Backup Documents 01/14/2025 Item #16B 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 B
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.
2.
3 County Attorney Office County Attorney Office kin J II19
/2,5
4. BCC Office Board of County
Commissioners 47 /. /
5. Minutes and Records Clerk of Court's Office I (5 n�
Send via email to: d�
Danielle.Bates(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 inf ation.
Name of Primary Staff Danielle Bates,Gr s Coordinator I/ Phone Number 239-252-2661
Contact/ Depattinent TMSD
Agenda Date Item was 1/14/25 Agenda Item Number 16.B.9
Approved by the BCC
Type of Document LAP Supplemental Agreement and Number of Original 2
Attached Resolution Documents Attached
PO number or account N/A n�
number if document is 1.5 Z5 0 J l
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)
I. 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 l/iti ZS and all changes made A is nil
during the meeting have been incorporated in the attached document. The County 9411.1 j1.1 )n 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 f /A is not
(�/BCC, all changes directed by the BCC have been made,and the document is ready for the CnMb rl option for
Chairman's signature. J"��Iis 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
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
G3117
2/6/2025
CONTRACT INFORMATION
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 2/6/2025
Action:Supplemental
Reviewed or Approved:APPROVED
Organization Code:55014010106
Expansion Option:AD
Object Code:780000
Amount:$120,000.00
Financial Project:44632325801
Work Activity (FCT):215
CFDA:20.205
Fiscal Year:2025
Budget Entity:55150200
Category/Category Year:088717/25
Amendment ID:S001
Sequence:00
User Assigned ID:1
Enc Line (6s)/Status:0002/04
Total Amount:$120,000.00
Contract:G3117
Contract Type:GD - GRANT DISBURSEMENT (GRANT)
Vendor Name:COLLIER COUNTY
Vendor ID:F596000558102
Beginning Date of This Agreement:09/20/2024
Ending Date of This Agreement:12/31/2028
Contract Total/Budgetary Ceiling:ct = $2,220,000.00
Method of Procurement:G - GOVERMENTAL AGENCY (287.057,F.S.)
Description:CONSTRUCTION ON CORKSCREW RD SOUTH FROM LEE COUNTY CURVE
TOCOLLIER COUNTY CURVE
Page1 of 1
To: Aileen.Keating@dot.state.fl.us
Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072
RESOLUTION NO. 2025 - 011
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS
CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM
SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION FOR ADDITIONAL GRANT
FUNDING FOR ROAD WIDENING AND PAVED SHOULDER
CONSTRUCTION ON CORKSCREW RD BETWEEN THE COLLIER
COUNTY CURVE AND LEE COUNTY CURVE. (FPN 446323-2-58-01)
WHEREAS, on May 28, 2024, the Board approved a Local Agency Program Agreement
the "Agreement') with the State of Florida Department of Transportation (FDOT), entered into
and executed on June 27, 2024, wherein FDOT will reimburse Collier County up to the sum of to
2,100,000 for road widening and paved shoulder construction on Corkscrew Rd between the
Collier County curve and Lee County curve. (FPN 446323-2-58-01); and
WHEREAS, FDOT is willing to reallocate $120,000 from Construction Engineering
Inspection (CEI) activities to Construction to supplement the Agreement increasing the
reimbursement to $2,220,000; 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 446323-2-58-01.
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_ft__441 day of 3",,,ury 2025.
ATTEST BOARD OF COUNTY COMMISSIONERS
CRYSTAL, .. KINZ':. '.Clerk OF COLLIER COUNTY, FLORIDA
By: x2 , * By: 44,
e...,regeowa—Attestastd=C -,, 1 ,.•,,peputy Clerk u . Saunders, hairman
signature*.''Ii,6 Pi)V
Approvecaso fct44.ad legality:
Jeffrey A. Kiatzkow, County Attorney
Page 1 of l
Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072
Docusign Envelope ID:7BF43C6F-A79A-4256-85CB-B966A7A94813
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT
PROGRAM MANAGE 0ENT322
Page 1 of 3
SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN)
1 D124-026-B
CONTRACT NO. FEDERAL AWARD DATE
G3117
FPN RECIPIENT UNIQUE ENTITY ID SAM NO.
