Backup Document 06/14/2022 Item #16A23 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 2 S
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. County Attorney Office CAO k'rj /iy/Z-
2. Board of County Commissioners Office BOCC
wiles a L #$( 411y(zz
3. Minutes and Records Clerk of Court's Office l(C r^16.171416 `r
M
4. Send via email to: "—l
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 Glori•
a Herrera GMD /TMS 239-252-5856
Contact/ Department
Agenda Date Item was June 14 2022 Agenda Item Number 16. A. Z 3
Approved by the BCC ,
Attached Document 440441-1 Lap Agreement Number of Original 2
e�� ocuments Attached
PO number or account Res �� lam/� cf
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 9./40 6�j C//77
Chairman's signature. /'
l: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
t6A23
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday, June 16, 2022 8:11 AM
To: HerreraGloria
Subject: Resolution 2022-99 (Item #16A23 6-14-22 BCC Meeting)
Attachments: Resolution 2022-99.pdf
Good MorKiing Gloria,
Please see the attached for further processing.
After sigvtature please forward a fully executed
copy to this office for the Board's record.
Thavik you!
Ann Jenne,jotin
BMR Senior Deputy Clerk II
to,t cM k,{ Clerk to the Value Adjusthnevtt Board
Office: 23,-252-8406
Fax: 239-252-840s (if applicable)
AtAK.Jefrunejohia@CollierClerk.com
` �.: Office of the Clerk of the Circuit Court
`"`N`` Sr Comptroller of Collier County
3299 Tavvtiami Trail, Suite #4O1
Naples, FL 34112-5324
www.CollierClerk.com
i
1 6A23
RESOLUTION NO.2022- 99
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER
COUNTY, FLORIDA, MEMORIALIZING THE BOARD'S APPROVAL OF
SUPPLEMENTAL AGREEMENT NO. I VIA THE COUNTY INCENTIVE GRANT
PROGRAM (CIGP) WITH THE FLORIDA DEPARTMENT OF TRANSPORTATION
(FDOT), TO RECEIVE REIMBURSEMENT FOR DESIGN AND CONSTRUCTION
SERVICES FOR COLLIER COUNTY PROJECT 60190 `AIRPORT ROAD FROM
VANDERBILT BEACH ROAD (CR862) TO IMMOKALEE ROAD (CR846)' AND
AUTHORIZING THE CHAIRMAN TO SIGN THE SUPPLEMENTAL AGREEMENT.
WHEREAS, the State of Florida Department of Transportation (FDOT) h a s entered
into a County Incentive Grant Program (CIGP) Agreement with Collier County,
wherein FDOT authorizes the County to receive reimbursement for Design and Construction
Services in the amount of Six Million, Four Hundred and Twenty Eight Thousand, One
Hundred ($6,428,100) dollars for Collier County Project 60190 `Airport Road from Vanderbilt
Beach Road to Immokalee Road';and
WHEREAS, FDOT has issued Supplemental Agreement No. 1 to the CIGP Agreement,
which moves the design funds from FY20/21 to FY21/22; and
WHEREAS, the Collier County Board of County Commissioners finds that it is in
the best interests of the citizens of Collier County to coordinate the County project with
FDOT in a cost-efficient manner,by approving Supplemental Agreement No. 1.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY,FLORIDA, that:
1. The Board of County Commissioners approves the Supplemental Agreement No.
1 and authorizes its Chairman to execute the Agreement on its behalf.
2. The Collier County Clerk of Court is hereby directed to forward a certified copy
of this Resolution, along with an executed copy of Supplemental Agreement No.
1,to the Florida Department of Transportation.
A
This Resolution is hereby adopted upon majority vote on this I`I day of late. , 2022.
