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Backup Document 06/14/2022 Item #16A21 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 A 2 1 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. County Attorney Office CAO • ` b J 2. Board of County Commissioners Office BOCC Resa U/116(0 rl h/(1(22 3. Minutes and Records Clerk of Court s Office R6 U41'1,4 4. Send via email to: '� �/ Gloria.herrera@colliercountyfl.gov 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 Gloria/ Department Herrera GMD /TMS 239-252-5856 Agenda Date Item was June 14 2022 Agenda Item Number 16. A. Z I Approved by the BCC Type of Document 444185-1 La A Number of Original 2 Attached p 9regiment Documents Attached PO number or account Rao ZZ' 1I number if document is Do Not Send to Grantor 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's original signature STAMP NOT OK BLUE INK GH 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 GH signed by the Chairman,with the exception of most letters,must be reviewed and signed by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A Office and all other parties except the BCC Chairman and the Clerk to the Board 5. The Chairman's signature line date has been entered as the date of BCC approval of the GH 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 GH signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip GH should be provided to the County Attorney Office at the time the item is input into SIRE. 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! 8. The document was approved by the BCC on 6-14-22 and all changes made during the meeting have been incorporated in the attached document. The County GH Attorney's Office has reviewed the changes,if applicable. 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 r j% 1/ c y.�� Chairman's signature. I 1: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 I 6 A 2 1 Ann P. Jennejohn From: Ann P. Jennejohn Sent: Thursday, June 16, 2022 8:17 AM To: HerreraGloria Subject: Resolution 2022-97 (Item #16A21 6-14-22 BCC Meeting) Attachments: Resolution 2022-97.pdf Good Morv.in.g, Please see the attached for further execution.. After obtaiv.in.g the necessary sign.ature(s) please forward a copy to this office for the Board's records. Thank you. Ann Jenne,jotin 13MR Senior Deputy Clerk II <<,,kr Clerk to the Value Adjustment Board Office: 239-252-8406 4 Fax: 239-252-8408 (if applicable) Av.v..Jevw.ejohv.@CollierClerk.cow. "•,, ,ate Office of the Clerk of the Circuit Court & Comptroller of Collier County 32.99 Taw.iaw►i Trail, Suite #4O1 Naples, FL 34112-5324 www.CollierClerk.cow. i 1 6A2 1 RESOLUTION NO. 2022 - 97 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY FLORIDA, APPROVING AND AUTHORIZING ITS CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION AMENDING CONTRACT NO. G2189 FOR GRANT FUNDING TO REPLACE BRIDGE NO. 030138 ON IMMOKALEE ROAD (C.R. 846) AND EAST OF STATE ROAD 29 IN COLLIER COUNTY, FLORIDA. (FPN 444185-1-A8-01) WHEREAS, on July 13, 2021, Agenda Item No. 16.A.29, the Board of County Commissioners ("Board") adopted Resolution No. 2021-144 approving and authorizing its Chairman to execute Contract No. G2189, a Local Agency Program (LAP) Agreement (the "Original Agreement") with the State of Florida Department of Transportation (FDOT), for reimbursement money for the replacement of Bridge No. 030138 with Bridge No. 034833 (FPN 444185-1-A8-01) (the "Bridge Replacement Project"); and WHEREAS, the Original Agreement included Construction Engineering and Inspection (CEI) services and was formally entered into on October 21, 2021; and WHEREAS, on March 8, 2022, Agenda Item No. 16.A.10, the Board adopted Resolution No. 2022-39 approving and authorizing its chairman to execute a Locally Funded Reimbursement Agreement with FDOT (FM #: 444185-1-62-01) for CEI services for the Bridge Replacement Project (the "CEI Agreement") in the amount of$360,000; and WHEREAS, FDOT and the Board seek to fund the CEI services for the Bridge Replacement Project using the CEI Agreement instead of the Original Agreement, and need to amend the Original Agreement with a LAP Supplemental Agreement by amending and replacing the Original Agreement's Exhibit A to remove CEI services; and WHEREAS, the Board finds that the LAP Supplemental Agreement is in the public interest and benefits the citizens of Collier County. