Backup Documents 04/10/2018 Item #16A19 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP b A 19
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 f 13f , 4 R07'`fili
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 4/10/18
4. BCC Office Board of County RSb�
�
Commissioners /5/ AVoVq,
5. Minutes and Records Clerk of Court's Office r�olr 8 11�O
I `-j 2pb►
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 Chad Sweet/Growt anagement Contact Information 239-252-5162
Contact/Department
Agenda Date Item was April 10,2018 Agenda Item Number 16A19/
Approved by the BCC
Type of Document Resolution authorizing the Chairman to execute Number of Original 1-Resolution
Attached the attached Local Agency Program Documents Attached 2-Local Agency
Supplemental Agreement with the Florida Program Supplemental
Department of Transportation(FDOT) Agreement
PO number or account N/A 201 8 �s
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 SRT I
2. Does the document need to be sent to another agency for a.. . ignatures? 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 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 N/A
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 4/10/2018 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 4
Chairman's signature.
***Instructions attached for FDOT recipient and number of copies required.
1 6A19
Hi Jeff, we would like legal review of the attached supplemental agreement. Currently in the construction bid phase in
which additional funding is being allocated to cover the original funding amount vs. low bid amount. Federally funded
project.
I have also attached the original executed LAP agreement for this project for reference.
Respectfully,
Chad Sweet,P.E.
Senior Project Manger
t=
Co
lei County .
Growth Management Department
Transportation Engineering Divison
NOTE:Email Address Has Changed
chad.sweet@colliercounfyfl.gov_
2885 S. Horseshoe Drive
Naples, FL 34104
Phone:239.252.5762 Fax:239.253.5868
From: Martin,Jim [mailto:Jim.Martin@dot.state.fl.us]
Sent: Friday, February 23, 2018 7:50 AM
To: CastilloTara <Tara.Castillo@colliercountyfl.gov>
Cc: SweetChad <Chad.Sweet@colliercountyfl.gov>; McClearyMark<Mark.McCleary@colliercountyfl.gov>; Reed, Charles
R. <Charles.Reed@dot.state.fl.us>; Swen, Elijah<Eliiah.Swen@dot.state.fl.us>
Subject:4331764 Pine Ridge Road Supplemental Agreement
Attached is the DRAFT Local Agency Program (LAP) Supplemental Agreement, including exhibits, for the above-
referenced project. We are asking that you and the county's attorney review the draft agreement and exhibits.
Once reviewed by you and your legal department, please return to me any additional changes that are
deemed necessary. If no changes are necessary, return two partially executed agreements to my attention
along with one original or certified resolution rendering, with an original seal and original signature by the
clerk, authorizing the chairman or designee to enter into and execute agreements and other applicable
documents pertaining to this agreement.
Jim Martin, CPM, FCCM
Local Program Coordinator
Florida Department of Transportation
FDd+T) Dl Office Program Management
801 N. Broadway Ave, MS 1-12, Bartow, FL 33830
h 863-519-2665 l DOTNet 881-2665 Fax: (863)519-2330
2
16A19 A 1
County of Collier
CLERK OF THE CIRCUIT COURT
COLLIER COUNTY COURTHOUSE
3315 TAMIAMI TRL E STE 102 Dwight E. Brock - Clerk of Circuit Court
P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor • Custodian of County Funds
April 11, 2018
FL Dept. of Transportation
Attn: Jim Martin, Dist. 1 Program Management
801 North Broadway Ave.
Mail Station 1-12
Bartow, Florida 33830
Re: Resolution 2018-65 & LAP Supplemental Agreement #1
Contract #GOR30; FPN #433176-1-58-1; Federal ID #D117 035 B;
Federal Award Date 10/17/2017
Transmitted herewith is one (1) certified resolution and two LAP Supplemental
Agreements 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, April 10, 2018, during Regular Session.
Please forward a fully executed copy of the agreement to our office in the for the
Boards Official Records. An envelope has been included for your convenience.
Very truly yours,
DWIGHT E. BROCK, CLERK
MNI00&)---\\\)-v- 4' ?
Martha Vergara, Deputy rk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com
1 641 9
RESOLUTION NO.2018-
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS COLLIER
COUNTY FLORIDA, AUTHORIZING ITS CHAIRMAN TO EXECUTE A LOCAL
AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE OF
FLORIDA DEPARTMENT OF TRANSPORTATION ("FDOT") TO SUPPLEMENT THE
ORIGINAL AGREEMENT TO PROVIDE FOR ADDITIONAL FUNDS NEEDED TO
FULLY FUND THE CONSTRUCTION OF TURN LANES AT VARIOUS LOCATIONS
ON PINE RIDGE ROAD.