ATTEST'. BOARD OF COUNTY COMMISSIONERS
CRYSTAL, K. KINZEL;,CLERK COLLIER CO. ;' - • DA
N'tc OA
By .;: Cyr By _�—=-- �'
'S.tial JI'S Willi., L. McDaniel,Jr.,Chairman
Ajfs a e only.
e ,:'form and legality:
Jeffrey`4. 1 tzkow, County Attorney
0
1 6 A 2 3
DocuSign Envelope ID:9068A0D7-303B-4C11-8FFE-567CA853E9E1
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-60
STATE-FUNDED GRANT PROGRAM MANAGEMENT
12/18
SUPPLEMENTAL AGREEMENT Page 1 of 1
SUPPLEMENTAL NO.
01
CONTRACT NO.
G1S82
FPN
440441-1-34/54-01
Recipient: Collier County
This Supplemental Agreement("Supplemental"), dated arises from the desire to supplement the State-Funded
Grant Agreement("Agreement")entered into and executed on December 7, 2020 as identified above. All provisions in the
Agreement and supplements, if any, remain in effect except as expressly modified by this Supplemental.
The parties agree that the Agreement is to be amended and supplemented as follows:
Exhibit B SCHEDULE OF FINANCIAL ASSISTANCE is replaced in it's entirety by the attached"AMENDED EXHIBIT
B"and is incorporated by reference.
Reason for this Supplemental and supporting engineering and/or cost analysis:
"AMENDED EXHIBIT B"reflects the correct FDOT fiscal year for Design(FY 22) and Construction (FY 23). Design was
originally programmed for FY 21 and was deferred by the department to FY 22 to cover the departments cost overrun.
IN WITNESS WHEREOF,the parties have caused these presents to be executed the day and year first above written.
RECIPIENT: STATE OF FLORIDA
COLLIER COUNT DEPARTMENT OF TRANSPORTATION
allow
By: �/ �' --oil By:
Ir Name: illiam L. McDaniel,Jr. Name: John M. Kubler, P.E.
Title: Chairman Title: Director of Transportation Development
Legal Review:
l ,--Ds
( 3/8/2022 11:15 PM
Appro ( aS t 4n, and legality ' ,...ATT ' `
'
CRYeTA�KKINLBRK
Jeffrey A. atzk�o7, ounty Attorney BY r '„ Cc
1 I\J
i
.Af ''n s t airman's
signature only.
€A
i6A2
DocuSign Envelope ID:9068AOD7-3D3B-4C11-8FFE-567CAB53E9E1
Alt Form 525-010-60eB STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-0B
STATE-FUNDED GRANT AGREEMENT PROGRAM
MANAGEMENT
8/21
Page 1 of 2
AMENDED EXHIBIT B
SCHEDULE OF FINANCIAL ASSISTANCE
RECIPIENT NAME&BILLING ADDRESS: FINANCIAL PROJECT NUMBER:
Collier County 440441-1-34/54-01
3299 Tamiami Trail East,Suite 700
Naples,FL 34112-3969
MAXIMUM PARTICIPATION
PHASE OF WORK by Fiscal Year: (1) (2) (3)
TOTAL PROJECT FUNDS LOCAL FUNDS STATE FUNDS Indicate source of
Local funds
I Design-Phase 34 Maximum Department Participation $1,500,000.00 $ $1,500,000.00 ❑In-Kind
r FY:21/22 (CIGP-COUNTY INCENTIVE GRANT
PROGRAM) El Cash
FY:21/22 Maximum Department Participation $1,500,000.00 $1,500,000.00 $ ❑In-Kind
(Local Funds) ❑Cash
Total Design Cost $3,000,000.00 $1,500,000.00 $1,500,000.00
% %
Right-of-Way-Phase 44Maximum Department Participation $ $ $ is In-Kind
FY: (Insert Program Name) H
Cash
FY: Maximum Department Participation $ $ $ In-Kind
(Insert Program Name) ❑Cash
Total Right-of-Way Cost $ 0.00 $ 0.00 $ 0.00
% % %
Construction-Phase 54 Maximum Department Participation $4,928,100.00 $ $4,928,100.00 • In-Kind
FY:22/23 (CIGP-COUNTY INCENTIVE GRANT
PROGRAM ID Cash
FY:22/23 Maximum Department Participation $4,928,100.00 $4,928,100.00 $ ❑In-Kind
