Backup Documents 04/24/2018 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 D 10
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
2.
.2-4k3. County Attorney Office County Attorney Office
4. BCC Office Board of County Commissioners
ae5A-2-4AR
5. Minutes and Records Clerk of Court's Office 1/'7 t f lb '(+
PRIMARY CONTACT INFORMATION �`^�F
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 252-5840
Contact/ Department PTNE Division old ATM Dept)
Agenda Date Item was 04-24-2018 Agenda Item Number
Approved by the BCC . -1-117-;37-TCD,
Type of Document FDOT/FTA Grand Award Award--5310 Number of Original 1
Attached Documents Attached
PO number or account
number if document is to SEE ATTACHED MEMO
be recorded
Special instructions: email a copy to ;ioshuathomasc'colliereov.net &tcssiesillerv( colliergov.net
Fed Ex; (1 original)
Florida Department of Transportation
Paul A. Simmons, Modal Development Administrator
801 N. Broadway Avenue, MS 1-39
Bartow, Florida 33830
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
1. Does the document require the chairman': original sit ature? T
2. Does the document need to be sent to another agency for additional signatures? If yes,provide r---
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 NTT
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
5. The Chairman's signature line date has been entered as the date of BCC approval of the document -7,
or the final negotiated contract date whichever is applicable. �J
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 or
the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 04/24/2018 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. line.
9. initials of attorney verifying that the attached document is the version approved by the BCC,all N/ is not an
changes directed by the BCC have been made,and the document is ready for the Chairman's 0f tion for
signature. --' this line.
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
16010
Coitier County
PUBLIC SERVICES DIVISION
PUBLIC TRANSIT & NEIGHBORHOOD ENHANCEMENT
INTEROFFICE MEMORANDUM
TO: Minutes and Records
DATE: April 24,2018
FROM: Joshua Thomas, Grants Support Specialist
SUBJECT: FY17 5310 Revised Grant Award Mailing Directions
Please mail to FDOT 1 original grant award with original signature signed by the
chairman as soon as possible to the address below via FedEx(Account#952661159).
Provide the PTNE division with a scanned copy.
Mailing address: FDOT, District One
Mr. Paul A. Simmons, District Modal Development
Administrator
Mail Station 1-39
801 North Broadway Avenue
Bartow, Florida 33830
If you have any questions please let me know.
Sincerely,
Joshua Thomas
16D1U
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday, April 26, 2018 10:20 AM
To: 'ThomasJoshua'; 'SilleryTessie'
Subject: Item #16D10 (4-24-18 BCC Meeting)
Attachments: Backup Documents 04_24_2018 Item #16D10.pdf
Good Morning,
A copy of FDOT's FTA Grant Award 5310, that was
approved by the Board this past Tuesday, (#16A10)
is attached for your records. (FedEx info attached also)
The original will be sent out, to Paul Simmons, this afternoon.
Thank you!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Board Minutes & Records Department
239-252-8406
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16D1U
REVISED
NOTICE OF FTA SECTION 5310 GRANT AWARD / FL-16-0042, SFY 2017/18
Based on the Agency's Application for Federal Assistance under 49 U.S.C. Section 5310, which was due to the
Department on or before January 13, 2017 and is on file at the Florida Department of Transportation, District One, 801
North Broadway Avenue, Bartow, Florida 33830 offices, the Department hereby makes the following grant award under
the 49 U.S.C. Section 5310 Program to:
Collier County Board of County Commissioners
3299 East Tamiami Trail, Suite 103,Naples, Florida 34112
As of April 5,2018
Description Estimated Estimated Estimated Estimated
Total Federal State Applicant or
100% 80% 10% Local 10%
(4)22' Standard Buses $342,898.00 $274,318.00 $34,290.00 $34,290.00
(4)Mobile Radios $14,000.00 $11,200.00 $1,400.00 $1,400.00
TOTAL $356,898.00 $285,518.00 $35,690.00 $35,690.00
Financial Management Number: 435210-1-93-14
Federal Award Identification Number(FAIN): 1001-2017-10
ACCEPTANCE OF GRANT AWARD
(To be signed by the recipient and returned to the FDOT District Office)
The undersigned accepts the above-described award and:
a) The Recipient reaffirms its assurances to FTA and FDOT as stated in Exhibits E, F,and G of its application.
