Backup Documents 01/08-09/2013 Item #16E 9ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16E
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 docum nt is already complete with the
exception of the Chairman's signature, draw a line through routing lines #I through #2, complete the checklist. and forward to the County Attomev Office
Route to Addressee(s) (List in routing order)
Office
Initia
s
Date
1.
1.
2.
Agenda Date Item was
1/8/13
Agenda Item Number
3. County Attorney Office
County Attorney Office
SRT
4. BCC Office
Board of County
Commissioners
Exhibit A -1 - Amendment #1 Evans Energy
,
5. Minutes and Records
Clerk of Court's Office
Partners
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created /prepared the Executive Summary. Primary contact informatiob is needed in the event one of the
addressees above, may need to contact staff for additional or missing information.
Name of Primary Staff
Adam No rt rup, Purchasing Department
Phone Number
N/A (Not
52 -6098
Contact / Department
1.
Does the document require the chairman's original signature?
Agenda Date Item was
1/8/13
Agenda Item Number
I6 -E -9
Approved by the BCC
SRT
provide the Contact Information (Name; Agency; Address; Phone) on an attached sheet.
Type of Document
Exhibit A -1 - Amendment #1 Evans Energy
Number of Original
Two
Attached
Partners
Documents Attached
signed by the Chairman, with the exception of most letters, must be reviewed and signed
PO number or account
N/A
by the Office of the County Attorney.
number if document is
4.
All handwritten strike - through and revisions have been initialed by the County Attorney's
to be recorded
SRT
Office and all other parties except the BCC Chairman and the Clerk to the Board
INSTRUCTIONS & CHECKLIST
OKI
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26. evised 2.24.05; R ised 11/30/12
n
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
1.
Does the document require the chairman's original signature?
SRT
-Applicable)
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 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.
I
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 forwardi g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aw a of your deadlines!
8.
The document was approved by the BCC on 1/8/13 and all changes made during the
SXT
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 th
BCC, all changes directed by the BCC have been made, and the document is ready or the
Chairman's signature.
OKI
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26. evised 2.24.05; R ised 11/30/12
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16E 9
MEMORANDUM
Date: January 28, 2013
To: Adam Northrup, Procurement Strategist
Purchasing Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #1 to Contract #07 -4180
Exhibit A -1, "Gasoline & Diesel Fuel"
Contractor: Evans Energy Partners
Attached, is an original of the contract referenced above (Item #16E9),
approved by the Board of County Commissioners on Tuesday, January 8, 2013.
The original will be held on file with the Minutes and Record's Department in the
Board's Official Records.
If you have any questions, please contact me at 252 -8411.
Thank you.
Attachment
16E 9
EXIIIBIT A -1 Contract Amendment # 1 to Contract 07 -4180
"Gasoline & Diesel Fuel"
This amendment, dated January 8, 2013, to the referenced agreement shall be by and between the parties
to the original Agreement, Evans Energy Partners, LLC, d/b /a Evans Oil Company (to be referred to as
"Contractor ") and Collier County, Florida, (to be referred to as "Owner").
Statement of Understanding
RE: Contract # 07 -4180 "Gasoline & Diesel Fuel"
The following change to the above referenced Agreement has been mutually agreed to by the Contractor
and the County. The additions to the existing language in the Agreement are shown herein by
underscoring; deletions from the Agreement are shown by str-ikethreaghs.
Section 3.0 Shall be modified to read:
THE CONTRACT SUM. The County shall pay the Contractor for the performance of this Agreement, an
amount estimated to exceed Three Million Dollars ($3,000,000), based on the aggregate of the units
actually ordered and furnished at the actual price of fuel plus the Contractor markup per gallon as noted
on the Contractor's Bid Response Form. Payment will be made NET IMMEDIATE, upon receipt of a
proper invoice and upon approval by the Fleet Manager or his designee. This payment provision
supersedes and replaces any other provisions regarding time of payment to Contractor contained in this
Agreement or any Attachment that may be in contradiction with said term.
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, the Contractor and the County have each, respectively, by an authorized
person or agent, hereunder set their hands and seals on the date indicated above.
ATTEST:
D—WIGHT E. B OCK, Clerk
F Dwight E. Brocle�Clerk
i0 N tr'f�irF 2
Approved as to form an
L suffi ien
cott R. Teach
Deputy County Attorney
II ii1121 a.14
BOA F OUNW COMMISSIONERS
COLTorg, , FLORIDA
By: A/
a A . Hiller, Chairwoman
n . I ILO
First Witness
FOR EVANS ENEIjGY PARTNERS LLC
d /b /a EVANS OI OMPANY:
IN
Signature
V -e t .
Type /Print Witn ss Name Typed ignature Title Lw
L�bt� —(�, �6n �—
Second Witness
Type /Print Witness Name
2
16E 9