Backup Documents 06/13/2023 Item #16G 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 ,
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 JAK 6I 131a3
2. Board of County Commissioners Office BOCC
s/ b J13@
3. Minutes and Records Clerk of Court's Office n
4. Send signed copy to Heather Meyer Airport Authority �/ I
Heather.meyer@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 Heather Meyer/Airport Authority 239-252-5765
Contact/ Department
Agenda Date Item was June 13,2023 Agenda Item Number 16G.2
Approved by the BCC /.,N (�,�
Type of Document $4 esolutioifl DOT Grant Agreements for Fuel Number of Original �y
Attached FarmiriBli hos. G2,3%6 v G1k13 Documents Attached
PO number or account N/A number if document is 2.09.5— "O * POP-3-11 I
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 OK
2. Does the document need to be sent to another agency for additional signatures? If yes, HM
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 HM
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 HM
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 HM
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 J A�fk
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip HM
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 June 13,2023 and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County Jilt 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 J Aii N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the >1 / an option for
Chairman's signature. this line.
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
16G2
RESOLUTION NO. 2023- 1 10
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, ACTING
AS THE COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND
AUTHORIZING THE EXECUTION OF THE ATTACHED GRANT
AGREEMENT G2K13 AND ALL SUBSEQUENT AMENDMENTS TO THE
PUBLIC TRANSPORTATION GRANT AGREEMENT WITH THE FLORIDA
DEPARTMENT OF TRANSPORTATION UPON BOARD APPROVAL
WHEREAS, the Collier County Airport Authority has the authority to enter into the attached
agreement with the Federal Aviation Administration to undertake projects as authorized by Chapter
332, Florida Statutes, and Section 14-60 of the Florida Administrative Code, and Collier County
Ordinance 2004-03.
NOW, THEREFORE, BE IT RESOLVED BY THE Board of County Commissioners acting
as the Collier County Airport Authority, Collier County, Florida, that:
1. Public Transportation Grant Agreement (PTGA) Number G2K13, Financial Management
Number 446361-1-94-01 for Fuel Farm Replacement at the Immokalee Regional Airport,
attached hereto, is hereby approved.
2. The Chairman of the Board of County Commissioners,acting as the Collier County Airport
Authority, is authorized to enter into, modify or terminate PTGA Number G2K13 with the
Florida Department of Transportation unless and until it may be specifically rescinded.
3. Upon Board approval, the Chairman of the Board of County Commissioners, acting as the
Collier County Airport Authority, is authorized to enter into, modify or terminate all
subsequent amendments to PTGA Number G2K13 with the Florida Department of
Transportation unless and until it may be specifically rescinded.
4. This Resolution shall take effect immediately upon adoption.
ADOPTED this 13111 day of lap. 2023 after motion, second and majority vote in
favor of adoption.
ATTEST: COLLIER COUNTY AIRPORT AUTHORITY
CRYSTAL K. KI NIZEL'CLE
By: rill
PC' By: (..24;e1
De Clerk Rick LoCastro, Chairman
Attest as to Chairman's
signature only
ii
Approvwitii and legality:
VW
Jeffrey A r at.I.w, ounty Attorney
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
06/21/2023 | 11:39 AM EDT
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
DocuSign Envelope ID: 01483CA4-01A8-4929-8CDF-EA848569F017
Certificate Of Completion
Envelope Id: 01483CA401A849298CDFEA848569F017 Status: Completed
Subject: Complete with DocuSign: IMM_G2K13_446361-1_Fuel Farm_Original PTGA_Legal & Director Signature.pdf
Contract Number (ex. C9A12, optional): G2K13
Document Contains Confidential Information?: No
Fin Proj Num (ex.123456-1-32-01, Optional): 446361-194-01
Office (contact Procurement if add is needed):
Aviation
HR Action?: No
Source Envelope:
Document Pages: 42 Signatures: 2 Envelope Originator:
Certificate Pages: 2 Initials: 0 Dawn Gallon
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
605 Suwannee Street
MS 20
Tallahassee, FL 32399-0450
dawn.gallon@dot.state.fl.us
IP Address: 156.75.180.190
Record Tracking
Status: Original
6/20/2023 11:57:05 AM
Holder: Dawn Gallon
dawn.gallon@dot.state.fl.us
Location: DocuSign
Signer Events Signature Timestamp
Don Conway
don.conway@dot.state.fl.us
Senior Attorney
Florida Department of Transportation
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 156.75.252.6
Sent: 6/20/2023 12:01:18 PM
Viewed: 6/21/2023 7:54:04 AM
Signed: 6/21/2023 7:54:49 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Nicole Mills
nicole.mills@dot.state.fl.us
Interim Director of Transportation Development
Florida Department of Transportation
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 156.75.252.6
Sent: 6/21/2023 7:54:51 AM
Viewed: 6/21/2023 11:38:57 AM
Signed: 6/21/2023 11:39:07 AM
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 6/20/2023 12:01:18 PM
Certified Delivered Security Checked 6/21/2023 11:38:57 AM
Signing Complete Security Checked 6/21/2023 11:39:07 AM
Completed Security Checked 6/21/2023 11:39:07 AM
Payment Events Status Timestamps
16G2
RESOLUTION NO. 2023- 111
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, ACTING
AS THE COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND
AUTHORIZING THE EXECUTION OF THE ATTACHED GRANT
AGREEMENT G2J86 AND ALL SUBSEQUENT AMENDMENTS TO THE
PUBLIC TRANSPORTATION GRANT AGREEMENT WITH THE FLORIDA
DEPARTMENT OF TRANSPORTATION UPON BOARD APPROVAL
WHEREAS, the Collier County Airport Authority has the authority to enter into the attached
agreement with the Federal Aviation Administration to undertake projects as authorized by Chapter
332, Florida Statutes, and Section 14-60 of the Florida Administrative Code, and Collier County
Ordinance 2004-03.
