Backup Documents 12/09/2025 Item #16B16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 81 6
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. County Attorney Office County Attorney Office klik / l 2/
2. BCC Office Board of County bs [5I
q
Commissioners
3 Minutes and Records Clerk of Court's Office ( ( t
?H--
q/. 5
4. Send via email to
Caroline.Soto@collier.gov
5.
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 Caroline Soto,Grants Accountant/TMSD Phone Number 252-6932
Contact/ Department
Agenda Date Item was 12/9/25 Agenda Item Number 16.B.T ({
Approved by the BCC
Type of Document (3)Resolutions Number of Original 25
Attached (20)Grant Application documents Documents Attached
PO number or account N/A
number o document is r-,O�5 , a� I 2 C).>/5 , �@� aU — ���j
to be recorded o� l
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? CS
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 CS
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 CS
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 CS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip CS
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 12/9/25 and all changes made
during the meeting have been incorporated in the attached document. The County S MIj
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the (Cf/h an t for
Chairman's signature. e,
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
1616
RESOLUTION NO. 2025 -261
A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY
COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING
ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A
SECTION 5310 GRANT APPLICATION, INCLUDING ALL RELATED
DOCUMENTS AND ASSURANCES, WITH THE FLORIDA
DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT
AWARD FROM THE FLORIDA DEPARTMENT OF
TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF FOUR
REPLACEMENT PARATRANSIT VEHICLES.
WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"),
has the authority to apply for and accept grants and make purchases and expend funds pursuant
to grant awards made by the Florida Department of Transportation as authorized by Chapter 341,
Florida Statutes. and by the Federal Transit Administration Act of 1964, as amended; and
NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Collier County, Florida, that:
1. This resolution applies to the Federal Program under U.S.C. §5310.
2. The submission of a grant application(s), supporting documents, and assurances to the Florida
Department of Transportation is approved.
3. Burt L. Saunders, is authorized to including, but not limited to: (a) sign the application, accept and
accept the grant award; (b) accept and execute any required certifications and assurances and all
supporting documents relating to the grant awarded to the County, (c) approving all necessary
budget amendments related to this grant application; and (d) authorize the purchase of four
replacement Paratransit vehicles pursuant to the grant awarded,unless specifically rescinded.
4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney.
The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112.
5. This Resolution shall be effective immediately upon signature by the Chairman.
Page 1 of 2
1 6 8 1 6
(IA
This Resolution adopted after motion, second and majority vote favoring same, this day
of Decembey 20435.
AVE:ST: BOARD OF COUNTY COMMISSIONERS
00.YSTAL KIN/1.,L, Clerk OF COLLIER COUNTY, FLORIDA
- 4
: A4."-tAlIC
By: 4,44..c..iff.....„,e414,11.406--
Deput irttEits to Chairman's Burt L. Saunders, Chairman
signature only
Approve a to brm and legality:
Jeffrey lat ow, County Attorney
Page 2 of 2
(/i'ok Collier County tt
TRANSPORTATION V
MANAGEMENT SERVICES
Cover Letter
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
GRANT APPLICATION
Collier County Board of County Commissioners submits this Application for the Section 5310
Program Grant and agrees to comply with all assurances and requirements applicable to the Section
5310 Program.
Collier County Board of County Commissioners further agrees,to the extent provided by law(in case
of a government agency in accordance with Sections 129.07 and 768.28,Florida Statutes)to indemnify,
defend and hold harmless FDOT and all of its officers, agents and employees from any claim, loss,
damage, cost,charge,or expense arising out of the non-compliance by the Agency, its officers, agents
or employees,with any of the assurances stated in this Application.
This Application is submitted on this 9th day of December,2025 with an original resolution or certified
copy of the original resolution authorizing the Chairman of the Board of County Commissioners
to sign this Application.
Authorized representative signs below certifying that all information contained in this application is
true and accurate.
Collier County Board of County Commissioners
Agency Name
"getgOwP4'-
Signature
Burt L.Saunders-Chairman
Typed Name and Title of Authorized Representative
December09,2025 rp � ' E� ict;s1'.. i,.,1C'�[ rv ,
Date ept.hy 'et
Attest as to Chairman's
signature only
16816
FDOT Certification and Assurances
Collier County Board of County Commissioners certifies and assures to the Florida
Department of Transportation regarding its Application under U.S.C. Section 5310 dated 9tn
day of December,2025:
1 It shall adhere to all Certifications and Assurances made to the federal government in
its Application.
