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MODIFICATION NUMBER 3 TO GRANT AGREEMENT BETWEEN
THE DEPARTMENT OF COMMUNITY AFFAIRS AND
INDIAN RIVER COUNTY
This Modification is made and entered into by and between the State of
Florida , Department of Community Affairs , ( " Department " ) , and Indian River
County , ( Recipient " ) , to modify DCA Contract Number 08DB =T3 = 10 =40 =01 = N25 ,
award dated October 31 , 2007 , ( "the Agreement " ) .
WHEREAS , the Department and the Recipient entered into the
Agreement , pursuant to which the Department provided a grant of $ 750 , 000 to
Recipient under the Small Cities Community Development Block Grant ( " CDBG ")
Program as set forth in the Agreement ;
WHEREAS , the Department and the Recipient desire to modify the
Agreement ;
NOW , THEREFORE , in consideration of the mutual promises of the
parties contained herein , the parties agree as follows :
o Reinstate Agreement ( NO )
1 . The Agreement is hereby reinstated as though it had not expired .
o Extend Agreement ( NO )
2 . Paragraph 3 , Period of Agreement is hereby revised to reflect an
ending date of
o Revise Activity Work Plan ( NO )
3 . The Attachment B `Activity Work Plan ' of the Agreement is hereby
deleted and is replaced by the revised Attachment B ` Activity Work
Plan , ' which is attached hereto and incorporated herein by reference .
• Revise Program Budget and Scope of Work (YES )
4 . The Attachment A , Program Budget and Scope of Work section of the
Agreement is hereby deleted and is replaced by the revised
Attachment A , the Program Budget and Scope of Work , which is
attached hereto and incorporated herein by reference .
Modification 3
DCA Contract Number : 08DB -T3 - 10 -40 -01 -N25
Recipient : INDIAN RIVER COUNTY
Page 2
o Change in Participating Parties ( NO )
5 . The Attachment G , Special Conditions section , is hereby modified to
delete all references to " 1 1 as
the Participating Party , and replace them with
" " as the Participating Party with
the understanding that the Recipient and the new Participating Party
will enter into a Participating Party Agreement containing provisions
and caveats that meet or exceed the conditions agreed to in the
Participating Party Agreement between the Recipient and the original
Participating Party .
o Inclusion of an Unmet Need as Addressed in the Original Application
( N /A )
6 . The Attachment A , Program Budget and Scope of Work section of the
Agreement is hereby deleted and is replaced by the revised
Attachment A , the Program Budget and Scope of Work , which is
attached hereto and incorporated herein by reference .
7 . The Attachment B , Activity Work Plan section of the Agreement is
hereby deleted and is replaced by the revised Attachment B , Activity
Work Plan section , which is attached hereto and incorporated herein
by reference .
o Change in Number of Accomplishments and /or Beneficiaries ( NO )
8 . The Attachment A , Program Budget and Scope of Work section of the
Agreement is hereby deleted and is replaced by the revised
Attachment A , the Program Budget and Scope of Work , which is
attached hereto and incorporated herein by reference .
All provisions of the Agreement and any attachments thereto in conflict
with this Modification shall be and are hereby changed to conform to this
Modification , effective as of the date of the execution of this Modification by both
parties .
All provisions not in conflict with this Modification remain in full force and
effect , and are to be performed at the level specified in the Agreement .
Modification 3
DCA Contract Number : 08D13 -T3 - 10 -40 -01 =N25 ,
Recipient: INDIAN RIVER COUNTY
Page 3
IN WITNESS WHEREOF , the parties hereto have executed this document
as of the dates set herein .
Department of Community Affairs Recipient Name : Indi n .River County _,
By : By : _ ,
Name : Janice Browning Name : Peter D . O ' Brygn :, !
