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Backup Documents 12/11/2018 Item #16G 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP G TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 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 routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3. County Attorney Office County Attorney Office d 3t -A) 4. BCC Office Board of County Commissioners b I \ 5. Minutes and Records Clerk of Court's Office 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 missing information. Name of Primary Staff Debbie Brueggeman,Admin,Airport Phone Number 642-7878 Ext. 34 Contact/ Department Authority Agenda Date Item was December 11,2018 , Agenda Item Number 16G a Approved by the BCC o?O I Type of Document FDOT Resolution&Joint Participation Number of Original 1 Attached (Grant)Agreement(JPA)Sup 1 Documents Attached PO or account number N/A if document is to be recorded INSTRUCTIONS & CHECKLIST 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' original gnature? 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. 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 �QJJ by the Office of the County Attorney. 4. 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 N 5. 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. D p i )C r at T E- 6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's ( `� 2 signature and initials are required. a 7. In most cases(some contracts are an exception),the original document and this routing slip should be provided to the County Attorney Office at the time the item is input into Accela. 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 deadlines! 8. The document was approved by the BCC on 12/11/18 and all changes made during 31v44, the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 1 9. Initials of attorney verifying that the attached document is the version approved by the BCC,all changes directed by the BCC have been made, and the document is ready for the • ♦ �. + Chairman's signature. n I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 16G 2 RESOLUTION NO. 2018- 219 RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED JOINT PARTICIPATION AGREEMENT GOV81 SUPPLEMENT ONE WITH THE FLORIDA DEPARTMENT OF TRANSPORTATION WHEREAS, the Collier County Airport Authority has the authority to enter into the attached agreement with the Florida Department of Transportation to undertake projects as authorized by Chapter 332, Florida Statutes, and Section 14-60 of the Florida Administrative Code, and Ordinance 2004-03, as amended. NOW, THEREFORE, BE IT RESOLVED BY THE Collier County Airport Authority, Collier County, Collier County, Florida, that: 1. The Joint Participation Agreement(JPA)Number GOV81 Supplement 1 to fund a new Fuel Truck at the Immokalee Regional Airport, Financial Management Number 443351-1-94- 01, attached hereto, is hereby approved. 2. The Chairman of the Collier County Airport Authority, Andy Solis, is authorized to enter into, modify or terminate JPA Number GOV81 Supplement 1 with the Florida Department of Transportation unless and until it may be specifically rescinded. 3. This Resolution shall take effect immediately upon adoption. ADOPTED this 11th day of December 2018 after motion, second and majority vote in favor of adoption. ATTEST COLLIER CO Y AIRPOR ORITY CRYSTAL 4 IF -1 \/14 lap- By: test as to Cii;��fill 'SY ANDY IS, A Asignature only. ••• Approved for form and legality: Jennifer A. Belpe, • Assistant County Attorney 0 ©�a 1 6 G STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 725-030.07 PUBLIC TRANSPORTATION PUBLIC TRANSPORTATION SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT 12/14 Number One Pagelot 5 Financial Project No(s): 443451-1-94-01 Fund: 010 FLAIR Category: 088719 Function: 215 Object Code: 751000 Federal No.: N/A Org.Code: 55012020129 (item-segment-phase-sequence) DUNS No.: 80-939-7102 Vendor No.: F596000558130 Contract No.: GOV81 Catalog of Federal Domestic Assistance Number: N/A Catalog of State Financial Assistance Number: 55.004 CFDA Title: N/A CSFA Title: Aviation Development Grants THIS AGREEMENT,made and entered into this d , day of , co'i4t by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORT ION, an agency o State of Florida, hereinafter referred to as the Department,and Collier County Airport Authority 2005 Mainsail Drive,Suite 1, Naples,Florida 34114 hereinafter referred to as Agency. WITNESSETH : WHEREAS,the Department and the Agency heretofore on the 29th day of May 2018 entered into a Joint Participation Agreement;and WHEREAS, the Agency desires to accomplish certain project items as outlined in the Attachment"A"appended hereto;and WHEREAS,the Department desires to participate in all eligible items for this project as outlined in Attachment "A"for a total Department Share of$89,827.00 NOW,THEREFORE THIS INDENTURE WITNESSETH: that for and in consideration of the mutual benefits to flow from each to the other,the parties hereto agree that the above described Joint Participation Agreement is to be amended and supplemented as follows: 1.00 Project Description: There are no changes to the project description, or if subsequently amended,to the last amended project description. 16G 2 725-030-07 PUBLIC TRANSPORTATION 12/14 Page 2 of 5 2.00 Project Cost: Paragraph 3.00 of said Agreement is 0 increased/ EI decreased by $-3,715.00 bringing the revised total cost of the project to $112,285.00 Paragraph 4.00 of said Agreement is f3 increased/ 0 decreased by $38,782.00 bringing the Department's revised total cost of the project to $89,827.00 3.00 Amended Exhibits: Exhibit(s) B and D of said Agreement is amended by Attachment"A". 