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Backup Documents 05/13/2014 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D �/ TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO •[ THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office SRT 1:›-k 5/13/14 , N 4. BCC Office Board of County Commissioners / t14k 5. Minutes and Records Clerk of Court's Office err )7-s 23//4 H..3213," PRIMARY CONTACT INFORMATION Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the addressees above,may need to contact staff for additional or missing information. Name of Primary Staff Trinity Sco ,Public Transit Manager ATM Phone Number 252-5832 Contact/ Department Agenda Date Item was 5/13/14 Agenda Item Number 16-D-1 1,) Approved by the BCC Type of Document 5310 Grant Award$367,715 Number of Original One Attached \'''-o-rcnc\-`c-c3AA\r‹..)IN ..c.\e.S Documents Attached PO number or account n/a number if document is to be recorded INSTRUCTIONS & CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? SRT 2. Does the document need to be sent to another agency for additional signatures? If yes, SRT See attached provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. memo 3. Original document has been signed/initialed for legal sufficiency. (All documents to be SRT signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's SRT Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the SRT document or the final negotiated contract date whichever is applicable. 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SRT signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip SRT should be provided to the County Attorney Office at the time the item is input into SIRE. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on 5/13/14 and all changes made during the SRT meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by SRT BCC,all changes directed by the BCC have been made,and the document is ready r the Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,R ' ed 2.24.05;Re ' d 11/30/12 16D1 Martha S. Vergara From: Sillery, Tessie Sent: Friday, May 23, 2014 2:53 PM To: Martha S. Vergara Cc: Soto, Caroline; Cardeso, Yousi; Scott, Trinity Subject: Request for FEDEX Acct#for BCC item Acct No. Please reference paratransit and its PO 4500146809 • Tessie Sillery , Operations Coordinator Alternative Transportation Modes Dept. Public Services Division 239-252-5840 (Office) 239-252-6628 (streemfax) tessiesillery@colliergov.net Under Florida Law,e-mail addresses are public records. If you do not want your e-mail address released in response to a public records request.do not send electronic mail to this entity. Instead.contact this office by telephone or in writing. 1 1601 Co ler County PUBLIC SERVICES DIVISION ALTERNATIVE TRANSPORTATION MODES DEPARTMENT INTEROFFICE MEMORANDUM TO: Minutes and Records DATE: May 21, 2014 FROM: Yousi Cardeso, Operations Analyst SUBJECT: FTA Section 5310 Grant Award Mailing Directions Please mail the original notification signed by the chairman as soon as possible to the address below via FedEx. The Florida Department of Transportation needs to have it in their hands as soon as possible. Provide me with a scanned copy prior to submitting. Mailing address: FDOT Atten: Sherry Spivey 801 North Broadway Avenue Mail Station 1-39 Bartow, Florida 33830 If you have any questions or need me to mail it via FedEx, please let me know. Sincerely, Yousi Cardeso 16D linty of Collier 1 CLERK OF THE CIRCUIT COURT COLLIER COUNTY CtURTHdJSE Dwight E. Brock 3315 TAMIAMI TRAIL AST ST. 102 Clerk of Courts Clerk of Courts Accountant P.O. BOX 41044 Auditor NAPLES, FLORIDA 3401-3044 Custodian of County Funds May 21, 2014 FDOT Attn: Sherry Spivey 801 North Broadway Avenue Mail Station 1-39 Bartow, Florida 33830 Re: Notice of FTA Section 5310 Grant Award/FL-16-0038, FY 2013/14 Transmitted herewith is the original of the above referenced document for your records per request, as adopted by the Collier County Board of County Commissioners of Collier County, Florida on Tuesday, May 13, 2014, during Regular Session. Please forward/e-mail a copy once the Notice is fully executed to (martha.vergara @collierclerk.com) for the Boards Official Records. Very truly yours, DWIGHT E. BROCK, CLERK Martha Vergara, Deputy C erk Enclosure Phone - (239) 252-2646 Fax- (239) 252-2755 Website- www.collierclerk.com Email - collierclerk @collierclerk.com 16D1 NOTICE OF FTA SECTION 5310 GRANT AWARD/FL-16-0038,FY 2013/14 Based on the Agency's Application for Federal Assistance under U.S.C. Section 5310 dated January 11, 2013, on file at the Florida Department of Transportation, District One, P. O. Box 1249, Bartow, Florida 33831-1249 offices, the Department hereby makes the following grant award under the Section 5310 Program to: Collier County Board of County Commissioners—Alternative Transportation 3299 East Tatniami Trail, Suite 103,Naples, FL 34112 As of March 31,2014 Applicant or Total Federal State Local Description 100% 80% 10% 10% (2)24'Turtle Top small cutaway $183,857.50 $147,086.00 $18,385.50 $18,386.00 (2)24'Turtle Top small cutaway $183,857.50 $147,086.00 $1 8,385.50 $18.386.00 $367,715.00 _ $294,172 $36,771.00 $36.772.00 FLORIDA DEPARTMENT OF TRANSPORTATION Date Award Approved by Typed Name and Title Terry W.Beacham District Modal Development Administrator ACCEPTANCE OF GRANT AWARD (To be completed and signed by the recipient and returned to the FDOT District Office) The undersigned accepts the above-described award and: a) The Recipient reaffirms its assurances to FTA and FDOT as stated in Exhibits F,G,and H of its application. b) The Recipient agrees to use and maintain the grant awarded equipment in accordance with the federal and state program requirements,and for the services described, in its approved application. c) The Recipient agrees to comply with all applicable civil rights statutes and implementing regulations. d) The Recipient agrees to contact the FDOT Contractor, Lazara Stinnett,at the Center for Urban Transportation Research, Florida Transit Research Inspection and Procurement Services (TRIPS) at 813-974- 0695 to arrange purchase of the above items. e) The Recipient requests purchase of the vehicles/equipment in May, 2014 .(month/year) f) The Recipient agrees to submit the local matching funds when requested to do so. g) The Recipient, if it is not a CTC,agrees to submit its Annual Operating Report(AOR)data to the CTC as requested. h) The Recipient will forward a copy of its maintenance plan,or a statement regarding its status to Ms. Stephens by August 30,2014. If it does not have a maintenance plan, it understands that it may request technical assistance to develop maintenance plan,and that its maintenance plan is due by December 3 I,2014. i) The Recipient will furnish proof of insurance for the vehicle(s)to Ms. Stephens, listing FDOT District One as I" Lien Holder and an additional insured, upon receipt of the vehicle. AGENCY: Collier Cou y, Florida Date 5/22/14 (Na Accepted b : r� (Signature) c,`' Typed Name and Title: _'T r tientu,a9;, Chairman, Collier County Board of County Agency vendor number as-registered-in My.FTeridh Marketplace: Commissioners ATTEST Approved as to tm d legality DWIGHT E. B CK, CLERK � P BY: @ as o 311 s` ` Scott R. each Deputy Coun y