apply
n Employee Name:
@"&."lutionrhip)'
Describe the position or involvement - Check
all that appl),
4. Are they receiving any tvpe of
compensation?
If YES. describe:
5. Who at the CHS and/or Collier Countv
oversees the relationship with this business?
Name:
Title:
Department:
Phone:
n Owner/lnvestor
n Board Member
n Employee/Managern
Signature
cao
Ivps [.lNo
Page 2260 of 3203
EXHIBIT G
AFFIDAVIT REGARDING LABOR AND SERVICES ( Applicable to DLC Onlv)
Effective Jul-v 1.2024. pursuant to $ 787.06(13). Florida Statutes. when a contract is executed. renewed.
or extended between a nongovernmental entilv and a governmental entitv. the nongovernmental entiV
must provide the governmental entit_v with an affidavit signed by an officer or a representative of the
nongovernmental entitv under penaltv of perjury attesting that the nongovernmental entity does not use
coercion for labor or services.
Nongovernmental Entity's Name:
Address:
Phone Number:
Authorized Representative's Name:
Authorized Representative's Title:
Email Address:
Project Name:
Project Nurnber
AFFIDAVIT
of Authorized
N E not
or services as defined in $ 787.06. Florida Statutes.
STATE OF
COUNTY OF
dav of .20 -bv (Name of Affiant). who produced
Notary Public (not required when digital)
Commission Expires
Personally Known E OR Produced Identification E
Tvoe of Identification Produced:
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(Signature of authorized representative) Date
their as identification or are personally known to me.
Page 2261 of 3203
EXHIBIT H
COLLIER COUNTY COMMUNITY & HUMAN SERVICES
NEVER CONTRACT WITH THE ENBMY CERTIFICATION
CONTRACTORName:
CONTRACTOR Address:
Project Name:
Project No:
In accordance with 2 CFR Part 183 and 2 CFR 200.1 5. CONTRACTOR shall exercise due diligence to ensure that
no funds. including supplies and services. received under this Agreement are provided directly or indirectly
(including through subawards or contracts) to a person or entity who is actively opposing the United States or
coalition forces involved in a contingency operation in which members of the Armed Forces are actively engaged
in hostilities. which must be completed through 2 CFR I 80.300 prior to issuing a subaward or contract.
CONTRACTOR shall terminate or void. in whole or in part- any subaward or contract with a person or entitv listed
in the S),stem for Award Management (SAM.gov) as a prohibited or restricted source pursuant to subtitle E of the
Title VIII of the NDAA for FY 2015. unless the Federal agency provides written approval to continue the subaward
or contract.
tn or ln
the COUNTY or Federal agenc), becomes aware that CONTRACTOR has failed to exercise due diligence as
required above or if the COUNTY or Federal agency becomes aware of any funds received under this Agreement
have been provided directl), or indirectly to a person or entitv who is actively opposing coalition forces involved in
a contingency operation in which members of the Armed Forces are actively engaged in hostilities.
Blz signing this form. I certif,z that Contractor Name will not contract or subcontract with any person or entitv that
is actively opposing the United States or which the Armed Forces are actively engaged in hostilities.
Name:
Sienature:
Title:
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Collier County
Community & Human ServicedDivision
EXHIBIT I
CERTIFICATION RE GARDING DRUG-FREE WORI(PLACE REOUIREMENTS
CONTRACTORName:
CONTRACTOR Address:
Grant/Proiect Name:
Grant/Proiect Number:
R it will
(a) Publishing a statement notifuing employees that the unlawful manufacture. distribution. dispensing.
possession or use of a controlled substance is prohibited in the grantee's workplace and specifuing the
actions that will be taken against employees for violation of such prohibition:
(b) Establishing a drug-free awareness program to inform employees about-
(l) The dangers of drug abuse in the workplace:
(2) The S CONTRACTOR'S polic), of maintaining a drug-free workplace:
(3) Any available drug counseling. rehabilitation and emplo),ee assistance programs. and
(4) The penalties that ma), be imposed upon emplolrees for drug abuse violations occuning in the
workplace.
