Backup Documents 12/09/2025 Item #16D17 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO XX.XX.XX BCC MTG
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. Amanda Townsend Museum
2. County Attorney Office— County Attorney Office J.r
tiff
3. BCC Office Board of County
Commissioners BS 4 AI�Isl 12/q
4. Minutes and Records Clerk of Court's Office 3
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 kki PA dwH sg+�fl Phone Number 23q,ZS2. 71-27
Contact/ Department 1 ((
Agenda Date Item was Agenda Item Number
Approved by the BCC 2/'t /2s 1(0 Di7
Type of Document Number of Original
Attached I Wl„A.C4Wt.t444- Documents Attached Corp;c S
PO number or account
number if document is AVA
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
2. Does the document need to be sent to another agency for additional signatures? If yes, Air"'
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed %�v(
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's p
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
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 J'
signature and initials are required. C
7. In most cases(some contracts are an exception),the original document and this routing slip
should be provided to the County Attorney Office at the time the item is input into SIRE. A ��
Some documents are time sensitive and require forwarding to Tallahassee within a certain �GJI
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on above date and all changes made during N/A is not
the meeting have been incorporated in the attached 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 I, an option for
Chairman's signature. this line.
Collier County, Board of County Commissioners
23,h,sc.100.039
This Amendment is between the State of Florida, Department of State, Division of Historical Resources
hereinafter referred to as the"Division"and Collier County Board of County Commissioners, hereinafter referred
to as the"Grantee".
The parties entered into a grant agreement for the implementation of a Special Category grant, for Restoration and
Interpretation of the Historic Mar-Good Cottages. The parties now mutually desire to amend certain terms and
conditions of the grant agreement.
In consideration of the covenants contained herein, it is agreed:
All section of the original grant agreement not specifically amended by this or a prior written amendment and all
prior written amendments are hereby reaffirmed.
The following sections are hereby revised as follows:
Original Length of Agreement
7/1/2022-12/31/2025
Amended Length of Agreement
7/1/2022-6/30/2026
Additional Conditions
12. Grant Reporting Requirements:
n) Fourteenth Report is due by January 31, for the period ending December 31 (fourth year of the grant period).
o)Fifteenth Report is due by April 30, for the period ending March 31 (fourth year of grant period).
p) Final Report. The Grantee must submit a Final Report to the Division within one month of the Grant Period
End Date set forth in Section 2 above. All final reports must document the completion of all deliverables/tasks,
expenses and activities that occurred by the Grant Period End Date. The Grantee may expend funds only for
allowable costs resulting from obligations incurred during the specified agreement period. Expenditures of state or
federal financial assistance must be in compliance with the laws, rules, and regulations applicable to expenditures
of state and federal funds, including, but not limited to, this Agreement, the Reference Guide for State
Expenditures, 2 CFR Part 200.
Page:1
C40
AUTHORIZATION
Authorized official for the Grantee Alissa Lotane, Division Director Date:
___g_tt
uthorize o icial Signature Dat :
,. 4r"1 ,;,, 4
;ATTEST:
-; -.".+ 4 C .Y -rAL K. KIP /,ri_, CLEct:
`' 41` Depuiy Clerk
• Attest as to Chairman's
signature only .
Apr'`iAC 'form and legality
Jeffrey Al lat low, ounty Attorney
Page:2
i
Collier County Board of County Commissioners
23.h.sc.100.039
This Amendment is between the State of Florida, Department of State, Division of Historical Resources
hereinafter referred to as the"Division"and Collier County Board of County Commissioners, hereinafter referred
to as the"Grantee".
The parties entered into a grant agreement for the implementation of a Special Category grant, for Restoration and
Interpretation of the Historic Mar-Good Cottages. The parties now mutually desire to amend certain terms and
conditions of the grant agreement.
In consideration of the covenants contained herein, it is agreed:
All section of the original grant agreement not specifically amended by this or a prior written amendment and all
prior written amendments are hereby reaffirmed.
The following sections are hereby revised as follows:
Original Length of Agreement
7/1/2022-12/31/2025
Amended Length of Agreement
7/1/2022-6/30/2026
Additional Conditions
12. Grant Reporting Requirements:
n) Fourteenth Report is due by January 31, for the period ending December 31 (fourth year of the grant period). •
o)Fifteenth Report is due by April 30, for the period ending March 31 (fourth year of grant period).
p)Final Report. The Grantee must submit a Final Report to the Division within one month of the Grant Period
End Date set forth in Section 2 above. All final reports must document the completion of all deliverables/tasks,
expenses and activities that occurred by the Grant Period End Date. The Grantee may expend funds only for
allowable costs resulting from obligations incurred during the specified agreement period. Expenditures of state or
federal financial assistance must be in compliance with the laws, rules, and regulations applicable to expenditures
of state and federal funds, including, but not limited to, this Agreement, the Reference Guide for State
Expenditures, 2 CFR Part 200.
{
Page:1
AUTHORIZATION
Authorized official for the Grantee Alissa Lotane, Division Director Date:
..0.- lz1l
uthori ed of icial Signature Date:
;r ,' Y . '' . K. Kl l7 ., CL ,'
� 1'���' CI
st as to Chairman's
,
signature only
M'.
P44r ,:
Apia`;AC ri.form and legality
Jeffrey A' lat I ow.County Attorney
1
I
Page:2
Cob