Backup Documents 10/11/2011 Item #16C2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP S
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
ROUTING SLIP
Complete routing lines # I through #4 as appropriate tier additional signatures. dates. and/or information needed. If the document is already complete with the
exception of the Chairman's signature, draw aline through routing lines #1 throw #4. complete the checklist. and forward to Sue Filson I line #i).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
I.
approPriate.
(Initial)
Applicable)
7
October 11, 2011
Agenda Item Number
16c2
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4.
Amendment to Agreement
Number of Original
2
5. Ian Mitchell, Supervisor
Board of County Commissioners
✓
i Oi 2p
6. Minutes and Records
Clerk of Court's Office
19 711311;A•(IZI)a rTO 810 2111 Ciu"li 1W
(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
Ray Smith
Phone Number
252 -2502
Contact
approPriate.
(Initial)
Applicable)
Agenda Date Item was
October 11, 2011
Agenda Item Number
16c2
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Amendment to Agreement
Number of Original
2
Attached
I
I Documents Attached
INSTRUCTIONS & CHECKLIST
I: Fortes/ County Forms/ BC'C Forms/ Original Documents Routing Slip W WS 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
approPriate.
(Initial)
Applicable)
1.
Original document has been signed/initialed for legal sufficiency. (All documents to be
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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
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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
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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
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signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
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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 10 /11 /11) and all changes made during
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the meeting have been incorporated In the attached document. The County
Attorney's Office has reviewed the changes, if applicable.
I: Fortes/ County Forms/ BC'C Forms/ Original Documents Routing Slip W WS Original 9.03.04. Revised 1.26.05. Revised 2.24.05
16 C 2'
MEMORANDUM
Date: October 21, 2011
To: Ray Smith, Director
Pollution Control & Prevention
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Amendment #3 to Agreement #OT061098
Attached are the two originals (Agenda Item #16C2) referenced above, approved
by the Board of County Commissioners February 8, 2011.
After forwarding to the South Florida Water Management District for
signature please return a fully executed original to the Minutes and Record's
Department for the Board's Official Record.
If you have any questions, please call me at 252 -7240.
Thank you.
Attachments (2)
16 C 2'
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
September 2, 2011
Mr. Raymond Smith
Collier County
Pollution Control & Prevention Department
3301 East Tamiami Trail, Bldg. H
Naples, FL 34112
Dear Mr. Smith:
Ground Delivery
Federal Express: 795145902483
Subject: Contract # OT061098 -A03
Groundwater Quality Monitoring
Enclosed please find two (2) copies of the above referenced document stamped
"Original". Please have both documents executed by an individual with signature
authority on behalf of your organization and return both originals to my attention within
two (2) working weeks. If applicable, and not previously submitted, a Certificate of
Insurance reflecting the required coverage(s) as well as documentation to demonstrate
official delegation of signature authority up to the contract monetary limits should also
be provided with the executed documents. Any delays in the return of the documents
may jeopardize the availability of funding. A fully executed original will be returned to
you for your files upon execution by the South Florida Water Management District
(District).
Your cooperation and timely response will be greatly appreciated. Note that this
document is not binding on the parties until it is approved by the appropriate level of
authority within the District and executed by both parties. Should there be any
questions, or if you require any additional information, please do not hesitate to contact
me.
Sincerely,
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Sharman Rose
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Contract Specialist
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Procurement Bureau
shrose @sfwmd.gov
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(561) 682 -2167
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FAX: (561) 682 -5624
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Enclosure
3301 Gun Club Road, West Palm Beach, Florida 33406 - (561) 686 -8SW FL M-Xll5 1- 800 - 432 -204;
Mailing Address: P.O. Box 24680, West Palm Beach, Fl_ 3 1416 -46h0 .go%,
�.6 C 2 ORIGINAL
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
AMENDMENT
OT061098 -A03
AMENDMENT NO. 03
TO AGREEMENT NO. OT061098
BETWEEN THE
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
AND
BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA
This AMENDMENT NO. 03, entered into on , to
that AGREEMENT dated January 09, 2007, and as amended on December 15, 2009 (A01) and
February 8, 2011, between "the Parties," the South Florida Water Management District
(DISTRICT), and Board of County Commissioners, Collier County, Florida (COUNTY).
WITNESSETH THAT:
WHEREAS, the AGREEMENT may be amended with the prior written approval of the
Parties; and
WHEREAS, the Parties wish to amend the AGREEMENT in order to exercise the
option to extend the period of performance for an additional year;
NOW THEREFORE, the DISTRICT and the COUNTY, in consideration of the mutual
benefits flowing from each to the other, do hereby agree as follows:
1. The term of the AGREEMENT is hereby extended by One (1) Year and the expiration
date, as amended, is September 30, 2012. Regardless of the actual date of execution, this
AMENDMENT NO. 03 shall be effective as of October 01, 2011.
2. Upon completion of the Fiscal Year 2012 option, the DISTRICT reserves the right to
extend the period of performance for any subsequent year. This option shall be exercised
at the sole discretion of the DISTRICT and subject to DISTRICT Governing Board
budgetary approval for Fiscal Year 2013. No work for this subsequent year shall be
authorized until such time as the COUNTY has received written notification from the
DISTRICT exercising the option.
3. All other terms and conditions of the AGREEMENT remain unchanged.
Amendment No. 03 to Agreement No. OT061098 - Page I of 2
16C 2'
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
AMENDMENT
IN WITNESS WHEREOF, the parties or their duly authorized representatives hereby
execute this AMENDMENT NO. 03 on the date first written above.
SOUTH FLORIDA WATER MANAGEMENT DISTRICT
SFWMD PROCUREMENT APPROVED
Dorothy A. Bradshaw, Procurement Bureau Chief
By:
Date:
BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA
By: ""IL- W. �
Fred Coyle
Title:
Chairman
Approved as to form & legal Sufficiency
Assist'aRf County Attorney
By:
Attest._ '. to, N-f*A, A
s i ;aatfrF -Awn I
Amendment No. 03 to Agreement No. OT061098 - Page 2 of 2