(c) Making it a requirement that each employee to be engaged in the perlormance of the grant be given a
copy of the statement required by paragraph (a):
(d) Noti&ing the employee in the statement required by paragraph (a) that. as a condition of employment
under the grant. the employee will-
(1) Abide by the terms of the statement: and
(2) Noti& the employer of any criminal drug statute conviction for a violation occurring in the
workplace no later than five days after each conviction:
(e) Notiting the agency within ten days after receiving notice under subparagraph (dX2) from an
employee or otherwise receiving actual notice of such conviction:
(f) Taking one of the following actions. within 30 days of receiving notice under subparagraph (dX2). with
respect to any employee who is so convicted-
(l) Taking appropriate personnel action against such an employee. up to and including termination: or
(2) Requiring such employee to participate satisfactorily in a drug abuse assistance or rehabilitation
program approved for such purposes by a Federal. State. or local health. law enforcement. or other
appropriate agency:
Making a good faith effort to continue to maintain a drug-free workplace through implementation of
paragraphs (a). (b). (c). (d). (e) and (fl.
Authorized Representative Name:
Title:
Sisnature:
Date:
CAC)
Page 2263 of 3203
Collier County
Community & Human Serviced Division
ar*rr"raorro**o"ao**"ro*a"*rr,
ANTI.DISCRIMINATION. FAIR HOUSING. AND
EOUAL EMPLOYMENT OPPORTUNITY LAWS
CONTRACTOR Name:
Prosram and Proiect Name
Grant/Contract Number:
PURPOSE
As a condition of participation in programs funded or administered by Collier Countv. all subrecipients.
contractors. developers. and vendors must comply with all applicable federal. state. and local
nondiscrimination laws. rules. and regulations. This certification affirms compliance with those
requirements.
CERTIFICATION
The undersigned certifies that. in the performance of work under this agreement. Contractor Name and its
employees. agents. and subcontractors shall compl), with non-discrimination. fair housing. and equal
opportunitv laws. including but not limited to: (see attachment for definitions of laws and other regulations)
l. FederalNon-Discrimination Laws:
l. Title VI of the Civil Rights Act of 1964 (42 U.S.C. $ 2000d et seq.) - prohibiting
discrimination on the basis of race. color. or nationalorigin.
2. Title VII of the Civil Rights Act of 1964 - prohibiting employment discrimination based on
race. color. religion. sex. or national origin.
3. Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. $ 794) - prohibiting discrimination
based on disabilit_v.
4. The Americans with Disabilities Act of 1990 (42 U.S.C. $ 12101 et seq.).
5. Title II of The Age Discrimination Act of 1975 (42 U.S.C. $ 6l0l et seq.).
6. Title IX of the Education Amendments of 1972 (20 U.S.C. $ 1681 et seq.) - prohibiting
discrimination based on sex.
7 . Section 109 of the Housing and Communitv Act of 1974 - prohibiting discrimination based on
race. color. national origin. religion. or sex
8. Section 808(eX5) of Title VIII of the Civil Rights Act of 1968" as amended (The Fair Housing
Act 42 U.S.C. $ 3601 et seq.) - prohibiting discrimination in housing-related activities.
9. Housing and CommuniW Development Act of 1974 ($ 104(bX2). as amended and the National
Affordable Housing Act ($ 105(bX3) - Requires Affirmatively Furthering Fair Housing
2. State and Local Requirements:
(rhonfar 7(A f,'l^.irlo Qfaf"fao
-
Flnridq Cirril R iohtc A nf nf I OO?
Collier Countv Ordinances and policies related to equal opportunitv. fair housing. and
nondiscrimination in the provision of Countv-funded services.
1
2
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Communiry & Human Services Division . 3339 Tamiami Trail EasL Suite 2l 3 . Naples, FL 34112-5361 . 239-252-CARE (2273)
239 -25 2 -C AF E (223 3) . 239 -2 52- 57 I 3 ( RS VP) . www. co I I i er. gov
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Page 2264 of 3203
3. Equal Onportunitv in Emnlovment and Service Deliverv:
The CONTRACTOR shall ensure that no person will. on the grounds of race. color. religion" sex. gender
identitv. sexual orientation. national origin. age. disabilitv. familial status. or any other protected
classification. be excluded from participation in. denied the benefits of. or otherwise subjected to
discrimination under any program or activitv receiving Countv funds.
