Backup Documents 03/11/2025 Item #16B 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 B 3
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 Doe 3[11k2-3
4. BCC Office Board of County 'J11
Commissioners 13�V / 3/1 Si
5. Minutes and Records Clerk of Court's Office ( r G
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 missing information.
Name of Primary Staff Danielle Bates,Grants Coordinator I/ Phone Number 239-252-2661
Contact/ Department TMSD
Agenda Date Item was 3/11/25 Agenda Item Number 16.B.3
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
number if document is AbA6 - -
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 , >l/A-1
signature and initials are required. l Jt)
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 3 f i I 2. 5 and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County Oo r 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 uup f th 19 an option for
Chairman's signature. I 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
16B3
RESOLUTION NO. 2025 - 5 5
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 TO DECREASE GRANT
FUNDING TO CONSTRUCT A TEN-FOOT MULTI-USE PATH ON
COUNTY BARN ROAD FROM RATTLESNAKE HAMMOCK ROAD TO
SR 84 (DAVIS BLVD). (FPN 438091-2-58-01)
WHEREAS, on May 23, 2023, the Board approved a Local Agency Program (LAP)
Agreement (the "Agreement") with the State of Florida Department of Transportation (FDOT),
entered into and executed on August 29, 2023, wherein FDOT will reimburse Collier County up
to the sum of to $1,693,376 to construct a ten-foot multi-use path on County Barn Road from
Rattlesnake Hammock Road to SR 84 (Davis Blvd.). (FPN 438091-2-58-01); and
WHEREAS, on November 17, 2023, the Board approved a Supplemental Agreement to
increase the reimbursement to $2,508,376; and
WHEREAS,on June 11,2024,the Board approved a Supplemental Agreement to decrease
the reimbursement to $2,383,352 to shift funds to the required Construction, Inspection, and
Engineering(CEI)phase; and
WHEREAS,FDOT is willing to supplement the Agreement to increase the reimbursement
to $3,023,352; 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 438091-2-58-01 (Contract No. G2N19).
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. t j dayc f y�o Mrr.in 2025.
�
ATTEST:.i'> -.,_ ‘^ BOARD OF COUNTY COMMISSIONERS
CRYSTAL K, , Cl`rk OF COLLIER COUNTY,FLORIDA
�•
By: By; Af.,,,r40414,10414—
Atte t as to C 'r an's Deputy Clerk Burt L. Saunders, Chairman
I nature on y
A•• •ved as • f and legality:
V
Derek D. Perry,Asst. C. ntyAtt'y , ti�
Y
[25-TRO-00411/1916015/1] `\`� Page 1 of 1
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16B3
Docusign Envelope ID:3F9E3EC8-CBF1-48E2-ABC2-AD886342AA82
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
Page 1 of 3
SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN)
3 D123-060-B
CONTRACT NO. FEDERAL AWARD DATE
G2N19
FPN RECIPIENT UNIQUE ENTITY ID SAM NO.
438091-2-58-01 JWKJKYRPLLU6
Recipient, Collier County ,desires to supplement
the original Agreement entered into and executed on August 29, 2023 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 County Barn Road from Rattlesnake Hammock to SR 84 (Davis Blvd) Length 2.045
Termini The construction of a 10 foot multi-use path on the west side of County Barn Road from Rattlesnake Hammock to
SR 84 (Davis Blvd)
Description of Work:
The project consists of the construction of a 10-foot-wide multi-use path on the west side of County Barn Road from
Rattlesnake Hammock to SR 84 (Davis Blvd). Replacement of existing storm drain culvert, ditch bottom inlets, and
mitered end sections will be installed to accommodate the 10-foot-wide multi-use path.
Reason for Supplement and supporting engineering and/or cost analysis:
The purpose of this Supplemental Agreement#3 is to add construction funding in Fiscal Year 25 funds in the amount of
$640,000.00 (Six Hundred Forty Thousand Dollars). The new adjusted construction funding is $3,023,352.00 (Three
Million Twenty Three Thousand Three Hundred Fifty-Two Dollars) as shown in the attached Exhibit"B" adjusted
"SCHEDULE OF FINANCIAL ASSISTANCE".
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16B3
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16B3
Docusign Envelope ID:3F9E3EC8-CBF1-48E2-ABC2-AD886342AA82
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
LOCAL AGENCY PROGRAM 525-010-32
SUPPLEMENTAL AGREEMENT PROGRAM MANAGEMENT
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
BOARD OF COUNTY COMMISSIONERS DEPARTMENT OF TRANSPORTATION
By: ,4,0:.. �•�...._ By:
Name: Burt L. Saunders Name:
Title: Chairman Title:
Attest: - " , Date:
CRYSTAL K;.KI .Z CLERK
Legal Review: os
B [7.66
Attest as to Chair an epu1'y clerk
signature only •---
Ap oved as to form and legality:
. f
Derek D. Perry ,0tO
Assistant County Attorney \I
,11e?i
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