Backup Documents 12/15/2009 Item #16C 3
16C3
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
(Print on pink paper. Allnch 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 # I through #4 as appropriate for additional signatures, dates, andlor 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 lOutino order) r
1.
3.
Board of County Commissioners
2.
4.
5. Rl r."1~""'11, Executive Manager
\ I'<;rJ 111 rtu.l:&.L.
PRIMARY CONTACT INFORMATION
(The plimnry contnct is the holder oflhe original document pending Bee approval. Normally the primary contact is the person \\110 crented/prepared the executive
summary. Primary contact inronlwt\on is needed in the event one ortlle addressees above, including Sue Filson, need to contact staff for additional or missing
inFormation. All original documents needing the Bee Chainnan's signature are to be delivered to the Bee office only after the Bee h3-~ acted 10 approve the
ikm.)
N<lme of Primary Staff
Contact
Agenda Date Item was
A roved b the BeC
Type of Document
Attached
s'",..)
Phone Number
~Sd - 3 <<>",
AgendrCe.~mber
Number of Original
Documents Attached
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is Yes NlA (Not
llDorooriate. (Initial) AODlicable)
I. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman, with tbe 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 Oftice and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the Bee
Chaimlan and Clerk to the Board and Dossiblv State Officials.)
2. All handwritten strike-through and revisions have been initi<lled by the County Attorney's NIl\-
Oftice and all other narties excent the BeC Chaimlan and the Clerk to the Board
), The Chaillllan'S signature line date has been entered as the date ofBCC approval of the U
document or the final neootiated contract date whichever is applicable.
4. "Sign here" tabs are placed on the appropriate pages indicating where the Chaimlan's 1.--1'
signature and initials are reauired.
5. Tn most cases (some contracts are an exception), the original document and this routing slip --or
should be provided to Sue Filson in the Bee office within 24 hours ofSCe approval. 4-
Some documents are time sensitive and require forwarding to Tallahassee within a cel1ain
time thme or the BCC's actions are nullified. Be aware of your deadlines!
INSTRUCTIONS & CHECKLIST
I: forms! COllllt)' "onml Bee Forms! Original Donllllents ROllting Slip
W\VS Original 90_10~
!.,.,
'16C 3
MEMORANDUM
Date:
December 18, 2009
To:
Mary J 0 Thurston, Recycling Manager
Solid Waste Department
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
A pre-award form requesting a credit of $121,290.99
in staff time & emergency repair expenditures for the
hazard mitigation grant program for the construction
of a polyethylene leachate pipe at the county landfill
Attached, please find the original document referenced above, (Item #16C3),
approved by the Board of County Commissioners December 15, 2009.
The Minutes and Records Department has retained a copy of the document for
the Board's official record.
If you should have any questions, please call me at 252-8406.
Thank you.
Attachment (I)
.
16C3
DIVISION
OF
STATE OF FLORIDA
EMERGENCY MANAGEMENT
CHARLIE CRIST
Governor
W. CRAIG FUGATE
Director
HAZARD MITIGATION GRANT PROGRAM
PRE.AWARD COST REQUEST FORM
To request Pre-Award Costs, please complete this form and submit with your HMGP application. All ELIGIBLE
pre-award costs are subject to an approved grant award and availabihty of funding. If funding is not available or the
project is not approved, pre-award costs will NOT be relmbursed and will be solely the responsibllity of the
applicant. If your project is approved and pre-award costs are eligible, the cost share for the reimbursement of these
activities is 75/25 (same as other projects).
Disaster:
Tropical Storm Fay
Name of Applicant:
Collier County Solid Waste Management Department
Project Title:
Collier County Landfill Leachate Six inch HDPE pipe
Start Date for Pre-Award Activitjes:
Pre-award costs associated with this request incurred prior to the date of declaration are NOT eligible. These
costs include: study or research to plan project, engineering, modeling, permitting or environmental study. These
costs must be reflected as a line item in the project budget. Construction costs should NOT be included.
Construction activities may NOT begin until after a contract has been fully executed with the State for this
project.
Activity Estimated Cost Estimated Start Date
Project & Grant Management, 125 Hours x $39 hour - $4,875.00 1011 /08
Proiect Manaper
Vendor Design and Pennitting costs $42,420,00 4/6/09
Project & Grant Management, 125 Hours x $36 hour - $4,500,00 212109
Recyclin. Soecialist
Project & Grant Management, 35 hours x $34 hour - $1,190.00 10/1/08
Environmental Snecialist
Grant Management, Manager Waste 15 hours x $48.46 - $726.90 2/2/09
Reduction and Recvclino
Solid Waste Operations Manager 10 hours x $45.29 - $452.90 1011 /08
Original Pre-Award Request total $54, 164,80
Emergency Work Phase I
Cost of Emergency Repairs to 1,800 Vendors' emergency invoices May 20-30, 2009
feet of the four inch leachate nine Attachments III $52,300.00
County staff, contractors and Attachments [V $14,826.[9 June 20, 2009 to June 24, 2009
consultant time for Emergency
Repairs to 1,800 feet of the four inch
leachate oioe
Total Pre-Award Request $121,290.99
FLORIDA RECOVERY OFFICE
36 Skyline Drive
Lake Mary, FL 32746-6201
. DIVISION HEADQUARTERS.