(Local Funds) ❑Cash
Total Construction Cost 59,856,200.00 $4,928,100.00 $4,928,100.00
% % %
Construction Maximum Department Participation $ $ $ 1111 In-Kind
Engineering and (Insert Program Name) ❑Cash
Inspection-Phase 64
FY:
FY: Maximum Department Participation $ $ $ 0 In-Kind
(Insert Program Name) ❑Cash
Total Construction Engineering and Inspection Cost $ 0.00 $ 0.00 $ 0.00
% % %
(Phase: ) Maximum Department Participation 5 $ $ • In-Kind
FY: (Insert Program Name) Cash
FY: Maximum Department Participation $ $ $ In-Kind
(Insert Program Name) ❑Cash
Total Cost $ 0.00 $ 0.00 $ 0.00
% % %
TOTAL COST OF THE PROJECT $12,856,200.00 _ 56,428,100.00 $6,428,100.00
COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 216.3475,FLORIDA STATUTES:
I certify that the cost for each line item budget category has been evaluated and determined to be allowable,reasonable,and necessary as required by
Section 216.3475,F.S.Documentation is on file evidencing the methodology used and the conclusions reached.
Simon Shackelford
District Grant Manager Name
EDocu8igned by:
s-......, S +-d- 3/8/2022 1 10:52 AM EST
DD08F7803F3A432...
0
16A23
DocuSign Envelope ID:9088A0D7-3D3B-4C11-8FFE-587CAB53E9E1
Signature Date
(1)
t 6A23
CastilloTara
From: KlatzkowJeff
Sent: Friday, May 27, 2022 9:28 AM
To: ThaoBee
Subject: RE: SA No.1/Airport Rd
Switch it out.
Jeffrey A. Klatzkow
Collier County Attorney
(239) 252-2614
From:ThaoBee<Bee.Thao@colliercountyfl.gov>
Sent: Friday, May 27, 2022 9:01 AM
To: KlatzkowJeff<Jeff.Klatzkow@colliercountyfl.gov>
Subject:SA No.1/Airport Rd
Good Morning Jeff,
Per our phone conversation this morning, the original Exhibit B was stamped and attached to SA No. 1 instead of the
Amended Exhibit B.
Attached, please find SA NO. 1 from FDOT in March 2022, SA No.1 that was signed from your office, and the revised SA
No.1 that will be switched out in Accela.
Currently in Accela: Supplemental Agreement No. 1—JAK
Will be switched out with: Supplemental Agreement No. 1 -JAK_Rev1
Please confirm that you are okay with the switch out even though there is no CAO stamped on the Amended Exhibit B in
Supplemental Agreement No. 1 -JAK_Rev1.
Thank you for the help with this project.
Respectfully,
Senior Project Manager
Transportation Management Services Department
CA' Coi.inty
Transportation Engineering Division
2885 South Horseshoe Drive, Naples, Florida 34104
Phone: 239.252.5844 Cell:239.206.0194
Bee.Thao@colliercountyfl.gov
1
16423
Under Florida Law, e-mail addresses are public records. If you do not want your e-mail address released in response to a
public records request, do not send electronic mail to this entity. Instead, contact this office by telephone or in writing.
2
DocuSign Envelope ID: B7D1A890-EFB8-4378-B6F1-47DD7532CE44
RESOLUTION NO.2022- 99
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER
COUNTY, FLORIDA, MEMORIALIZING THE BOARD'S APPROVAL OF
SUPPLEMENTAL AGREEMENT NO. 1 VIA THE COUNTY INCENTIVE GRANT
PROGRAM (CIGP) WITH THE FLORIDA DEPARTMENT OF TRANSPORTATION
(FDOT), TO RECEIVE REIMBURSEMENT FOR DESIGN AND CONSTRUCTION
SERVICES FOR COLLIER COUNTY PROJECT 60190 `AIRPORT ROAD FROM
VANDERBILT BEACH ROAD (CR862) TO IMMOKALEE ROAD (CR846)' AND
AUTHORIZING THE CHAIRMAN TO SIGN THE SUPPLEMENTAL AGREEMENT.