b) The Recipient agrees to use and maintain the grant awarded equipment in accordance with the federal and state
program requirements, and for the services described,in its approved application.
c) The Recipient agrees to comply with all applicable civil rights statutes and implementing regulations.
d) The Recipient agrees to contact the FDOT Contractor,Lazara Stinnette,at the Center for Urban
Transportation Research, Florida Transit Research Inspection and Procurement Services(TRIPS)at
813-974-0695 to arrange purchase of the above items. This purchase will follow the Department's Guidelines for
Acquiring Vehicles.
e) The Recipient must do the following PRIOR to the purchase of equipment:
1) Follow FDOT procurement guidance by completing the appropriate third-party checklist in accordance
with the procurement threshold
2) Have it approved by the Department's Transit Project Coordinator
3) The Recipient may now make purchase
4) Compile documents: approved third party check list, invoice(s), proof of payment, and agency invoice to
Department
5) Send all documents to Lazara to request reimbursement
0 The Recipient MUST request purchase of the vehicles/equipment on or before May 15,2018.
g) The Recipient agrees to submit the local matching funds when requested to do so.
h) The Recipient, if it is not a CTC,agrees to submit its Annual Operating Report(AOR)data to the CTC as
requested.
i) The Recipient will forward a copy of its maintenance plan to Ms. Barr by December 31,2018 if you have not
already done so.
j) The Recipient will furnish proof of insurance for the vehicle(s)to Ms. Barr, listing FDOT District One as first
Lien Holder and an additional insured,upon receipt of the vehicle.
Page 1 of 6
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SPECIAL CONSIDERATIONS:
E-Verify
Vendors/Contractors:
1. Shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of
all new employees hired by the Vendor/Contractor during the term of the contract;and
2. Shall expressly require any subcontractors performing work or providing services pursuant to the state contract to
likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the subcontractor during the contract term.
Single Audit Information
1. Please note this award is for a passenger vehicle(s)and/or other capital equipment/costs.The value of the federal
award should be considered as non-cash assistance.A non-Federal entity as defined by OMB Circular A-133, for
fiscal years beginning before December 26,2014,and 2 CFR Part 200,thereafter, as a Subrecipient of this
Federal award,may be subject to the audit requirements established by OMB Circular A-133,for fiscal years
beginning before December 26,2014,and 2 CFR Part 200,thereafter.In determining Federal awards expended in
a fiscal year,the non-Federal entity must consider all sources of Federal awards,including non-cash
contributions.
C� 11 r ear® off, (n( rtT)' C °'►M 1,x t ss i ct) F'r)
AGENCY:
Accepted by: AIWA 'i Date April 24, 2018
(`mature)
Typed Name and Title: Andy Solis, Chairman
Agency Federal Employment Identification Number:
Agency Fiscal Year: ° C-1 S F r'c 6
DUNS Number: 6 1 C q 17 !