4. Fair Housins:
The CONTRACTOR agrees to take affirmative steps to ensure equal access to all programs and services
and to carrv out activities in a manner that supports the CounW's obligation to affirmativelv further fair
housing.
The CONTRACTOR certifies that neither the subrecipient or its contractors have any pending or civil rights
legal proceedings against them or any "Probable Cause" civil rights determinations "for fair housing and/or
equal opportunity violations in the delivery of its programs and/or services which have not been remedied.
ivil ri WS
affect the execution of their services and activities.
5. Postins and Notice:
The CONTRACTOR agrees to post. in conspicuous places available to employees. applicants. and program
participants. notices setting forth this policy of nondiscrimination.
6. Certification Statements:
The CONTRACTOR certifies that:
A. Programs and services are accessible to persons with disabilities.
B. Reasonable accommodation will be provided upon request.
C. Facilities used for funded activities are accessible or reasonable alternatives are provided.
D. No qualified individual with a disability will be excluded from participation or denied benefits.
The CONTRACTOR agrees to maintain records demonstrating compliance with allthese requirements and
to cooperate with monitoring. audits. and reviews conducted by the County. Grantor. or their designees.
The CONTRACTOR understands that failure to comply with these requirements may result in corrective
action. repayment of funds. suspension or termination of the agreement. or other remedies permitted by
law.
Sisnature Pase to Follow
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Community & Human Services Division . 3339 Tamiami Trail East, Suite 213 . Naples, FL 34112-5361 . 239-252-CARE (2273)
)19-?5?-C.AFF. l?)11\ . )19)9-5711(RSVP) . www coltier oov
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Page 2265 of 3203
I hereby certifr that the organization named above will comply with all applicable nondiscrimination laws. and that
all activities under this agreement will be conducted in a manner free of discrimination as defined by the laws and
regulations cited herein.
Authorized Representative Name:
Title:
Sisnature:Date:
Orsanization Name:
Address:
Phone:
Email:
Return comnleted certification via uoload into Neishborlv.
@
community & Human Services Division . 3339 Tamiami Trail East. suite 213 . Naples, FL 34112-5361 . 23g-252-cARE (2273)lts-tsl-cdt i. t??11t. )79-?\?-\7t1 {Rs\,?t . www coilier oov
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Page 2266 of 3203
Definitions of Laws and Regulations
Conldtutlond B.!1.. The guarants€ of svil nghts has a constilulrcnal
as w€ll as slatutory base Civil nghts laws are an extension and
interprelalron of ttp equal prolectoo and dLre proc€ss rsquirements of
the United Slates Consttution
Ovcrl.pplng Covcr.!. ol Activitic!. Mo{e lhan on6 civ righls law
may apdy lo a single type of actvily
0.C. LANGUAGE ACCESS ACT OF 2004i Provid€s greater eess
and partiopaton jn puuic se.vic€s, programs and actvilies lo
resdenb of the Districl ol Columbia uth limrted o. m-Engllsh
profici€ncy by roquiflng that DElnct gor€rnm€nt proglams,
deparfnents, and servic€s assess he ns€d for, and ofier, oral language
servces, provde wntt€n translalrorc of documents inlo any noft ErEIish
langu4e spoken by a limiled or no-English proicienl popolatorl hal
corEttutes 3 percent or 500 irdividuals whichover is less, of Ihe
poplatirr sq'rcd or encountered, or likely to b€ sqv€d q
€ncoufltercd 'Equd Access and Full Partcrpation' dlows LEP
rosdenb lo be inform€d of, parlicrpate in, and borEfit from public
sqvic€s, p(ograms and actvitres ofisr€d by a qly d€parunenl or ageocy
at a level €qual to ErElrsh prof ci6nt individuds'l-rmited o. m English
Profcrencf means the inahlity lo adequalsly underslard the English
language or exp(ess oneself rn the spoken or wrinen English lsElagB
EXECUTIVE ORDER l3'166: Ehminat€s, to lhe extenl pGsl e, limiled
ErElish Eoficiency as a baner Io fill ard meanrngld pdtopaton by
beneiciaries n arl lederariy assisted cord./cted rroffarrs aad ad,r/ires
S€ction 808(eX5) of T,TLE Vlll OF THE CIVIL RIGHTS ACT OF
1968, as amerded (FAIR HOUSING ACT): Requrres grdltees to
dminists its llousrng ard community devsloprnent p.ograns in a
manner b Afimat,/sly Further Far HousirE (AFFH)
HOUSING AND COMMUNIrY DEVELOP ENT ACI ot 1974 5104
(b)(2), as amrnd.d and th. National Aiodsbl. Hou3ing Act 5105
(bX3): Require ttEt localrtes cert y fEy wrll AFFH PolicEs should
activ€ly pfomote greabr hotlsng opportuniti€s for all p€rsorE uhil€
mantarnng a nonjis{iminalqy mvrromn€nt in all 6p€cls of Bdlc
and pflvab housmg narksb. Activities can raEe from educato.r,
outreach, onforcem€nl, avoding udue concenlrdion of assisled
prsons in ar€as wrh lo& and rnoderale income persorE, provlde
tr&slatlon and intsrpretaton serviceo br persons yvho are Limiled
ErElish Profici€nt, a6stst in trle development of c€ssi e hqJstng tof
psrsms wlh dsabilities, elc.
