Contract 2019-27A.12019-27A - SUPP 1
MODIFICATION # Z0210-4 TO SUBGRANT AGREEMENT
BETWEEN THE DIVISION OF EMERGENCY
MANAGEMENT AND
Clermont, City of
This Modification is made and entered into by and between the State of Florida,
Division of Emergency Management ("the Division), and
Clermont, City of _ ("Sub -Recipient"), to modify
Contract Number_Z0210_, which began on 9/04/2017 ("the Agreement").
WHEREAS, the Division and the Sub -Recipient have entered into the
Agreement, pursuant to which the Division has provided a Subgrant to Sub -
Recipient under the public assistance program of $129,227.88 in funds; and,
WHEREAS, the Division and Sub -Recipient desire to modify the Agreement by
increasing the Federal funding $7,496.59 under the Agreement.
WHEREAS, the Division and the Sub -Recipient desire to modify the Scope of Work.
WHEREFORE, in consideration of the mutual promises of the parties contained
herein, the parties agree as follows:
1. The Agreement is hereby amended to increase the Federal funding by
$7.496.59 and the State share by $1,249.43 for the maximum
amount payable under the Agreement to $137,973.90
2. The Scope of Work, Attachment A to the Agreement, is hereby modified as set
forth in the. 4th I Revised Attachment A to this Modification, a copy of which is
attached hereto and incorporated herein by reference.
3. All provisions of the Agreement being modified and any attachments thereto
in conflict with this Modification shall be and are hereby changed to conform
with this Modification, effective as of the date of the last execution of this
Modification by both parties.
4. 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.
IN WITNESS WHEREOF, the parties hereto have executed this Modification as of
the dates set out below.
SUB -RECIPIENT: Clermont, City of
By: — - <.
Name and Title: Gail L. As , Mayor
Date: 04/18/2019
DIVISION OF EMERGENCY MANAGEMENT
By:
Name and itle: Jared Moskowitz, Director
Date: !,�
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Florida Division of Emergency Management
SUB -RECIPIENT AND CONTRACTUAL AGREEMENT INFORMATION SHEET
GENERAL INFORMATION
Recipient Agency: Division of Emer
Agreement # Z0210
Date of Execution: TBD
Ma
--_ ----! Total Eligible Amount: $147,223.63_--
j End Date: 3/10/19
Unit: Public Assistance Grants 1 Bureau: Recovery
Program: W�ublic Assistance 0- DR-4337 Hurricane Irma^
SUB-RMPIENTICONTRACTOR INFORMATION
Recipient Contact Name & Title : Clermont, City of Pam Brosonski
Mailing Address:685 West Montrose
City: Clermont � State: Florida i ZIP Code: 34711
Phone: 352-241-7365 Email: pbrosonski@clermonttl.org
_ FINANCIAL INFORMATION
Warrant Remittance Address: 685 West Montrose
City: Clermont- _ _ _—_— State_Florida - LZIP Code:34711
Federal Employer Identification/Social Security Number:59-6000290
SAMAS Fund Identification (Only State Agencies - 29 Digits):
DUNS #: 937993855
Organization Level: 318004040001 Object Code:
Grant Reporting Requirement: Monthly ❑ Quarterly IN NA❑
CFDA#:97.036 j CSFA#:
DEM Grant #:8402F
Fund#/Category 1:2-750001-105150 E0: Z2
Amount: $128,724.15
DEM Grant #: 8402S
I Fund#/Category 2: 2-339047-105150 I EO: Z3
Amount: $9,249.75
DEM Grant #:
Fund#/Category 3: E0:
Amount:
Minority Vendor Code:
(If Applicable, choose one: H-Black, I -Hispanic, 7-Asian, K-Native American, M-Woman)
SU&RECIPIENT DATABASE INFORMATION
Outcome Expected:
Community Development Community Safety Hazard Mitigation
Protecting Community Resources —Community Housing
Allocation of
Statewide
Allocation County: I County Award Amount: County Match Amount:
Program
Lake I $9e 249.73
Assistance
FLORIDA DIVISION OF EMERGENCY MANAGEMENT GRANT MANAGER
Name: Jennifer Drake
- j Phone #: 815-4456
IF THIS IS A MODIFICATION
Modification #:4Effect
Of Modification: Increase
Amount Of Increase/Decrease In Award Amount: Federal $7,496.59 State $1,249.43
PREVIOUS MODIFICATIONS EXECUTED
Modification #:3 -- - _ Effect Of Modification: Increase
Amount Of Increase/Decrease In Award Amount: Federal $39,208.52 State $0
Modification #:2 Effect Of Modification: Increase
Amount Of Increase/Decrease In Award Amount: Federal $ 28,287.14 State $4,141.96
FINANCE AND ACCOUNTING USE ONLY (TO BE COMPLETED IN ACCOUNTING)
FID #;59-6000290 r --^~ — SAMAS Contract #
FLAIR ENC# Z02 1 0