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: 1. The Board of County Commissioners approves and authorizes its Chairman to sign the LAP Supplemental Agreement pertaining to FPN 444185-1-A8-01. 2. The Collier County Clerk is directed to forward a certified copy of this Resolution along with the LAP Supplemental Agreement for execution by FDOT. 3. This Resolution shall take effect immediately upon adoption. [Space Intentionally Left Blank] [22-TRO-00342/1721941/1] Page 1 of 2 CAO I 6A2 1 THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same, this 14th day of June 2022. ATTEST...1 ,; .,r BOARD OF CO I TY COMMISSIONERS CRYS L K:KI VZ£L, Clerk OF COLLIER f 1+o 1 - .•RIDA (_. e) / OA By 0C, By: �•%` ___ '" uty Clerk Wil�:m L. McDaniel, Jr., Chairman Attest as t U ali signh urQ only., Ap oved as to form d legality: .,eUX - ‘,/./-4-/--y----- 2022.06.13 16:50:00-04'00' Derek D. Perry Assistant County Attorney [22-TRo-00342/1721941/1] Page 2 of 2 �0 DocuSign Envelope ID:FAF297D9-C472-4E0B-BC6C-405DFE8BC747 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM 525-010-32 SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT 03/22 Page 1 of 2 SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN) 01 D121-084-B CONTRACT NO. FEDERAL AWARD DATE G2189 10/14/21 FPN RECIPIENT UNIQUE ENTITY ID SAM NO. 444185-1-A8-01 JWKJKYRPLLU6 Recipient, Collier County , desires to supplement the original Agreement entered into and executed on October 21, 2021 as identified above. All provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this supplement. The changes to the Agreement and supplements, if any, are described as follows: PROJECT DESCRIPTION Name CR 846 OVER DRAINAGE CANAL Length 0.018 Termini Description of Work: Construction of an existing two-lane Bridge (#030138) on Immokalee Road east of SR 29. The new Bridge (#034833) superstructure features two 12-foot lanes (one in each direction), 8-foot shoulders, bridge railings, retaining walls, and guardrails, supported by a 12-inch Florida Slab Beam. The substructure will employ precast concrete piles to minimize maintenance costs over the life of the structures. Roadway approaches include paving, and shoulder transition improvement as necessary to tie back to existing. Reason for Supplement and supporting engineering and/or cost analysis: Exhibit A Project Description and Responsibilities is replaced in its entirety by the attached "AMENDED ADJUSTED EXHIBIT A "PROJECT DESCRIPTION AND RESPONSIBILITIES "and is incorporated by reference. Per Collier County's original request— Construction Engineering and Inspection is to be removed from Exhibit A and replaced as Construction services only. The County will utilize FDOT's CEI continuing service contract. CNa DocuSign Envelope ID:FAF297D9-C472-4E0B-BC6C-405DFE8BC747 1 6 A 2 1 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM 525-010-32 SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT 08n 9 Page 2 of 2 IN WITNESS WHEREOF, the parties have executed this Agreement on the date last ascribed herein. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION By: Name: John M. Kubler, P.E. Title: Director of Transportation Development Date: Legal Review: DS FZ)C 5/16/2022 I 1:06 PP RECIPIENT COLLIER COUNTY ATTEST:\;; ' ' ,' BOARD OF COUN ': ISSIONERS CRYS:1 ATTEST,: K.KINLEL, CLERK COLLIER COUN. ' , FLORID, ik 0 1 By By: t f lerk • Willi/IL. McDa `51r7, Chairman f @Sta0 ,. K ig Careol1. App oved as to Form an egality: .1a-/ - - 2022.06.1316:51 :57-04'00' Derek D. Perry Assistant County Attorney cot, DocuSign Envelope ID:FAF297D9-C472-4E0B-BC6C-405DFE8BC747 Alt Form 525-010-40A STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0A LOCAL AGENCY PROGRAM AGREEMENT PROGRAM MANAGEMENT 05/21 AMENDED EXHIBIT A PROJECT DESCRIPTION AND RESPONSIBILITIES FPN: 444185-1-A8-01 This exhibit forms an integral part of the Agreement between the State of Florida, Department of Transportation and Collier County (the Recipient) PROJECT LOCATION: ❑ The