WHEREAS, the State of Florida Department of Transportation (FDOT) h a s entered
into a County Incentive Grant Program (CIGP) Agreement with Collier County,
wherein FDOT authorizes the County to receive reimbursement for Design and Construction
Services in the amount of Six Million, Four Hundred and Twenty Eight Thousand, One
Hundred (S6,428,100) dollars for Collier County Project 60190 `Airport Road from Vanderbilt
Beach Road to Immokalee Road';and
WHEREAS, FDOT has issued Supplemental Agreement No. 1 to the CIGP Agreement,
which moves the design funds from FY20/21 to FY21/22; and
WHEREAS, the Collier County Board of County Commissioners finds that it is in
the best interests of the citizens of Collier County to coordinate the County project with
FDOT in a cost-efficient manner,by approving Supplemental Agreement No. 1.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY,FLORIDA,that:
1. The Board of County Commissioners approves the Supplemental Agreement No.
1 and authorizes its Chairman to execute the Agreement on its behalf.
2. The Collier County Clerk of Court is hereby directed to forward a certified copy
of this Resolution, along with an executed copy of Supplemental Agreement No.
1,to the Florida Department of Transportation.
This Resolution is hereby adopted upon majority vote on this Nt11+day of 1,AL , 2022.
ATTE '':,'''""' • BOARD OF COUNTY COMMISSIONERS
CRY OAI '1 :,KIN al,`?F;,,CLERK COLLIER CO 4- . ti C DA
5:. tit4''',f';;'"".. : tr. 6e)- AP / ... OdkA
.‘054.411 ' By - -olikv
,s Willi,- L. McDaniel,Jr., Chairman
l •+ooI4
Appro -•1frrmand1 g y:
lt!ty
Jeffrey : . , tzkow, County Attorney
DocuSign Envelope ID: B7D1A890-EFB8-4378-B6F1-47DD7532CE44 16 A 2 3
DocuSign Envelope ID:9068A0D7-303B-4C11-8FFE-567CABS3E9E1
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 825.01040
STATE-FUNDED GRANT PROGRAM MANAGEMENT
18
SUPPLEMENTAL AGREEMENT • Pow?Qf I
SUPPLEMENTAL NO.
01
CONTRACT NO.
G1S82
FPN
440441-1-34/54-01
Recipient:Collier County 6/16/2022 I 4:15 PM EDT
This Supplemental Agreement('Supplemental"),dated arises from the desire to supplement the State-Funded
Grant Agreement("Agreement")entered into and executed on December 7.2020 as identified above. All provisions in the
Agreement and supplements, if any,remain in effect except as expressly modified by this Supplemental.
The parties agree that the Agreement is to be amended and supplemented as follows:
Exhibit B SCHEDULE OF FINANCIAL ASSISTANCE is replaced in it's entirety by the attached"AMENDED EXHIBIT
B"and is incorporated by reference.
Reason for this Supplemental and supporting engineering and/or cost analysis:
"AMENDED EXHIBIT B"reflects the correct FDOT fiscal year for Design(FY 22)and Construction(FY 23).Design was
originally programmed for FY 21 and was deferred by the department to FY 22 to cover the departments cost overrun.
IN WITNESS WHEREOF,the parties have caused these presents to be executed the day and year first above written.
RECIPIENT: STATE OF FLORIDA
COLLIER COUN DEPARTMENT OF TRANSPORTATION
r—DocuSigned by:t
ktIS
Stakr
By: By: —rsarenFnaoaaa73 Melissa S1 ater for John
Name: illiam L.McDaniel,Jr. Name: John M. Kubler,P.E. Kubl e r
Title: Chairman Title: Director of Transportation Development
i2�ryew by:
e
Fs&
os
6 c C.o r�wO,�,ati 3/8/2022 I 1:15 pM I
937D1D5420A8409...
