Backup Documents 05/09/2017 Item #16G1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
6 "
\`ti(o TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1t
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 JAB 05-12-17
4. BCC Office Board of County "Pt b,--k
Commissioners �('�� S\vz�\`-\
5. Minutes and Records Clerk of Court's Office Sj Will—
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 r missing information.
Name of Primary Staff Debbie Brueggem 239-642-7878 x. 34
Contact/ Department
Agenda Date Item was May 9,2017 Agenda Item Number 16G1
Approved by the BCC `
Type of Document Co`r-h`c-a.c. ' s Number of Original -Ome es -
Attached \-S '-'Nf-e r*. -,Qvrkz: ocuments 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 STAMP OK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAB
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 May 9,2017 and all changes made JAB
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 t �\.'� . ��
BCC,all changes directed by the BCC have been made,and the document is ready 1r the
Chairman's signature. V �. �
**Please contact Debbie Brueggeman when documents are ready.
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
Coany 9f Collier 1 10 LI 1
CLERK OF THE CIRCIIT COURT
COLLIER COUNTYXOUR OUSE
3315 TAMIAMI TRL E STE 102 Dwight E.Brock-akerk of circuit Court P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor *ustian of County Funds
May 15, 2017
Ms. Wendy Sands
Aviation & Intermodal Agency Liaison
Florida Department of Transportation
Ms. Sands,
Enclosed are two originals of each: Time Extension for Project#438877-1-94-01 Contract
#G0594 (Marco Island Executive Airport) and Contract#G0615 (Everglades Airpark) approved
by the Collier County Board of Commissioners on May 9, 2017. Once the additional signatures
have been obtained, please return one original of each back to me. I have enclosed a return
envelope for your convenience.
Any questions, please contact me at 239-252-8411.
Thank you,
0--66 -'VUC144-
Teresa Cannon, Sr. BMR Clerk
Board's Minutes & Records Department
3299 Tamiami trail East, Suite#401
Naples, FL 34112
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
1 6 .
d (uRP0pr
'rGy COLLIER COUNTY AIRPORT AUTHORITY
2005 Mainsail Drive,Suite 1
.'�.� Naples,FL 34114-8955
v "r (239) 642-7878
Fax(239) 394-3515
www,collieraviation,com
May 10, 2017
Ms. Wendy Sands
Aviation & Intermodal Agency Liaison
Florida Department of Transportation
801 North Broadway
Bartow, FL 33830
Re: Time Extension
Financial Project Number 438877-1-94-01
Contract Number G0594
Upgrade AVGAS Fuel Farm Facility and Purchase Jet-A and AVGAS Refuelers at the Marco Island
Executive Airport
Dear Ms. Sands,
The Collier County Airport Authority is requesting that the Joint Participation Agreement (JPA) for the
above referenced project be extended from July 1, 2017 to December 31, 2017.
Bidding and permitting of this project took longer than anticipated. Fabrication of the equipment could not
commence until permitting was finalized to account for any changes to the plans and specifications that
may have been required during the permitting process.
With permitting now complete, the equipment is expected to be finished and ready for installation
between late June and early July, 2017. It is anticipated that installation will then take several weeks.
The extension on this project, if approved, will allow sufficient time to finish fabrication, installation, and
testing of the fuel storage system, and to allow for any follow-up work that may be required of the
contractor.
Thank you,
//IN-
usti �obb
Airports Manager
Marco Island Executive Airport Immokalee Regional Airport Everglades Airpark
2005 Mainsail Drive,Suite 1 165 Airpark Boulevard P.O.Box 689,650 EC Airpark Blvd
Naples,FL 34114-8955 Immokalee,FL 34142 Everglades City,FL 34139
239.394.3355 239.657.9003 239.695.2778
239.642.5427 Fax 239.657.9191 Fax 239.695.3558 Fax
alirk
6 i6,34.1
FDDt3
Florida Department of Transportation
RICK SCOTT' 801 North RroadwaV JIM BOXOI.t)
GOVERNORBarlow.11 .i:i83U SECRETARY
DATE: March 28, 2017
TO: Justin Lobb, Airport Director
FROM: Wendy Sands, Aviation & Intermodal Agency Liaison
SUBJECT: Time Extension
Financial Project Number: 438877-1-94-01
Contract Number: G0594
Agency: Collier County Airport Authority
Project Description: Upgrade AVGAS Fuel Farm Facility and Purchase Jet-A and
AVGAS Refuelers at the Marco Island Executive Airport.