Title : Director , Division of Housing Title : BCC Chairman
and Community Development
Date : Date : December 15 , 2009
FACommunity Deve1opment\Users\CDBG\2007 Neighborhood Rev\Closeout\Final Modificaiton Forms\Mod
3_IRC_Gifford_N25_Form_ 12 . 7 . 09 ica . doc
RECIPIENT : INDIAN RIVER COUNTY CONTRACT NUMBER : 08DB -T340 =40-01 -N25
ATTACHMENT A REVISED MODIFICATION 3
PROGRAM BUDGET AND SCOPE OF WORK
1 2 3 4 5 6 7 8 9 10 11
ACTIVITY ACCOMPLISHMENTS BENEFICIARIES BUDGET
NUMBER DESCRIPTION UNIT NUMBER LMI VLI TOTAL CDBG AMOUNT 'OTHER FUNDS 'SOURCE PROGRAM
# INCOME
21A ADMINISTRATION Imm IBM= mm 9mm KAM $497340 . 62 0 n/a 0
21B ENGINEERING mommm mm MEN Elm0 $50 , 000 1 0
030 FIRE PROTECTION Unit 1 71000 31855 81262 $ 7000659 . 38 $200 , 000 1 0
0
0
TOTALS $750 , 000 . 00 $250 , 000 $0 . 00
SOURCES AND AMOUNTS OF " OTHER FUNDS " ( COLUMN 9 & 10 ABOVE ) N/A
1 County GR $ 250 , 000
21 -A
F : \Community Development\Users\CDBG\2007 Neighborhood Rev\Closeout\Final Modificaiton Forms\Mod 3 Aft A Budget IRC N25 12 . 7 . 09 jca rvl . doc
REQUEST FOR AMENDMENT ( 07 .02 ) (final amendment at closeout : remaining admin moved to fire protection )
Recipient : Indian River County Amendment Request Number: _ 3 ( CLOSEOUT) Date : 12 - 15 -09
Contract Number: 08DB-T3- 10-40 -01 - N25 Rule in Effect for This Grant: 2007
r ` �
Local Government Authorization : Peter D . O 'Bryan , BCC Chairman December 15 , 2009
DCA Authorization (Authorized ignature ) ( Date Signed )
(Authorized Signature ) ( Date Approved )
Budget Information Activity Accomplishments
Activity Activity Name Original Budget Current Budget Proposed Budget Original Contract Current Contract Proposed
Contract
Code (before this
(before this
amendment) amendment)
1 2 3 4 5 6 7 8
030 Fire Protection $690 ,000 . 00 $6901000 . 00 $7009659 . 38 1 Fire Station 1 Fire Station 1 Fire
Station
21A Program Administration $ 60 , 000 . 00 $609000 . 00 $499340 . 62 n/a n/a n/a
21B Engineering 0 0 0 n/a n/a n/a
Totals $7509000 $750 , 000 $7509000
l
Beneficiaries
Total Beneficiaries Low & Moderate Income Very Low Income
Activity Activity Original Current Proposed Original Proposed Original Proposed
Code Name
21A Administration n/a n/a n/a n/a n/a n/a n/a na na na na
21B Engineering n/a n/a n/a n/a n/a n/a n/a na na na na
030 Fire Protection 81262 81262 8 , 262 71000 84. 73 71000 84. 73 3 , 855 46 . 66 39855 46 . 66
- '
5�.' '"l ."> .... - ,.,. . , . ...o... e , . „+ . , ..cs.4 `�`" au#' S" ,. d"•"� ;, _ . ,�.- . .
+y
_. : �3- _.wC7"Fx �m-6' lj .• � r ,a
20 . Total # Unduplicated Beneficiaries Original Proposed8 , 262 8 . 262
21 . Total # Unduplicated LMI Beneficiaries 71000 7 . 000
22 . Total # Unduplicated VLI Beneficiaries 31855 3 , 855
23 . Total # Unduplicated LMI Households 2 , 318 29318
24 . Does this amendment reduce ANY other project funds previously committed as leverage from local or other sources? YES
NO X
2
FLORIDA SMALL CITIES OR DISASTER RECOVERY CDBG CLOSEOUT ( 12 . 07 )
Closeout forms must be submitted to the Department of Community Affairs, Florida Small Cities CDBG or Disaster
Recovery Program , within 45 days after the contract termination or expiration date . A Final Request for Funds should
be submitted prior to, or with , the closeout since funds not requested will be deobligated at closeout . Closeout
requirements can be found in Rule 9B43 . 0051 ( 11 ) , F . A . C .
Instructions
All grant recipients must complete Section I . Commercial Revitalization or Neighborhood Revitalization grant recipients
must complete Section II . Recipients of Commercial Revitalization or Economic Development grants must complete the
relevant portions of Section III , and Housing grant recipients must complete Section IV . All grant recipients must
complete the Beneficiary Data form and the Status of Accomplishments and Expenditures form . The Closeout Approval
form must be signed by the Chief Elected Official . Enter the information requested or circle the response .
