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Backup Documents 12/16/2008 Item #16B 7 1.~lBJ 7 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. Originall1ncumenls should be hand delivered to the Board Oflicc. 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 infomlatlOl1 needed. Irthe document is already complete with the excention of the Chairman's shmature, draw a line throue:h routing lines #1 throu2h #4, conmlete the checklist, and forward to Sue Filson (line #5). Route to Addressee( s) Office Initials Date (List in routimi! order) I. 2. ""'---'- - - 3. ---- 4. Scott R. Teach, Deputy County Attorney County Attorney - ~-1 12/16/08 ~? IC 5. Sue Filson, Executive Manager Board of County Commissioners 6. Minutes and Records Clerk ofCourl's Office (The primary contact is the holder of the original document pending Bee approval. Nonnally 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 Bee Chairman's signature are to he delivered to the Bee office only after the Bee has acted to approve the item. Name of Primary Staff Sue Faulkner Contact Agenda Date Item was 12/16/08 A oved b the BCC Type of Document Attached PRIMARY CONTACT INFORMATION Phone Number Agenda Item Number Resolution for Transportation fOT Qualified Medical Recipients & Amendment No.8 Number of Original Documents Attached (239) 252-5889 16B7 Resolution - 1 Amendment No.8 - 3 Yes (Initial) SRT INSTRUCTIONS & CHECKLIST Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is appropriate. 1. 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 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 BCe Chairman and Clerk to the Board and possibly State Officials. All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other arties exce t the BeC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date of BCe approval of the document or the final ne otiated contract date whichever is a licable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson in the BeC office within 24 hours of Bee approval. Some documents are time sensitive and require forwarding to Tallahassee within a certain time frame or the BCe's actions are nullified. Be aware of our deadlines! The document was approved by the Bee on December 16. 2008 and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the chan es, if a Ueable. N/A SRT SRT N/A SRT 2. 3. 4. 5. 6. I: Forms/ County Forms/ BeC Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 {(matter _ numbem/((document_ number>; 168, '1 MEMORANDUM Date: December 17, 2008 To: Sue Faulkner, Principal Planner Alternative Transportation From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Resolution 2008-364 & Amendment #8 for the NET Program Attached are four original documents (one resolution and three amendments (Agenda Item #16B7) adopted by the Board of County Commissioners on Tuesday, December 16, 2008. Please forward a fully executed original to the Minutes and Records Department for the Board's Records. If you should have any questions, please contact me at 252-7240. Thank you. RESOLUTION NO. 2008_364 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS CHAIRMAN TO EXECUTE A CONTRACT AMENDMENT BETWEEN COLLIER COUNTY AND THE FLORIDA COMMISSION FOR THE TRANSPORTATION DISADV ANT AGED FOR ADDITIONAL FUNDING IN THE AMOUNT OF $41,920.00 FOR THE PROVISION OF TRANSPORTATION FOR QUALIFIED MEDICAID RECIPIENTS. l€>.rB 7 WHEREAS, at the December 16, 2008 meeting of the Board of County Commissioners, the Board approved as an agenda item Contract #BDA80 Amendment #8 between Collier County and the Florida Commission for the Transportation Disadvantaged for additional funding in the amount of $41,920.00 for the provision of transportation for qualified Medicaid recipients, and authorized the Board of County Commissioners, through its Chairman, to enter into that contract amendment with the Florida Commission for the Transportation Disadvantaged; and WHEREAS, the Florida Commission for the Transportation Disadvantaged requires the Board provide a resolution memorializing and confirming the Board's aforementioned affirmative vote to approve a contract amendment and authorization for the Chairman to execute same. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: On December 16, 2008, the Board of County Commissioners approved by majority vote the aforementioned contract amendment and authorized its chairman, Tom Henning, to execute the contract amendment. This Resolution adopted after motion, second, and majority vote favoring same, this 16th day of December, 2008. DATED: 1lec.LV>lbc.r 1'7, 200~ ATTEST: DWIGHTE':B'RoeK, Clerk ".,.. '., BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA ~ ti .. . IV~:' :_ .... .. .,' . ",,,"" ,.... ..... / . '., ~tt:1?7~ruffiCienCY: Scott R. Teach, Deputy County Attorney 168 7 STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED MEDICAID NON-EMERGENCY TRANSPORTATION (NET) PROGRAM SUBCONTRACTED TRANSPORTATION PROVIDER AGREEMENT AMENDMENT NO 8 AGREEMENT #: FINANCIAL PROJECT 10#: FE1.D. # BDA80 41604318201 596-000-558-004 This agreement, entered into on November 30, 2008 by and between the State of Florida, Commission for the Transportation Disadvantaged, hereinafter called "Commission" and Collier County Board of County Commissioners, 2885 S Horseshoe Drive, Naples, FL 34104, hereinafter called "Subcontracted Transportation Provider" for Collier County(ies). WITNESSETH: WHEREAS, the Commission and the Subcontracted Transportation Provider heretofore on 1/1/2005 entered into an Agreement, hereinafter called the Original Agreement: WHEREAS, the Commission desires to participate in all eligible items of development for this project as outlined in the attached amended Exhibit B. WHEREAS, this amendment is necessitated by the amendment of the contract between the Commission, and the Agency for Health Care Administration for Medicaid Non-Emergency Transportation (NET) services. 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 Agreement is to be amended as follows: 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. Expiration of Agreement: Paragraph 2, TERM of said agreement is amended to be December 31, 2008. 4. Amendment Amount: The agreement is increased by $41,920.00. 5. Total Project Cost: The revised Total Project Cost is $2.062,276.00 6. Exhibit B of said Agreement is replaced by Amended Exhibit B and is attached hereto and made a part hereof. EXCEPT as hereby modified, amended, or changed, all other terms of the Agreement dated 1/1/2005 and Amendments 1 through 7 shall remain in full force and effect. This amendment cannot be executed unless all previous amendments to this Agreement have been fully executed. 1~8 7 AGREEMENT #:BDA80 AGREEMENT AMENDMENT DATE: November 30,2008 EXHIBIT B AMENDMENT # 8 METHOD OF COMPENSATION For the satisfactory performance of the services and the submittal of Encounter Data as outlined in Exhibit A. Scope of Services, the Subcontracted Transportation Provider payments shall be two (2) of $20.960.00 semi-monthly. The Subcontracted Transportation Provider shall be paid up to a maximum amount of $2,062.276.00. The Subcontracted Transportation Provider shall submit invoices in a format acceptable to the Commission. The Subcontracted Transportation Provider will be paid after the Commission has received payment from the Agency for Health Care Administration. 1. Proiect Cost: The STP shall request payment through submission of a properly completed invoice to the Commission Contract Manager or its designee. Once the Commission has signed the invoice for approval, the Commission shall submit the approved invoice to the DOT Disbursement Operations Office for payment to the STP. Countv Total Project Cost To Date: Collier Amendment Amount: $2,020.356.00 $ 41,920.00 $2,062.276.00 Total Proiect Cost Revised: 2. Disbursement Schedule of Funds FY 08/09 MONTH December YEAR 2008 1"PMT $20,960.00 FY 08/09 MONTH December YEAR 2008 2nd PMT $20,960.00 $41.92000 168 7 In witness whereof, the parties hereto have caused these presents to be executed, the day and year first above written. STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED Collier County Board of County Commissioners SIGNATURE SIGNATURE Interim Executive Director TITLE r.h;;!irm;:m TITLE Bobbv Jerniaan PRINTED NAME Tom Henning PRINTED NAME !it: . . athst'U to '..... OI.~. 'I, ,',. , 1,-' ,-'\.;' " Approyed .. to form" legal S1Il11cioeJ <;~Jf r2j~ L Deputy County Attorney l~"'" DwlaHT B. BlUK&cn- . .