EXECUTIVE ORDER 12892: LeadeBhip and Coordination of F.ir
Housing in Federal Programs: Aflirmativ.ly Fu h.ring F.ir
Housing, as amended: R€quires f€dofal e€noes to afirmalively
furlher fair tlo.rsirE in llEtr progrdns ard etvitl€6, and provideslhal
tlB Secr€tary of HUD $ll bo respor6iue br ffidnatru the efiod.
The Oder also Gtablishes ttE Prestd€nts Falr Ho6irE Councll, whtch
will be chaircd by the S€qday of Hl.Jo.
Updnd03120 O,Sm
ATTACHMENT TO EXHIBIT J
TITLEVIOF THE CIVIL RIGHTS ACT OF lS64 (TITLEVI): ftotnhb
dEcnminaton bas€d on race, color or naliond origin in Fqruns aN
adMtios r€€iving 'F€defal fnanoal assislance' cornplants recerwd
frcn a prcgran pqticipart or service recrierf will be fdwarded to lhe
Fair HoJSing Equd Opportunily dvrsron al he U S. D€patlEnt olHorsing ard Urban tlsv€lopment
htE6l^^,$"r,/ Iuslre qov/crufcs/T levl-OverMew
.a>-,
EXECUTIVE ORDER 11063, NON-DISCRIMINATION: {lbn
Dl!E,finln.don .nd Equ.l Oplodunty lo tloushrg) drrocts HUo and
all oh€r €xeorliv€ deparlmenb ad agEncres to take apFop.iate acton
Io promote lhe abardonment of discnmnalory p.actcss regarding
prop€rty or faqlites ormed or operal€d by th6 Federd Govemm€nl
or fiovided wrth Federal finanod assislance in ttle sde, leaslrE, renlal,
or othar disposrtion of sudr [operty or hcilitieo
AGE DISCR|M|I{ATION ACT OF 1975: ftohiuls: (1) dEcrimination
based on age in ptqruns u divities rcceiving Fe&d fir@1cid
assislarce direclly o( tkor4h contretual, lDer6rng or other
anarEom€nb: ard (2) ag6 distirEUo,[s or actiorts Ihal have the offod,
bas€d on ag€, of'
. €xcludng indrviduals from, denyrng theor h€ b€iofits of, suq€ctng
hem to dEcnmrnaton under, a progran or etvity r€cqving f€deaal
inanoal assistarlcet or
. deoyrng or limtrE irdMdlals tlElr opportunity b parliqpate in
any p.ogram o. actMty recdving Fede.alfndlcial assstance.
SECTON 109, HOUSIiIG & COMMUNiTY OEVELOP EMT ACT S
1074: Requir€s lhal no person in the united Slates shall---oo lhe grourds
of race, color, natimal ongrn, reluion, or sex- b€ exclud€d froan
patiopatm in, be d€nEd b€{Efils of, or b€ sLuecl€d lo discnmanalrqr
wtut aty yqrcn o( etw recdvitv Fded tinarid assida,ce made
availdle under lhe Act. SeclDo ,09 also drccts that the prohbrtor6
aganst ds.rimnation based on age urder the Age Discimnaton Ad
ard ttE prohutor6 bas€d on disdility urder Secton 504 shdlapply
to prograns or etvitss recaMrE Fodoral fnaud assistarco rrder Tillo
I proorams
EXECUTIVE ORDER 11246, a3 amendcd: Bars disqrmination in federd
employrn€nt becatEe of re, color, religion, ssx, or mtoml orEin. Thls
orderwas supers€ded by Executive Order 11478 (Sec 401. 1,l01), wt ch
cdled for affirmatve aclrm p.ograns for equd oppodJnty at trE agency
lerrgl urder gerEral sup€rv'sion of the Civ S€rvrc€ Cornmrsson.
