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Backup Documents 06/13/2023 Item #16G 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6 (a 4 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE l'rint 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 J 41< qi9/ 2. Board of County Commissioners Office BOCC 1QL b(,c/ /iif3 3. Minutes and Records Clerk of Court's Office4 ( 4. Send signed copy to Heather Meyer Airport Authority 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.4 Approved by the BCC Type of Document Resolution & FDOT Grant Agreement for IMM Number of Original 2 Attached Security Project Documents Attached PO number or account N/A number if document is -va- I I O, 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 A/�77 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 -4 A/A Office and all other parties except the BCC Chairman and the Clerk to the Board �I 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 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 JP/, N/A is not during the meeting have been incorporated in the attached document. The County �C/ 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 N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the 'r1F/ 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 16G4 - RESOLUTION NO. 2023- 1 12 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, ACTING AS THE COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED GRANT AGREEMENT G2J23 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, Collier County, Florida, that: 1. Public Transportation Grant Agreement (PTGA) Number G2J23, Financial Management Number 452976-1-94-01 for Security Enhancements 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 G2J23 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 G2J23 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 134.11 day of Int , 2023 after motion, second and majority vote in favor of adoption. ATTEST: COLLIER COUNTY AIRPORT AUTHORITY CRYSTAL K. KINZFL,, CLERK 6714471,,P6 By: Attest as to ChalrtAJT CLERK liP4RICK LOCASTRO, CHAIRMAN signature only Approv . •r o • • -ga ity: ...dii/l Jeffrey A latz. ,w, County Attorney DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D 06/21/2023 | 11:40 AM EDT DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D DocuSign Envelope ID: D8B5A624-6078-458C-9E65-9E0BB6DEB33D Certificate Of Completion Envelope Id: D8B5A6246078458C9E659E0BB6DEB33D Status: Completed Subject: Complete with DocuSign: IMM_G2J23_452976-1_Security Enhancements SAFE_Origianl PTGA_Legal & Dir... Contract Number (ex. C9A12, optional): G2J23 Document Contains Confidential Information?: No Fin Proj Num (ex.123456-1-32-01, Optional): 452976-1-94-01 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 2:02:17 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 2:05:21 PM Viewed: 6/21/2023 7:51:05 AM Signed: 6/21/2023 7:52:01 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 7:52:02 AM Viewed: 6/21/2023 11:39:50 AM Signed: 6/21/2023 11:40:00 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 2:05:21 PM Certified Delivered Security Checked 6/21/2023 11:39:50 AM Signing Complete Security Checked 6/21/2023 11:40:00 AM Completed Security Checked 6/21/2023 11:40:00 AM Payment Events Status Timestamps