Backup Documents 04/11/2017 Item #16D 7 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 607
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 Z'
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 4/17/17
4. BCC Office Board of County ;r
Commissioners .T/ -/ 4r\
5. Minutes and Records Clerk of Court's Office
Nido 44-7
$2-410k_
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 Jeanine McPherson, Parks and Rec Phone Number 252-4030
Contact/Department
Agenda Date Item was 4/11/17 Agenda Item Number 16-D-7 /-
Approved by the BCC
Type of Document Agreement to Purchase Vended Meals 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
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 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 Chaiuruan 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 4/11/17 and all changes made during the SRT
10 '.6..P
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes, if applicable. 1%044,-",
9. Initials of attorney verifying that the attached document is the version approved by thei �` , R ri,
w��
BCC,all changes directed by the BCC have been made,and the document is ready for he ®; sf fr
Chairman's signature. tt 1'
PLEASE CONTACT JEANINE MCPHERSON (4030) WHEN READY. st be to S •ool Board by
4/20 `� - r, �cS1/4.c —1 c\c R.,
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
AGREEMENT TO PURCHASE VENDED MEALS FROM 1613 7
ANOTHER STATE-APPROVED PROGRAM SPONSOR
This agreement is made and entered into by and between District School Board of Collier County(herein referred to as the
"VENDOR")and the Collier County Board of County Commissioners(Collier County Parks and Recreation),(herein referred to as the
"SPONSOR");
WHEREAS the VENDOR agrees to supply unitized meals 'nclusive/ •xclusive of milk to SPONSOR with and for the rates herein listed:
MEAL TYPE EST.#SERVINGS EST.#SERVING DAYS UNIT PRICE CONTRACT TOTAL
(DAILY) (PROGRAM TOTAL) (FIXED) _ (ESTIMATE) —
BREAKFAST 512 39 $ 2.01 $40,135.68
LUNCH 422 39 $ 3.53 $58,096.74
SNACK $
SUPPER $ (+)
(Meals per day) x (Program days) x (Meal price) = $98,232.42
It is further agreed that VENDOR will provide meals that meet or exceed the minimum meal pattern requirements as to nutritive
value and content,maintain full and accurate records to the extent needed by SPONSOR to meet Program requirements,and
otherwise perform in accordance with the following provisions:
1. VENDOR shall comply with all applicable rules and regulations of the Florida Department of Agriculture and Consumer
Services(FDACS)and the United States Department of Agriculture(USDA),including Title 7 CFR Parts 210,215,220,225,
245,250,3016,3019 and FDACS Division of Food, Nutrition,and Wellness policies.
2. Both Parties will retain meal records,delivery tickets,purchase orders,production records,or any other records that are
material to the accounting and verification of payments and claims under this Agreement.
3. VENDOR must submit to the SPONSOR all costs incurred pertaining to the SPONSOR's food service operation within 30 days
of the last day of each month or the final day of the program.
4. Both Parties agree to retain all records required under the preceding paragraph for a period of three years after the end of
the fiscal year to which they pertain;and upon request,to make all accounts and records pertaining to the program
available to representatives of the U.S.Department of Agriculture,Florida Department of Agriculture and Consumer
Services,and the and the General Accounting Office for audit or administrative review at a reasonable time and place.
5. Service shall be discontinued immediately if an invoice has not been paid by the SPONSOR organization within forty-five
calendar days of the invoice.
6. Service shall be discontinued immediately if the VENDOR delivers meals unfit for human consumption.
7. The Parties shall act in compliance with section 768.28,Fla. Stat.
The effective dates for this Agreement are June 5`h,2017 through July 28th, 2017 .Either Party may terminate this Agreement
by giving the other Party notice in writing not less than 60 days prior to the date designated in the notice for termination of the
Agreement.
