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Backup Documents 01/09/2018 Item #16D 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 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 arc 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. Pr css **NEW** ROUTING SLIP MDT/ 6 tit(to 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 4. BCC Office Board of County Commissioners \ 2.. 5. Minutes and Records Clerk of Court's Office _ �� I L 118 '3: 1'\ 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 Joshua Thomas/Tessie Sillery Phone Number 252-8989 or 252-5 40 Contact/ Department PTNE Divisio (old ATM Dept) Agenda Date Item was 01-9-2018 Agenda Item Number 16 D6 (#4391) Approved by the BCC Type of Document FDOT JPA Agreement—Award—5311—Rural Number of Original --2-- ?5 Attached Areas Documents Attached "•.J PO number or account number if document is to Fed Ex#4563-4132-2 be recorded Special instructions: email a copy to ;joshuathomasncolliergov.net &tessiesillery u>colliergov.net Fed Ex;(2 originals) Pamela Barr Transit Projects Coordinator Florida Department of Transportation 10041 Daniels Parkway Fort Myers,FL 33913 INSTRUCTIONS&CHECKLIST Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not itial) Applicable) 1. Does the document require the chairman original s _nature? 2. Does the document need to be sent to another agency for additional signatures? If yes,provide p 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. 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 �1Z 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 required. ' 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 o the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on X01-09-2018 and all changes made during the N/A is not an meeting have been incorporated in the attached document. The County Attorney's Office option for has reviewed the changes,if applicable. ine. 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all N/A not an changes directed by the BCC have been made,and the document is ready for the Chairman's ' optio for signature. this;1 e. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Re S - !.; 'evised 11/30/12 1 6 0 6 Martha S. Vergara From: Martha S. Vergara Sent: Tuesday, January 30, 2018 10:31 AM To: Arnold, Michelle; 'SilleryTessie'; Thomas, Joshua Subject: FDOT JPA Agreement Award (5311) Rural Areas Attachments: Michelle Arnold_Tessie Sillery.pdf Morning Michelle, Tessie & Josh, Attached for your records is a fully executed/returned Award Agreement. If your require a certified copy let me know and I can get that ready for you. 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.vergaragcollierclerk.com 1 160 6 r County of`collier CLERK OF THE CI1,CUT COURT COLLIER COUNTY C( LIRTHO\JSE Dwight E. Brock-ClerWpf Circuit Court 3315 TAMIAMI TRL E STE 102 P.O. BOX 413044 NAPLES,FL 34112-5324NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditor • Cusfodian of County Funds January 16, 2018 FDOT Attn: Pamela Ball, Transit Project Coordinator 10041 Daniels Parkway Fort Myers, Florida 33913 Re: FY 2017/2048 Multi-Year JPA Notification of Funding Transmitted herewith are three (3) 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, January 9, 2018, during Regular Session. Please forward a fully executed original to our office as part of the Boards Official Records. An envelope has been provided for your convience. Very truly yours, DWIGHT E. BROCK, CLERK ' N\--)C,t1 ji,---Thi Ali ____, Martha Vergara, Depu ler Enclosure Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com 16D 6 FDC3i , ,--- ----- •- Florida Department of Transportation RICK SCOTT 801 North Broadway MIKE DEW GOVERNOR Bartow,FL 33830 SECRETARY January 19, 2018 Ms.Michelle Arnold Public Transit &Neighborhood Enhancement Division 3299 Tamiami Trail East, Suite 103 Naples„ Florida 34112 RE: Multi-Year Joint Participation Agreement Notification of Funding Form Fiscal Year 2017/2018— FTA Section 5311 - Operating Funding Financial Project Number: 410120-1-84-36 Contract Number: G0738 Dear Ms. Arnold: Enclosed please find the fully executed Multi-Year Joint Participation Agreement Notification of Funding form. Please always reference the Financial Project Number and Contract Number identified above when calling or writing about this project. We look forward to continuing to work with you to carry out the terms of this Agreement. If you have any questions, please contact Pamela Barr, Transit Projects Coordinator at (239) 225-1972 or by e-mail at pamela.barr@dot.state.fl.us.rSin ely, /IA..1w amela Barr Transit Projects Coordinator Enclosures cc: Collier County Clerk of Courts Michelle S. Peronto, Transit Programs Administrator, Modal Development Office, FDOT www.dot.state.11.us 160 6 FD6+ _...--- ---- ... RICK SCOTT 801 North Broadway Avenue MIKE DEW GOVERNOR Bartow,FL 33830 SECRETARY Fiscal Year 2017/2018 MULTI-YEAR JOINT PARTICIPATION AGREEMENT NOTIFICATION OF FUNDING In accordance with the terms of the Joint Participation Agreement between Collier County Board of County Commissioners, 3299 East Tamiami Trail, Suite 103 Naples, Florida 34112 and the Department, FTA Section 5311 - Operating Funding identified by contract number G0738 and project number 410120-1-84-36; the Department has encumbered $404,525 using project number 410120-1-84-36. Upon signature by your agency and the Department, eligible project costs may be incurred. Costs incurred prior to full execution of this form will not be eligible for reimbursement. The federal grant number for FFY 17 is 1001-2017-17. DEPARTMENT REPRESENTATIVE AGENCY REPRESENTATIVE Paul A. Simmons Penny Taylor, Chairman Name: Typed or Printed Name: Typed or Printed � - r 44 __,,_,_,..A,‘A\ ......_L___,0 Signature Signature ///9/9.018 1/9/18 Date Date Approved as to form and legality op �" \ ;1'i . UROCI( Clerk , it, Pet Assistant County ey N www.dot.state.tl.us Attest as to Chairma r signature only. IV 0 160 6 FDC:Ti .......- --. ... RICK SCOTT $01 North Broadway Avenue MIKE DEW GOVERNOR Bartow,FL 33 t30 SECRETARY Fiscal Year 2017/2018 MULTI-YEAR JOINT PARTICIPATION AGREEMENT NOTIFICATION OF FUNDING In accordance with the terms of the Joint Participation Agreement between Collier County Board of County Commissioners, 3299 East Tamiami Trail, Suite 103 Naples, Florida 34112 and the Department, FTA Section 5311 - Operating Funding identified by contract number G0738 and project number 410120-1-84-36; the Department has encumbered $404,525 using project number 410120-1-84-36. Upon signature by your agency and the Department, eligible project costs may be incurred. Costs incurred prior to full execution of this form will not be eligible for reimbursement. The federal grant number for FFY 17 is 1001-2017-17. DEPARTMENT REPRESENTATIVE AGENCY REPRESENTATIVE Paul A. Simmons Penny Taylor, Chairman Name:Typed or Printed Name: Typed or Printed (------4.,.._0. , c:A.:S ., .--) 4, Signature Signature 4 %9/aoie 1/9/18 ate Date • f ;i. w t": Approved as to form and legality zi ," l H1 x ::••B ROCII; Clerk SIP iv `\�\ 40. fay; 1 diel .._, .wl M 1. 1Cssistant f ou ttorno •w w.dot.state.fl.us t as to Chalttl1an 11) '� r Attes signature only.