3rd Amendment 03/19/2014O RIGINAL
01 Grant A � e Y y ment #KPZ06 Amendment 40003
F U L�. Date: 03/01/2014
EXECUTED
THIS AMENDMENT, entered into between the State of Florida, Department of Children and
Families, hereinafter referred to as the "Department" and Monroe County, hereinafter referred to
as the "Recipient," amends Grant Agreement KPZ06.
Amendment #0001, effective June 27, 2013, added funds to this grant agreement and
Amendment #0002, effective September 20, 2013, added Attachment VII.
1. Page 4, Standard Grant Agreement, Section II, paragraph A. (1), is hereby amended to
read:
(1) The Department shall provide financial assistance to the Recipient in an amount not
to exceed $131,608.00, in accordance with the deliverables indicated in the Recipient's Project
Summary, Attachment I. The State of Florida's obligation to pay this amount is contingent
upon an annual appropriation by the Legislature and the availability of funds. The Department
shall reimburse the Recipient on the basis of monthly requests for payment submitted to the grant
manager using Attachment V, Request for Reimbursement. The Recipient shall provide
records to the Department evidencing that all funds provided by this agreement have been used
for the purposes, and in the amounts, described in the Recipient's proposed budget. The
Recipient shall vary from the Budget, Attachment VI, only with the prior written consent of the
Department which must be obtained in each separate instance. Upon change of representatives
(names, addresses, telephone numbers and e-mail addresses) by either party, notice shall be
provided in writing to the other party and the notification attached to the originals of this
agreement. The Recipient shall promptly return to the Department any overpayments due to
unearned funds, disallowed or ineligible expenditures, or accounting or record keeping errors.
The Recipient shall return such excess funds immediately upon discovery by it or its employees
or upon receiving written notice from the Department.
2. Page 6, Attachment I, Project Summary, dated 6/01/2013, is deleted in its entirety and
Revised Page 6, Revised Attachment I, Project Summary, dated 3/01/2014, is inserted in
lieu thereof and attached hereto.
3. Page 45, Attachment V, Request for Reimbursement, dated 6101/2013, is hereby deleted
in its entirety and Revised Page 45, Revised Attachment V, Request for
Reimbursement, dated 3/01/2014, is inserted in lieu thereof and attached hereto.
4. Page 46, Attachment VI, Budget, dated 6/01/2013, is hereby deleted in its entirety and
Revised Page 46, Revised Attachment VI, Budget Form, dated 3/01/2014, is inserted in
lieu thereof and attached hereto.
Sr
Grant Agreement #KPZ06
Amendment #0003
Date: 03/01/2014
This amendment shall begin on March 1, 2014, or the date on which the amendment has been
signed by both parties, whichever is later. All provisions in the grant agreement and any
attachments thereto in conflict with this amendment shall be and are hereby changed to conform
with this amendment.
All provisions not in conflict with this amendment are still in effect and are to be performed at
the level specified in the grant agreement.
This amendment and all its attaclunents are hereby made a part of the grant agreement.
IN WITNESS THEREOF, the parties hereto have caused this five (5) page amendment to be
executed by their officials thereunto duly authorized.
STATE OF FLORIDA
DEPARTMENT OF
CHILDREN AND FAMILIES
APPROVED AS TO FORM
-AND LEGAL SUFFICIENCY
e
BY:
TITLE: Mayor
r"7
DATE: I O( KC+ I'T", ao14
FEDERAL ID NUMBER: 59- 6000749
GNED
NAME: Gilda P. Ferradaz
TITLE: Regional Managing Director
DATE: a�
PROVIDER:
MONROE COUNTY.