Section I . Contract Information
Contract Number , Beginning Date : Ending Date ,
08DB-T340 =40 - 01 - N25 10 / 31 / 2007 4 / 30 / 10
Recipient , Local Contact : Phone Number :
Indian River County Robert Keating, Community ( 772) 2264254
Development Director
1 . Indicate how the project was carried out ( administration Grantee Employees Contractors Both
and construction ) : x
2 . Indicate how beneficiary data was collected : Census Survey
X
3 . Enter the Census Tract( s ) and/or Block Group( s ) for service area ( s ) : Census Tract( s ) Block Group( s )
503 . 02 1 - 4
4 . If location of activities changed , is a map included ? /'! 11 Yes No x
5 . Is a Property Management Register included ? r Yes No x
6 . If an infrastructure project, is an engineering certification included ? Yes x No
7 . Is the project located in a Historic District? Yes No x
8 . Is the project located in a Presidentially Declared Disaster Area ? Yes No x
9 . Is the project a Special Assessment activity? Yes No x
10 . Is the project a Brownfield Activity? Yes No x
11 . Did the local government provide the assistance (to Grant Loan Deferred , forgiveable loan
the beneficiaries ) in the form of a loan or a grant? x
12 . If a loan , indicate : Interest Rate Monthly Loan Amount Amortization
% $ Period in Months
13 . List all other funds, along with the source, used to support the activities funded with this grant :
Source Amount
Local Funds ( i . e . , General Revenue ) County General Revenue $ 2501000 . 00
County General Revenue $ 1 , 207 , 304 . 62
$ 114571304 . 62
Grant( s ) $ 0
Private Funds ( i . e . , Participating Party, $ 0
etc . )
Loan ( s ) $0
Other ( Specify) $p
14 . Will the project result in program income? Program income earned but not expended Yes No
before closeout must be returned to DCA . Make check payable to the Department of x
Community Affairs — CDBG Program and include it with the Closeout.
1
• If program income has already resulted , indicate amount : $ N /A
15 . Has a final Request for Funds been submitted ? Yes X No
16 . Does the local government have CDBG Funds on hand ? (cannot exceed $5, 000) If yes : $ No X
Section II . Service, Benefit, Public Facility and Infrastructure
(To be completed by Commercial Revitalization or Neighborhood Revitalization grant recipients)
1 . Service or Benefit ( i . e ., Water and Sewer Hookups)
a . Number of persons with new access to this service or benefit 0
b . Number of persons with improved access to this service or benefit 0
c . Number of persons now receiving a service or benefit that is no longer substandard 0
2 . Public Facility or Infrastructure Improvement ( Water Tank, Treatment Plant, Street Paving )
a . Number of persons with new access to this type of public facility or infrastructure improvement 81262
b . Number of persons with improved access to this type if public facility or infrastructure 0
improvement
c . Number of persons served by public facility or infrastructure that is no longer substandard 0
Section III . Commercial Revitalization or Economic Development
*Recipients of Commercial Revitalization grants should only respond to items with an asterisk (*),
* Number of businesses assisted with commercial facade treatment N / A
* Number of businesses assisted that provide goods or services to meet the needs of a service area , a N / A
neighborhood , or a community
* Number of businesses assisted N / A
Number of new businesses assisted N / A
Number of existing businesses assisted N / A
Number of existing businesses expanding N / A
Number of existing businesses relocating N / A
Number of full -time positions created N / A
Number of full -time positions retained N / A
Number of full -time low/ mod positions created N / A
Number of full -time low/ mod positions retained N / A
Number unemployed prior to taking jobs created by this activity N / A
Number of jobs with employer-sponsored health care benefits N / A
2
Section III . Commercial Revitalization or Economic Development (continued)
Enter in the spaces below the number of jobs created by type : N / A
Officials and Managers Sales Operatives ( semi -skilled )
Professional Technicians ( unskilled ) Service
workers
Office and Clerical Craft workers ( skilled ) Laborers
* For each business assisted, enter the business name and DUNS # : N / A
Business DUNS #
Business DUNS #
Business DUNS #
Business DUNS #
Business DUNS #
Business DUNS #
Business DUNS #
Section IV. Housing
(To be completed by Housing Rehabilitation grant recipients)
Number of houses rehabilitated N / A
Number of one-for-one replacements
Number of permanent displacements/ relocations
Number of units occupied by the elderly
Number of units made handicapped accessible
Number of units qualified as "energy star"
Number of units brought into compliance with lead safety requirements
If applicable, number of beds created in overnight shelter or emergency housing
Did the activity involve rental housing ? Yes No
Did the project include :
• Installing security devices Yes No
• Installing smoke detectors Yes No
• Performing emergency housing repairs Yes No
• Providing supplies and equipment for painting houses Yes No
• Operating a Tool Lending Library Yes No
All Housing grant recipients must complete the Housing Benefit form ( HB42 . 07) .
