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Backup Documents 05/27/2025 Item #16G 1
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO A ��+ THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 w t 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 JAk/fit 5i21 4. BCC Office Board of County Commissioners BS 4,A3 s Z9 5. Minutes and Records Clerk of Court's Office / 5ci 14,17.1 5 il 1 Send via email to: Danielle.BatesAcolliercountyfl.gov Bryant.Garrett @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 5/27/25 Agenda Item Number 16.G.1 Approved by the BCC _ Type of Document PTGA Amendment and Resolution Number of Original 2 Attached Documents Attached _ PO number or account N/A number if document is )vv , -. 111 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 our deadlines! 8. The document was approved by the BCC on 5/27ZS and all changes made N/A is not during the meeting have been incorporated in the attached document. The County JAkI^ an option Attorney's Office has reviewed the changes,if applicable. 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 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 ,4k . 4 an option for (a Chairman's signature. l 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 Docusign Envelope ID:ACC67A2A-23F0-4E22-97BA-2B32192C9345 G STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 725-000-04 AMENDMENT FOR EXTENSION OF PUBLIC STRATEGIC DEVELOPMENT TRANSPORTATION GRANT AGREEMENT OGC 02/19 DATE: 4/4/25 TO: Danielle Bates Collier County Airport Authority FROM: Dawn Gallon, CPM, FCCM SUBJECT: IMMOKALEE REGIONAL AIRPORT SECURITY ENHANCEMENTS Immokalee Regional Airport CONTRACT NUMBER: G2J23 AMENDMENT NUMBER: 1 FINANCIAL MANAGEMENT NUMBER: 452976-1-94-01 The Public Transportation Grant Agreement("Agreement")between the Florida Department of Transportation ("Department")and Collier County Airport Authority ("Agency"),dated *•7'f is scheduled to expire on the 30 day of_ June , 2025 . '"6/2io23 The Agency requests an Amendment of the Agreement,to extend the end date of the Agreement to the 30 day of_ June , 2026 , for additional time to complete the Project for the following reasons: This project is being bid with the IMM Generator project, Contract G2Y90. Collier County s Facditltes and Information Technology Divisions required changes in the plans pertaining to access control,fiber optic communications, IT networking,and hurricane preparation (emergency generators)due to updates County standard requirements All modifications to the plans were completed by March. The project(s)are currently in the procurement process and will be advertised in the near future. Due to the length • of time for Collier County's procurement process and the installation time, Collier County Airport Authority is requesting a time extension to June 30, 2026. . The Department agrees to the requested extension of the Agreement.All of the terms and conditions of the Agreement and any amendments thereto shall remain in full force and effect, IN WITNESS WHEREOF,the Parties have executed this Amendment on (to be completed by Department), Agency: her County Airport : thority STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION By: / By Name: - Burt Saunders, Chairman Name: Nicole E Mills. P.E. Title:_ Title: Director of Transportation Development STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION Legal Review: • # 0 • D9 FOG Approved as to I and legality Don, Cgny$p, rlipr,Attorney(as to legality and form) AG q rrr • I � 'LL I ,h^ Jeffrey A. . Ku County Attorney r Tr'F3T pityl,,,s-rAtiK_. Attest as tonrrark . • signature only Docusign Envelope ID:F58D48D9-3348-43C7-AA42-DA708CAA9C2B Docusign Envelope ID:ACC67A2A-23F0-4E22-97BA-2B32192C9345 t STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 72S-000.04 AMENDMENT FOR EXTENSION OF PUBLIC STRATEGIC LOPMENT TRANSPORTATION GRANT AGREEMENT DEVEOOC 02/19 DATE: 4/4/25 TO: Danielle Bates Collier County Airport Authority FROM: Dawn Gallon,CPM, FCCM SUBJECT: IMMOKALEE REGIONAL AIRPORT SECURITY ENHANCEMENTS Immokalee Regional Airport CONTRACT NUMBER: G2J23 AMENDMENT NUMBER: 1 FINANCIAL MANAGEMENT NUMBER: 452976-1-94-01 The Public Transportation Grant Agreement("Agreement")between the Florida Department of Transportation ("Department")and Collier County Airport Authority ("Agency"),dated *• ,is scheduled to expire on the 30 day of_ June 2025 '•6/2172023 The Agency requests an Amendment of the Agreement,to extend the end date of the Agreement to the 30 day of_ June , 2026 , for additional time to complete the Project for the following reasons: This project is being bid with the IMM Generator protect. Contract G2Y90 Collier County s Facil Cites ano Information Technology Divisions required changes In the plans pertaining to access Control fiber optic communications, IT networking and hurricane preparation (emergency generators)due to updates County standard requirements All modifications to the plans were completed by March The protect(s)are currently in the procurement process and will be advertised in the near future Due to the length of time for Collier Countys procurement process and the Installation