FLORIDA DEPARTMENT OF TRANSPORTATION
Award Approved by: Date:
Typed Name and Title: Paul A. Simmons
District`Motial Development Administrator
Ttia T: Approved as to form and legality
DWIGHT E. BROCK, Clerk
•gy: assistant Count lt�►rncY Page 2 of 6
Attest as to C nr.an \ o:
..;....•.h.re nnh
16010
EXHIBIT 1
Federal Financial Assistance
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE AS FOLLOWS:
CFDA No.: 20.513
CFDA Title: Enhanced Mobility of Seniors and Individuals with Disabilities
CFDA Program Site: www.cfda.gov
Awarding Agency: Florida Department of Transportation
Award Amount: *refer to the Vehicle/Equipment delivery notice package for actual purchase
price*
Research & Not Applicable
Development:
Indirect Cost Rate: Not Applicable
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT ARE SUBJECT TO THE
FOLLOWING AUDIT REQUIREMENTS:
2 CFR Part 200 — Uniform Administrative Requirements, Cost Principles & Audit Requirements for Federal
Awards
www.ecfr.gov
OMB Circular A-133,Audits of States, Local Governments and Non-Profit Organizations
www.whitehouse.gov/omb/circulars
OMB Circular A-133 Compliance Supplement
wvvw.whitehouse.gov/omb/circulars
FEDERAL RESOURCES AWARDED PURSUANT TO THIS AGREEMENT MAY ALSO BE
SUBJECT TO THE FOLLOWING:
OMB Circular A-87, Cost Principles for State, Local and Indian Tribal Governments
www.whitehouse.gov/omb/circulars
OMB Circular A-110, Uniform Administrative Requirements for Grants and Agreements with Institutions of
Higher Education, Hospitals and Other Non-Profit Organizations
www.whitehouse.gov/omb/circulars
49 USC 5310: Formula Grants for the Enhanced Mobility of Seniors and Individuals With Disabilities
http://uscode.house.gov/browse.xhtml
FTA Circular 9070.1 G: Enhanced Mobility of Seniors and Individuals With Disabilities Program Guidance and
Application Instructions
www.fta.dot.gov/legislation law/12349.html
Federal Funding Accountability and Transparency Act(FFATA) Sub-award Reporting System(FSRS)
www.fsrs.gov
Page 3 of 6 `
1 6 D 1 0
EXHIBIT 2
Single Audit Requirements
The administration of resources awarded through the Florida Department of Transportation (Department) to the
Subrecipient may be subject to audits and/or monitoring by the Department. The following requirements do not
limit the authority of the Department to conduct or arrange for the conduct of additional audits or evaluations of
Federal awards or limit the authority of any State agency inspector general, the State of Florida Auditor General
or any other State official. The Subrecipient shall comply with all audit and audit reporting requirements as
specified below.
a. In addition to reviews of audits conducted in accordance with OMB Circular A-133, for fiscal years
beginning before December 26, 2014, and in accordance with 2 CFR Part 200, Subpart F - Audit
Requirements, for fiscal years beginning on or after December 26, 2014, monitoring procedures may
include but not be limited to on-site visits by Department staff and/or other procedures including,
reviewing any required performance and financial reports, following up, ensuring corrective action, and
issuing management decisions on weaknesses found through audits when those findings pertain to
Federal awards provided through the Department by this Award. By accepting this Award, the
Subrecipient agrees to comply and cooperate fully with any monitoring procedures/processes deemed
appropriate by the Department. The Subrecipient further agrees to comply and cooperate with any
inspections, reviews, investigations, or audits deemed necessary by the Department, State of Florida
Chief Financial Officer(CFO)or State of Florida Auditor General.