The time allotted for the completion of services or goods on the subject agreement dated November
19, 2015 and any supplementals thereto will expire on July 1, 2017.
In accordance with Section 18.00 of the Joint Participation Agreement, a time extension may be
requested. Please complete, sign, date and return this form to me.
It is requested that the Joint Participation Agreement for the subject project be extended until
December 31, 2017.
The reason for the Time Extension request must be included in a letter to the Department from
the Director/Manager/CEO of the organization. A detailed summary of the reason for the Time
Extension and a schedule for completing the project must be included. Time Extensions will
not be granted for billing purposes if the project is complete.
Collier County Airport Authority
RECOMMEND FOR APPROVAL:
AGENCY
Penny aAill
SIGN•` RINTED OR TYPED DISTRICT MODAL DEVELOPMENT ADMINISTRATOR
/140y_
APPROVED:
SIGNATURE
Chairman
TITLE , DISTRICT SECRETARY OR DESIGNEE
tio
Date Date:
. �.
hirrEat4A''
rth ,i Ciork ww•w.dot,stat..tl us Approved as to form and legality
f/ c
.1014.4.044
1 �
Ass stun County Atte •ney `°��
�� s#, s Caiman's _ \
16G1
�c$ {off COLLIER COUNTY AIRPORT AUTHORITY
2005 Mainsail Drive,Suite 1
g Naples,FL 34114-8955
(239)642-7878
Fax(239) 394-3515
www.collieraviation.com
May 10, 2017
Ms. Wendy Sands
Aviation& Intermodal Agency Liaison
Florida Department of Transportation
801 North Broadway
Bartow, FL 33830
Re: Time Extension
Financial Project Number 438875-1-94-01
Contract Number G0615
AVGAS Fuel Farm Facility at Everglades Airpark
Dear Ms. Sands,
The Collier County Airport Authority is requesting that the Joint Participation Agreement (JPA) for the
above referenced project be extended from July 1, 2017 to December 31, 2017.
Bidding and permitting of this project took longer than anticipated. Fabrication of the equipment could not
commence until permitting was finalized to account for any changes to the plans and specifications that
may have been required during the permitting process.
With permitting now complete, the equipment is expected to be finished and ready for installation
between late June and early July, 2017. It is anticipated that installation will then take several weeks.
The extension on this project, if approved, will allow sufficient time to finish fabrication, installation, and
testing of the fuel storage system, and to allow for any follow-up work that may be required of the
contractor.
Thank you,
stm obb
Airports Manager
Marco Island Executive Airport Immokalee Regional Airport Everglades Airpark
2005 Mainsail Drive,Suite 1 165 Airpark Boulevard P.O.Box 689,650 EC Airpark Blvd
Naples,FL 34114-8955 Immokalee,FL 34142 Everglades City,FL 34139
239.394.3355 239.657.9003 239.695.2778
239.642.5427 Fax 239.657.9191 Fax 239.695.3558 Fax
1
FDC11"
Florida Department of Transportation
RICK SCOTT RU I North 13roatiwaJIM BOXOI D
GOVERNORBarlow. l'I, : 830 SECRETARY
DATE: March 28, 2017
TO: Justin Lobb, Airport Director
FROM: Wendy Sands, Aviation & Intermodal Agency Liaison
SUBJECT: Time Extension
Financial Project Number: 438875-1-94-01
Contract Number: G0615
Agency: Collier County Airport Authority
Project Description: AVGAS Fuel Farm Facility at the Everglades Airpark
The time allotted for the completion of services or goods on the subject agreement dated December
28, 2015 and any supplementals thereto will expire on July 1, 2017.
In accordance with Section 18.00 of the Joint Participation Agreement, a time extension may be
requested. Please complete, sign, date and return this form to me.
It is requested that the Joint Participation Agreement for the subject project be extended until
December 31, 2017.
The reason for the Time Extension request must be included in a letter to the Department from
the Director/Manager/CEO of the organization. A detailed summary of the reason for the Time
Extension and a schedule for completing the project must be included. Time Extensions will
not be granted for billing purposes if the project is complete.
