Backup Documents 10/13/2020 Item #16J2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b J 2
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.
**NEW** ROUTING SLIP
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. Marien Ruiz CCSO MR 12/7/21
2. County Attorney Office —JAB, ACA County Attorney Office „Z f l$ I ,
3. BCC Office Board of County ,T by /eV/5k
Commissioners /Ore /31
4. Minutes and Records Clerk of Court's Office
15/ 4*
PRIMARY CONTACT INFORMATION fl41i - I,1 w4 3'
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 Marien Ruiz STAFF PERSON 0852
Contact/ Department PHONE#
Agenda Date Item was 10/13/2.. Agenda Item Number s — 1(o
Approved by the BCC
Type of Document GRANT AGREEMENT Number of Original 1
Attached Documents Attached
PO number or account
number 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. 1` (Initial) Applicable)
1. Does the document require the chairman's original signature STAMP OK
2. Does the document need to be sent to another agency for addi ' nal signatur . If yes, �I� --
provide the Contact Information(Name;Agency; Address; Phone o an attached shee p, �-t-d 0+(0q 4 i
•
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
Oh w('�
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's Yes N/A (Insert
Office and all other parties except the BCC Chairman and the Clerk to the Board N/A unless
changes
made after
publication)
5. The Chairman's signature line date has been entered as the date of BCC approval of the Yes
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's Yes
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A(insert N/A
should be provided to the County Attorney Office at the time the item is input into SIRE. unless an
Some documents are time sensitive and require forwarding to Tallahassee within a certain ordinance)
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on above date and all changes made during Yes N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes, if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the p an option for
Chairman's signature. a this line.
I6J2
RodriguezWanda
From: Marien Ruiz - 3546 <Marien.Ruiz@colliersheriff.org>
Sent: Wednesday, December 15, 2021 11:44 AM
To: BelpedioJennifer; RodriguezWanda
Subject: ROUTING SHEET_.docx
Attachments: ROUTING SHEET_.docx
Follow Up Flag: Follow up
Flag Status: Flagged
FVTFPNAE 11"//-All This email is from an external source. Confirm this is a trusted sender and use extreme caution when
opening attachments or clicking links.
Good Morning:
Please find attached the routing sheet. I'll send the amendment to the state and once I received the executed
amendment I'll send a copy to BMR.
Let me know if you need any additional information.
Thanks!
Thanks!
J1 l//•
P!/ e(�/I/ �/(4/
General Accounting Manager P 1-Q030, (i
J
3319 Tamiami Trail E 1
Building J cat d'QC„
Naples, FL 34142
(239) 252-0852 Desk
(239)450-1550 Cell
marien.ruiz@colliersheriff.org
grants@collier.com
This communication is confidential and may contain privileged information intended solely for the named addressee(s).
It may not be used or disclosed except for the purpose for which it has been sent. If you are not the intended recipient,
you must not copy,distribute or take any action induced by or in reliance on information contained in this message.
Unless expressly stated, opinions in this message are those of the individual sender and not of the Collier County
Sheriff's Office. If you have received this communication in error, please notify the Collier County Sheriff's Office by
emailing helpdesk@colliersheriff.org quoting the sender and delete the message and any attached documents.The
1
I 6J
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday, December 16, 2021 11:21 AM
To: 'marien.ruiz@colliersheriff.org'
Subject: Item #16J2 (10/13/20)
Attachments: Item #16J2 10_13_2020 Grant Agreement.pdf
Hello again Marievt,
Please see attached for further execution.
Please returvt a fully executed copy of the
document to this office after you have
received it.
Thank you!
Ann Jennejohn
13MR Sevtior Deputy Clerk II
�t'.litikkr Clerk to the Value Adjustment Board
i
Office: 239-z52-8406
Fax: z39-252-8408 (if applicable)
Ann.Jennejohn@CollierClerk.com
-; Office of the Clerk of the Circuit Court
PT., , & Comptroller of Collier Comity
3299 Tavvtiawti Trail, Suite #4O1
Naples, FL 34112-5324
www.CollierClerk.cowt
i
� 6J2
STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
AND
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
GRANT AGREEMENT NO. S15-20-06-04
AMENDMENT NO. 1
This Amendment No. 1 (Amendment) to Grant Agreement No. S15-20-06-04 ("Grant
Agreement") is entered into by and between the State of Florida, Department of
Management Services (Department), and the Collier County Board of County
Commissioners (Grantee), collectively referred to herein as the "Parties."
WHEREAS, on September 18, 2020, the Department and Grantee entered into the Grant
Agreement;
WHEREAS, on November 12, 2021 Grantee submitted Attachment A, Request for Change
Form, to the E911 Board (Board) to decrease the amount of the Grant Agreement, in
accordance with Section 10 of W Form 3A, Application Instructions for 911 Grant
Programs;
WHEREAS, on November 17, 2021 the Board approved Grantee's change request; and
WHEREAS, the Parties wish to amend the Grant Agreement to reflect the Board-approved
change request.