WHEREAS, at the April 10, 2018, regular meeting of the Collier County Board of Commissioners,
the Board approved entering into a Local Agency Program Supplemental Agreement (the "Supplemental
Agreement") to provide additional funds under Local Agency Program Agreement (the "LAP Agreement")
No. FPN: 433176-1-58/68, Contract No. GOR30, with the FDOT whereby FDOT agrees to add additional
funds to the LAP Agreement so that a project involving the engineering and construction of additional turn
lanes at various locations on Pine Ridge Road(the"Project")will be fully funded;and
WHEREAS, FDOT and Collier County are entering into the Supplemental Agreement to increase
funding for the Project in the additional amount of$378,490.00; thereby increasing the funding available to
for the Project,which now amounts to$1,402,763.00; and
WHEREAS, the execution of the Supplemental Agreement is in the best interests of the citizens of
Collier County.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY,FLORIDA,that:
1. The Board of County Commissioners approves, and authorizes its Chairman to sign, the
attached Local Agency Program Supplemental Agreement.
2. The Collier County Clerk is directed to forward a certified copy of this Resolution to
FDOT along with the Local Agency Program Supplemental Agreement for execution by
FDOT.
3. This Resolution shall take effect immediately upon adoption.
THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same,this 10th
day of April,2018.
1
16A19
ATTEST: BOARD OF CO. TY CO*SSIONERS
DWIGHT E413ROCK,Clerk OF COLLIE' OUNTY,F CODA
By: Ti .: _- Adak t, By: A
De ty er Sole hairman
Attest as to Chairman s
signature only.
A r: ov•a as to for . Id legality:
S• '. Teac ,
Deputy County Attorney
2
16A19
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010.32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
08,17
Page 1 of 3
SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN)
1 D117 035 B
CONTRACT NO. FEDERAL AWARD DATE
GOR30 10/17/2017
FPN LOCAL AGENCY DUNS NO.
433176-1-58-01
The Agency, Collier County, desires to supplement
the original Agreement entered into and executed on October 24, 2017 as identified above. All
provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this
supplement.
The changes to the Agreement and supplements, if any, are described as follows:
PROJECT DESCRIPTION
Name PINE RIDGE ROAD Length
Termini AT VARIOUS LOCATIONS
Description of Work:
There are no changes to the Scope of Services. Exhibit B of the executed agreement is replaced in its entirety by the
attached Adjusted Exhibit B. The additional funds are needed to fully fund the project based on the lowest responsible
bidder to the project.
1 6 A 1 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
07;17
ADJUSTED EXHIBIT B SCHEDULE OF FUNDING
FPN Page 2 of 3
433176-1-58-01
FUNDING
TYPE OF WORK
B Fiscal Year (1) (2) (3) (4)
(5)
y PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL AGENCY TOTAL STATE&
PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS
Planning
FY:
FY:
FY:
FY:
FY:
FY:
Total Planning Cost $0.00 0.00_ $0.00 $0.00 $0.00
Project Development&
Environment(PD&E)
FY:
FY:
FY:
FY:
FY:
FY:
Total PD&E Cost $0.00 $0.00_ $0.00 $0.00 $0.00
Design
FY:
FY:
FY:
FY:
FY:
FY:
Total Design Cost $0.00_ $0.00 $0.00 $0.00 $0.00
Right-of-Way
FY:
FY:
FY:
FY:
FY:
FY:
Total Right-of-Way Cost $0.00 $0.00 $0.00 $0.00 $0.00
Construction
FY: 2017/2018 $925,572.00 $378,490.00 $1,304,062.00 $1,304,062.00
FY:
FY:
FY:
FY:
---
FY:
Total Construction Cost $925.572.00_ '.378 490.00 $1,304.062.00 $0.00 $1,304,062.00
Construction Engineering and
Inspection(CEI)
FY: 2017/2018 $98,701.00 $98,701.00 $98,701.00
FY:
FY:
FY: _
FY:
FY:
Total CEI Cost X98,701.00 $0.00 $98,701.00 $0.00 $98,701.00
Total Construction&CEI Costs $1,024,273.00 $378,490.00 $1,402,763.00 $0.00 $1,402,763.00_
TOTAL COST OF THE $1,024,273.00 $378,490.00 $1,402,763.00 $0.00 $1,402,763.00
PROJECT
1 6 A 1 9
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525 C G 32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
77'7
Page 3 of 3
IN WITNESS WHEREOF, the parties have executed this Agreement on the date last ascribed herein.
AGENCY COLLIER2JNTY STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION
By: By.
Name: Andy lis Name:
Title: Chairs i, Board of County Title:
Commissioners, Collier County
Florida Date:
Legal Review:
ATTEST
DWIGHT E. BROCK, CLERK
_------fir—c
Attest as to Chairman's
signature only.
ppybved as o f' and legality
a ,j
Ste.tt R.Teach,Deputy County
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