b. The Subrecipient, a non-Federal entity as defined by OMB Circular A-133, for fiscal years beginning
before December 26, 2014, and as defined by 2 CFR Part 200, Subpart F - Audit Requirements, for
fiscal years beginning on or after December 26, 2014, as a subrecipient of a Federal award awarded
through the Department, is subject to the following requirements:
i. In the event the Subrecipient expends a total amount of Federal awards equal to or in excess of
the threshold established by OMB Circular A-133, for fiscal years beginning before December
26, 2014, and established by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years
beginning on or after December 26, 2014, the Subrecipient must have a Federal single or
program-specific audit for such fiscal year conducted in accordance with the provisions of OMB
Circular A-133, for fiscal years beginning before December 26, 2014, and in accordance with the
provisions of 2 CFR Part 200, Subpart F -Audit Requirements, for fiscal years beginning on or
after December 26, 2014. Exhibit 1 to this Agreement provides the required Federal award
identification information needed by the Subrecipient to further comply with the requirements of
OMB Circular A-133, for fiscal years beginning before December 26, 2014, and the
requirements of 2 CFR Part 200, Subpart F -Audit Requirements, for fiscal years beginning on
or after December 26, 2014. In determining Federal awards expended in a fiscal year, the
Subrecipient must consider all sources of Federal awards based on when the activity related to
the Federal award occurs, including the Federal award provided as noncash assistance through
the Department by this Award. The determination of amounts of Federal awards expended
should be in accordance with the guidelines established by OMB Circular A-133, for fiscal years
beginning before December 26, 2014, and established by 2 CFR Part 200, Subpart F - Audit
Requirements, for fiscal years beginning on or after December 26, 2014. An audit conducted by
the State of Florida Auditor General in accordance with the provisions of OMB Circular A-133,
for fiscal years beginning before December 26, 2014, and in accordance with 2 CFR Part 200,
Subpart F -Audit Requirements, for fiscal years beginning on or after December 26, 2014, will
meet the requirements of this part.
Page 4 of 6
16010
ii. In connection with the audit requirements, the Subrecipient shall fulfill the requirements relative
to the auditee responsibilities as provided in OMB Circular A-133, for fiscal years beginning
before December 26, 2014, and as provided in 2 CFR Part 200, Subpart F-Audit Requirements,
for fiscal years beginning on or after December 26, 2014.
iii. In the event the Subrecipient expends less than the threshold established by OMB Circular A-
133, for fiscal years beginning before December 26, 2014, and established by 2 CFR Part 200,
Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014, in
Federal awards, the Subrecipient is exempt from Federal audit requirements for that fiscal year.
However, the Subrecipient must provide a single audit exemption statement to the Department at
FDOTSingleAuditndot.state.fl.us no later than nine months after the end of the Subrecipient's
audit period for each applicable audit year.
iv. The Subrecipient must electronically submit to the Federal Audit Clearinghouse (FAC) at
httns://harvester.census.gov/facweb/the audit reporting package as required by OMB Circular A-
133, for fiscal years beginning before December 26, 2014, and as required by 2 CFR Part 200,
Subpart F - Audit Requirements, for fiscal years beginning on or after December 26, 2014,
within the earlier of 30 calendar days after receipt of the auditor's report(s) or nine months after
the end of the audit period. The FAC is the repository of record for audits required by OMB
Circular A-133, for fiscal years beginning before December 26, 2014, and for audits required by
2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years beginning on or after
December 26, 2014, and this Award. However, the Department requires a copy of the audit
reporting package also be submitted to FDOTSingleAudit@dot.state.fl.us within the earlier of 30
calendar days after receipt of the auditor's report(s) or nine months after the end of the audit
period as required by OMB Circular A-133, for fiscal years beginning before December 26,
2014, and as required by 2 CFR Part 200, Subpart F - Audit Requirements, for fiscal years
beginning on or after December 26,2014.
v. Upon receipt, and within six months, the Department will review the Subrecipient's audit
reporting package, including corrective action plans and management letters, to the extent
necessary to determine whether timely and appropriate action on all deficiencies has been taken
pertaining to the Federal award provided through the Department by this Award. If the
Subrecipient fails to have an audit conducted in accordance with OMB Circular A-133, for fiscal
years beginning before December 26, 2014, and in accordance with 2 CFR Part 200, Subpart F-
Audit Requirements, for fiscal years beginning on or after December 26, 2014, the Department
may impose additional conditions to remedy noncompliance. If the Department determines that
noncompliance cannot be remedied by imposing additional conditions, the Department may take
appropriate actions to enforce compliance.
