Backup Documents 03/08/2016 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b 0
10
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 NIonday preceding the Board meeting.
**NEW** ROUTING SLIP 6/9
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 M �,JP 3
4. BCC Office Board of County Commissioners
W`1�
5. Minutes and Records Clerk of Court's Office ( / LibEirP1
(`7
\ 1111A
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 ad itional or missing information. _015,2-5-M.
Name of Primary Staff Yousi Cardeso Tessie Sillery Phone Number SWIM&252-5840
Contact/ Department PublicTransit& BHD Enhmt(old atm)
Agenda Date Item was 3-8-2016 Agenda Item Number Item 16D 10 (item
Approved by the BCC no.17333)
Type of Document Attached ACCEPTANCE OF GRANT AWARD DOCUMENT Number of Original (1)original
Documents Attached
PO number or account
number if document is to be
recorded
NOTE: BEFORE FED EXING DOCUMENTS— PLEASE SEND VIA EMAIL A SCANNED COPY TO
YOUSICARDESOACOLLIERGOV.NET AND TESSIESILLERYACOLLIERGOV.NET
Special Instructions: ORIGINAL COPY TO BE FED EXED ASAP(TIME SENSITIVE).(our acct.# )
Mailing address: FDOT, Atten:Paul Simmons
801 North Broadway Avenue
Mail Station 1-39
Bartow,Florida 33830
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Does the document require the chairman's original signature? l j�)
2. Does the document need to be sent to another agency for additional signatures? If yes,provide the Contact �-'
Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be signed by the Chairman,
with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. f ,/
4. All handwritten strike-through and revisions have been initialed by the County Attorney's 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 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 signature and initials are f/
required. ry
7. In most cases(some contracts are an exception),the original document and this routing slip 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 f�
your deadlines! I
8. The document was approved by the BCC on 3-8-2016 and all changes made during the 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 the BCC,all changes directed */
by the BCC have been made,and the document is ready for the Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised r4A5;Revised 11/30/12
16010
1
County=ofcollii r
CLERK OF THE CI CU COURT
COLLIER COUNTY C RTHO SE
Dwight E.Brock-Clerl(pf Circuit Court
3315 TAMIAMI TRL E STE 102 P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
�r�,.�
Clerk of Courts • Comptroller • Auditor • custodian of County Funds
March 9, 2016
FDOT
Attn: Paul Simmons
Modal Development Administrator
801 North Broadway Avenue
Mail Station 1-39
Bartow, Florida 33830
Re: Notice of FTA Section 5310 Grant Award/FL-16-0040, FY 2015/16
Transmitted herewith are the 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, March 8, 2016, during Regular Session.
Please forward/e-mail a copy once the Notice is fully executed to
(martha.vergara crcollierclerk.com) for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
°')/-,,vda)tL-),Li, , .......
Martha Vergara, De ` t Cle
Enclosure
Phone- (239) 252-2646 Fax- (239)252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.cam.
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16010
NOTICE OF FTA SECTION 5310 GRANT AWARD/FL-16.0040,SFY 2015/16
Based on the Agency's Application for Federal Assistance under U.S.C. Section 5310 dated January 21.2015,on file at
the Florida Department of Transportation,District One,801 North Broadway Avenue,Bartow,Florida 33830 offices,the
Department hereby makes the following grant award under the U.S.C.Section 5310 Program to:
Collier County Board of County Commissioners
3299 E.Tamiami Trail,Suite 103
Naples,FL 34112
As of January 27,2016
Description Estimated Estimated Estimated Estimated
Total Federal State Applicant or
100% 80% 10% Load 10%
3-Standard Cutaway Diesel Vehicles w/14 seats $315,360.00 $252.288.00 $31,536.00 $31,536.00
3-Special Needs Transit Vehicle-MV1 $191,440.00 $153.152.00 $19.144.00 $19,144.00
6-Two-Way Communication Mobile Radios $21,000.00 $16,800.00 $2,100.00 $2.100.00
$527.800.00 _ $422,240.00 $52,780.00 $52,780J00
Financial Management Number: 435210-1-93-12
Federal Award Identification Number(FAIN): FL-16-X010-02
ACCEPTANCE OF GRANT AWARD
(To be 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 E,F,and G 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 Stinnette.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.This purchase will follow the Department's Guidelines for
Acquiring Vehicles.
e) The Recipient must do the following PRIOR to the purchase of equipment:
1) Complete a third party checklist
2) Have it approved by the Department's Transit Project Coordinator
3) Contact Lazara Stinnette so that she can make the funds available for expenditure
4) Wait for Lazara to send confirmation to expend funds
5) The Recipient may now make the purchase
f) The Recipient MUST request purchase of the vehicles/equipment on or before May 13,2016.
g) The Recipient agrees to submit the local matching funds when requested to do so.
h) The Recipient.if it is not a CTC,agrees to submit its Annual Operating Report(AOR)data to the CTC as
requested.
i) The Recipient will forward a copy of its maintenance plan to Ms.Stephens by December 30.2015 if you have not
already done so.
j) The Recipient will furnish proof of insurance for the vehicle(s)to Ms.Stephens,listing FDOT District One as
first Lien Holder and an additional insured,upon receipt of the vehicle.
Page 1 of 2
161310
SPECIAL CONSIDERATIONS:
E-Verify
Vendors/Contractors:
1. Shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of
all new employees hired by the Vendor/Contractor during the term of the contract;and
2. Shall expressly require any subcontractors performing work or providing services pursuant to the state contract to
likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the subcontractor during the contract term.
Single Audit Information
I. Please note this award is for a passenger vehicle(s)and/or other capital equipment/costs.The value of the federal
award should be considered as non-cash assistance.A non-Federal entity as defined by OMB Circular A-133, for
fiscal years beginning before December 26,2014,and 2 CFR Part 200, thereafter,as a Subrecipient of this
Federal award, may be subject to the audit requirements established by OMB Circular A-133, for fiscal years
beginning before December 26, 2014, and 2 CFR Part 200,thereafter. In determining Federal awards expended in
a fiscal year,the non-Federal entity must consider all sources of Federal awards,including non-cash
contributions.
AGENCY: C-- 1 County Board of County CQmmissioners
(Name)
Accepted by: 1.1/fr-n: Date tA an �t t)1 (-v(Signature) 74t�Donna Fiala
Typed Name and Title: Chairman
Agency Federal Employment Identification Number: 5 -I - (t1O{O55S'
Agency Fiscal Year: tom,-}De(' t ' S2 _(',3
Approved an ..+t. 1raiity
DUNS Number: 01 —1 7 9 0
istant .v.
FLORIDA DEPARTMENT 01T TRANSPORTATION
e
Award Approved by:. ---�� Date: 11 /4=
Typed Name and Title: Paul A. Simmons j
District Modal Development Administrator
... t-ii E. BR*CK, Clark Page 2 of 2
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