IN WITNESS WHEREOF,The Vendor and the Library have caused this Agreement to be executed this \ \ day of
fS\rtjv~ ,in the years-10\--1
SPONSOR VENDOR
(NAME)PLEASE PRIN'k (NAME)PLEASE PRINT
TIT TITLE
ll`y l
SIGNATURE .9r EST DATE SIGNATURE DATE
DWIGHT E. BROCK, CLERIC App • j fo • an' legality
BY:
) Ll, -
1 — �r�' ( j )
Sc TKtc h D€ r Cco'r,y Ntterney
1607
SCHEDULE A
SITE INFORMATION LIST
SPONSOR NAME Collier County Parks and ADDRESS: 15000 Livingston Rd. CONTACT PERSON/PHONE#George Moga 239-
Recreation Department Naples,Fl 34109 919-9546
SITE NAME BEGIN END TOTA MEAL TYPE AVERAGE TOTAL DELIVERY TIME
ADDRESS DATE DATE L MEALS/DAY MEALS FOR EACH MEAL TYPE
PHONE DAYS
(I) (2) OP. (4) (5) (6) (7)
(3)
Eagle Lakes 6/5/17 7/28/17 39 BREAKFAST 42 1,638 8:30 am
11565 E.
Tamiami Trail AM SUPPLEMENT
Naples Fl
239-252-3527
REFRIG ALL LUNCH 32 1,248 1• 1:30 am
MEALS
YES NO PM SUPPLEMENT
O X SUPPER
East Naples 6/5/17 7/28/17 39 BREAKFAST 50 1,950 8:30 am
3500
Thomason AM SUPPLEMENT
Naples Fl
239-793-4414
REFRIG ALL LUNCH 70 2,730 11:30 am
MEALS
YES NO PM SUPPLEMENT
❑ X SUPPER
East Naples 6/5/17 6/30/17 20 BREAKFAST 50 1,000 8:00 am
Baptist Church
1967 Shadow AM SUPPLEMENT
Lawn
Naples Fl
239-287-8524
REFRIG ALL LUNCH 50 1,000 1• 1:00 am
MEALS
YES NO PM SUPPLEMENT
❑ X SUPPER
Golden Gate 6/5/17 7/28/17 39 BREAKFAST 120 4,680 9:00 am
Comm.Center
4701 Golden AM SUPPLEMENT
Gate
Naples Fl
239-252-4180
REFRIG ALL LUNCH 120 4,680 Noon
MEALS
YES NO PM SUPPLEMENT
❑ X SUPPER
Immokalee 6/5/17 728/17 39 BREAKFAST 140 5,460 8• :00 am
Comm.Park
321 N. I"St. AM SUPPLEMENT
Immokalee,Fl
239-657-4449
REFRIG ALL LUNCH 20 780 11:30 am
MEALS
YES X PM SUPPLEMENT
1607
SCHEDULE A
SITE INFORMATION LIST
SPONSOR NAME Collier County Parks and ADDRESS: 15000 Livingston Rd. CONTACT PERSON/PHONE#George Moga 239-
Recreation Department Naples,Fl 34109 919-9546
SITE NAME BEGIN END TOTAL MEAL TYPE AVERAGE TOTAL DELIVERY TIME
ADDRESS DATE DATE DAYS MEALS/DAY MEALS FOR EACH MEAL TYPE
PHONE (1) OP.
(2) (3) (4) (5) (6) (7)
Immokalee 6/5/17 7/28/17 39 BREAKFAST 70 2,730 8:30 am
South Park
418 School Dr AM SUPPLEMENT
Immokalee,Fl
239-252-4677
REFRIG ALL LUNCH 70 2,730 11:30 am
MEALS
YES NO PM SUPPLEMENT
❑ X SUPPER
River Park Rec. 6/5/17 7/28/17 39 BREAKFAST 40 1,560 8:30 am
301 l ISt.N.
Naples,FI AM SUPPLEMENT
239-213-3037
REFRIG ALL LUNCH 60 2,340 11:30 am
MEALS
YES NO PM SUPPLEMENT
❑ X SUPPER
BREAKFAST
AM SUPPLEMENT
REFRIG ALL LUNCH
MEALS
YES NO PM SUPPLEMENT
❑ ❑ SUPPER
BREAKFAST
AM SUPPLEMENT
REFRIG ALL LUNCH
MEALS
YES NO PM SUPPLEMENT
❑
0 SUPPER
BREAKFAST
AM SUPPLEMENT
REFRIG ALL LUNCH
MEALS
YES NO PM SUPPLEMENT
❑ 0 SUPPER