2 It shall comply with Florida Statues:
• Section 341.051-Administration and financing of public transit and intercity bus service
programs and projects
• Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews
• Section 252.42 - Government equipment, services and facilities: In the event of any
emergency, the division may make available any equipment, services, or facilities
owned or organized by the state or its political subdivisions for use in the affected area
upon request of the duly constituted authority of the area or upon the request of any
recognized and accredited relief agency through such duly constituted authority.
3 It shall comply with Florida Administrative Code(Does not apply to Section 5310 only
recipients):
• Rule Chapter 14-73-Public Transportation
• Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit
Systems
• Rule Chapter 14-90.0041-Medical Examination for Bus System Driver
• Rule Chapter 41-2-Commission for the Transportation Disadvantaged
4 It shall comply with FDOT's:
• Bus Transit System Safety Program Procedure No. 725-030-009
(Does not apply to Section 5310 only recipients)
• Transit Vehicle Inventory Management Procedure No.725-030-025
• Public Transportation Vehicle Leasing Procedure No.725-030-001
• Guidelines for Acquiring Vehicles
• Procurement Guidance for Transit Agencies(2024)
5 It has the fiscal and managerial capability and legal authority to file the application.
Local matching funds will be available to purchase vehicles/equipment at the time an
order is placed.
6 It will carry adequate insurance to maintain, repair, or replace project
vehicles/equipment in the event of loss or damage due to an accident or casualty.
7 It will maintain project vehicles/equipment in good working order for the useful life of
16B16
the vehicles/equipment.
8 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer
needed or used for the purpose intended.
9 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no
cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose
intended, improperly maintained, uninsured, or operated unsafely.
10 It will not enter into any lease of project vehicles/equipment or contract for
transportation services with any third party without prior approval of FDOT.
11 It will notify FDOT within 24 hours of any accident or casualty involving project
vehicles/equipment and submit related reports as required by FDOT.
12 It will notify FDOT and request assistance if a vehicle should become unserviceable.
13 It will submit an annual financial audit report to FDOT
(FDOTSingleAudit@dot.state.fl.us), if required.
14 It will undergo a triennial review and inspection by FDOT to determine compliance with
the baseline requirements. If found not in compliance,it must send a progress report to
the local FDOT District office on a quarterly basis outlining the agency's progress
towards compliance.
15 Executive Order 20-44: If agency is required by the Internal Revenue Code to file IRS
Form 990 and is named in statute. Agencies (sub-recipients) shall submit an Annual
Report to the Department, including the most recent IRS Form 990, detailing the total
compensation for each member of the agency's executive leadership team. Total
compensation shall include salary, bonuses, cashed-in leave, cash equivalents,
severance pay, retirement benefits, deferred compensation, real-property gifts, and
any other payout.Agency shall inform the Department of any changes in total executive
compensation during the period between the filing of Annual Reports within 60 days of
any change taking effect. Annual Reports shall be in the form approved by the
Department and shall be submitted to the Department at
fdotsingleaudit@dot.state.fl.us within 180 days following the end of each tax year of the
agency receiving Department funding.
12/09/2025 Date
.44/..... '" " ''Signature of Authorized Representative
Burt L Saunders- Chairman Typed Name and Title of Authorized Representative
5R. '''fir :+7,,� _
Cr,+ TA <, KIP?. -,L,'CLER1
Attest as to Chairman's
signature only
Standard Lobbying Certification 6 16
The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge
and belief,that:
1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any
person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection
with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment,or modification of any Federal contract,grant, loan,or cooperative agreement.
2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for
making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or
employee of Congress,or an employee of a Member of Congress in connection with this Federal contract,
grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL,
"Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in
accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on
Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in
accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65,to be codified at 2 U.S.C.
1601,et seq.)]
3 The undersigned shall require that the language of this certification be included in the award documents
for all sub-awards at all tiers(including subcontracts,sub-grants,and contracts under grants, loans,and
cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction
imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file
the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000
for each such failure.
