Backup Documents 09/13/2022 Item #16A34 1 6 A 3 4
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. 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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. County Attorney Office CAO OD if5/72._
2. Board of County Commissioners Office BOCC
iy Oki
3. Minutes and Records Clerk of Courts Office 4I1412
)1)(4c
4. Send via email to:
michel le.dandrea(acolliercountyfl.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 Michelle D'Andrea-Hall,Grants Coordinator 2885 S. Horseshoe Dr 252-5809
Contact/ Department
Agenda Date Item was g/13/2022 Agenda Item Number 16.A.34
Approved by the BCC
Type of Document Resolution & Amendment Number of Original 1 each
Attached Documents Attached
PO number or account
number if document is t 3 N/A
to be recorded
/J�
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
I. Does the document require the chairman's original signature STAMP OK MD
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 MD
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 MD
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 MD
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. MD
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 9/13/22 and all changes made during
the meeting have been incorporated in the attached document. The County 0919
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 D 0 eChairman's signature.
I: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 3
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Friday, September 16, 2022 12:38 PM
To: DAndreaMichelle
Subject: Resolution 2022-133 (Item#16A34 9-13-22 BCC Meeting)
Attachments: Backup Documents 09_13_2022 Item #16A34.pdf
Goods Afternoon,
After signature, please send a fully executed copy of the
attached to the Board's Minutes & Records Department,
for the Board's official records.
Thank you!
Ann Jennejohn
13MR Senior Deputy Clerk II
µ, ,,, Clerk to the Value Adjustment Board
Office: 23 9-252.-84O6
t Fax: 239-252-8408 (if applicable)
Ann.Jennejoktn@CollierClerk.com
• *��• Office of the Clerk of the Circuit Court
, & Comptroller of Collier County
3299 Tanniavini Trail, Suite *4O1
Naples, FL 341-12-5324
www.CollierClerk.com
i
I 6 A
RESOLUTION NO. 2022- 13 3
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO
EXECUTE AN AMENDMENT TO PUBLIC TRANSPORTATION GRANT
AGREEMENT 450306-1-94-01 CONTRACT NUMBER G2692 AND
SUBMIT AND REVISE ANY AND ALL SUPPORTING DOCUMENTS
AND ASSURANCES RELATED TO SUCH AWARD RELATING TO THE
IMPROVEMENT OF BUS STOPS FOR ADA COMPLIANCE IN THE
RURAL SERVICE AREA.
WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"),
has the authority to apply for and accept grants and make purchases and expend funds pursuant
to grant awards made by the Florida Department of Transportation as authorized by Chapter 341,
Florida Statutes, and by the Federal Transit Administration Act of 1964, as amended; and
WHEREAS, on June 14, 2022, the Board adopted Resolution 2022-98, accepting and
authorizing its chairman to execute a Section 5339 Grant Award from the Florida Department of
Transportation under Grant Agreement 450306-1-94-01, contract number G2692, dated June 21,
2022, in the amount of$222,355.00 (the "Agreement"), relating to the improvement of bus stops
for ADA compliance in the rural service area; and
WHEREAS,the Florida Department of Transportation and the Board wish to modify the
Agreement to remove certain references to construction as set forth in the amended Agreement.
NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners,
Collier County, Florida, that:
1. The Board authorizes its Chairman to execute, submit, and revise any and all documents required
in connection with the Federal Transit Administration Section 5339 Grant Award including,but not
limited to: (a)executing the amended Public Transportation Grant Agreement 450306-1-94-01; (b)
accepting and executing any required certifications and assurances and all supporting documents
related to the Section 5339 grant awarded to the County, (c) approving all necessary budget
amendments to receive and use grant dollars received above or below the target award referenced
in the Section 5339 grant application, and (d) the improvement of bus stops for Americans with
Disabilities Act of 1990 (ADA) compliance in the Rural Service Area and otherwise authorizing
the expenditure of grant funds pursuant to the grant awarded,unless specifically rescinded.
2. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney.