Titl. ll of thc AMERrcANS WTH DISABILITES ACT ot l$0: Tit€ ll of
Ihe Arcricars Wih DisahlilBs Ad trdfits dBcnmnalron baged on
dlsablrty in programs, s€rvrces, and acliuties prouded or made avdla e
by pLbhc entlres. These provslorE are the sane 6 those in Sedioo 504,
except hey apdy b dl programs fld adivrli€s- not jusl flc€ tund€d with
Federd linaEial assistance HUD enfqc€s Tit€ ll wtEn il rslalss to state
ard local p(]blic housrng, trcusing assistance ard hoGrng relbnds.
EXECUTIVE ORoER 13217: Community-Bas€d Altemalive. for
lndividuil3 wilh Dbabilities, 6/192001. Requres federd eencteo to
evaluab lheir polcr€6 ard progams lo det€.mine if any can be rerris€d q
modfi€d to impro,/o b€ availahlrty of clrnmurnty,bG€d livirE
anarEemenb for pelsons wilh disahlti€s.
TITLE IX OF THE EDUCATION AflENoMENTS OF 1972 - Trte lXis a
cornpr€tl€osir,s f€deral la{ hat fiolnbib discnmnatm bas€d on sex in
d\ fetudly tudd ed&atbn ilogran ot adivily.Ihe prnciple otieclve
of TiUe lX is lo avcid ltE use of f€dqal morEy to support s€xually
dBcflminatqy pradc€s an €ducaton programs stril as ssxualhaassment
and emdoyment dscnminatrm, and lo provide tndil/ldual
Community & Human Services Division . 3339 Tamiami Trail East. Suite 213 . Naples, FL 341 l2-5361 .239-252-CARE (22731
)19-)5)-CAFf ,r2111 . 219-25r-s7t I tRSVpr. www colier oov cAo
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EQUALOPPORTTJNITY
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citizens effeclive proteclion against those practices. Title lX applies, with
a few specific exceptions, to all aspects of federally funded education
programs or activities. ln addition to traditional educational institutions
such as colleges, universities, and elementary and secondary schools,
fitle lX also applies to any educetion or training program operated
by a recipient of federal financial assistance. Many of these education
program providerskecipients became subject to Title lX regulations when
the Title lX final common rule was published on August 30, 2000.
APPLICABLE REG UI.ATIONS
24 CFR Part 1: Nondiscrimination in Federally Assisted Programs
of HUD: lmplementing regulations for Title Vl of the Civil Rights Act of
1964.
24 CFR Part 3: Nondiscrimination on the Basis of Sex in Education
Programs or Activities receiving Federal Financial Assistance:
lmplementing regulations forTitle lX of the Education Amendmenb Act of
1972.
24 CFR Part 8: Nondiscrimination Based on Handicap:
lmplementing regulations for Section 504 of the Rehabilitation Act of
1973. These regulalions obligate recipients of funding to make their
programs accessible to persons with disabilities. The regulations also
establish physical accessibility requirements when Federal financial
assistance is used for new construction or rehabilitation of housing.
24 CFR Parts 91.225 (a)(1): Affirmatively Furthering Fair Housing
(CDBG Entitlement grantees): Each jurisdiction must certify that it will
affirmatively further fair housing, including conducting an analysis of
impediments to fair housing choice, taking appropriate actions, and
maintaining records.
24 CFR 570.487(b): Affirmatively Furthering Fair Housing (CDBG
states and small cities grantees):. Requires the state and each local
govemment to certify $at it will affirmatively further fair housing. The
state is required to assume responsibility by: (1) conducting an analysis
to identify impedimenb to housing choice; (2) taking appropriate actions
to overcome the effecb of the impediments; (3) maintaining records of
analysis and actions; and (4) ensuring that units of local government
funded by the state comply with the certification requirements.