NOTE: Pursuant to 31 U.S.C.§1352(c)(1)-(2)(A),any person who makes a prohibited expenditure or fails to file or
amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such expenditure or failure.
The (Contractor), certifies or affirms the truthfulness and accuracy of each statement of its certification and
disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801, et
seq.,apply to this certification and disclosure, if any.
12/0 2025 Date
ated91104" Signature of Contractor's Authorized Official
Burt L. Saunders- Chairman Typed Name and Title of Authorized Representative
AT'i E3T: '
"RYSTt L K. K1NZr CLE7
ep0=, Clerk
Attest as to Chairman's
t Signature.only
Leasing Certification
Memorandum for FTA 5310
12/09/2025
Date:
From:
Signature
Burt L. Saunders-Chairman
Typed Name and Title of Authorized Representative
Collier County Board of County Commissioners
Typed Agency Name
To: Florida Department of Transportation, District Office Modal Development
Office/Public Transit
Subject: FFY26/SFY27 GRANT APPLICATION TO THE FEDERAL TRANSIT
ADMINISTRATION, OPERATING OR CAPITAL ASSISTANCE FOR ENHANCED MOBILITY OF
SENIORS AND INDIVIDUALS WITH DISABILITIES PROGRAM, 49 UNITED STATES CODE
SECTION 5310
Leasing:
Will the Collier County Board of County Comissioners, as applicant to the Federal
Transit Administration Section 5310 Program, lease the proposed vehicle(s) or
equipment out to a third-party?
No
['Yes
If yes, specify to whom:
NOTE: It is the responsibility of the applicant agency to ensure District approval of
all lease agreements.
K. -'OIN7r 1...,,LERK
eptfLy Clerk
cozoii Attest as to Chairman's
signature only
16316
Certification of Equivalent Service
CERTIFICATION OF EQUIVALENT SERVICE
Collier County Board of County Commissioners certifies that its demand responsive
service offered to individuals with disabilities,including individuals who use wheelchairs,
is equivalent to the level and quality of service offered to individuals without disabilities.
Such service, when viewed in its entirety, is provided in the most integrated setting
feasible and is equivalent with respect to:
1 Response time;
2 Fares;
3 Geographic service area;
4 Hours and days of service;
5 Restrictions on trip purpose;
6 Availability of information and reservation capability; and
7 Constraints on capacity or service availability.
In accordance with 49 CFR Part 37, public entities operating demand responsive systems
for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311
of the Federal Transit Administration (FTA) funds must file this certification with the
appropriate state program office before procuring any inaccessible vehicles or
employing private entities such as Transportation Network Companies (TNCs) or taxi
services in demand-responsive services of any kind. Such public entities not receiving
FTA funds shall also file the certification with the appropriate state office program. Such
public entities receiving FTA funds under any other section of the FTA Programs must file
the certification with the appropriate FTA regional office. This certification is valid for no
longer than one year from its date of filing. Non-public transportation systems that serve
their own clients,such as social service agencies, are required to complete this form.
Executed this 9th day of December,2025
Burtl. Saunders, Chairman
Typed Name and Title of Authorized Representative
Ale_litt,strAnwes.
Signature of Authorized Representative t• s
Attest as to lalrman's
signature only
OMBlaum`b$41t00004
Expiration Date:11/30/2025
Application for Federal Assistance SF-424
*1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s):
n Preapplication ®New
®Application n Continuation *Other(Specify):
n Changed/Corrected Application n Revision
*3.Date Received: 4.Applicant Identifier:
1
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State: 7.State Application Identifier: 10 o i
8.APPLICANT INFORMATION:
*a.Legal Name: Collier County Board of County Commissioners
*b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI:
56-6000558 JWKJKYRPLLU6
d.Address:
*Streetl: 3299 Tamiami Trail East, Suite 700
Street2:
*City: Naples
County/Parish:
*State: FL: Florida
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: 34112-5746
e.Organizational Unit:
Department Name: Division Name:
Transportation Management Svcs PTNE
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mr. *First Name:
Omar
Middle Name:
*Last Name: De Leon
Suffix:
Title:
Organizational Affiliation:
Collier County
*Telephone Number: 239-252-4996 Fax Number:
*Email: omar.deleon@collier.gov
16B16
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
B: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
Federal Transit Administration
11.Catalog of Federal Domestic Assistance Number:
20.513
CFDA Title:
*12.Funding Opportunity Number:
*Title:
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
5310 Areas Affected.pdf Add Attachment Delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
Section 5310 Capital Application to purchase four replacement vehicles. In addition, (4)tablet and
(4) routers for the use of those vehicles. In the Bonita Springs-Estero UZA.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
16ri16
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 19 *b.Program/Project 19&26
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 10/01/2025 *b.End Date: 09/30/2026
18.Estimated Funding($):
*a.Federal 555,520.00
*b.Applicant
*c.State 69,440.00
*d.Local 69,440.00
*e.Other
*f. Program Income
*g.TOTAL 694,400.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
n a.This application was made available to the State under the Executive Order 12372 Process for review on .