The registered Agent's address is 3299 Tamiami Trail East, Suite 800,Naples, FL 34112.
3. This Resolution shall be effective immediately upon signature by the Chairman.
[Space Intentionally Left Blank]
[22-ATM-00568/1741996/1] Page 1 of 2
CAO
1 6 A 3 4
This Resolution adopted after motion, second and majority vote favoring same,
this 13th day of September 2022.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTiL,'K..KINZEL, Clerk COLLIER CO . rr' ' : : DA
Ce) 4111
By. �.1 � By: -�" �
.;f, , p 'le Clerk Wi1 i am L. McDaniel, Jr., Chairman
`t�as a •ans
signaltfrettikz
A ved as to form an legality:
Derek D. Perry
Assistant County Attorney VI/
C\.\:1/
[22-ATM-00568/1741996/1] Page 2 of 2
DocuSign Envelope ID:6633A5E2-770C-4C30-A175-BFD8164BBCDA
16A34
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 725-000-03
PUBLIC TRANSPORTATION STRATEGIC
DEVELOPMENT
AMENDMENT TO THE PUBLIC TRANSPORTATION OGC11/19
GRANT AGREEMENT
Financial Project Number(s): Fund(s): DU FLAIR Category: 088774
(item-segment-phase-sequence) g y'
450306-1-94-01 Work Activity Code/Function: 215 Object Code: 780000
Federal Number/Federal Award Org. Code: 55301000943
Identification Number(FAIN)—Transit only: 1001- Vendor Number: F596000558030
2021-6
Contract Number: G2692 Federal Award Date: Amendment No.: 1
CFDA Number: 20.526 SAM/UEI Number: JWKJKYRPLLU6
CFDA Title: Buses and Bus Facilities Formula
CSFA Number: N/A
CSFA Title: N/A
THIS AMENDMENT TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT("Amendment") is made and entered
into on , by and between the State of Florida, Department of Transportation
("Department"), and Collier County Board of County Commissioners, ("Agency"),collectively referred to as the "Parties."
RECITALS
WHEREAS, the Department and the Agency on 6/21/2022 (date original Agreement entered) entered into a Public
Transportation Grant Agreement("Agreement").
WHEREAS, the Parties have agreed to modify the Agreement on the terms and conditions set forth herein.
NOW THEREFORE, in consideration of the mutual covenants in this Amendment, the Agreement is amended as
follows:
1. Amendment Description. The project is amended to remove references to construction, as referenced
construction requirements are no longer part of the Agreement. Therefore, Exhibit C (Terms and Conditions of
Construction) is hereby rendered void and removed in its entirety. Paragraph 6, section (a), on page 2 of the
Agreement, is also hereby rendered void and is removed in its entirety.
2. Program Area. For identification purposes only, this Agreement is implemented as part of the Department
program area selected below (select all programs that apply):
_ Aviation
Seaports
X Transit
_ Intermodal
Rail Crossing Closure
Match to Direct Federal Funding (Aviation or Transit)
(Note: Section 15 and Exhibit G do not apply to federally matched funding)
Other
3. Exhibits. The following Exhibits are updated, attached, and incorporated into this Agreement:
Exhibit A: Project Description and Responsibilities
_ Exhibit B: Schedule of Financial Assistance
_ *Exhibit B1: Deferred Reimbursement Financial Provisions
*Exhibit B2: Advance Payment Financial Provisions
_ *Exhibit C: Terms and Conditions of Construction
X Exhibit D: Agency Resolution
Exhibit E: Program Specific Terms and Conditions
Exhibit F: Contract Payment Requirements
9n
Pad>5 1 of 3
DocuSign Envelope ID:6633A5E2-770C-4C30-A175-BFD8164BBCDA 1 6 A 3 4
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 725-000-03
PUBLIC TRANSPORTATION STRATEGIC
DEVELOPMENT
AMENDMENT TO THE PUBLIC TRANSPORTATION OGC11/19
GRANT AGREEMENT
*Exhibit G: Financial Assistance (Single Audit Act)
*Exhibit H: Audit Requirements for Awards of Federal Financial Assistance
*Additional Exhibit(s):
4. Project Cost.
The estimated total cost of the Project is_ increased/_ decreased by�0 bringing the revised total cost of
the project to $222,355.