4.00 Contract Time: Paragraph 16.00 of said Agreement is not amended. 5.00 E-Verify Vendors/Contractors: 1. shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the Vendor/Contractor during the term of the contract;and 2. shall expressly require any subcontractors performing work or providing services pursuant to the state contract to likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of all new employees hired by the subcontractor during the contract term. 1 6 Q 725-030-07 PUBLIC TRANSPORTATION 12/14 Pogo Sot 5 443451-1-94-01 Financial Project No(s) Contract No. GOV81 Agreement Date ieprz,zo,ac„ , .j_G/g Except as hereby modified, amended or changed,all other terms of said Agreement dated May 29th 2018 and any subsequent supplements shall remain in full force and effect. IN WITNESS WHEREOF,the parties hereto have caused these presents to be executed,the day and year first above written. AGENCY FDOT See attached Encumbrance Form for date of Funding J J Collier CCouonty Airport Authority Approval by Comptroller �`� Ili> 1 du (Jj� rJi A a j /" 1 I t/tg'/i . , IF SIGNATORY(P- TED OR TYPE* LEGAL REVIEW DEPARTM z • SPORTA � A. . ' I ' M ! SIGNATU 471.- S .•hn Ku ler,P.E. DEPART NT OF TRANSPORTATI•N Cr VtG%C rev Ne.,‘N•-1 Director 4 Transportation Development TITLE Approved as to form and legality ATTEST CRYSTAL K.KIN ,CLERK --" C1-2224 ennifer A.Belp ., Assistant County Attorney �� BY 40\ Attest esto'Chairman's ,..\6J signature only. 0 16G2 725-030-07 PUBLIC TRANSPORTATION 12/14 Page of 443451-1-94-01 Financial Project No(s) Contract No. GOV81 Agreement Date R 12/k 4j +��/g t� ATTACHMENT"A" SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT This Attachment forms an integral part of that certain Supplemental Joint Participation Agreement between the State of Florida, Department of Transportation and Collier County Airport Authority 2005 Mainsail Drive, Suite 1, Naples, Florida 34114 dated /—,..,7—i g DESCRIPTION OF SUPPLEMENT(Include justification for cost change): This supplemental agreement is to revise the grant to an 80/20 state/local share and adjust to the award amount. I. Project st: Co As Approved As Amended Net Change $116,000.00 $112,285.00 $-3,715.00 Total Project Cost $116,000.00 $112,285.00 $-3,715.00 II. Fund Participation: As Approved As Amended Net Change Department: $51,045.00 $89,827.00 $38,782.00 Agency: $64,955.00 $22,458.00 $-42,497.00 $0.00 $0.00 $0.00 Total Project Cost $116,000.00 $112,285.00 $-3,715.00 Comments: 1 6 G 725-030-07 PUBLIC TRANSPORTATION 12/14 Page 5 of 5 III. MULTI-YEAR OR DEFERRED REIMBURSEMENT PROJECT FUNDING If a project is a multi-year or prequalified project subject to paragraphs 4.10 and 17.20 of this agreement,funds are programmed in the Department's Work program in the following fiscal year(s): FY 2018 $51,045.00 FY FY 2019 $38,782.00 FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY Project years may be advanced or deferred subject to Legislative appropriation or availability of funds. 16G 2 To:Wendy.Sands@dot.state.fl.us FLORIDA DEPARTMENT OF TRANSPORTATION FUNDS APPROVAL GOV81 10/24/2018 CONTRACT INFORMATION [contract: GOV81 !contract Type: GD-GRANT DISBURSEMENT(GRANT) r, !Method of Procurement: G-GOVERMENTAL AGENCY(287.057,F.S.) !endor Name: COLLIER COUNTY AIRPORT Vendor ID: F596000558130 Beginning Date of This Agreement: 05/29/2018 nding Date of This Agreement: 06/30/2019 kontract Total/Budgetary Ceiling: ct=$89,827.00 escnptlon: AVGAS Fuel Truck FUNDS APPROVAL INFORMATION FUNDS APPROVED/REVIEWED FOR ROBIN M.NAITOVE,CPA,COMPTROLLER ON 10/24/2018 cActiori Supplemental eviewed or Approved. APPROVED Organization Code' 55012020129 xpansion Option A8 i.- !Object !Object Code 751000 Amount $38,782.00 Financial Project 44345119401 Work Activity(FCT) 215 }J' 3`iFDA Fiscal Year 2019 `Budget Entity 55100100 Category/Category Year 088719/19 Amendment ID S001 Sequence00 User Assigned ID ONE Enc Line(6s)/Status 0002/04 Total Amount: $38,782.00 Pagel of 1 1 6 G z RESOLUTION NO.2018-219 RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED JOINT PARTICIPATION AGREEMENT GOV81 SUPPLEMENT ONE WITH THE FLORIDA DEPARTMENT OF TRANSPORTATION WHEREAS,the Collier County Airport Authority has the authority to enter into the attached agreement with the Florida Department of Transportation to undertake projects as authorized by Chapter 332, Florida Statutes, and Section 14-60 of the Florida Administrative Code,and Ordinance 2004-03,as amended. NOW,THEREFORE,BE IT RESOLVED BY THE Collier County Airport Authority,Collier County,Collier County, Florida,that: 1. The Joint Participation Agreement(JPA)Number GOV81 Supplement 1 to fund a new Fuel Truck at the Immokalee Regional Airport, Financial Management Number 443351-1-94- 01,attached hereto,is hereby approved. 2. The Chairman of the Collier County Airport Authority, Andy Solis,is authorized to enter into,modify or terminate JPA Number GOV81 Supplement 1 with the Florida Department of Transportation unless and until it may be specifically rescinded. 3. This Resolution shall take effect immediately upon adoption. ADOPTED this 11th day of December 2018 after motion,second and majority vote in favor of adoption. ATTEST, ;; COLA JER COUNTY AIRPOR r • r'ORITY CRYSTAL 1,74.CL • • • ��11 By: AL iA Attes• t 8s t0 Ch, 33Dt'i aU, Y K ' ANDY IS, 'MA signature only. Approved for form and legality: Jennifer A.Belpe l Assistant County Attorney 055