Backup Documents 11/08/2022 Item #11G ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 I G
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 94 11/3/Z
2. Board of County Commissioners Office BOCC
1"4/4 Ptisl i/HZ 2
3. Minutes and Records Clerk of Court's Office
t�(11 '
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 Herrera GMD / TMS 239-252-5856
Contact/ Department
Agenda Date Item was NOV 082022 Agenda Item Number 11 . G.
Approved by the BCC
Type of Document 446323-3 LFA Agreement/ Resolution Number of Original 2
Attached ^ _ Documents Attached
PO number or account 2 L'-' L 110
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 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 11-08-22 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 5
Chairman's signature.
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
1 1 G
RESOLUTION NO. 2022 - 1 86
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, MEMORIALIZING THE BOARD'S
APPROVAL OF A LOCALLY FUNDED AGREEMENT FOR PROJECT
#446323-3-62-01 WITH THE FLORIDA DEPARTMENT OF
TRANSPORTATION (FDOT) FOR CONSTRUCTION ENGINEERING
INSPECTION (CEI) SERVICES PERTAINING TO IMPROVEMENTS FOR
CORKSCREW ROAD, AND AUTHORIZING THE CHAIR TO SIGN THE
AGREEMENT.
WHEREAS, FDOT has included in its Five-Year Work Program a project for
improvements to a portion of Corkscrew Road North (Locally Funded Project #446323-3-62-
01); and
WHEREAS, FDOT and the Board of County Commissioners (County) wish to enter into
a Locally Funded Agreement (Agreement) that would require the County to contribute funds for
CEI services pertaining to the project; and
WHEREAS, FDOT requires that the County provide a Resolution memorializing and
confirming the County's affirmative vote to approve the Agreement, and authorizing the Chair to
execute the Agreement.
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 Chair to sign, the
Locally Funded Agreement for Project #446323-3-62-01.
2. This Resolution memorializes and confirms the Board's approval of the Agreement.
3. A certified copy of this Resolution shall be forwarded by the Collier County Clerk to FDOT
along with the executed Agreement.
top
This resolution adopted upon majority vote favoring same this 0 day of AkeezZe/-_, 2022.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K.,Kinzei Clerk of Courts COLLIER CO
Ce)
By.;, By: 04.4 Aifr
Attes as(' Chairman quty C rk Will'm L. McDaniel, Jr., Chai an
sigratum h
Iv
Pprov' .-1 t' •.lrty:
grail&
Jeffrey A latl.w, County Attorney
i 1S
RESOLUTION NO. 2022 - 1 86
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, MEMORIALIZING THE BOARD'S
APPROVAL OF A LOCALLY FUNDED AGREEMENT FOR PROJECT
#446323-3-62-01 WITH THE FLORIDA DEPARTMENT OF
TRANSPORTATION (FDOT) FOR CONSTRUCTION ENGINEERING
INSPECTION (CEI) SERVICES PERTAINING 1'O IMPROVEMENTS FOR
CORKSCREW ROAD, AND AUTHORIZING TIIE CHAIR TO SIGN THE
AGREEMENT.
WHEREAS, FDOT has included in its Five-Year Work Program a project for
improvements to a portion of Corkscrew Road North (Locally Funded Project #446323-3-62-
01); and
WHEREAS, FDOT and the Board of County Commissioners (County) wish to enter into
a Locally Funded Agreement (Agreement) that would require the County to contribute funds for
CEI services pertaining to the project; and
WHEREAS, FDOT requires that the County provide a Resolution memorializing and
confirming the County's affirmative vote to approve the Agreement, and authorizing the Chair to
execute the Agreement.
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 Chair to sign, the
Locally Funded Agreement for Project #446323-3-62-01.
2. This Resolution memorializes and confirms the Board's approval of the Agreement.
3. A certified copy of this Resolution shall be forwarded by the Collier County Clerk to FDOT
along with the executed Agreement.
This resolution adopted upon majority vote favoring same this pry day of Ave -_, 2022.
ATTEST: BOARD OF COUNTY COMMISSIONERS
Crystal K..Kirizelfclerk of Courts COLLIER COI. , IDA
ByLaw,V9
- By' •
r -
Attest as.tU C hOrmahl's)puty Ct1rk • Will: m L. McDaniel, Jr., Chair an
s'tirt�i! !v •
PProv a; • e A J a _.lity: "t
441
1,' : I,Crystal}�Y(i4zel,.914 i 4. end o►?Collier Cuunty
do heart ceCify`st th �P it off$a tnre ar,J correct
Jeffrey A' lat.k e w, County Attorney
pya,-c anginalfue:;"C ,ertounfij,. odda
Dy. ": Deputy Clerk
Ds...
1 G
DocuSign Envelope ID:F7FD51FC-850A-401C-87DE-E5F5748F1946
FM#: 446323-3-62-01
LFA: COLLIER
Page 1 of 3
LOCALLY FUNDED AGREEMENT
BETWEEN
THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
AND
COLLIER COUNTY
This is an Agreement between the STATE• OF FLORIDA DEPARTMENT OF
TRANSPORTATION (hereinafter, "DEPARTMENT") and Collier County, a political
subdivision of the State of Florida,(hereinafter, "AGENCY")for the AGENCY to provide a lump
sum deposit to the DEPARTMENT for the CEI services; Resurfacing/Widening existing lanes
from Corkscrew Rd North from S of Wildcat Dr. to E Wildcat Dr.
WITNESSETH
A. WHEREAS, the DEPARTMENT has included the work listed below in its Five-Year Work
Program in Fiscal Year 2022/2023;and
B. WHEREAS,the AGENCY has agreed to contribute monies to the DEPARTMENT for:
To provide CEI service for Resurfacing/Widening existing lanes from Corkscrew Rd
North from S of Wildcat Dr. to E Wildcat Dr.
