Backup Documents 12/13-14/2011 Item #16A2216A22
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 It 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.
Initial)
Applicable)
2.
December 13, 2011
Agenda Item Number
16A22
3.
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
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4. Scott Teach, Deputy County Attorney
County Attorney's Office
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5. Ian Mitchell, Supervisor
Board of County Commissioners
Documents Attached
t2. ( t
6. Minutes and Records
Clerk of Court's Office
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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.l
Name of Primary Staff
Yousi Cardeso
Phone Number
(239) 252 -5886
Contact
Initial)
Applicable)
Agenda Date Item was
December 13, 2011
Agenda Item Number
16A22
Approved by the BCC
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
Type of Document
Resolution and Amendment 3 ,�I
Number of Original
2
Attached
.A
Documents Attached
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
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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
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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
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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
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initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
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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
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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: 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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16p22"
MEMORANDUM
Date: January 4, 2012
To: Yousi Cardeso, Administrative Assistant
Alternative Transportation Modes
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: State of Florida Commission for the Transportation
Disadvantaged Medicaid Non - Emergency Transportation
(NET) Program Subcontracted Transportation Provider
Agreement — Amendment #3
Agreement #BDM59
Fin. Proj. ID #41604318201
FEID #596- 000 - 558 -004
Attached for further processing, please find an 1 (one) original Agreement
Amendment w/1 (one) certified resolution as referenced above, (Item #16A22)
adopted by the Board of County Commissioners on Tuesday, December 13, 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 -7240.
Thank you.
16A2214
RESOLUTION 2011 -216
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER
COUNTY, FLORIDA MEMORIALIZING THE BOARD'S APPROVAL OF
CONTRACT AMENDMENT NUMBER THREE BETWEEN COLLIER COUNTY AND
THE COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
PERTAINING TO THE PROGRESS PAYMENTS AND DISBURSEMENT SCHEDULE
OF FUNDS FOR THE PROVISION OF TRANSPORTATION SERVICES FOR
QUALIFIED MEDICAID RECIPIENTS AND AUTHORIZING THE CHAIRMAN TO
SIGN THE AMENDMENT.
WHEREAS, at the December 13, 2011, meeting of the Board of County Commissioners
the Board approved Amendment Number Three (3) to the January 27, 2009, contract (agreement
# BDM59 /Financial Project ID #: 41604318201) it entered into with the Commission for the
Transportation Disadvantaged (the "Commission ") pertaining to the method of compensation
and disbursement of funds regarding Medicaid non - emergency transportation services and
authorized the Board of County Commissioners, through its Chairman, to enter into the
Amendment with the Commission; and
WHEREAS, the Commission requires the Board provide a resolution memorializing and
confirming the Board's aforementioned affirmative vote to approve the Amendment and
authorize the Chairman to execute the Amendment;
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that;
On December 13, 2011, the Board of County Commissioners approved by majority vote
the Amendment Number Three (3) to Agreement # BDM59, Financial Project ID #:
41604318201, and authorized its chairman, Fred W. Coyle, to enter into that Amendment with
the Commission.
A certified copy of this Resolution is to be forwarded to the Commission along with the
executed Amendment.
16A22 a
This Resolution is hereby adopted after motion, second and majority vote this 13th day of
December 2011.
ATTES ,n
DWIGJ BRO�LERK
By _ =J-, n, lz�
Rtt ts.?a�y �
Approv as to fo
rife-gal i 'e
Scott R. Teach,
Deputy County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
B 'Iu� W. C'J'
Y
FRED W. COYLE, CHAIAhXAN
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STATE OF FLORIDA
COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
MEDICAID NON - EMERGENCY TRANSPORTATION (NET) PROGRAM
SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT
AMENDMENT NO.: I
AGREEMENT #: BDM59
FINANCIAL PROJECT ID #: 41604318201
F. E.I.D. # 596 - 000 - 558 -004
THIS amendment, entered into on December 31, 2011 by and between the State of Florida,
Commission for the Transportation Disadvantaged, hereinafter called "Commission" and Collier County
Board of County Commissioners 3301E Tamiami Trail Nal2les Florida 34112 hereinafter called
"Subcontracted Transportation Provider" for ICo tier County(ies).
WHEREAS, this amendment is required to redistribute the FY 2011 -2012 funds pursuant to the
funding formula adopted by the Commission on October 28, 2011.
WHEREAS, this amendment is for the mutual benefit of both parses; and
NOW, THEREFORE, the aforesaid Agreement is hereby amended in the following respects only:
1. Purpose of Agreement: The purpose of the agreement is not changed.
2. Accomplishment of the Agreement: The accomplishment of the agreement is not changed.
3. Renewal of Agreement: The Term of this agreement is not changed.
4. Compensation and Payment: This agreement is increased by $ 64.591.00• for a total
maximum amount of $ 1.817,600.00.
5. Exhibit B, Method of Compensation, of said Agreement is replaced by Amendment
Number I Exhibit B and is attached hereto and made a part hereof.
EXCEPT as hereby modified, amended, or changed, all other terns of the Agreement dated 1 /1/2009 and
amendments 1 and 2" shall remain in full force and effect. This amendment cannot be executed unless all
previous amendments to this Agreement have been fully executed.
In witness whereof, the authorized representatives of the parses hereto have executed this AMENDMENT,
effective December 31, 2011.
STATE OF FLORIDA
COMMISSION FOR THE TRANSPORTATION
DISADVANTAGED
SIGNATURE
Executive Director
TITLE
PRINTED P
Collier County Board of County Commissioners
W.
SIGNATURE
C- AIRMAN
TITLE
4--
Dapolr Candy Attorney
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AGREEMENT NO.: BDM59
COUNTY NAME: Collier
AMENDMENT NO. 3
EXHIBIT B
METHOD OF COMPENSATION
This Exhibit defines the limits of compensation to be made to the contractor for the services set forth in
Exhibit "A" and the method by which payments shall be made.
1. Project Compensation:
For the satisfactory performance of services detailed in Exhibit "A ", the Subcontracted Transportation
Provider shall be paid up to a Maximum Amount of $ 1. 17,600.00.
The remaining Project Amount shall be made up of the following limiting amounts:
$ 551.549.00 from Fiscal Year 11/12
The total amount of this contract is expected to be funded by multiple appropriations and the State of
Florida's performance and obligation to pay under this contract is contingent upon annual appropriation by
the Legislature.
2. PROGRESS PAYMENTS AND DISBURSEMENT SCHEDULE OF FUNDS:
The STP shall submit monthly invoices in a format acceptable to the Commission.
FY 11 /12
Payment
Jul
$ 42,272.00
August
$ 42,272.00
September
$ 40,241.00
October
$ 40,241.00
November
$ 40,241.00
December
$ 40,241.00
January
$ 51,006.00
February
51006.00
March
$51,006.00
April
$ 51,006.00
May
$ 51,006.00
June
$ 51,011.00