3
Section IV. Housing (continued )
HOUSING BENEFIT ( Form HB- 12 . 07)
Name of Owner Name of Occupant Street Address Total Cost Total CDBG Funds Date Rehab Replace
# of
(street, city and zip) of Rehab or Invested Completed (Yes or - ment Bed.
(If replacement, new address) Replacement
No) (Yes or rooms
No)
N / A $ $
4
Section V. STATUS OF ACCOMPLISHMENTS AND EXPENDITURES ( 12 . 07 )
(A) ( B) (C) ( D) ( E ) ( F) (G )
Activity Activity IDIS CDBG Current CDBG Funds Final RFF Other
# Name # Accomplishments Approved CDBG Received To At Closeout Leverage
DCA Use Contracted To Date Budget Date ( If Applicable) Funds Expended
Only
1 Fire 1 Fire
030 Fire Protection Station Station $ 7001659 . 38 $690, 000 . 00 $ 10, 659 . 38 $ 200,000 . 00
21A Program n/a n/a $491340 . 62 $351812 . 86 $ 13, 527 . 76 ` 0
Administration
21B Engineering n/a n/a $0 $0 $ 0 $ 50,000. 00
TOTALS
$ 750,000 . 00 $ 7251812 . 86 $ 241187 . 14 $ 250,000 . 00
( H ) Total CDBG Approved Budget: Total of Column ( E)
$ 750,000 . 00
(I) Total CDBG Funds Received To Date : Total of Column ( F) $ 725,812 . 86
(3 ) Total Amount of Final RFF : Total of Column (G) $ 24, 187 . 14
( K ) Total Amount of CDBG Funds Requested : Total of Column ( F) + ( G) $ 750,000 . 00
( L) Refund Due to DCA : If Line ( K) is greater than Line ( H ) indicate the difference
$ 0
( M ) Amount to be Deobligated : If Line (I ) is less than Line ( H )
5
Section VI , BENEFICIARY DATA ( 12 , 07 )
Activity # Activity # Activity # Activity # Activity # Activity #
Do not enter Administration or Engineering activities. 030
Total Beneficiaries Proposed 8, 262
Total Beneficiaries Actual 8, 262
LMI Beneficiaries Proposed 71000
LMI Beneficiaries Actual 71000
VLI Beneficiaries Proposed 3,855
VLI Beneficiaries Actual 3,855
Male 4,040
Female 4, 222
Disabled 1,900
Female Head of HH 735
Elderly 11057
RACE For Housing Grants Only Total # of Total # of Total # of Total # of Total # of
Total # of
Hispanic Hispanic Hispanic Hispanic Hispanic Hispanic
# Units Owner # Units Renter
Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity Ethnicity
-
Occupied Occupied
White ( 11 ) 31197
African American ( 12) 41742
Asian ( 13 ) 25
American Indian or Alaskan 16
Native ( 14)
Native Hawaiian Pacific 1
Islander ( 15 )
American Indian or Alaskan _ O
Native and White ( 16)
Asian and White ( 17) 0
African American and _ p
White ( 18)
American Indian/Alaskan ( 19) 0
Native and African American
Other Multi -racial (20) 281
Totals (Equal to Actual 81262 ;
Beneficiaries)
6
Section VII . PROPERTY MANAGEMENT REGISTER ( 12 . 07 )
ATTACHMENT A ( IF REQUIRED )
Recipient Contract End Date
N /A
Contract Number Local Contact
1 Z 3 4
Description of Property or 5
Type of Equipment
Identification Number
Date of Purchase or
Acquisition
Total Cost of Properly
CDBG Cost
CDBG % of Total Cost
Physical Location
Condition ( New or Used)
Residual Value
Disposition Date
Disposition Amount
Method of Disposition
7
Section VIII . CLOSEOUT APPROVAL ( 12 . 07 )
I certify that, to the best of my knowledge, all activities undertaken by the Recipient with funds under this
grant agreement have been carried out in accordance with the grant agreement, that proper provision has
been made for the payment of all paid costs identified ; that the State of Florida is under no obligation
to
make further payment to the Recipient under the grant agreement in excess of the amount identified on
Line K of the STATUS OF ACCOMPLISHMENTS AND EXPENDITURES ( 12 . 07 ) form submitted with this
closeout package , that every statement and amount set forth in this instrument is true and correct as of
this date ; that all required audits as of this date have been submitted and approved ; and I acknowledge
that the DCA reserves the right to recover any disallowed costs identified in an audit completed after this
closeout .