WHEREAS the DEPARTMENT and AGENCY desire to enter into this Locally Funded
Agreement to set forth the terms and conditions upon which AGENCY shall provide funding
(See Exhibit"B",Estimated Schedule of Funding,attached and incorporated by reference)
for the PROJECT; and
C. WHEREAS,the AGENCY, by Resolution dated the g A day of noveeibef ,2022,
a copy of which is attached hereto and made a part hereof as Exhibit A has authorized the City
Manager or Designee to enter into this Agreement.
NOW THEREFORE, in consideration of the mutual benefits to be derived from joint
participation in this Agreement,the parties agree as follows:
1. The foregoing recitals are true and correct and are hereby adopted incorporated into and made
a part of this Agreement by reference, as if fully set forth herein.
2. The AGENCY agrees that it will, at least fourteen (14) calendar days after the execution of
this agreement, furnish the DEPARTMENT with a lump sum non-refundable deposit in the
amount of One Hundred Five Thousand Five Hundred Forty Seven One Dollars and
thirty-two cents (105,547.32) to be used for the project cost for locally funded project
number#446323-3-62-01. The Department will utilize this deposit for payment of the costs
of the PROJECT.
3. As the deposit is non-refundable, the DEPARTMENT will not refund any monies in the
event the project costs less than the deposit. In the event the project costs more than the
deposited amount,the DEPARTMENT agrees to pay the difference.
4. All deposits shall be made payable to the Florida Department of Transportation:
A4J
DocuSign Envelope ID:F7FD51FC-850A-401C-87DE-E5F5748F1946
FM#: 446323-3-62-01
LEA: COLLIER
Page 2 of 3
Florida Department of Transportation
OOC-GAO, LEA Section
605 Suwannee Street, MS 42B
Tallahassee, FL 32399
4. All notices under the Agreement shall he directed to the following contact persons:
TO DEPARTMENT: TO AGENCY:
Lisa R. Brinson Michael Tisch, FCCM.
Local Program Administrator Project Manager
Florida Department of Transportation Collier County
801 N. Broadway Avenue 2885 South 1-lorseshow Drive
Bartow, Florida 33830 Naples. Florida 34104
(863) 519-2836 239-252-5839
Lisa.brinsoni'ci!dot.state.fl_us Michael.TischAcolliercountyfl.gov
5. Failure of the AGENCY to deposit said amount shall be grounds for termination of this
Agreement.
6. This Agreement shall continue in effect and be binding on the parties until the PROJECT is
completed.
7. All tracings, plans, specifications, maps and/or reports prepared or obtained under this
Agreement shall be considered works made for hire and shall become the property of the
DEPARTMENT without restriction or limitation on their use.
8. The DEPARTMENT shall not be obligated or liable hereunder to any party other than the
AGENCY. The AGENCY shall not be obligated or liable hereunder to any party other than
the DEPARTMENT.
9. If any part of this Agreement shall be determined to be invalid or unenforceable by a court of
competent jurisdiction or by any other legally constituted body having the jurisdiction to make
such determination, the remainder of this Agreement shall remain in full force and effect
provided that the part of this Agreement thus invalidated or declared unenforceable is not
material to the intended operation of this Agreement.
10. This document incorporates and includes all prior negotiations,correspondence,conversations,
agreements,or understandings applicable to the matters contained herein, and the parties agree
that there are no commitments,agreements or understandings concerning the subject matter of
this Agreement that are not contained in this document. Accordingly, it is agreed that no
deviation from the terms hereof shall be predicated upon any prior representations or
agreements whether oral or written. It is further agreed that no modification, amendment or
alteration in the terms or conditions contained herein shall be effective unless contained in a
written document and executed by both parties.
11. This Agreement shall be governed by and construed in accordance with the laws of the State
of Florida.
,jam..
CAC
DocuSign Envelope ID:F7FD51FC-850A-401C-87DE-E5F5748F1946
FM#: 446323-3-62-01
LFA: COLLIER
Page 3 of 3
IN WITNESS WHEREOF,the AGENCY has caused this Agreement to be executed in its behalf
through its City Manager or its designee,as authorized by Resolution Number•-2 p 7 2_1 R h,and
the FLORIDA DEPARTMENT OF TRANSPORTATION has caused this Agreement to be
executed in its behalf through its District Secretary or authorized designee: This Agreement shall
become effective on:
Department to enter date.
Lr4S+al tr k'r e enter
COLLIER COUNTY, FLO D
ATTEST
B BY: •
ticsot a� 4 S
Ign t YI?t,rh. William L. McDaniel, Jr., Chairman
PRINT NAME
• P0 ` '1I �I /// V/Z Z
TITLE DATE / DATE
COLLIER $ U T LEGA
REVIEW: 1,
BY: a .. le . I )
DA E
STA OF FLORIDA DEPARTMENT OF TRANSPORTATION
ATTEST
BY: BY:
DISTRICT ONE SECRETARY
OR DESIGNEE
PRINT NAME PRINT NAME
TITLE DATE TITLE DATE
FLA. DEPT. OF TRANS. LEGAL
REVIEW: o.
BY: �' '
12G
DocuSign Envelope ID:F7FD51FC-850A-401C-87DE-E5F5748F1946
Exhibit B Page 1 of 1
EXHIBIT B
ESTIMATED SCHEDULE OF FUNDING
Financial Management Number:
446323-3-62-01
Lump Sum
Corkscrew Rd North from S of Wildcat Dr to E Wildcat Dr
Construction
Phase: Amount:
62 $105,547.32
Total Contribution $105,547.32
(Local Agency):
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