Backup Documents 02/28/2017 Item #16C 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 c
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office stab/Jing
4. BCC Office Board of County b,-t\
Commissioners l
5. Minutes and Records Clerk of Court's Office � 2(2.60 q Q—
ON
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 Eric Fey/Public U •lities Contact Information 239-252- 037
Contact/ Department
Agenda Date Item was February 28,2017 Agenda Item Number 16C1
Approved by the BCC
Type of Document A Resolution memorializing a previously Number of Original One
Attached approved Florida Department of Documents Attached
Transportation(FDOT)Utility World
Agreement -t" /7 `{
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 signat - STAMP OK SRT
2. Does the document need to be sent to another agency for •.itional signatures? 'f yes, SRT
provide the Contact Information(Name;Agency;Address;Pho • +i •i ,•. ed sheet.
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 02/28/2017 and all changes made during SRT
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 vl
Please send certified copy of Resolution to FDOT (contact information attach o this sheet).
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
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16C I
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Count- off` olhe�r
CLERK OF THE CICUil COURT
COLLIER COUNTY C4VRTHO SE
Dwight E. Brock-Cleaf Circuit Court P.O. BOX 413044
3315 TAMIAMI TRL E STE 102
NAPLES,FL 34112-5324 �' NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor • sfodian of County Funds
March 2, 2017
FDOT
Attn: Shirley McCrary
District Utility Administrator
801 North Broadway Avenue
Mail Station 1-11
Bartow, Florida 33830
Re: Certified Resolution 2017-24 for Utility Work Agreement
Financial Project ID: 435040-1-56-11
Transmitted herewith is the certified document for the above referenced, for your records
per request, as adopted by the Collier County Board of County Commissioners of Collier
County, Florida on Tuesday, February 28, 2017, during Regular Session.
Very truly yours,
DWIGHT E. BROCK, CLERK
- kitAl-ft--- '- i' ''' c
ALI'
Martha Vergara, Deput Cl rk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com
16 C I
RESOLUTION NO. 2017-2 4
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER
COUNTY, FLORIDA, ACTING AS THE EX-OFFICIO BOARD OF THE COLLIER
COUNTY WATER-SEWER DISTRICT, MEMORIALIZING THE APPROVAL OF A
FLORIDA DEPARTMENT OF TRANSPORTATION (FDOT) UTILITY WORK
AGREEMENT (FINANCIAL PROJECT ID: 435040-1-56-11) AT ITS JANUARY 24, 2017,
MEETING, FACILITATING CONSTRUCTION OF A SIDEWALK AND DRAINAGE
IMPROVEMENT PROJECT ALONG TRAIL BOULEVARD, AND PROVIDING A MEANS
FOR FDOT TO REIMBURSE THE COLLIER COUNTY WATER-SEWER DISRICT FOR
ITS COST IN RELOCATING WATER MAINS.
WHEREAS, at its January 24, 2017 meeting the Collier County Board of County
Commissioners (the `Board"), acting as the ex-officio Board of the Collier County Water-
Sewer District, approved a Utility Work Agreement with the Florida Department of
Transportation (FDOT) that provided a formal mechanism for the FDOT to reimburse the
Collier County Water-Sewer District for costs that will be incurred to relocate water mains
along portions of Trail Boulevard, to facilitate drainage improvements associated with the
FDOT's sidewalk project along the east side of Tamiami Trail North ("U.S. 41"), from north
of Pine Ridge Road to south of Pelican Bay Boulevard North; and
WHEREAS,the FDOT requires that the Board submit a Resolution memorializing the
Board's approval of the Utility Work Agreement and the authority of its Chair or designated
authority to execute the Agreement.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE EX-OFFICIO
GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER DISTRICT
AS FOLLOWS:
1. The foregoing WHEREAS clauses are incorporated herein by reference.
2. The Board of County Commissioners of Collier County, Florida, as the Ex-Officio
Governing Board of the Collier County Water-Sewer District, hereby approved the subject
Utility Work Agreement (Financial Project ID: 435040-1-56-11) and authorized its Chair or
designated authority to execute that Agreement at its January 24, 2017 meeting as Agenda
Item 16C1.
16 C 1
3. This Resolution shall become effective immediately upon its adoption.
PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier
County,Florida,this 28th day of February, 2017 after majority vote.
ATTEST: BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY,FLORIDA,AS THE
EX-OFFICIO GOVERNING:BOARD
DWIGHT E. BROCK,Clerk OF THE COLLIER COUNTY WATER-
SEWER DISTRICT
BY� i n -----13
-\ ,
Deputy Clerk ( '
Attest as to Chairman.'
X7 4i#1 .
SkinatitrP At* BY
Penny Ta iN'Chair
Approved as to form and legality:
Cceill P 14-4411--
Scott
R.Teach
Deputy County Attorney
2