Chief Elected Official
Signature
Peter D . O 'Bryan , BCC Chairman
Name and Title
12/ 15/ 2009
Date
For DCA use only .
Approval of this Closeout Package authorizes the deobligation of unexpended CDBG contract funds in the
amount of $
Division of ousin d Community Development DCA Finance and Accounting Section
Nam and Title NarU and Title
Date Date
F : \Community Deve1opment\Users\CDBG\2007 Neighborhood Rev\Closeout\Final Modificaiton Forms\IRC_Closeout_12 . 7 . 09-ica
rvl . doc
8
A I A `
iLEX Document G704r - 2000
Certificate of Substantial Completion
PROJECT : PROJECT NUMBER: OWNER : ❑
IArIII n, ;arad , arldre.c.ri CONTRACT FOR : 6encrafl Constnlction
IRC I ire Station ,f 12 CONTRACT DATE: 9,116/08 ARCHITECT : ❑
? 620 49 '4' Street
Vero Beach. F ( . ? 960 (CONTRACTOR . ❑
TO OWNER : TO CONTRACTOR: FIELD ❑
/;moat' and uddr( oss) . fArime and address) : OTHER '
htdiart River COMM Barth ConsUuction . Inc.
1840 25dt Street 17 17 Indian Rivcr Blvd. , Suite 202A
Vero Beach , 11 : ., 2960 Fero Beach, 1 : 1 32960
PROJECT OR PORTION OF THE PROJECT DESIGNATED FOR PARTIAL OCCUPANCY OR USE SHALL INCLUDE :
I he bbork perlimricd under this Contract has hcCn reviewed and lbund. to the Architect ' s hest knowledge, inldrinetlion ;ahi
hcliclAto hC suh,tantially complete. Suf,stantial Contplction is the stage in the progress of the Work when the Work or Jesiunafed
porlion k sullicicntl }' complete in accordance ccith the Contract ! )()cements so thut the ON'ncr can occupy or wiliie the Work
fir
its intended user . I he Chic of Substantial Completion ol' thr Project or porion designated above i , the date of issuance estahli,
had
he this Cerlilicatc, which is also the date of , Corti nicirccillent of applicable warranties required br the Coninict Document,, except
Ilk stated below
Warranty Date of Commencement
h1hind _ Dritcnba-s. Binklev
Ardtitects
ARCHITECT BY DATE OF ISSUANCE
A list of itcnrs to he completed or corrected is aurtched hereto . The luilurc to include .etc items on such list doe, not
alter the
rv,pomihilit. of the Contractor to cornplete all Work in accordance with the Contract Docunlcnts . Unless othcrccisc aivreed to in
uritinc. the date,criconuncneelncnt of %c :trranties fir itcnrs on the attached list will hc: Ific date of, i :.uancc of the final
Certilic:rle
of Pavmcni or Ilio cLttc of sinal pa .\ nlcnt .
Cost estimate of Work that is incomplete or defective : So. ou
the Contractor w ill contpletc ur correct the Work on the list of itcnrs attached hereto within 7cro ( 0) dacs Isom the above
date ol'
Suitslanlial Coroplction ,
Barth Con;iruction. Inc.
CONTRACTOR — By DATE
I ilo Ucvnet- accepts file tVork or designated portion as suhstantially complete and will assume full iwssession if ( tinte ) ou
( date ) .
Indian Ricer Counic
OWNER BY DATE
I he rc'spun ,< ihililie ; of the ( honor and Contractor litr sceurit_y. maintenance. heat . utilities . damage to the Work rand insura
ice
shall he a,, lollmNc
r ,y rile Oil ner '.+ Ilia ! ( -( 07MIChn' 's le,Vai and ir> surcriaie counsiyl should deitormine urrd rel,kllr 111suruncc rcgm cmems and
r
AIA Document G704 TM - 2000. Capynght tr) 1963 , 1878 . 1992 and 2000 by The American Institute of Architects . All rights resorved.
=
. This decurrent
was produced by AIA software at 16 10 58 on 12102!2009 under Order No 10003% 135 1 which expires on 04122; 2010 , and is not for
resale
User Notes :
( 18352729561