2555 Shumard Oak Boulevard
Tallahassee, FL 32399-2100
Tel" 850-413-9969' Fax: 850-488-1016
www,FloridaOisaster,ora
STATE LOGISTICS RESPONSE CENTER
2702 Directors Row
Orlando, FL 32809-5631
16C3
Point of Contact Information:
Name:
David Jaye
Title: Recycling Specialist
Agency:
Solid Waste Management Department
1101 T~mi~mi Tr:iil F RllilrllnJ? H 1rd Floor
Naples, FL 34112
Address:
Phone: 239-252-7620
Authorized Applicant Agent:
Email.davidjaye@colliergov.net
Signature:
Title: Chainnan, Collier County Board of Commissioners
Name:
, .f- /l
,.;./"l.4..J.",
. , .
Date: 1 '2.. /I-=t 10':>
AITEST:
UW!C3!'iTJ;.BROCK, CLERK
" '1.'~,.."'; ,.'''?;;;
C,
Approved ;1S 10 101m ;1. IF,gal Sufficiency
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16C3
MEMORANDUM
Date:
January 4,2010
To:
David Jaye, Project Manager
Solid Waste Department
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
Pre-award cost request form requesting credit of
$121,290.99 in staff time & emergency repair expenditures
(as an update to the grant application to Florida's DCA for
the Hazard Mitigation Grant Program for up to $320,000)
to construct a six-inch high density polyethylene leachate
pipe at the County's landfill for damage caused by
Tropical Storm Fay
Attached is the original request form referenced above (Item #16C3) approved
by the Board of County Commissioners on Tuesday, December 15, 2009.
The Minutes & Record's Department has a copy of the document for the
Board's official record.
If! can be of further assistance, please call me at 252-8406.
Thank you.
Attachment (I)
It
16C3
STATE OF FLORIDA
DIVISION OF EMERGENCY MANAGEMENT
CHARLIE CRIST
Governor
W. CRAIG FUGATE
Director
HAZARD MITIGATION GRANT PROGRAM
PRE-AWARD COST REQUEST FORM
To request Pre-Award Costs, please complete this form and submit with your HMGP application. All ELIGIBLE
pre-award costs are subject to an approved grant award and availability of funding. If funding is not available or the
project is not approved, pre-award costs will NOT be reimbursed and will be solely the responsibility of the
applicant. If your project is approved and pre-award costs are eligible, the cost share for the reimbursement of these
activities is 75/25 (same as other projects).
Tropical Storm Fay
Disaster:
Name of Applicant:
Collier County Solid Waste Management Department
Project Title:
Collier County Landfill Leachate Six inch HOPE pipe
Start Date for Pre-Award Activities:
Pre-award costs associated with this request incurred prior to the date of declaration are NOT eligible. These
costs include: study or research to plan project, engineering, modeling, permitting or environmental study. These
costs must be reflected as a line item in the project budget. Construction costs should NOT be included.
Construction activities may NOT begin until after a contract has been fully executed with the State for tlris
project.
Activity Estimated Cost Estimated Start Date
Application Preparation and Project $11,744.80 10/1108
Analvsis
Vendor Design and Permitting costs $42,420.00 4/6109
Total Pre-Award Request $54, 164.80
Point of Contact Information:
Name:
David Jaye
Title: Recycling Specialist
Agency:
Solid Waste Management Department
Address:
1101 T:lmi:lmi Tmil F Rllilrling H Vd Floor
Naples. FL 34112
Phone:
239-252-7620
Email: davidjaye@colliergov.net
FLORIDA RECOVERV OFFICE
36 Skyline Drive
Lake Mary, FL 32746-6201
. DIVISION HEADQUARTERS.
2555 Shumard Oak Boulevard
Tallahassee, Fl 32399-2100
Tel: 850-413-9969. Fax: 850-488-1016
www.FloridaDisastar.ora
STATE LOGISTICS RESPONSE CENTER
2702 Directors Row
Orlando, FL 32809-5631
16C 3
Authorized Applicant Agent:
Signature:
Title: Chairman, Collier County Board of Commissioners
Name:
Date:
I lo'T 'Lo
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