Backup Documents 05/28/2024 Item #16B15 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 B 1 5
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.
2.
3 County Attorney Office County Attorney Office GS 12$
4. BCC Office Board of County
Commissioners Glt hV P13 k, 5,12 3
5. Minutes and Records Clerk of Court's Office l frit
Send via email to:
Danielle.Bates@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 missin formation.
Name of Primary Staff Danielle B , rants Coordinator I/ Phone Number 239-252-2661
Contact/ Department TMSD
Agenda Date Item was 5/28/24 Agenda Item Number 16.B.15
Approved by the BCC
Type of Document SCOP Supplemental Agreeme and Number of Original 2
Attached Resolution 262# 5 Documents Attached
PO number or account N/A
number if document is
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? DB
2. Does the document need to be sent to another agency for additional signatures? If yes, DB
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
Danielle Bates will send to FDOT after all other signatures received
3. Original document has been signed/initialed for legal sufficiency. (All documents to be DB
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 DB
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 N/A
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip DB
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 ,5/2$ Z`1 and all changes made N/A is not
during the meeting have been incorporated in the attar ed document. The County 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 ( N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the 05 fM9 in option for
Chairman's signature. Mis 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 1 1/30/12
16B15
RESOLUTION NO. 2024 -95
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS
CHAIRMAN TO EXECUTE A STATE-FUNDED GRANT AGREEMENT
SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION FOR ADDITIONAL GRANT
FUNDING TO CONSTRUCT 5' PAVED SHOULDERS AND WIDEN
TRAVEL LANES FROM 10' TO 12' ON IMMOKALEE ROAD (CR 846)
EAST OF MAIN STREET(SR 29)TO EAST OF TRADEPORT PARKWAY.
(FPN 449668-1-54-01)
WHEREAS, on April 25,2023, the Board approved a State-Funded Grant Agreement(the
"Agreement") with the State of Florida Department of Transportation (FDOT), entered into and
executed on May 11, 2023, wherein FDOT will reimburse Collier County up to the sum of to
$818,622 to construct 5' paved shoulders and widen travel lanes 10' to 12' on Immokalee Road
(CR 846)east of Main Street (SR 29) to east of Tradeport Parkway (FPN 449668-1-54-01); and
WHEREAS. FDOT is willing to supplement the Agreement to increase the reimbursement
amount up to $918,6-22 (Contract No. G2K06); and
WHEREAS, the Collier County Board of Commissioners finds that the Agreement is in
the public interest and benefits the citizens of Collier County.
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 Chairman to sign the
Supplemental Agreement pertaining to FPN 449668-1-54-01 (Contract No. G2K06).
2. The Collier County Clerk is directed to forward a certified copy of this Resolution along
with the Supplemental Agreement for execution by FDOT.
3. This Resolution shall take effect immediately upon adoption.
THIS RESOLUTION ADOPTED after motion, second, and majority vote favoring
same, this ZS day of IhaY 2024.
ATTEST: . BOARD OF COUNTY COMMISSIONERS
CRYS 'AL:K. K LCaerk OF COLLIER UNTY, FLORIDA
By: DC/ By:
Attest as t n`Deputy Clerk Chris all, Chairman
signa r only
Approved as to f and legality:
Carly J anne Sanseverino CIS $' GI tL1
Assistant County Attorney
Page 1 of 1 OCAO
16B15
DocuSign Envelope ID:82D8C446-CE62-4586-97FD-EFCE4B30AB74
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.
G2K06
FPN
449668-1-54-01
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 05/11/2023 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 its entirety by the attached REVISED EXHIBIT"B"
SCHEDULE OF FINANCIAL ASSISTANCE and is incorporated by reference. Per request from Collier County
$100,000.00 (One Hundred Thousand Dollars) in additional construction funding (phase 54) has been programmed to
the project. Project total is now$918,622.00 (Nine Hundred Eighteen Thousand Six Hundred Twenty-Two Dollars).
Reason for this Supplemental and supporting engineering and/or cost analysis:
Collier County requested additional funding to cover shortfalls in costs due to the rise in costs caused by inflation.
IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written.
RECIPIENT: STATE OF FLORIDA
COLLIER COUNTY DEPARTMENT OF TRANSPORTATION
By: — itBy:
Name:
Chris Hall, Chairman Title:
ATTES1' Legal Review: Ds
CRYSTAL ' I , CLERK C �c
j •
Atte.t .s to Chairman's
-ignature only'
Approved as to form and legality
Assi, t County Attorney (,' (��1I
CAO
1 6 B 1 5
DocuSign Envelope ID:82D8C446-CE62-4586-97FD-EFCE4B30A874
Alt Form 525-010-60e8 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-011-08
STATE-FUNDED GRANT AGREEMENT PROGRAM
MANAGEMENT
8/21
Page 1 of 1
EXHIBIT B
SCHEDULE OF FINANCIAL ASSISTANCE
RECIPIENT NAME&BILLING ADDRESS: FINANCIAL PROJECT NUMBER:
Collier County 449668-1-54-01
2885 Horseshoe Drive S
Naples,FI,34104
MAXIMUM PARTICIPATION
PHASE OF WORK by Fiscal Year: TOTAL PROJECT FUNDS LOCAL F)UNDS STATE FUNDS Indicate source of
Local funds
Design-Phase 34 Maximum Department Participation $ $ $ ❑In-Kind
FY: (Insert Program Name) ❑Cash
FY: Maximum Department Participation $ $ $ ❑In-Kind
(Insert Program Name) ❑Cash
Total Design Cost $ 0.00 $ 0.00 $ 0.00
% % %
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 $818,622.00 $ $818,622.00 ❑In-Kind
FY:22/23 (SCRC) ❑Cash
FY:23/24 Maximum Department Participation $100,000.00 $ $100,000.00 ❑In-Kind
(SCRC) ❑Cash
Total Construction Cost $918,622.00 $ 0.00 $918,622.00
100.00% % 100.00%
Construction Maximum Department Participation $ $ $ ❑In-Kind
Engineering and (Insert Program Name) ❑Cash
Inspection-Phase 64
FY:
FY: Maximum Department Participation $ $ $ ❑In-Kind
(Insert Program Name) ❑Cash
Total Construction Engineering and Inspection Cost $ 0.00 , $ 0.00 $ 0.00
.a i % %
--
(Phase: ) Maximum Department Participation $ $ $ ❑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 $918,622.00 j $ 0.00 $918,622.00
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.
Aileen Keating
District Grant Manager Name
it^—DocuSigned by:
1I_,� , 05/01/2024 1 9:57 AM EDT
4
P/C J-o'x'i)i'C
Signature Date
CCAO