Backup Documents 07/24/2012 Item #16D12ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI4 6 D 1 f
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through 44 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 #I through #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1.
7/24/2012
Agenda Item Number
16 -D -12
2.
Original document has been signed/initialed for legal sufficiency. (All documents to be
3.
Transportation Electronic Award
Number of Original
1
4. Scott Teach, Attorney
County Attorney
Documents Attached
5. Ian Mitchell, Executive Manager
Board of County Commissioners
$ /
6. Minutes and Records
Clerk of Court's Office .
�m
co) A �Z
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Contact
Glama Carter
Phone Number
239 - 252 -5832
Agenda Date Item was
7/24/2012
Agenda Item Number
16 -D -12
Approved by the BCC
Original document has been signed/initialed for legal sufficiency. (All documents to be
Type of Document
Transportation Electronic Award
Number of Original
1
Attached
Management System (Team) - User Access
Documents Attached
Request
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
a ro riate.
(Initial)
Applicable)
1.
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. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2.
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
3.
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.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
CV
siv,nature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval.
4
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!
6.
The document was approved by the BCC on 7/24/2012 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
1/
IF
The Count Attorney's Office has reviewed the changes, if applicable.
'$
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16D12
MEMORANDUM
Date: August 2, 2012
To: Glama Carter,
Principal Planner -CAT
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Transportation Electronic Award Management System
(Team) — User Access Request
Attached, you will find one (1) original of the documents referenced above,
(Agenda Item #16D12), approved by the Board on Tuesday, July 24, 2012.
If you should have any questions, please contact our department at 252 -8411.
Thank you.
16 D-12-
Transportation Electronic Award Management System (TEAM)
Grantee / Recipient User Access Request
(Check A"Ilcable Beat. N New User WMh Pin Modify user uoernonle
Now user VWtl►out Pin ppied User Name Charon Ranu.at
Warning: The information contained in this for Is Protected under Public Law 93 -579, Privacy Act. I
Stephen Y Camell
First Name* MA Last Norms-
Interim Division Administrator - Public Services
Collier County, FL 1032
Intimson Nam* Rat 10
np Addrsss(Sk" Number, City, State wW ZIP Code) -
3339 Tamlamt Trail E. Suite 0214
Naples FL, 34112
ty Assurance
Production and QA
it Access Type
r Jnly
odnyNpdate
R191fts (No PIN Needed)
BE Reporting
a60.I I a now MWacccwKorMW
Recipient PIN Functions
ubmrt Application
Execute Awards
Certify as Lawyer
ertity as offical
ffertify as Both Lawyer and Offiicaat
rov,de Supplemental Agreement
239. 252 -SW
Office Phone-
FAX Number
not
Email
Users kml&tft Signature (nee ireftclone r.
Fred W. Coyle w
Printed Name of above rata a
Designated Recipient 10(s) (Indicate Below)
#1032
Yr
Metropolitan Planning Organization (MPO) (�
(PIN Functions require Designation of Signature Authority on Organization /Agency Letterhead.
L
IT
e� f-4
'3'
As a TEAM war. I understand that 1 am personally responsible for tie use and misuse of my TEAM login ID and password. 1 understand that by regws" T
access and at�kplwNp such access Rat I must comply with the following:
1. When downloading sansRfvs information, l will ensure that Re information has the same level of protection as FTA applications, Ui L
2. 1 Wit !!!Z; permit anyone to use my TEAM access kdormation (i.e. user ID, password or otter audienticalion). My password (or oeet sutiistticegpn) wit be
private, not accred in a Piece tint is accessible by anyone odder than the mysel! 0.9. family members, friends, ate.). K stored, the password wN not be In text form
3. 1 will follow standard password procedures and flange my password every sbdy (60) days. My passwords will be of West twelve (12) siphrtimerlc characters
and contain at West three of the following: one (1) capital Wtler, one (1) lower case letter. one (1) number and one (1) special character.
. 1 will report any security problems and anomalies in system performance to the appropriate FTA Office.
5. 1 will notiy fine appropriate FTA Oflloe to alminele my TEAM access in the evert of job trarnsier, termination. or if TEAM access W no longer required.
6. 1 undetsfarld that 91 sm not using FTA-W ippled equipment and FTA suffers a security breach or compromise tttat Is my fault. I may be required to slow acmes
to my equipment by authorized representatives of Re Federal Goviomment to determine Rte causes and to take correctlw sction(s),
apes to and will comply with all of these condldons and understand Mat faltre to do so will result in permanent removal of my TEAM access, and may result in
*w discipiary or legal action. By soft my name in the space below. I hereby acknowledge this agreement, end ready Rat I understand the preceding terms
s and that 1 accept tie of adhering to the same.
TA Functional Approval I FTA Operational Approval
! /
of Autiorizirg FTA Official Dale
iFAM rksan+errr uao Am... a.qu..k Farm
R.wwr 64=11
S prisl re of Iupwrtrig FTA Official
Printed Name
TWO / office
s1
i r
C
ORIGINAL DOCUMENTS CHECKLIST &ROUTING SLIP16012
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only aft the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #I through #4 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 #I through #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
List in routing order
Office
Initials
Date
1.
appropriate.
Initial
4
2.