Collier County Airport Authority
RECOMMEND FOR APPROVAL:
AGENCY
Penny a Ai
SIGN TOR 'RINTED OR TYPE* DISTRICT MODAL DEVELOPMENT ADMINISTRATOR
t/d!A.ILld _ .L APPROVED:
SIGNATURE '
illir
Chairman
TITLE DISTRICT SECRETARY OR DESIGNEE
Date: r Date:
ATTEST: - Approved as to torm and legality
bV1,, :HT E. Mfg , Clerk www.dot.state.fl.us
_ i t�
• ASSi antCountA, ornc
Ch-ht
to jars '� \3'\
-A +0^iJp y
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 JAB 05-12-17
4. BCC Office Board of County 'C b •A
Commissioners -M S\kz v\---\
5. Minutes and Records Clerk of Court's Office -- --- t0s 3
P
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 additions r missing information.
Name of Primary Staff Debbie Brueggem 239-642-7878 fix.34
Contact/ Department f
Agenda Date Item was May 9,2017 Agenda Item Number 16G1 t//
Approved by the BCC
Type of Document O? kr_y-tsrms v" Co rte Number of Original .Line �-orc eits, ..
Attached `\.-SSZknexkiZocumentsAttached
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 STAMP OK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAB
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 May 9,2017 and all changes made JAB
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 t •
BCC,all changes directed by the BCC have been made,and the document is ready ,r the �-
Chairman's signature. V.N�
**Please contact Debbie Brueggeman when documents are ready.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WNW Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
/71
FDCT1
Florida Department of Transportation
RICK SCOTT 801 North Broadway JIM BOXOLD
GOVERNOR Bartow,FL 33830 SECRETARY
DATE: March 28, 2017
TO: Justin Lobb, Airport Director
FROM: Wendy Sands, Aviation & Intermodal Agency Liaison
SUBJECT: Time Extension
Financial Project Number: 438877-1-94-01
Contract Number: G0594
Agency' Collier County Airport Authority
Project Description: Upgrade AVGAS Fuel Farm Facility and Purchase Jet-A and
AVGAS Refuelers at the Marco Island Executive Airport.
The time allotted for the completion of services or goods on the subject agreement dated November
19, 2015 and any supplementals thereto will expire on July 1, 2017.
In accordance with Section 18.00 of the Joint Participation Agreement, a time extension may be
requested. Please complete, sign, date and return this form to me.
It is requested that the Joint Participation Agreement for the subject project be extended until
December 31, 2017.
The reason for the Time Extension request must be included in a letter to the Department from
the Director/Manager/CEO of the organization. A detailed summary of the reason for the Time
Extension and a schedule for completing the project must be included. Time Extensions will
not be granted for billing purposes if the project is complete.
Collier County Airport Authority
RECOMMEND FOR APPROVAL:
AGENCY
Penny a___
SIGN 2'ia7-RINTED OR TYPED DISTRICT MODAL DEVELOPMENT ADMINISTRATOR
APPROVED:
SIGNATUREJitt. ,
'
Chairman
TITLEDISTRIC SECRETARY OR DESIGNEE
^3.1141,
qtr .........� . '
Date: `' ,� Date: S/' 3/( 7
J www dot.state.fl.us Approved as to form and legality
COW rg. Clerk
11%• .•••°•••LJalk
404
-Atto! s Chairman's Ass stunt County tt' ncy` \*
SIUCe only. 3\�i
14 4IRP004G� COLLIER COUNTY AIRPORT AUTHORITY
ccie7
� y
c� 2005 Mainsail Drive,Suite 1
y Naples,FL 34114-8955
`e (239)642-7878
Fax(239) 394-3515
www.collieraviation.com
May 10, 2017
Ms. Wendy Sands
Aviation & Intermodal Agency Liaison
Florida Department of Transportation
801 North Broadway
Bartow, FL 33830
Re: Time Extension
Financial Project Number 43 8877-1-94-01
Contract Number G0594
Upgrade AVGAS Fuel Farm Facility and Purchase Jet-A and AVGAS Refuelers at the Marco Island
Executive Airport
Dear Ms. Sands,
The Collier County Airport Authority is requesting that the Joint Participation Agreement (JPA) for the
above referenced project be extended from July 1,2017 to December 31, 2017.
Bidding and permitting of this project took longer than anticipated. Fabrication of the equipment could not
commence until permitting was finalized to account for any changes to the plans and specifications that
may have been required during the permitting process.