n b. Program is subject to E.O. 12372 but has not been selected by the State for review.
® c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and (2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 18,Section 1001)
• **I AGREE
** The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. *First Name: Burt
Middle Name: L.
*Last Name: Saunders
Suffix:
*Title: .Chairman, Board of County Commissioners
*Telephone Number:' I239252-8603 Fax Number:
* Pnail: Burt.Saun4ers@eollier,gov -
s`546rt81U)'e,of'Auth n ( *Date Signed:,,. $� 9 12/09/2025
n,
r
�t � 1�
� 'st (1tt 1Y
16516
RESOLUTION NO. 2025 -2 6 2
A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY
COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING
ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A
SECTION 5311 GRANT APPLICATION, INCLUDING ALL RELATED
DOCUMENTS AND ASSURANCES, WITH THE FLORIDA
DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT
AWARD FROM THE FLORIDA DEPARTMENT OF
TRANSPORTATION, AND AUTHORIZING THE EXPENDITURE OF
GRANT FUNDS FOR THE FIXED ROUTE TRANSIT OPERATING
SERVICES.
WHEREAS. the Board of County Commissioners of Collier County. Florida ("Board").
has the authority to apply for and accept grants and make purchases and expend funds pursuant
to grant awards made by the Florida Department of Transportation as authorized by Chapter 341.
Florida Statutes, and by the Federal Transit Administration Act of 1964, as amended; and
NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Collier County, Florida, that:
1. This resolution applies to the Federal Program under U.S.C. §5311.
2. The submission of a grant application(s), supporting documents, and assurances to the Florida
Department of Transportation is approved.
3. Burt L. Saunders. Chairman, is authorized to including, but not limited to: (a) sign the application,
accept the grant award, and (b) accept and execute any required certifications and assurances and
all supporting documents relating to the grant awarded to the County, (c) approving all necessary
budget amendments related to this grant application, and (d) authorize the expenditure of grant
funds pursuant to the grant awarded, unless specifically rescinded.
4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney.
The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112.
5. This Resolution shall be effective immediately upon signature by the Chairman.
123-TRO-00394/1821761/11 Page 1 of 2
Gt`
1 6 6
This Resolution adopted after motion, second and majority vote favoring same, this q day
of , 2025.
ATTEST.,\ BOARD OF COUNTY COMMISSIONERS
tRYSIAG,K. KINZEL, Clerk OF COLLIER COUNTY, FLORIDA
,
By:
)„,;, ••• , - CJ?Slha man,s urt L. Saunders, Chairman
• Kif 1",'Wn
L, signature Only
Approve Approve as t form and legality:
Jeffrey A lat tow, County Attorney
123-TRO-0039411821761 Page 2 of 2
tit'AN Collier County
TRANSPORTATION 1 6 R 1 LL
MANAGEMENT SERVICES 6
Cover Letter
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
GRANT APPLICATION
Collier County Board of County Commissioners submits this Application for the Section 5311
Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this
reference made a part thereof, as itemized in the Checklist for Application Completeness.
Collier County Board of County Commissioners further agrees, to the extent provided by law (in
case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes) to
indemnify, defend and hold harmless the FDOT and all of its officers, agents and employees from any
claim, loss, damage, cost, charge, or expense out of the non-compliance by the Agency, its officers,
agents or employees,with any of the assurances stated in this Application.