Revised Attachment I
Project Summary
Grant # KPZ06
Provider Monroe County (Social Services)
1100 Simonton Street
Key West, Florida 33040
Grant Period December 1, 2012 —June 30, 2014
Project Activities
• Assist with past due rental and / or utility assistance
• Assist with short-term rental and /or utility assistance
• Assist with other relocation costs such as security deposits
• Case management and overall administrative oversight of the project, including
support of the Homeless Management Information System (HMIS)
70 households will be served
Project Outcome
Project Performance
• Reduce the number of households with children, both sheltered and
Measures
unsheltered, in the Continuum of Care
• 50% of households served will remain in permanent housing six months after
the last assistance has been provided
Project Budget
Rapid Re- Housing
Rental Assistance $ 1,000
Financial Assistance Costs $ 3,000
Services Costs $ -
Homeless Prevention
Rental Assistance $ 106,758
Financial Assistance Costs $ 6,750
Services Costs $ 8,600
HMIS $ 2,500
Administrative Costs $ 3,000
Total Budget $131,608
Project Match
100% / $131,608 — can be cash or in -kind services, reported quarterly
Project Reporting
• Monthly Activity Report to be submitted to contract manager with each invoice
• Quarterly Status Report due to contract manager and Office on Homelessness
by the 15 day following the end of the quarter
03/01/2014
Revised
06
REQUEST FOR REIMBURSEMENT
Agency: MONROE COUNTY
500 Whitehead Street
Key West, FL 33040
Grant Period: 12/01/2012 - 6/30/2014
Reimbursement Period:
DESCRIPTION
RAPID RE- HOUSING
Rental Assistance
Financial Assistance Costs
Services Costs
HOMELESS PREVENTION
Rental Assistance
Financial Assistance Costs
Services Costs
HMIS
ADMINISTRATIVE COSTS
TOTAL
REVISED ATTACHMENT V
CONTRACT CURRENT YTD CONTRACT
FUNDING EXPENDITURES EXPENDITURES BALANCE
$ 1,000.00 $ 1,000.00
$ 3,000.00 $ 3,000.00
$ 106,758.00
$
106,758.00
$ 6,750.00
$
6,750.00
$ 8,600.00
$
8,600.00
$ 2,500.00
$
2,500.00
$ 3,000.00
$
3,000.00
$ 131,608.00 $ 131,608.00
By signing below, I certify this to be true and correct as reflected in our books and records.
Prepared by:
Approved by:
3/1/2014
Revised 45
Revised Attachment VI
Eligible Activity
Emergency Solutions Grant
Budget Form
Prevention and Re- Housing
Current
Funding
1. Rapid Re- Housing
A. Rental Assistance
B. Housing Relocation and
Stabilization
i. Financial Assistance Costs
ii Services Costs
2. Homeless Prevention
A. Rental Assistance
B. Housing Relocation and
Stabilization
i. Financial Assistance Costs
ii Services Costs
Amendment Total Grant
#0003 Funds
$ 1,000.00 $ -
$ 3,000-00 $ -
$ 1,000.00
$ 3,000.00
$ 91,258.00 $ 15,500.00 $106,758.00
$ 6,750.00 $ - $ 6,750.00
$ 5,600.00 $ 3,000.00 $ 8,600.00
3. HMIS
A. Cost of contributing data to HMIS
for Continuum of Care $ 1,500.00
B. HMIS Lead Agency Costs for
hosting and maintaining system $ -
C. Victim Services provider costs for
comparable database $ -
4. Administrative Costs [Cap 2.5 %]
A. Local government
B. Private non - profit organization
TOTAL BUDGET
$ 1,000.00 $ 2,500.00
$ 2,500.00 $ 500.00 $ 3,000.00
N/A N/A N/A
$111,608.00 $20,000.00 $131,608.00
03/01/2014
Revised
46
21/2014 05:41 3052954359
State of Florida
Department of Children and Farniliee
r�
, t u 11 E
MYRFAU iLiES.COM
MEMORANDUM OF NEGOTIATION — KPZ061 Monroe County
Emergency Shelter Grant (ESG) Grant Agreement
AMENDMENT #0003
Rick Scott
Governor
Esther Jacobo
Interim Secretary
1, Introduction
A. Participants: Sheryl Graham, Social Services Director
Theresa Phelan, DCF Contract Manager
B. Meeting Date: February 212014 L 4:00 PM
C. Meeting Location: DCF Office, 1111 12th Street, Key West, Florida 33040 & via telephone
Procuremant History
This ESG grant is awarded through a competitive process that began with Application instructions
issued by the DCF Office on Homelessness. Applications were reviewed, scores collected and
averaged and then the final ranking was determined by the Office on Homelessness. Agreements
are then managed at the regional level.
III. Narrative Summary of the Negotiations
Monroe County is successfully administering these homeless prevention funds. Additional funds
have been made available and the Offir.P on Homelessness has determined that the grant
agreement with Monroe County will be increased by $20,000 to $131,608, These additional funds
must be spent by June 30, 2014 and the match requirement will increase by the amount of the
additional funds, to $131,608. The provider is indicating that an additional 14 households will be
served with these funds, bringing that total to 70 households.
III. Conclusion
This prevention grant will cover the period from December 1, 2012 through June 30, 2014. Total
grant funding is now $131,60$ and will he matched at 100 %. -
VI. Signatur y�
Provider Signature Department Signature
Title: Sa b 1 redm t'
Date: 1���, ► `�
Title: Contract Manager
Date:
/Z, /1y
Mission: Protect the Vulnerable, Promote Strong and Economically self- Sufficient Families, and
Advance Personal and Family Recovery and Resiliency