Backup Documents 11/08/2011 Item #16A12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A
1 � ,
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#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#1 through#4,complete the checklist,and.forward to Sue Filson(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
1.
2.
3.
4. Scott Teach,Deputy County Attorney County Attorney's Office 5..1e/
5. Ian Mitchell,Supervisor Board of County Commissioners 1s
6. Minutes and Records Clerk of Court's Office
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 Yousi Cardeso Phone Number (239)252-5886
Contact
Agenda Date Item was November 8,2011 Agenda Item Number +444
Approved by the BCC (4 A 1 Z /e-/'
Type of Document Notification of Funding Number of Original 1
Attached Documents Attached
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. Original document has been signed/initialed for legal sufficiency.(All documents to be signed by the YC
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 N/A
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 YC
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 YC
initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip should be YC
provided to Ian Mitchell 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 November 8,2011 and all changes made during YC
the meeting have been incorporated in the attached document.The County Attorney's Office
has reviewed the changes,if applicable.
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I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05
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16A 12
MEMORANDUM
Date: November 16, 2011
To: Yousi Cardeso, Administrative Assistant
Alternative Transportation Modes
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Notification of Funding
Fiscal Year 2011-2012 FTA Section 5311 Funding
Contract #A0W89
Attached for further processing, please find an original as referenced above, (Item
#16Al2) adopted by the Board of County Commissioners on Tuesday, November
8, 2011.
Please return a fully executed original back to the Minutes & Records
Department for the Board's Official Records.
If you should have any questions or need further assistance, please feel free to
contact me at 252-8411.
Thank you.
Attachment (1)
16Al2
Florida Department of Transportation
RICK SCOTT 801 North Broadway Avenue ANANTH PRASAD,P.E.
GOVERNOR Bartow, Florida 33830 SECRETARY
October 11, 2011
Michelle Arnold, Director
Alternative Transportation Modes
2885 South Horseshoe Drive
Naples, Florida 34104
RE: FISCAL YEAR 2011/2012 FTA SECTION 5311 FUNDING
CONTRACT No: AOW89 FM No: 410120-1-84-30
NOTIFICATION OF FUNDING
Dear Ms. Arnold:
Your agency has complied with all of the program requirements necessary to qualify for receipt
of your annual allocation of Section 5311 funding. As you may recall, a multi-year Joint
Participation Agreements (JPA) for the Section 5311 program was executed on March 10, 2008.
The Fiscal Year 2011/2012 allocation for Collier County is $ 256,334.00 in federal funds.
I have attached a Multi-Year JPA Notification of Funding form. I have also attached a copy of
the Department's approved encumbrance form for this project. Both forms contain the formula
allocation your agency is receiving for this upcoming fiscal year.
The Multi-Year JPA Notification of Funding form has a space for a required signature from an
agency representative. The form is then to be returned to this office for further processing.
Should you have any questions, please feel free to contact Ms. Julia B. Davis, Transit Projects
Coordinator, at (239) 656-7800 or via e-mail at Julia.Davisc dot.state.fl.us.
Sincerely,
Terry W. Be h m�
Modal Development Administrator
TWB:JBD:sbs
Attachments 2
cc: Richard Shine, Transit Programs Administrator, FDOT
Jan Parham, Transit Projects Coordinator, and FTA 5311 Program Coordinator, FDOT
Julia B. Davis, AICP, Transit Projects Coordinator, FDOT
rf7 13 2011
www.dot.state.fl.us y
16A 12
FY 2011/2012
MULTI-YEAR JOINT PARTICIPATION AGREEMENT
NOTIFICATION OF FUNDING
In accordance with the terms of the Joint Participation Agreement between
Collier County Board of County Commissioners
(Agency)
2885 South Horseshoe Drive; Naples, Florida 34104
and the Department, Public Transit 5311 Operating Funding
(Program or Project Type)
identified by project number AOW89 / 410120-1-84-30
(Contract#and/or Project#)
the Department has encumbered $ 256,334.00 using project#410120-1-84-30
(Project#w/new sequence)
for use beginning upon the Department's receipt of this agreement signed by the
Agency.
DEPARTMENT REPRESENTATIVE AGENCY REPRESENTATIVE
Terry W. Beacham Fred W. Coyle, Chairman
Name Typed or Printed Name Typed or Printed
W
Signature Signature
6.Q 20t(
Date Date
ATMS?* ,. A sd to i legal rkkagY
�.:Y WIGHT't e,8ftC: I
t )secatA ( ,Deputy County Attorney
Atteo as to Chairate
iicnature Q414
4
16A
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Davis, Julia
From: The job FI989WMR
Sent: Monday, October 10, 2011 3:16 PM
To: Davis, Julia
Subject: FUNDS APPROVAL/REVIEWED FOR CONTRACT AOW89
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
Contract #A0W89 Contract Type: AN Method of Procurement: G
Vendor Name: COLLIER COUNTY B
Vendor ID: VF596000558004
Beginning date of this Agmt: 03/10/08
Ending date of this Agmt: 12/31/12
Contract Total/Budgetary Ceiling: ct = $1,393,113.00
************************************************************************
Description:
41012018426;41012018426;
************************************************************************
ORG-CODE *E0 *OBJECT *AMOUNT *FIN PROJECT *FCT *CFDA
(FISCAL YEAR) *BUDGET ENTITY *CATEGORY/CAT YEAR
AMENDMENT ID *SEQ. *USER ASSIGNED ID *ENC LINE(65)/STATUS
Action: SUPPLEMENTAL Funds have been: APPROVED
55 012020129 *PT *790004 * 256334.00 *41012018430 *215 *20.509
2012 *55100100 "088774/12
5008 *00 *S 12 A *0011/04
TOTAL AMOUNT: *$ 256,334.00 *
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER
DATE: 10/10/2011
5311
CO () it/7-
FY /v//
4 AOw 8/