Backup Documents 09/10/2013 Item #16A42ORIGINAL DOCUMENTS CHECKLIST & ROUTING S�I� a
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO L•
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.
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 routine lines # 1 through #2_ complete the checktict and forward to the rminty Attnm~ [ltii-
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
Initial
Applicable)
2.
9/10/13 V
Agenda Item Number
16 -A-42
3. County Attorney Office
County Attorney Office
SRT
9/10/13
4. BCC Office
Board of County
Commissioners
6
One of each
5. Minutes and Records
Clerk of Court's Office
Documents Attached
�3�3
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 missive information.
Name of Primary Staff
Daniel Hall, Tr sportation Engineering
Phone Number
252 -6077
Contact / Department
appropriate.
Initial
Applicable)
Agenda Date Item was
9/10/13 V
Agenda Item Number
16 -A-42
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
SRT
See Para 2
Type of Document
Resolution — Local Agency Program
Number of Original
One of each
Attached
I Supplemental Agreement
Documents Attached
PO number or account
N/a
number if document is
by the Office of the County Attorney.
to be recorded
All handwritten strike - through and revisions have been initialed by the County Attorney's
SRT
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revis vised 11/30/12
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
See Para 2
provide the Contact Information (Name; Agency; Address; Phone on an attached sheet.
of Reso
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
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 9/10/13 and all changes made during the
SRT
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 a
SRT .
BCC, all changes directed by the BCC have been made, and the document is ready or the
Chairman's signature.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revis vised 11/30/12
16A42!
MEMORANDUM
Date: September 16, 2013
To: Dan Hall, Sr. Project Manager
Transportation Engineering & Construction Mgmt.
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Resolution 2013 -171: Authorizing an LAP Agreement
with FDOT for sidewalks on Bayside Street, Calusa Avenue and
Caledonia Avenue
Attached per your request is a certified copy of the Resolution and accompanying
LAP Agreement (Agenda Item #16A42) referenced above, adopted by the Board of
County Commissioners Tuesday, September 10, 2013.
Please forward a fully executed original to the Minutes and Records Department to
be kept as part of the Boards Official Records.
If you have any questions, please call me at 252 -7240.
Thank you.
Attachment
16A42 1
RESOLUTION NO. 2013 - 171
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER
COUNTY FLORIDA, APPROVING, AND AUTHORIZING ITS CHAIR TO EXECUTE A
LOCAL AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE
OF FLORIDA DEPARTMENT OF TRANSPORTATION FOR SIDEWALKS ON
BAYSIDE STREET, CALUSA AVENUE, AND CALEDONIA AVENUE.
WHEREAS, the State of Florida Department of Transportation (FDOT) and Collier County entered
into a Local Agency Program Agreement (the "Agreement') on November 29, 2012, wherein FDOT agreed
to reimburse Collier County up to the sum of $138,629 out of an estimated $154,663.39 total project cost
for sidewalks on the west side of Bayside Street from US 41 to the Shadowlawn Elementary School, the
south side of Caledonia Avenue from Andrew Drive to Airport- Pulling Road, and the south side of Caledonia
Avenue from Andrew Drive to Airport- Pulling Road; and
WHEREAS, FDOT and Collier County wish to amend the Agreement by entering into the attached
Supplemental Agreement to correctly reflect the project limits; and
WHEREAS, 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 Chairwoman to sign, the attached
Supplemental Agreement.
2. The Collier County Clerk will forward a certified copy of this Resolution to FDOT along with the
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
l&-�h day of September, 2013.
;• i?r ...
ATTW'
DWIGHT-E. BROM Clerk
By:
uty Jerk
Attest asto.Caiis e J
signature ont ,
Approved as to form and legality:
(�4 # il�.
Scott R. Teach, Esq.
Deputy County Attorney
BOA OF COUNTY COMMISSIONERS
OF O �L ! R COUNTY, FLORIDA
i
By:
GEORGIA A. HILLER, ESQ,
Chairwoman
16A 41
R10M CUM SUPPORT
IMS
Page Iof2
SUPPLEIANTAL NO. SWE OF FLaRM DEPAmMENr OF IPANSPORTATM FPN
01 LOCAL AGENCY PROGRAM 420915 -1 -58.01
DUNS NO. SUPPLEMENTAL CONTRACT NO.
07414197M AGREEMENT ACU96
The Collier County desires to supplement the
original Agreement er>mred Into and executed on November 29- 2012 as idernilled above. AN provisions In the original
Agreement and supplements, If any, remain in effect except as expressly modified by We supplement.
Th@VwVes to the Agreement and supplements, if arty, are deecribed as follow.:
PROJECT DESCRIPTION
Name Sidawalks Lenglh WA
Termini SjadaMawn sktewalks at various lg2 dons
Desm"on of Work:
The executed LAP Agreement is amended as follows:
1) Exhibit "A ", Project Description, page 1 of 2 modified to reflect the following correct project limits:
Caledonia Avenue (Andrew Dr. to Airport Road) V concrete sidewalk on north side of roadway.
Reason for Supplement:
The sidewalk location on Caledonia Avenue was changed from the south side to the north side due to drainage
modifications made on the south *We. Exhibit "A ", Project Description for Caledonia Avenue location was
revised to reflect the current project limits.
C
525.01D -U
PRODUCTION SUPPORT
12109
Page 2 of 2
SUPPLEMENTAL NO. STATE OF FLORIDA DEPARTMENr OF TRANSPORTATION FPN
01 LOCAL AGENCY PROGRAM 429915 -1 -58-01
SUPPLEMENTAL
DUNS NO. AGREEMENT CONTRACT NO.
07- 8997790 AOU96
IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written.
AGENCY CO R COU
I
Name: GE CT' A" "A. FIT -ELER r ESQ .
Titre: BoC Gt>bw= or Design"
Attest•
Title: or a t r-�av -a.+4 i CdK
A4kt4St as t0 or Desi�nw
gj �uresogjhember ` 10 2013
As to form:
Attorney
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
BY
Name:
Title: r of Transportation Development
C
Attest:
Name:
Title: Executive SJoretm,
Date: /o I I S ILI 3
Legal Review:
r1
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Office of the General Coun I