time Collier County Airport Authority is requesting a time extension to June 30, 2026 The Department agrees to the requested extension of the Agreement All of the terms and conditions of the Agreement and any amendments thereto shall remain in full force and effect IN WITNESS WHEREOF,the Parties have executed this Amendment on 05/30/2025 II 4:35 PM EDT Department) (to be completed by Agency: IlierCounty Airport thorny _ STATE Of FLORIJDA, DEPARTMENT OF TRANSPORTATION By: i dG Z— By i ir. -1.co '-E4FD33AAA841427... Name • Name: Nicole E Mills. P E Burt Saunders, Chairman Title Title:_Director of Transportation Development STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION Legal Review: f DocuSIgned by: - APProvofi>At colegality "` D° 1f1d �Attorney(as to legality and form) • Jeffrey A. Kittteku kV, County Attorney . r i t:F '''TAL{<. KINry-L,_CLERK Attest as to ratrt49 t k • signature only Docusign Envelope ID:F58D48D9-3348-43C7-AA42-DA708CAA9C2B 1.iGI 0 docusign Certificate Of Completion Envelope Id:ACC67A2A-23F0-4E22-97BA-2E32192C9345 Status:Completed Subject Complete with Docusign: IMM_G2J23_452976.1_Security Enhancements SAFE_PTGA AM1 Time Extension 6. Contract Number(ex.C9Al2,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 NH Action?:No Source Envelope: Document Pages:1 Signatures:D Envelope Originator: Certificate Pages:1 Initials: 1 Dawn Gallon AutoNav:Enabled 605 Suwannee Street Envelopeld Stamping:Enabled MS 20 Time Zone:(UTC-05:00)Eastern Time(US&Canada) Tallahassee,FL 32399-0450 dawn.gallon©dot.state.fl.us IP Address:156.75.252.6 Record Tracking Status:Original Holder Dawn Gallon Location:DocuSign 4/4/2025 10:24:52 AM dawn.gallon@dol.state.fl.us Signer Events Signature Timestamp Don Conway 05 Sent:4/4/2025 10:27.21 AM don.conway@dot.state ft us FOL Viewed:4/4/2025 10:54:31 AM Senior Attorney Signed:4/4/2025 10:54:36 AM Florida Department of Transportation Security Level. Email,Account Authentication Signature Adoption:Pre-selected Style (None) Using IP Address:156.75 252 6 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 4/4/2025 10:27:21 AM Certified Delivered Security Checked 4/4/2025 10.54:31 AM Signing Complete Security Checked 4/4/2025 10:54:36 AM Completed Security Checked 4/4/2025 10:54:36 AM Payment Events Status Timestamps 16G1 0 docusign. Certificate Of Completion Envelope Id:ACC67A2A-23F0-4E22-97BA-2B32192C9345 Status:Completed Subject:Complete with Docusign: IMM_G2J23_452976-1_Security Enhancements SAFE_PTGA AM1_Time Extension 6. Contract Number(ex.C9Al2,optional):G2J23 Document Contains Confidential Information?:No Fin Proj Num(ex 1 234 56-1-32-01,Optional):452976-1-94-01 Office(contact Procurement if add is needed): Aviation HR Action?:No Source Envelope: Document Pages:1 Signatures:0 Envelope Originator: Certificate Pages:1 Initials:1 Dawn Gallon AutoNav:Enabled 605 Suwannee Street Envelopeld Stamping:Enabled MS 20 Time Zone:(UTC-05:00)Eastern Time(US&Canada) Tallahassee,FL 32399-0450 dawn.gallon@dot.state.fl.us IP Address: 156.75.252.6 Record Tracking Status:Original Holder:Dawn Gallon Location:DocuSign 4/4/2025 10:24:52 AM dawn.gallon@dot.state.fl.us Signer Events Signature Timestamp Don Conway DS Sent:4/4/2025 10:27:21 AM don.conway@dot.state fl us ��G Viewed:4/4/2025 10:54:31 AM Senior Attorney Signed:4/4/2025 10:54:36 AM Florida Department of Transportation Security Level:Email,Account Authentication Signature Adoption:Pre-selected Style (None) Using IP Address:156.75.252.6 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 4/4/2025 10:27:21 AM Certified Delivered Security Checked 4/4/2025 10:54:31 AM Signing Complete Security Checked 4/4/2025 10:54:36 AM Completed Security Checked 4/4/2025 10:54:36 AM Payment Events Status Timestamps 1 + G1 RESOLUTION NO. 2025 - 1 1 1 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, ACTING AS THE COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED AMENDMENT NO. 1 TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT 452976-1-94-01, CONTRACT NO. G2J23, 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 Florida Department of Transportation to undertake projects as authorized by Chapter 332, Florida Statutes, and Section 12-60 of the Florida Administrative Code, and Ordinance 2004-03. WHEREAS, on June 13, 2023,the Board approved a Public Transportation Grant Agreement(the "Agreement") with the State of Florida Department of Transportation (FDOT), entered into and executed on June 21,2023,wherein FDOT will reimburse Collier County up to$194,500 for security enhancements at Immokalee Region Airport (IMM). (FPN 452976-1-94-01); and WHEREAS, FDOT is willing to amend the Agreement to extend the end date from June 30, 2025 to June 30, 2026; 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 Amendment No. 1 to the Agreement (FPN 452976-1-94-01, Contract No. G2J23). 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 Z7 day ofPlAy 2025. ATTEST: �.- I BOARD OF COUNTY COMMISSIONERS CRYSTAL K..KINZEL, Clerk OF COLLIER COUNTY, FLORIDA By: � - C By: 1 , rya AttQaran s B rt aunders, hairman signature only Approve." to i o . •• legality: 411111E Jeffrey A. ; .t 1►w, County Attorney Page l of l Gb0