vi. As a condition of receiving this Federal award, the Subrecipient shall permit the Department, or
its designee, the CFO or State of Florida Auditor General access to the Subrecipient's records
including financial statements, the independent auditor's working papers and project records as
necessary. Records related to unresolved audit findings, appeals or litigation shall be retained
until the action is complete or the dispute is resolved.
vii. The Department's contact information for requirements under this part is as follows:
Office of Comptroller,MS 24
605 Suwannee Street
Tallahassee, Florida 32399-0450
Page 5 of 6
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FDOTSingleAudit@dot.state.fl.us
c. The Subrecipient shall retain sufficient records demonstrating its compliance with the terms of this
Agreement for a period of five years from the date the audit report is issued and shall allow the
Department, or its designee, the CFO or State of Florida Auditor General access to such records upon
request. The Subrecipient shall ensure that the audit working papers are made available to the
Department, or its designee, the CFO, or State of Florida Auditor General upon request for a period of
five years from the date the audit report is issued unless extended in writing by the Department.
Page 6 of 6
1 6 D 10
OMB Number:4040-0004
Expiration Date:8/31/2016
Application for Federal Assistance SF-424
*1.Type of Submission: "2.Type of Application: •If Revision,select appropriate letter(s):
Preapplication ®New
Z Application Continuation •Other(Specify):
El Changed/Corrected Application Revision
•3.Date Received: 4.Applicant Identifier:
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State: 7.State Application Identifier: 1001
8.APPLICANT INFORMATION:
•a.Legal Name: Collier County Board of County Commissioners
"b.Employer/Taxpayer Identification Number(EIN/TIN): *c.Organizational DUNS:
59-6000558 0769977900000
d.Address:
•Streett: 3299 East Tamiami Trail #103
Street2:
"City: Naples
County/Parish:
State: FL: Florida
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: 34112
e.Organizational Unit:
Department Name: Division Name:
PublicTransit&NBHD Enhancement Public Services
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mrs. •First Name: Yousi
Middle Name:
*Last Name: Cardeso
Suffix:
Title: Operations Analyst
Organizational Affiliation:
Employee
'Telephone Number: 239-252-5886 Fax Number: 239-252-6754
'Email: yousicardeso@colliergov.net
1 6 D 1 0
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
B: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
•Other(specify):
•10.Name of Federal Agency:
Federal Transit Administration
11.Catalog of Federal Domestic Assistance Number:
20.513
CFDA Title:
Formula Grants for the Enhanced Mobility of Senior and Individuals with Disabilities
*12.Funding Opportunity Number:
Title:
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
Community of Immokalee, Naples, Marco Islan Add Attachment Delete AttO hirtortt View Attachment
*15.Descriptive Title of Applicant's Project:
Capital Assistance for replacement of paratransit vehicles that have outlived their useful life.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
ehts
CO)"
16010
Application for Federal Assistance SF-424
16.Congressional Districts Of:
•a.Applicant 19&25 *b.Program/Project
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
`a.Start Date: 10/01/2017 *b.End Date: 09/30/2018
18.Estimated Funding($):
*a.Federal 285,518.00
*b.Applicant 35,690.00
•c.State 35,690.00
*d.Local '
e.Other
*f. Program Income
*g.TOTAL 356,898.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
a.This application was made available to the State under the Executive Order 12372 Process for review on
® b.Program is subject to E.O. 12372 but has not been selected by the State for review.
• c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
El Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application,I certify(1)to the statements contained in the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
® **I AGREE
**The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. *First Name: Andy
Middle Name:
*Last Name: Solis
Suffix:
*Title: Chair
*Telephone Number: 239-252-8604 I, Fax Number:
*Email: Andy.Solis@colliercountyfl.gov
*Signature of Authorized Representative: *Date Signed: 4/24/18
Approved as to toren and legality
DWIGHT SR(OK. Mark +,
Oat115)
Q� o airman's f .
BY: rannature 0n1y. Assistant County A t rney