project is on the National Highway System. ❑ The project is on the State Highway System. PROJECT LENGTH AND MILE POST LIMITS: PROJECT DESCRIPTION: Construction of an existing two-lane Bridge (#030138) on Immokalee Road east of SR 29. The new Bridge (#034833) superstructure features two 12-foot lanes (one in each direction), 8-foot shoulders, bridge railings, retaining walls, and guardrails, supported by a 12-inch Florida Slab Beam. The substructure will employ precast concrete piles to minimize maintenance costs over the life of the structures. Roadway approaches include paving, and shoulder transition improvement as necessary to tie back to existing. SPECIAL CONSIDERATIONS BY RECIPIENT: The Recipient is required to provide a copy of the design plans for the Department's review and approval to coordinate permitting with the Department, and notify the Department prior to commencement of any right-of-way activities. The Recipient shall commence the project's activities subsequent to the execution of this Agreement and shall perform in accordance with the following schedule: a) Design to be completed by May 21, 2021 . b) Right-of-Way requirements identified and provided to the Department by June 30, 2022 c) Right-of-Way to be certified by June 30, 2022 d) Construction contract to be let by December 21, 2022 e) Construction to be completed byJune 30, 2025. If this schedule cannot be met, the Recipient will notify the Department in writing with a revised schedule or the project is subject to the withdrawal of funding. SPECIAL CONSIDERATIONS BY DEPARTMENT: The Department agrees to reimburse the Agency in accordance with Section 339.12, Florida Statutes, an amount not to exceed the total cost specified in Section 4b beginning in the Department's Fiscal Year 2025. The payment will be made in a lump sum in the year the project is scheduled in the Department's Work Program as of the date of this Agreement. The Department will issue Notice to Proceed to the Agency after final design plans and the project Bid Package to include Specifications, updated construction estimate, draft construction contract, completed Construction Checklist and Agency's Page 1 of 2 C`q 0 DocuSign Envelope ID: FAF297D9-C472-4E0B-BC6C-405DFE8BC747 Certification Clear Package have been reviewed and approved. 1 6 A 2 1 Upon receipt of an invoice, the Department will have twenty, (20)working days to review and approve the goods and services submitted for payment. Page 2 of 2 0 DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF 1 6 A 'e 1 RESOLUTION NO.2022 - 97 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY FLORIDA, APPROVING AND AUTHORIZING ITS CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION AMENDING CONTRACT NO. G2189 FOR GRANT FUNDING TO REPLACE BRIDGE NO. 030138 ON IMMOKALEE ROAD (C.R. 846) AND EAST OF STATE ROAD 29 IN COLLIER COUNTY,FLORIDA. (FPN 444185-1-A8-01) WHEREAS, on July 13, 2021, Agenda Item No. 16.A.29, the Board of County Commissioners ("Board") adopted Resolution No. 2021-144 approving and authorizing its Chairman to execute Contract No. G2189, a Local Agency Program (LAP) Agreement (the "Original Agreement") with the State of Florida Department of Transportation (FDOT), for reimbursement money for the replacement of Bridge No. 030138 with Bridge No. 034833 (FPN 444185-1-A8-01)(the"Bridge Replacement Project");and WHEREAS, the Original Agreement included Construction Engineering and Inspection (CEI) services and was formally entered into on October 21,2021; and WHEREAS, on March 8, 2022, Agenda Item No. 16.A.10, the Board adopted Resolution No. 2022-39 approving and authorizing its chairman to execute a Locally Funded Reimbursement Agreement with FDOT(FM #: 444185-1-62-01) for CEI services for the Bridge Replacement Project(the"CEI Agreement") in the amount of$360,000; and WHEREAS, FDOT and the Board seek to fund the CEI services for the Bridge Replacement Project using the CEI Agreement instead of the Original Agreement, and need to amend the Original Agreement with a LAP Supplemental Agreement by amending and replacing the Original Agreement's Exhibit A to remove CEI services; and WHEREAS, the Board finds that the LAP Supplemental Agreement is in the public interest and benefits the citizens of Collier County. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA,that: 1. The Board of County Commissioners approves and authorizes its Chairman to sign the LAP Supplemental Agreement pertaining to FPN 444185-1-A8-01. 2. The Collier County Clerk is directed to forward a certified copy of this Resolution along with the LAP Supplemental Agreement for execution by FDOT. 3. This Resolution shall take effect immediately upon adoption. [Space Intentionally Left Blank] [22-TRO-00342/1721941/1) Page 1 of 2 CAO DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF 1 6 A L n THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same,this 14th day of June 2022. 'A,TTE$T•1.E0t1. BOARD OF CO h. Y COMMISSIONERS G .R:•II7£L, Clerk OF COLLIER f te, ' ' - . •RIDA } 14° I ( e)- / liktO By ' I.- - • . _ By: _,,..'- i, — N.-• ` Y,t I% uty Clerk Wil,:m L. McDaniel,Jr.,Chairman At,a$t. sigr(aituir ,. ' Ap oved as to form legality: g 2022.06.13 16:50:00-04'00' Derek D.Perry Assistant County Attorney [22-TRO-00342/1721941/1] Page 2 of 2 �Q G DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF 1 [�t A 2 1 Vvwv.y I U IOOIU'IU IV.I ru-i.7I 1./0-v1/c'YLu{Yv\doVlvQVr GUUV I STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM see-oiau SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT o3/22 Page lof2 SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN) 01 D121-084-B CONTRACT NO. FEDERAL AWARD DATE G2189 10/14/21 FPN RECIPIENT UNIQUE ENTITY ID SAM NO. 444185-1-A8-01 JWKJKYRPLLU6 Recipient,Collier County ,desires to supplement the original Agreement entered into and executed on October 21.2021 as identified above. All provisions in the original Agreement and supplements, if any,remain in effect except as expressly modified by this supplement. The changes to the Agreement and supplements, if any, are described as follows: PROJECT DESCRIPTION Name CR 846 OVER DRAINAGE CANAL Length 0.018 Termini Description of Work: Construction of an existing two-lane Bridge(#030138)on Immokalee Road east of SR 29.The new Bridge(#034833) superstructure features two 12-foot lanes(one in each direction), 8-foot shoulders, bridge railings,retaining walls, and guardrails, supported by a 12-inch Florida Slab Beam. The substructure will employ precast concrete piles to minimize maintenance costs over the life of the structures. Roadway approaches include paving, and shoulder transition improvement as necessary to tie back to existing. Reason for Supplement and supporting engineering and/or cost analysis: Exhibit A Project Description and Responsibilities is replaced in its entirety by the attached "AMENDED ADJUSTED EXHIBIT A"PROJECT DESCRIPTION AND RESPONSIBILITIES "and is incorporated by reference. Per Collier County's original request—Construction Engineering and Inspection is to be removed from Exhibit A and replaced as Construction services only. The County will utilize FDOT's CEI continuing service contract. CM) DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF DocuSign Envelope ID:FAF297D9-C472-4E0B-BC6C-405DFE8BC747 1 6 A 21 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM 525-010-32 SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT Page 2 of 2 IN WITNESS WHEREOF,the parties have executed this Agreement on the date last ascribed herein. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION rDocuSigned by: ilt.diSS Stakr By. CODC00CD003A470... Name: John M. Kubler, P.E. Melissa K ubll eslater ro r John Kerr Title: Director of Transportation Development 6/16/2022 15:05 PM EDT Date: Legal Review: apeRog- oeuSigned by: C""`"�p$ 5/16/2022 I 1:06 PP l77i,I13542EAE..E .. RECIPIENT COLLIER COUNTY A 114ST:\ux, • 1' BOARD OF COUN -; • ISSIONERS CRYSy AL icio4zEL, CLERK COLLIER CO . ,FLORID , Ati:4? ' Atr'i;•'•: `.,"‘ ... ,, 0 1 • ,'. - : '''''i To11-4,:'-‘;'-,a -.' ik By. ^�+ JIIP By. / }•. i lerk Willi '�L.McD. , , Chairman row Ap oved as to Form an egality: .1,6G‘ . js,<A„tr 2022.06.13 16:51:57-04'00' Derek D. Perry Assistant County Attorney • C,, DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF uocuslgn tnve,ope IL):FAFZ9/Ulid:4/1-4tU13-13G6(;-4USDht8BGl4! 