7/24/2012
Agenda Item Number
16.D.12
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4. Scott Teach, Attorney
County Attorney's Office
Number of Original
III , 1
5. Kristi Bartlett, Executive Aid to
BCC
Board of County Commissioners
Documents Attached
1
6. Minutes and Records
Clerk of Court's Office
m iM - S. (nel(
��
t �20(c2
LEI
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC offence only after the BCC has acted to approve the
item.
Name of Primary Staff
Brandy Otero
Phone Number
252 -5859
Contact
appropriate.
Initial
4
Agenda Date Item was
7/24/2012
Agenda Item Number
16.D.12
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
User Access Request Form — TEAM &
I
Number of Original
1
Attached
Designation of Signature Authori Form
Documents Attached
1
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24 -y&
�-
Initial the Yes column or mark "N /A" in the Not Applicable columnjwhichever is
Yes
N/A (Not
appropriate.
Initial
Applicable)
1.
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. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.
2.
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
3.
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.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval.
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!
6.
The document was approved by the BCC on 7/242012 (eater date) and all
changes made during the meeting have been incorporated in the attached document.
The County Attorney's Office has reviewed the ebanges, if applicable.
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24 -y&
�-
16012 1
Transportation Electronic Award Management System (TEAM)
Grantee 1 Recipient User Access Request
Check Applicable Box:
New User With Pin
Mod ty User usemame _
New User Without Pin F.
Oelete User Name Change Request
USER INFORMATION
Gender (Optional) M G F
Nick Casalangulda 239 -252 -6064
f irst Name' Mll East Name' Office Phone' w
Division Administrator GMD
Title FAX Number ♦O
Collier County, FL 1032 Nickcasalanguida @colliergov.net
Organization Name` Recipient ID Email Address' y
R
Mailing Address(S(reet Number. City State and ZIP Code)* _
28 Horseshoe Drive North User's Authonzinq Signature (see instruction,
00 Q
Naples FL, 34104 Fred W. Coyle
96
Pnnted Name of above late N'
t
c inrotmatm,s mwitied In isfablish or modify Your TEAM user accouff BY COMPWNV WS WM YOU expressly 3ftV Mat information is nun and rwnpkrp ,. the bPV nf Vow
-vabd ,formation will be grounds for refusal to establish anew user a munr or the oasis for deletion or an existing TEAM account
r
#1032
J
cii =
tu
P
ACKNOWLEDGMENT OF RULES OF CONDUCT FOR SYSTEM USE
As a I LAM user, i understand that I am personally responsiole for the use and misuse of my T F AM login ID and password i understand that by requesting TEAM
access and acceptinglusing such access that I must comply with the fohowvig
1 When downloading sensitive information I will ensure that the information has the same level of protection as ETA applications
2 1 will not permit anyone to use my TEAM access information (i.e user ID. password of other authentication) My password (or other authentication) will be kept
private not stored in a place that is accessible by anyone other than the myself (i.e. family members, friends. etc.! It stored the password will not be in text format
3 1 will follow standard password procedures and change my password every sixty (60) days My passwords will beat least twelve (12) alphanumeric characters
and contain at least three of the following one (1) capital letter. one (1) lower case letter. one (1) number and one (1) special character.
4. 1 will report any security problems and anomalies in system performance to the appropriate FTA Office.
5 1 will notify the appropriate f TA Office to eliminate my TEAM access in the event of job transfer termination, or if TEAM access is no longer required
6 1 understand that 61 am not using FTA- supplied equipment and FTA suffers a security breach or compromise that is my fauft, I maybe required to allow access
to my equipment by authorized representatives of the Federal Government to determine the causes and to take corective action(s).
I agree to and will comply with all of these conditions and understand that failure to do so will result in permanent removal of my TEAM access, and may result in
other disciplinary or legal action By signing my name in the space below. I hereby acknowledge this agreement, and certify that 1 understand the preceding terms
�and prow and that 1 accept a resp sibitity of adhering to the same.
;q I�-
r. . Date nnted Name
FTA AUTHORIZATION
Signature of Authorizing FTA Official Date
Signature of Authorizing FTA Official
Printed Name
Printed Name
T -itle i Office
Title 1 Office
Date Processed UserlD
4M PrClIfi1ENT UW A0--9 Rwiuesi Fpm+
.--d 5'6;203 t
Q
i.
to
t�
0
r6)
O
a
fL
0
16D12
Designation of Signature Authority for the
Transportation Electronic Award & Management
( "TEAM ") Process Designee
The Collier County Board of County Commissioners, Collier County, Florida, at its July 24,
2012, meeting authorized its Interim Division Administrator for the Public Services Division,
Stephen Y. Carnell, to be assigned and use a Personal Identification Number (PIN) for the
ministerial function pertaining to the execution of annual certifications and assurances issued by
the Federal Transit Administration ( "FTA "), relating to the submission of all FTA grant
applications and FTA grant awards and agreements approved by the Board of County
Commissioners, for the FTA's Transportation Electronic Award and Management System
( "TEAM ").
ATTEST:
Dwight E, Brock;'Clerk
4 ;
By: pp^_
Print Name: Ivy Cj,1�
Attest as to chair
Approved as to form and
ufficiency:
cott Teach
Deputy County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA,
By: C�,� I
Fred W. Coyle, Chairman
Date: July 24, 2012