446323-2-58-01 JWKJKYRPLLU6
Recipient, Colter County desires to supplement
the original Agreement entered into and executed on 6/27/2024 as identified above. All
provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this
supplement.
The changes to the Agreement and supplements, if any, are described as follows:
PROJECT DESCRIPTION
Name Corkscrew Rd South,from the Lee County curve to the Coller County curve
Length 1.005
Termini Construction to add shoulders and widen Corkscrew Rd South, from the Lee County curve to the Coller County
curve
Description of Work:
Construction for widening the lanes from 10 ft to 11 ft and adding 2 ft shoulders on both sides on Corkscrew Rd South,
from the Lee County curve to the Collier County curve.
Reason for Supplement and supporting engineering and/or cost analysis:
The purpose of Supplemental#1 is to provide additional funding to compensate the project shortfall in construction
funding due to inflation with material costs, resulting in an additional$120,000.00 (One Hundred Twenty Thousand
Dollars and Zero Cents) in federal funds for construction services. The total department participation is
2,220,000.00 (Two Million Two Hundred Twenty Thousand Dollars and Zero Cents) for the
construction phase of this project. The Total Cost of the entire project is $2,220,000.00 (Two Million Two Hundred
Twenty Thousand Dollars and Zero Cents).
Reason for Supplement and supporting engineering and/or cost analysis:
Transfer$120,000.00 from phase 62 to phase 58 for construction.
The Local Agency Program Agreement(LAP) is amended as follows:
A. Exhibit B " SCHEDULE OF FUNDING" is replaced in its entirety by the"ADJUSTED EXHIBIT B SCHEDULE OF
FUNDING" and is incorporated by reference.
B. Section 4. A under project cost on page 1 of the June 27, 2024, Local Agency Program Agreement is replaced
in its entirety by:
The Total cost of the project is$2,220,000.00 (Two Million Two Hundred Twenty Thousand Dollars and Zero
Cents).
The amount is based upon the schedule of funding in Exhibit" B", Schedule of Funding attached to and incorporated
in the Agreement. The Agency agrees to bear all expenses in excess of the total cost of the Project and any deficits
involved. The schedule of funding may be modified by mutual agreement as provided in paragraph 5.1.
Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072
MI a)LNF_)' OdwMNI 0 O):''O O O O o 0 O)0 o 0 00 0 0 0 0 c7SWo) Q O O 0 0d O O UOOOCZaON00OEAkH00 '0Oisuzco_N N N a)Q 1-LL N r ENn-E 4=K I- COOUryNa.I 0COCLOwo000001ONzdOddOdcchENVt=i 63 v) 9 9 fA (1) 7COF0VnQp
O U
Q LL
O La-
A
m
O O O O 0 O N
op
o d d a d d o
W g v N e» c» va t» ea f» 0Uo_.°
z u)
Z 1
v
Lc a
F- 0
o 2 ocnw
0 U cr
Z E f
Q d o 0 0 0 0 0 0 0 o COc
a
J Q Z d d d o d o d o Z oN
Q U LL z tR fA 0 0 O O
NQOfAfAM
Z
I+
O
i O
1-NN NNo
Z Z M ~
N csi
Q ii LU uj ti9'
Cr QWZ a CN
Oce 2 a'O0CC
m o
ZC9 W W 0a
NJ
a)
Q0 W u_ U
U iv 0 ' O
o a uJ 0 0 0 0 0 0 m
z Q J 0 0 0 o 0 0 0
L'0 J D o
o d o0 0o d d
C) a
aZ 0 Zj e» en N o cfl 0
cc
wWZ2 O
oaWU vc-, UJ m
o-J W ^ oce
Q J m a Q
aO0
F_
o €
r Nm o 0 0 0 0 0 0 (Xa'
1.1 N d o d d o d o OJc a •0 0 0 0
X o Z f» f» o o