With permitting now complete, the equipment is expected to be finished and ready for installation
between late June and early July, 2017. It is anticipated that installation will then take several weeks.
The extension on this project, if approved, will allow sufficient time to finish fabrication, installation, and
testing of the fuel storage system, and to allow for any follow-up work that may be required of the
contractor.
Thank you,
titch
usti robb
Airports Manager
Marco Island Executive Airport Immokalee Regional Airport Everglades Airpark
2005 Mainsail Drive,Suite 1 165 Airpark Boulevard P.O.Box 689,650 EC Airpark Blvd
Naples,FL 34114-8955 Immokalee,FL 34142 Everglades City,FL 34139
239.394.3355 239.657.9003 239.695.2778
239.642.5427 Fax 239.657.9191 Fax 239.695.3558 Fax
Pq
FDO
Florida Department of Transportation
RICK SCOTT 801 North Broadway JIM BOXOLD
GOVERNOR Bartow,FL 3383() SECRETARY
DATE: March 28, 2017
TO: Justin Lobb, Airport Director
FROM: Wendy Sands, Aviation & Intermodal Agency Liaison
SUBJECT: Time Extension
Financial Project Number: 438875-1-94-01
Contract Number: G0615
Agency: Collier County Airport Authority
Project Description: AVGAS Fuel Farm Facility at the Everglades Airpark
The time allotted for the completion of services or goods on the subject agreement dated December
28, 2015 and any supplementals thereto will expire on July 1, 2017.
In accordance with Section 18.00 of the Joint Participation Agreement, a time extension may be
requested. Please complete, sign, date and return this form to me.
It is requested that the Joint Participation Agreement for the subject project be extended until
December 31, 2017.
The reason for the Time Extension request must be included in a letter to the Department from
the Director/Manager/CEO of the organization. A detailed summary of the reason for the Time
Extension and a schedule for completing the project must be included. Time Extensions will
not be granted for billing purposes if the project is complete.
Collier County Airport Authority
RECOMMEND FOR APPROVAL:
AGENCY
Penny amiSIGN`rOR 'RINTED OR TYPE a (STRICT MODAL DEVELOPMENT ADMINISTRATOR
, .A APPROVED:
SIGNATURE ,
r
Chairman i 1
TITLE DISTRICT SECRETARY OR DESIGNEE
Date: ,.°'&"'nr - Date: 51/43/17
.ATT.f SD Approved as to Corm and legality
SEP HT E AO; , Clerk www.dot.state.fl.us
L.41. L. Ass nt Count rrney • \
: .t 'esf,as'to-Chairman's
Sinizpt irn
LIAt'Iu�9p
�o`� S COLLIER COUNTY AIRPORT AUTHORITY
ga 2005 Mainsail Drive,Suite 1
Naples,FL 34114-8955
(239) 642-7878
Fax(239)394-3515
16/11k,.
www.collieraviation.com
May 10, 2017
Ms. Wendy Sands
Aviation& Intermodal Agency Liaison
Florida Department of Transportation
801 North Broadway
Bartow,FL 33830
Re: Time Extension
Financial Project Number 438875-1-94-01
Contract Number G0615
AVGAS Fuel Farm Facility at Everglades Airpark
Dear Ms. Sands,
The Collier County Airport Authority is requesting that the Joint Participation Agreement (JPA) for the
above referenced project be extended from July 1, 2017 to December 31, 2017.
Bidding and permitting of this project took longer than anticipated. Fabrication of the equipment could not
commence until permitting was finalized to account for any changes to the plans and specifications that
may have been required during the permitting process.
With permitting now complete, the equipment is expected to be finished and ready for installation
between late June and early July, 2017. It is anticipated that installation will then take several weeks.
The extension on this project, if approved, will allow sufficient time to finish fabrication, installation, and
testing of the fuel storage system, and to allow for any follow-up work that may be required of the
contractor.
Thank you,
stir obb
Airports Manager
Marco Island Executive Airport Immokalee Regional Airport Everglades Airpark
2005 Mainsail Drive,Suite 1 165 Airpark Boulevard P.O.Box 689,650 EC Airpark Blvd
Naples,FL 34114-8955 Immokalee,FL 34142 Everglades City,FL 34139
239.394.3355 239.657.9003 239.695.2778
239.642.5427 Fax 239.657.9191 Fax 239.695.3558 Fax