Backup Documents 05/13/2025 Item #16E 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 E 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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Risk Risk Management
2. County Attorney Office County Attorney Office
)ft��� 5//13
4. BCC Office Board of County
Commissioners 651" 5//
4. Minutes and Records Clerk of Court's Office
410/g6•
5. Procurement Services Procurement Services
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 formation.
Name of Primary Staff Cole Chandler/Procurement Contact Information 239-252-8407
Contact/Department
Agenda Date Item was May 13th 2025 Agenda Item Number 16.E.5
Approved by the BCC
Type of Document Agreement Number of Original 1
Attached Documents Attached
PO number or account N/A 18-7432-SM NV5,INC.
number if document is NV5,INC.
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 N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 CC
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 CC
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 CC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 May 13th,2025,and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County .( rah an option for
Attorney's Office has reviewed the changes,if applicable. J 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 thelM,, an option for
Chairman's signature. this line.
16E5 '
ASSUMPTION AGREEMENT
This Assumption Agreement is made and entered into on this /3 of mei/ , 2025
by and between NV5, Inc. ("NV5,") and Collier County, a political subdivision of the State of
Florida("County"), (collectively the "Parties").
WHEREAS, on September 8, 2020, Agenda Item 16.E.1, the County awarded Agreement
No. 18-7432-SM, Professional Services Library Survey and Mapping Category to Dagostino
Geospatial, Inc. d/b/a Dagostino & Wood, Inc. (Dagostino).
WHEREAS, on January 4, 2024 Agenda Item 16. E.1, the County awarded Assumption
Agreement No. 18-7432-SM, "Professional Services Library Survey and Mapping Category," to
Causseaux, Hewett& Walpole, LLC., d/b/a CHW as memorialized in attached Exhibit "A," and
WHEREAS, on January 8, 2025, NV5, acquired all Causseaux, Hewett & Walpole, LLC.,
d/b/a CHWassets as memorialized in attached Exhibit "B;" and
WHEREAS, NV5, hereby represents to Collier County that by virtue of an acquisition of
Causseaux, Hewett & Walpole, LLC., d/b/a CHW's assets it is the successor in interest in relation
to the Agreement; and
WHEREAS, the Parties wish to formalize NVS,'s assumption of rights and obligations
under the Agreement effective as of the date first above written.
NOW THEREFORE, IN CONSIDERATION of the mutual promises in this Assumption
Agreement, and for other good and valuable consideration, the receipt and sufficiency of which
are acknowledged by the Parties, it is agreed as follows:
1. NV5, accepts and assumes all rights, duties, benefits, and obligations of Original
under the Agreement, including all existing and future obligations to perform under the
Agreement.
2. The parties hereby reaffirm and ratify each of the terms and conditions in the
agreement.
3. NV5, will promptly deliver to County evidence of insurance consistent with the
Agreement.
4. Further supplements to, or modifications of, the Agreement shall be approved in
writing by both parties.
5. Notice required under the Agreement to be sent to NV5, shall be directed to:
NV5, Inc.
200 South Park Road, Suite 350
Hollywood, FL. 33021
Attention: Ryan Avery
Phone: 954- 607-1396
Page 1 of 3
16E5
Email: Ryan.Avery@nv5.com
6. The County hereby consents to NV5, Inc.'s assumption of the Agreement in order
to continue the services provided under Agreement No. 18-7432-SM. No waivers of performance
or extensions of time to perform are granted or authorized. The County will treat NV5, as it would
have originally for all purposes under the Agreement. Except as provided herein, all other terms
and conditions of the Agreement remain in full force and effect.
IN WITNESS WHEREOF, the undersigned have executed and delivered this Assumption
Agreement effective as of the date first above written.
Signature Page to follow
Page 2 of 3
16E5
ATTEST:
Crystal K. Kinzel, Clerk & Comptroller BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By. _ " �_ _, By:
eArle/0110". .
10!puty - ,k4 auie, Deputy Clerk Burt L. aunders, Chairman
st-
%�tiest•as tti.veirman's
'410n6tare only
Approved as t F •m d Legality:
iili
By:
Jeffrey . Klatz , County Attorney
New Company's itnesses: NV5, Inc.
' " -416'1 ____ M 4 ::)-----
Fi • itness By: Signature
James Condon David S. Dagostino,VP
T Type/print witness name T T Type/print name and title T
jlfr""11(1:e_Al__/
Second Witness
Morgan Berlin
T Type/print witness name T
Page 3 of 3
16E5
AFFIDAVIT REGARDING LABOR AND SERVICES
Effective July 1, 2024, pursuant to § 787.06(13), Florida Statutes,when a contract is executed, renewed, or extended
between a nongovernmental entity and a governmental entity, the nongovernmental entity must provide the
governmental entity with an affidavit signed by an officer or a representative of the nongovernmental entity under
penalty of perjury attesting that the nongovernmental entity does not use coercion for labor or services.
Nongovernmental Entity's Name: NV5, Inc.
Address: 200 South Park Road, Suite 350, Hollywood, FL 33021
Phone Number: 954-607-1396
Authorized Representative's Name: David S. Dagostino
Authorized Representative's Title: Vice-President
Email Address: dave.dagostino@nv5.com
AFFIDAVIT
David S.Dagostino (Name of Authorized Representative), as authorized representative attest
that NV5,Inc. (Name of Nongovernmental Entity) does not use coercion for labor or
services as defined in §787.06, Florida Statutes.
Under penalty of perjury, I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
4/10/25
(Signature of authorized representative) Date
STATE OF 1--4021 As4-
COUNTY OF
Sworn to(or affirmed)and subscribed before me, by means of Iliphysical presence or❑online notarization this
/c7 day of ��,/Ze( , 20ZS'by 1 ame of Affiant),who produced their
as identification'or are p rsonally known to me.
Notary Public(not required when digital) Aga Pus
I Q� MORGAN BERLIN
O 1 0_I ( lOV� "��i� "' Commssion#HH479204
Commission Expires
�~��OFF�OPo Expires January9,2028
Personally Known,OR Produced Identification
Type of Identification Produced:
CONTRACT RENEWAL OR EXTENSION REQUEST FORM Version:2025.1