This Application is submitted on this 9th day of December, 2025 with an original resolution or
certified copy of the original resolution authorizing the Chairman of the Board of County
Commissioners to sign this Application.
Authorized representative signs below certifying that all information contained in this application is
true and accurate.
Collier County Board of County Commissioners
Agency Name
Ate,) ,11-trtisibelfa--
Signature
Burt L. Saunders-Chairman, Board of County Commissioners
Typed Name and Title of Authorized Representative
12/9/2025
Date
r .....E
..
CF 'S 6T'r L K Klf a?El CLLF\
-4"4
1
Cionk
Attestas.to Chairman's
s•
ignature only
0 )"
Collier County 6 R TRANSPORTATION 6
MANAGEMENT SERVICES
FDOT Certification and Assurances
Collier County Board of County Commissioners certifies and assures to the Florida
Department of Transportation regarding its Application under U.S.C. Section 5311 dated 9tn
day of December,2025:
a It shall adhere to all Certifications and Assurances made to the federal government in
its Application.
2 It shall comply with Florida Statues:
• Section 341.051-Administration and financing of public transit and intercity bus service
programs and projects
• Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews
• Section 252.42 - Government equipment, services and facilities: In the event of any
emergency, the division may make available any equipment, services, or facilities
owned or organized by the state or its political subdivisions for use in the affected area
upon request of the duly constituted authority of the area or upon the request of any
recognized and accredited relief agency through such duly constituted authority.
3 It shall comply with Florida Administrative Code:
• Rule Chapter 14-73-Public Transportation
• Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit
Systems
• Rule Chapter 14-90.0041-Medical Examination for Bus System Driver
• Rule Chapter 41-2-Commission for the Transportation Disadvantaged
4 It shall comply with FDOT's:
• Bus Transit System Safety Program Procedure No. 725-030-009
(Does not apply to Section 5310 only recipients)
• Public Transit Substance Abuse Management Program Procedure No.725-030-035
• Transit Vehicle Inventory Management Procedure No. 725-030-025
• Public Transportation Vehicle Leasing Procedure No. 725-030-001
• Guidelines for Acquiring Vehicles
• Procurement Guidance for Transit Agencies
5 It has the fiscal and managerial capability and legal authority to file the application.
6 Local matching funds will be available to purchase vehicles/equipment at the time an
order is placed.
7 It will carry adequate insurance to maintain, repair, or replace project
16816
vehicles/equipment in the event of loss or damage due to an accident or casualty.
8 It will maintain project vehicles/equipment in good working order for the useful life of
the vehicles/equipment.
9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer
needed or used for the purpose intended.
10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no
cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose
intended, improperly maintained, uninsured, or operated unsafely.
11 It will not enter into any lease of project vehicles/equipment or contract for
transportation services with any third party without prior approval of FDOT.
12 It will notify FDOT within 24 hours of any accident or casualty involving project
vehicles/equipment, and submit related reports as required by FDOT.
13 It will notify FDOT and request assistance if a vehicle should become unserviceable.
14 It will submit an annual financial audit report to FDOT
(FDOTSingleAuditPdot.state.fl.us), if required.
15 It will undergo a triennial review and inspection by FDOT to determine compliance with
the baseline requirements. If found not in compliance,it must send a progress report to
the local FDOT District office on a quarterly basis outlining the agency's progress
towards compliance.
12/9/2025
Date
Signature of Contractor's Authorized Official
Burt L. Saunders,Chairman
Name and Title of Contractor's Authorized Official
K 'p""1.., C . .
4ttas as to Chairman's
l' . ., � �` signature only
f ik'
16R16
Standard Lobbying Certification
The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge
and belief,that:
1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any
person for influencing or attempting to influence an officer or employee of an agency, a Member of
Congress, an officer or employee of Congress,or an employee of a Member of Congress in connection
with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal
loan, the entering into of any cooperative agreement, and the extension, continuation, renewal,
amendment,or modification of any Federal contract,grant, loan,or cooperative agreement.