Appro - f and legality
Jefrny A. 7 nnty Attorney
l f, •as tv "tTi18tl'i
signature only.
cAo
DocuSign Envelope ID: B7D1A890-EFB8-4378-B6F1-47DD7532CE44 16 A 2 3
DocuSign Envelope ID:9068A007-3D38-4C11-8FFE-587CA853E9E1
Al Form 5260104Oss STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525011-08
STATE-FUNDED GRANT AGREEMENT PROGRAM
MANNISEMT
MI
Page 1 di
AMENDED EXHIBIT B
SCHEDULE OF FINANCIAL ASSISTANCE
REOPIENT NAME&BIWNG ADDRESS: FINANCIAL PROTECT NUMBER:
Collier County 440441-1-34/54-01
3299 Tamiami trail East,Suite 700
Naples,FL 34112-3969
MAXIMUM PARTICIPATION
PHASE OF WORK by Fiscal Year. TOTAL PROJECT FUNDS LOCAL FUNDS STATE FUNDS Indicate source of
Loaf funds
iDesign-Phase 34 Maximum Department Participation $1,500,00D.00 $ $1,500.000.00 0 In-Kind
FY:21/22 (CIGP-COUNTY INCENTIVE GRANT Cash
PROGRAM)
FY:21/22 Maximum Department Participation $1,500,000.00 51,500,000.00 $ In-Kind
(Local Funds) S Cash
Total Design Cost $3,000,000.00 $1,500,000.00 51,500.000.0D
% % %
Right-of-Way-Phase 44Maximum Department Participation $ $ $ in-Kind
FY: (Insert Program Name) §Cash
FY: Maximum Department Participation $ $ $ In-Kind
(Insert Program Name) Cash
Total Right-of-Way Cost $ 0.00 $ 0.00 $ 0.00
% % %
Construction-Phase 54 Maximum Department Participation $4,928.100.00 S 54,928,100.03 In-Kind
FY:22/23 (CIGP•COUNTY INCENTIVE GRANT 0 Cash
PROGRAM
FY:22/23 Maximum Department Participation $4,928,100.00 S4,928,100.00 5 ❑In-Kind
(Local Funds) 0 Cash
Total Construction Cost 59,856,200.00 $4,928,100.00 $4,928,100.00
% % %
Construction Maximum Department Participation $ $ $ In-Kind
Engineering and (Insert Program Name) 0 Cash
Inspection-Phase 64
FY:
FY: Maximum Department Participation $ $ $ 0t-t In-Kind
(Insert Program Name) U Cash
Total Construction Engineering and Inspection Cost 5 0.00 $ 0.00 S 0.00
% % %
(Phase: I Madmum Department Participation 5 $ $ In-Kind
FY: (Insert Program Name) Cash
FY: Maximum Department Participation $ S $ ElIn-Kind
(Insert Program Name) 0 Cash
Total Cost $ 0.00 $ 0.00 $ 0.00
% % %
TOTAL COST OF THE PROJECT 512,856,203.00 56,428,100.00 $6,428,100.00
COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 218.3475.FLORIDA STATUTES:
I certify that the cost for each line Item budget category hes been evaluated and determined to be allowable.reasonable,and necessary as required by
Section 218.3475.F.S.Documentation Is on file evidencing the methodology used and the conclusions reached.
Simon Shackelford
District Grant Manager Name
�Soae ssd by:ra l+i++t. 5 •+.4L 3/8/2022 1 10:52 AN EST
DocuSign Envelope ID:B7D1A890-EFB8-4378-B6F1-47DD7532CE44
I6A23
FDdia ,
....••••- --- -
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
/ 11 ) I
From: John M. Kubler, P.E., Director of Transportation Developmj !'
Copies: Legal Office, Human Resources, Financial Services 0,
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