69 to 0 LL a y
W V o 0 0 coco C
a) 0 V)
LL O O 0 U
CI O F- V
CO
W S '7 vO W N N N M * o
I
CO
N
CO
W
tR <p d .=
O
O eLl- cc tjCUOadZCl)
2 ai.O
a)
Q 0 , a WacoUN
CO
0 0 0 0 a U V) c
CO 0 U 0 U O W } C
CO n CO
A c0 W W N 0 0 o
Lt.)Cl) N 3 u U
0 A a uJ a0i
CO w o q c o a w ci
o x
N ro L C •- F-
la LL C3 N c
m Q f6
I- V
N
F- W N
Q C`)
O d a) Oa)a) mm ,m ;o Co) Oa)
111a'
y Q o
Z y >- EEE EEE o E o - EEE 0 Z0) o
CO
J LL R ZZZ ZZZ ~Z ~ %Z Z Z U 0- 7
a J O v E E E E E E E a)E E E Q Q. 0
m W LL as m a m 2 2 E •` ro as m F V
U
U
CO d
i
00 222 o y000
O -
ma) a
w Q >' cd z
Q D
m
ma ma a i wol c00CU
CC t-
W
a z V) V) V)V) tN Vl
J
N W N V) N U N la 00CCCCCC0
C Q QCC
C C C d V) 0- • C
cTs>H A 0 - 0 co' U N C co
Ll wLu
co
a J >, f0
II O C z L O N
cn yrNNNHMQ - o C7U
0 N0LLJj- } °'Y> >-r>- o } In
F' o
LL LL Lc. dLL LL L („)LL LL LL 0L lL LL r,LL llWQ O N N
VE Qo
Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072
Docusign Envelope ID:7BF43C6F-A79A-4256-85CB-B966A7A94813
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525.010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEME/22
NT
Page 3 of 3
IN WITNESS WHEREOF, the parties have executed this Agreement on the date last ascribed herein.
RECIPIENT COLLIER COUNTY STATE OF FLORIDA
DEPARTMENT OF TRANSPORTATION
By: .L)1/...
4By:
Name:
Burt Saunders, Chairman Title:
Date:
Legal Review: Ds
06
ATTEST: ,F'
RKCRYSTtl' j y ;'
111
Attest as to=C ai an!+'eputy Clerk
signatur my
If , If<
Approv na to . :and legalityim
Jeffrey A.Klatzko ,County Attorney
jj(
v
Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072
02/12/2025 | 10:52 PM EST
02/13/2025 | 7:22 AM EST
for the Director of Transportation Developmen
Lavenia Toole
Florida Department of Transportation
RON DESANTIS
GOVERNOR
801 N Broadway Ave
Bartow, FL 33830
JARED W. PERDUE, P.E.
SECRETARY
www.fdot.gov | www.swflroads.com
MEMORANDUM
DATE: January 7, 2025
TO: L.K. Nandam, P.E., District Secretary
FROM: Nicole Mills, P.E., Director of Transportation Development
COPIES: D1-LForum, D1-Admin Assistants
SUBJECT: Delegation of Authority for Nicole Mills, P.E. (12/4/24 – 2/28/25)
I will be out of the office Wednesday, December 4, 2024 through Friday, February 28, 2025, and
returning to the office on Monday, March 3, 2025.
I delegate authority to Lavenia Toole, P.E., Program Management Administrator, to act on my
behalf and sign all documents except for Human Resources related items such as hiring
packages, telework agreements, etc. which I will retain in my court. Signature should be made
“in your name for the Interim Director of Transportation Development”.
Please ensure all documents requiring signature or approval under this delegation are
forwarded to my office for proper coordination prior to signing and provide a reading file copy of
any documents you sign.
In the event I return to the office prior to the expiration of this delegation of authority, said
delegation automatically expires.
NM/aa
___________________________________
Nicole Mills, P.E.
Director of Transportation Development
Docusign Envelope ID: 4E3A9313-605A-417C-A80F-561C49408112Docusign Envelope ID: 9ABC616C-891D-444A-AC23-B071952D7072