6 2 AI1 Form 525-010-40A STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0A LOCAL AGENCY PROGRAM AGREEMENT PROGRAM MANAGEMENT 05+21 AMENDED EXHIBIT A PROJECT DESCRIPTION AND RESPONSIBILITIES FPN:444185-1-A8-01 This exhibit forms an integral part of the Agreement between the State of Florida, Department of Transportation and Collier County(the Recipient) PROJECT LOCATION: ❑The project is on the National Highway System. ❑The project is on the State Highway System. PROJECT LENGTH AND MILE POST LIMITS: PROJECT DESCRIPTION: Construction of an existing two-lane Bridge(#030138)on Immokalee Road east of SR 29.The new Bridge (#034833) superstructure features two 12-foot lanes (one in each direction), 8-foot shoulders, bridge railings, retaining walls, and guardrails, supported by a 12-inch Florida Slab Beam. The substructure will employ precast concrete piles to minimize maintenance costs over the life of the structures. Roadway approaches include paving, and shoulder transition improvement as necessary to tie back to existing. SPECIAL CONSIDERATIONS BY RECIPIENT: The Recipient is required to provide a copy of the design plans for the Department's review and approval to coordinate permitting with the Department, and notify the Department prior to commencement of any right-of-way activities. The Recipient shall commence the project's activities subsequent to the execution of this Agreement and shall perform in accordance with the following schedule: a)Design to be completed by May 21,2021 . b)Right-of-Way requirements identified and provided to the Department by June 30, 2022 c)Right-of-Way to be certified by June 30, 2022 d)Construction contract to be let by December 21, 2022 e)Construction to be completed byJune 30, 2025. If this schedule cannot be met, the Recipient will notify the Department in writing with a revised schedule or the project is subject to the withdrawal of funding. SPECIAL CONSIDERATIONS BY DEPARTMENT: The Department agrees to reimburse the Agency in accordance with Section 339.12, Florida Statutes, an amount not to exceed the total cost specified in Section 4b beginning in the Department's Fiscal Year 2025. The payment will be made in a lump sum in the year the project is scheduled in the Department's Work Program as of the date of this Agreement. The Department will issue Notice to Proceed to the Agency after final design plans and the project Bid Package to include Specifications, updated construction estimate, draft construction contract,completed Construction Checklist and Agency's Page 1 of 2 DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF560C285BF vwavIyn a noNFIO Iv.!'/1,"L.7(VTNY I G"fCUC'O6r0{.r'YYJVI"CGDIi,41, Certification Clear Package have been reviewed and approved. Upon receipt of an invoice,the Department will have twenty, (20)working days to review and approve the goods and services submitted for payment. Page 2 of 2 �90 DocuSign Envelope ID:99751391-1A5D-485E-8DF6-2BF56DC285BF 1 6 A 2 1 FDC1T Florida Department of Transportation RON DESANTIS 801 North Broadway JARED W.PERDUE,P.E. GOVERNOR Bartow,Florida 33830 SECRETARY MEMORANDUM Date: April 20, 2022 To: Greg Bowne, District Right of Way Manager Kevin Ingle, P.E., District One Design Engineer Melissa Slater, P.E., District Program Management Administrator Nicole Mills, P.E., ISD Administrator Abra Home, District Environmental Administrator From: John M. Kubler, P.E., Director of Transportation Developm I Copies: Legal Office, Human Resources, Financial Services 0 ce Subject: Delegation of Authority for John Kubler You are delegated signature and approval authority anytime during my absence from the office. Signature should be made "in your name for the "Director of Transportation Development". This delegation rescinds any prior delegations. This delegation will remain in effect April 20, 2022 —June 30, 2022. Please ensure all documents requiring signature/or approval under this delegation are forwarded to my office for proper coordination prior to signing and also provide a reading file copy of any documents you sign. JMK:jm Improve Safety, Enhance Mobility, Inspire Innovation www.fdot.gov