NOW, THEREFORE, BE IT RESOLVED BY THE Board of County Commissioners acting
as the Collier County Airport Authority, Collier County, Florida, that:
1. Public Transportation Grant Agreement (PTGA) Number G2J86, Financial Management
Number 446362-1-94-01 for Fuel Farm Expansion at the Marco Island Executive Airport,
attached hereto, is hereby approved.
2. The Chairman of the Board of County Commissioners, acting as the Collier County Airport
Authority, is authorized to enter into, modify or terminate PTGA Number G2J86 with the
Florida Department of Transportation unless and until it may be specifically rescinded.
3. Upon Board approval, the Chairman of the Board of County Commissioners, acting as the
Collier County Airport Authority, is authorized to enter into, modify or terminate all
subsequent amendments to PTGA Number G2J86 with the Florida Department of
Transportation unless and until it may be specifically rescinded.
4. This Resolution shall take effect immediately upon adoption.
ADOPTED this 134., day of Jun.E, 2023 after motion, second and majority vote in
favor of adoption.
ATTEST: COLLIER COUNTY AIRPORT AUTHORITY
CRYSTAL K. K NZEL; C RK
6-2.47' ,
By: _ By:
Deputy Clerk Rick LoCastro, Chairman
Attest as to Chairman's
signature only , ,
A
Approves . 461,11and legality:
Iniiink
Jeffrey •'f atz w, County Attorney
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
06/21/2023 | 11:39 AM EDT
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
DocuSign Envelope ID: 6A642C3A-A543-4CCF-AF23-52D36EABD418
Certificate Of Completion
Envelope Id: 6A642C3AA5434CCFAF2352D36EABD418 Status: Completed
Subject: Complete with DocuSign: MKY_G2J86_446362-1_Fuel Farm Expansion_Original PTGA_Legal & Director S...
Contract Number (ex. C9A12, optional): G2J86
Document Contains Confidential Information?: No
Fin Proj Num (ex.123456-1-32-01, Optional): 446362-1-94-01
Office (contact Procurement if add is needed):
Aviation
HR Action?: No
Source Envelope:
Document Pages: 42 Signatures: 2 Envelope Originator:
Certificate Pages: 2 Initials: 0 Dawn Gallon
AutoNav: Enabled
EnvelopeId Stamping: Enabled
Time Zone: (UTC-05:00) Eastern Time (US & Canada)
605 Suwannee Street
MS 20
Tallahassee, FL 32399-0450
dawn.gallon@dot.state.fl.us
IP Address: 156.75.180.190
Record Tracking
Status: Original
6/20/2023 12:18:13 PM
Holder: Dawn Gallon
dawn.gallon@dot.state.fl.us
Location: DocuSign
Signer Events Signature Timestamp
Don Conway
don.conway@dot.state.fl.us
Senior Attorney
Florida Department of Transportation
Security Level: Email, Account Authentication
(None)
Signature Adoption: Pre-selected Style
Using IP Address: 156.75.252.6
Sent: 6/20/2023 12:21:24 PM
Viewed: 6/21/2023 7:52:30 AM
Signed: 6/21/2023 7:53:24 AM
Electronic Record and Signature Disclosure:
Not Offered via DocuSign
Nicole Mills
nicole.mills@dot.state.fl.us
Interim Director of Transportation Development
Florida Department of Transportation
Security Level: Email, Account Authentication
(None)
Signature Adoption: Uploaded Signature Image
Using IP Address: 156.75.252.6
Sent: 6/21/2023 7:53:26 AM
Viewed: 6/21/2023 11:39:24 AM
Signed: 6/21/2023 11:39:34 AM
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 6/20/2023 12:21:24 PM
Certified Delivered Security Checked 6/21/2023 11:39:24 AM
Signing Complete Security Checked 6/21/2023 11:39:34 AM
Completed Security Checked 6/21/2023 11:39:34 AM
Payment Events Status Timestamps