The Department's participation is _ increased/_ decreased by $0. The Department agrees to participate in
the Project cost up to the maximum amount of$222,355, and, additionally the Department's participation in the
Project shall not exceed 100.00% of the total eligible cost of the Project.
Except as modified, amended, or changed by this Amendment, all of the terms and conditions of the Agreement and any
amendments thereto shall remain in full force and effect.
IN WITNESS WHEREOF, the Parties have executed this Amendment on the day and year written above.
AGENCY: STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
BOARD O - • ►. Y COMMISSIONERS
COL E• �f :'IDA
C�` B
�_ �I y:
_...r. .�' Name: John M. Kubler, P.E.
W/iam L. McDaniel,Jr., Chairman Title: Director of Transportation Development
Atte*
•
CAYSTAL'K.KINZ1,L, CLERK STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
r. Legal Review: Don Conway
st 8S R1 an ty rk r--DS
sign Lure offiy: ,-r. c.66
f7ovcdandLeali
.
erek D. Perry
Assistant County Attorney I/
\v
°`
C'Ite Paa2 of 3
DocuSign Envelope ID:6633A5E2-770C-4C30-A175-BFD8164BBCDA www�yyyy
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION �orrT 5Q0E0
PUBLIC TRANSPORTATION DEVELOPME
GRANT AGREEMENT EXHIBITS O0007/22
EXHIBIT D
AGENCY RESOLUTION
PLEASE SEE ATTACHED
CAO
Paae 3 of 3
16detitign
Certificate Of Completion
Envelope Id: 6633A5E2770C4C30A175BFD8164BBCDA Status: Completed
Subject: Please DocuSign:450306-1-94-01 G2692 Draft PTGA Amendment 1 for Legal Review 8.29.22.pdf
Contract Number(ex. C9Al2,optional):G2692
Document Contains Confidential Information?: No
Fin Proj Num(ex.123456-1-32-01,Optional):450306-1-94-01
Office(contact Procurement if add is needed):
Transit
HR Action?: No
Source Envelope:
Document Pages:3 Signatures:0 Envelope Originator:
Certificate Pages: 1 Initials: 1 Dale Hanson
AutoNav: Enabled 605 Suwannee Street
Envelopeld Stamping: Enabled MS 20
Time Zone: (UTC-05:00)Eastern Time(US&Canada) Tallahassee, FL 32399-0450
Dale.Hanson@dot.state.fl.us
IP Address: 156.75.252.6
Record Tracking
Status:Original Holder: Dale Hanson Location: DocuSign
8/29/2022 1:23:15 PM Dale.Hanson@dot.state.fl.us
Signer Events Signature Timestamp
Don Conway r—DS Sent:8/29/2022 1:24:26 PM
Don.Conway@dot.state.fl.us Viewed:8/29/2022 1:28:17 PM
Senior Attorney Signed:8/29/2022 1:28:39 PM
Florida Department of Transportation
Security Level: Email,Account Authentication
Signature Adoption: Pre-selected Style
(None) Using IP Address: 156.75.180.190
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
In Person Signer Events Signature Timestamp
Editor Delivery Events Status Timestamp
Agent Delivery Events Status Timestamp
Intermediary Delivery Events Status Timestamp
Certified Delivery Events Status Timestamp
Carbon Copy Events Status Timestamp
Witness Events Signature Timestamp
Notary Events Signature Timestamp
Envelope Summary Events Status Timestamps
Envelope Sent Hashed/Encrypted 8/29/2022 1:24:26 PM
Certified Delivered Security Checked 8/29/2022 1:28:17 PM
Signing Complete Security Checked 8/29/2022 1:28:39 PM
Completed Security Checked 8/29/2022 1:28:39 PM
Payment Events Status Timestamps
CNC)