24 CFR 570.601: FairHousing (CDBG Entitlement grantees): The
following apply: Title Vl of the Civil Rights Act of 1964 (and
implementing regulations at 24 CFR Part 'l); Housing and Community
Development Act (including $104(b)(2)); and Executive 0rderl'1063, as
amended by 12259 (with implementing regulations in 24 CFR part '107.
24 CFR Parts 100-125: Fair Housing. $100: Discriminatory conduct
under the Fair Housing Act $103: Fair Housing Complaint processing
$'107: Nondiscrimination and equal opportunity in housing under E0
11063 $108: Compliance procedures for affirmative fair housing
marketjng $110: Fair housing poster $115: Certilication and funding of
State and local fair housing enforcement agencies $12'l: Collection of
data $125: Fair housing initiatives program.
24 CFR 570.206(c): Fair Housing Activities:. CDBG Program
Administrative CosB include the provision of fair housing services
designed to furlher the objectives of the Fair Housing Act, including
enforcement and other activities designed to further the objective of
avoiding concentntions of assisted persons in areas containing a high
proportion of low and moderate in@me persons.
24 CFR Part 91.325(b)(5): Compliance with anti{iscrimination laws. A
certification that the grant will be conducted and administered in
llpdaed 03/12[Rl:t0:98
ATTACHMENT TO EXHIBIT J _ PAGE 2
conformity with Title Vl of the Civil Rights Act of 1964 and the Fair
Housing Act, and implementing regulations.
24 CFR 570.608 and Part 35: Lead-Based Paint: Children under
age six are particularly susceptible to hazards from lead based
paint. Owners of units where lead paint has been controlled can
affirmatively market those units to families with children. lf a unit has
not undergone lead hazard control treatrnents, a family with children
may choose to live in the unit, if the housing provider advises the family
of the condition of the unit. A family cannot be forced to permanently
move from a unit if the family declines treatment of lead hazards,
although the housing provider can ofier incentives for the move.
CPD-05-09 (issued November 3, 2005). Accessibilig Nottce: Section
504 of the Rehabilitation Actof 1973 and The FairHousing Actand their
applicability to housing programs funded by the HOME lnvestment
Partnerships Program and the Community Development Block Grant
Program.
CPD-05-10 (issued November 3, 2005). Accessibility for Persons with
Disabilities to Non-Housing Programs funded by Community
Development Block Grant Funds - Section 504 of the Rehabilitation Act
of 1973, the Americans with Disabilities Act and the Architectural
Barriers Act
Major Community Development Based Grant (CDBG) aclivities and the
conesponding civil rights laws that affect them.
CDBG
ACTN]TY APPLICABLE FEDERAL CML RIGHTS LAU'S
Benefits,
Services
Methods of
Administration
Housing and
Related
Facilities
Employment
Contracting
(Business
Opportunities)
DisplacemenU
Relocation
Title Vl, Civil Rights Act of 19M
Section 109, Housing and Community DevelopmentActof
1974, as amended (HCDA 1974)
Section 504, Rehabilitation Act of 1973, as amended
Age Discrimination Act of 1975, as amended Section
104, HCDA of 1974, as amended
Title VIll, Civil Rights Act of '1968, as amended (Federal
Fair Housing Law)
Executive Order 'l 1063, as amended
Section 104, HCDA of 1974, as amended
Section 109, HCD Act of'1 974, as amended
Section 3, Housing and Urban DevelopmentAct of 1968,
as amended (HUDA of 1968)
Executive Order 1 1 246, as amended
Section 504, Rehabilitation Act of 1973, as amended
Section '1 09, HCDA of 1974, as amended
Section 3, HUDA of 1968, as amended
Title Vl, Civil Rights Act of 19&
Section 109, HCDA of 1974, as amended
Title Vlll, Civil Rights Actof 1968, as amended
Section 104, HCDA of 1974, as amended
Community & Human Services Division . 3339 Tamiami Trail East. Suite 2l 3 . Naples, FL 341 12-5361 . 239-252-CARE (2273)
)19-)9-C.AFf, 02,11\. ?19),9-5111aRSVp\ . www cotlier sov
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