WHEREFORE, in consideration of the mutual promises contained herein, the Parties agree
to the following:
1. The reimbursement amount of the Grant Agreement is changed from $134,550.00 to
$105,900.00.
2. Each person signing this Amendment warrants that he or she is duly authorized to do
so and to bind the respective party.
3. This Amendment is hereby made a part of the Grant Agreement. All other terms and
conditions of the Grant Agreement shall remain in full force and effect. This
Amendment sets forth the entire understanding between the Parties with regard to
the subject matter hereof.
4. The effective date of this Amendment is the date on which the Board approved
Grantee's change request, as identified above.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Page 1 of 2
0
16J 2
SO AGREED by the Parties' authorized representatives on the dates noted below:
Grantor: Grantee:
State of Florida Collier C my Board of County
Department of Management Services Commis io r
By: By: _
Name:
Title: Penny Taylor, Chair
Date:
�',tiA. EST Approved as to form and legality
1 L's.K.KIiZEL,CLERK A
- .3L---
,, $�„ ti
l`,(ri 0 c Assi nt County Atto ey
A Attests to(pia an's 1 2 I i 5\a 1
' ,. isqmotniy,
Page 2 of 2
n
0
1 6 J 2
Ann P. Jennejohn
From: Marien Ruiz - 3546 <Marien.Ruiz@colliersheriff.org>
Sent: Tuesday, December 21, 2021 11:32 AM
To: Ann P.Jennejohn
Subject: RE: Item #16J2 (10/13/20)
Attachments: CollierCounty_S15-20-06-04_Amendmentl_FINAL Executed.pdf
Good morning:
Please find attached the executed agreement for your records.
Let me know if you have questions or if you need any additional information.
Thanks!
General Accounting Manager
3319 Tamiami Trail E
Building J
Naples, FL 34142
(239)252-0852 Desk
(239)450-1550 Cell
marien.ruiz@colliersheriff.org
grants@collier.com
From:Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com>
Sent:Thursday, December 16, 2021 11:21 AM
To: Marien Ruiz-3546<Marien.Ruiz@colliersheriff.org>
Subject: Item #16J2 (10/13/20)
External Message: Please use caution when opening attachments, clicking links, or replying to this message.
Hello again Marien,
Please see attached for further execution.
Please returv. a fully executed copy of the
document to this office after you have
received it.
i
lfJ ?
STATE OF FLORIDA
DEPARTMENT OF MANAGEMENT SERVICES
AND
COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS
GRANT AGREEMENT NO. S15-20-06-04
AMENDMENT NO. 1
This Amendment No. 1 (Amendment) to Grant Agreement No. S15-20-06-04 ("Grant
Agreement") is entered into by and between the State of Florida, Department of
Management Services (Department), and the Collier County Board of County
Commissioners (Grantee), collectively referred to herein as the"Parties."
WHEREAS, on September 18, 2020, the Department and Grantee entered into the Grant
Agreement;
WHEREAS,on November 12,2021 Grantee submitted Attachment A, Request for Change
Form, to the E911 Board (Board) to decrease the amount of the Grant Agreement, in
accordance with Section 10 of W Form 3A, Application Instructions for 911 Grant
Programs;
WHEREAS, on November 17, 2021 the Board approved Grantee's change request; and
WHEREAS,the Parties wish to amend the Grant Agreement to reflect the Board-approved
change request.
WHEREFORE, in consideration of the mutual promises contained herein, the Parties agree
to the following:
1. The reimbursement amount of the Grant Agreement is changed from $134,550.00 to
$105,900.00.
2. Each person signing this Amendment warrants that he or she is duly authorized to do
so and to bind the respective party.
3. This Amendment is hereby made a part of the Grant Agreement.All other terms and
conditions of the Grant Agreement shall remain in full force and effect. This
Amendment sets forth the entire understanding between the Parties with regard to
the subject matter hereof.
4. The effective date of this Amendment is the date on which the Board approved
Grantee's change request, as identified above.
REMAINDER OF PAGE INTENTIONALLY LEFT BLANK
Page 1 of 2
�0
l6J 2
SO AGREED by the Parties'authorized representatives on the dates noted below:
Grantor: Grantee:
State of Florida Collier County Board of County
Departm M agement Services Commis iot l/
‘27/ 1
By: ey: � C.
Name: mina 1
Title: Penny Taylor,Chair
Date: -JeoxiAexot
1"L 12112bZ1
A I•l F51 Approved as to form and legality
Chasm i.K.K1N7.EL.CLERK (`
t31:._ IA 0 ( , Ass nt County Atto cy
,.-tai.t-,�- • t,2IlSL!a1
Attes * 'ia an's
' s g►iatt:reVnfy.
Page 2 of 2
O