Backup Documents 05/27/2014 Item #16A14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI1 A !•�1,
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.
*>k , w, ,U TING_Wr
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office , Initials Date
1.
2.
3. County Attorney Office County Attorney Office SRT 5/27/14
4. BCC Office Board of County L
Commissioners vVc7cs) e \ `\t-
5. Minutes and Records Clerk of Court's Office c`k\ 5f((q \ (';1 r�
PRIMARY CONTACT INFORMATION 1'��� `t
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 John Miller Traffic Operations Phone Number 252-8260
Contact/ Department
Agenda Date Item was 5/27/14 Agenda Item Number 16-A-14
Approved by the BCC
Type of Document FY 14/15 FDOT WORK ORDER Number of Original Two
Attached 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
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. note
below)
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 5/27/14 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 • -
BCC,all changes directed by the BCC have been made,and the document is ready l or the rgeAk
Chairman's signature.
PLEASE CONTACT JOHN MILLER(8260) FOR FDOT CONTACT PER . , • : ADDRESS
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16A14
Martha S. Vergara
From: Miller, John
Sent: Friday, May 30, 2014 8:07 AM
To: Martha S. Vergara
Cc: Khawaja, Anthony; Bathon, Dale; Wilson, Pamela
Subject: RE: Agenda Items #16A13 & #16A14 from the 5/27/14 BCC Meeting
Good Morning Martha,
This should be sent to:
Cyntrena K. Durant, Utilities Project Manager
Florida Department of Transportation
801 N. Broadway Avenue
Bartow, Florida 33830
I don't believe these documents need to be sent by FedEx.
John W. Miller, Project Manager
Signal & Lighting Operations and Maintenance
Growth Management Division
2885 South Horseshoe Drive
Naples, FL 34104
239-252-8260
johnmiller(i- colliergov.net
From: Martha S. Vergara [mailto:Martha.Vergara @collierclerk.com]
Sent: Thursday, May 29, 2014 4:16 PM
To: MillerJohn
Subject: Agenda Items #16A13 & #16A14 from the 5/27/14 BCC Meeting
Hi John,
Please forward the mailing information and contact person for the aforementioned documents.
If they need to be sent via FedEx I will also need the account number to be used with FedEx.
Thanks,
Martha Vergara, BMR Senior Clerk
Minutes and Records Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (239) 252-8408
E-mail: martha.vergara@collierclerk.com
16A14
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2
_ ,
16A14
ou_nty of Collier
CLERK OF ThE C1 CUi' COURT
COLLIER COUNTY COURTHd}JSE
Dwight E. Brock 3315 TAMIAMI TRAIIs,EAST ST 102 Clerk of Courts
Clerk of Courts P.O. BOX 413044 Accountant
Auditor
NAPLES, FLORIDA 3491-3044 Custodian of County Funds
a
May 29, 2014
FL Dept. of Transportation (FDOT)
Attn: Cyntrena K. Durant, Utilities Project Manager
801 North Broadway Avenue
Bartow, Florida 33830
Re: 2014/2015 FDOT Work Order
State Highway Lighting Maintenance and Compensation
Contract #AND03; Maintaining Agency: Collier County
Financial Project #412574-1-78-01
Effective Date: July 1, 2014 to June 30, 2015
Transmitted herewith are the two (2) originals 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 27, 2014, during
Regular Session.
Please forward/e-mail a copy once the Work Order is fully executed to
(martha.vergara @collierclerk.com) for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
- pciu,„__Att ,
Martha Vergara, Der y Clc.-
Enclosure
Phone - (239) 252-2646 Fax - (239) 252-2755
Website - www.collierclerk.com Email - collierclerk @collierclerk.com
16A14
EXHIBIT "A"
FY 14/15 FDOT WORK ORDER
STATE HIGHWAY LIGHTING MAINTENANCE, AND COMPENSATION
AGREEMENT
Contract Number ANDO3
Maintaining Agency: Collier County
Financial Project No.: 412574-1-78-01
Effective Date: July 1,2014 to June 30,2015
1.0 PURPOSE
This exhibit defines the method and limits of compensation to be made to the
Maintaining Agency for the services described in the original agreement executed
on 9/30/03.
2.0 COMPENSATION
The Department will compensate each Maintaining Agency for maintenance of
lights being maintained on state highways for FY 14/15 is 90%of the total
number of lights at$251.32 per light.
The current inventory of lights to be maintained by your agency for FY 14/15 is
one-thousand-two-seventy-one(1,271) at a cost of$251.32 per light, which brings
the amount of compensation to$287,484.95.
3.0 PAYMENT PROCESSING
The Maintaining Agency shall invoice the Department yearly for services
rendered in a format acceptable to the Department.
For Satisfactory completion of all services as detailed in the original agreement for this
FY 14/15,the Department will pay the Maintaining Agency a Total Lump Sum of
$287,484.95.
By: By: i,_ ,� -
Sharon L. Harris County TO ' H ‘ k ING, CIIAIRMAN
FDOT District Maintenance Administrator COLLIER COUNTY BO •D OF COUNTY
COMMISSIONERS
Date: Date: 5/2 7/14
... r
ATTEST- .
• ..r.ved as to f ind legality
DWIGHT E. B .•CK, CLERK �f
4-€--►
BY Scott R. Teach, Deputy County Attorney
Attest as to Chaim): I dJ
signatureonly.
16A14
FROM THE DESK OF:
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Whiet, go.„,,,knakie
FLORIDA DEPARTMENT OF TRANSPORTATION
UTILITIES DEPARTMENT (MS 1-11)
POST OFFICE BOX 1249
BARTOW, FL 33831
PHONE#: (941) 519-2531 S.C. 557-2531
FAX#: (941) 534-7039
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