2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for
making lobbying contacts to an officer or employee of any agency,a Member of Congress,an officer or
employee of Congress, or an employee of a Member of Congress in connection with this Federal
contract,grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard
Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's
website) in accordance with its instructions [as amended by "Government wide Guidance for New
Restrictions on Lobbying,"61 Fed.Reg.1413(1/19/96). Note:Language in paragraph(2)herein has been
modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be
codified at 2 U.S.C. 1601,et seq.)]
3 The undersigned shall require that the language of this certification be included in the award documents
for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans,
and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction
imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file
the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000
for each such failure.
NOTE: Pursuant to 31 U.S.C.§1352(c)(1)-(2)(A),any person who makes a prohibited expenditure or fails to file or
amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such expenditure or failure.
The (Contractor), certifies or affirms the truthfulness and accuracy of each statement of its certification and
disclosure, if any. In addition,the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801, et
seq.,apply to this certification and disclosure, if any.
12/9/2025 Date
____Agi`tf‘t4.416•04 - Signature of Contractor's Authorized Official
Burt L.Saunders- Chairman
Name and Title of Contractor's Authorized Official
Attest as to Chairman's
signature only
FTA Section 5333 (b) Assurance 1
6 R i 6
(Note: By signing the following assurance,the recipient of Section 5311 and/or 5311(f) assistance assures it will
comply with the labor protection provisions of 49 U.S.C. 5333(b) by one of the following actions: (1) signing the
Special Warranty for the Rural Area Program(see FTA Circular C 9040.IH,Chapter VIII (2)agreeing to alternative
comparable arrangements approved by the(Department of Labor(DOL);or(3)obtaining a waiver from the DOL.)
The Collier County Board of County Commissioners (hereinafter referred to as the "Recipient") HEREBY
ASSURES that the "Special Section 5333 (b) Warranty for Application to the Small Urban and Rural Program"
has been reviewed and certifies to the Florida Department of Transportation that it will comply with its
provisions and all its provisions will be incorporated into any contract between the recipient and any sub-
recipient which will expend funds received as a result of an application to the Florida Department of
Transportation under the FTA Section 5311 Program.
December 9, 2025 r
Date Um,
�Y .Y�pJaFa ^
Al •
CRY 1�. j""• F-"1., �-"/ � ���.w
Burt L. Saunders- Chairman
Name an title of authoriz
ed representative �,
Signature of authorized representative
Note: All applicants must complete the following form and submit it with the above Assurance.
LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, UNIONS OF SUB-
RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY
1 2 3 4
Identify Recipients of Site Project by Name, Identify Other Eligible Identify Unions(and
Transportation Assistance Description,and Provider Surface Transportation Providers) Representing
Under this Grant. (e.g. Recipient,other Providers(Type of Employees of Providers in
Agency,or Contractor) Service) Columns 1,2,and 3
Collier County Board Application FTA Collier Area Transit Transport workers
of County Section 5311 for the urban transit Union Local 525
Commissioners Operating Assistance service. AFL-CIO 2595 North
funding of FY26/27 Courtenay Pkwy.
for Collier Area Suite 104 Merritt
Transit to provide Island, FL 32953
continuing public
transportation services
to residents of the non-
urbanized areas of
Collier County
traveling within the
rural area and/or the
adjacent urban area
and returning to the
rural domicile.
16B16
Leasing Certification
Memorandum for FTA 5311
December 9,2025
Date:
Burt L. Saunders-Chairman
From:
Signature
Burt L. Saunders-Chairman
Typed name and title
Collier County Board of County Commissioners
Typed or printed agency name
To: Florida Department of Transportation, District Office Modal Development
Office/Public Transit
Subject: FFY26/SFY27 GRANT APPLICATION TO THE FEDERAL TRANSIT
ADMINISTRATION, OPERATING OR CAPITAL GRANTS FOR RURAL AREAS PROGRAM, 49
UNITED STATES CODE SECTION 5311
Leasing:
Will the Collier County Board of County Commissioners, as applicant to the Federal
Transit Administration Section 5311 Program, lease the proposed vehicle(s) or
equipment out to a third-party?
® No
❑Yes
If yes, specify to whom:
NOTE: It is the responsibility of the applicant agency to ensure District approval of
-.:all lease agreements.
4irtger:; 1//��
KiFIZEL OLEI I'
Irran s
�`�%; Pu saiki-lititure only
I El16
Certification of Equivalent Service
CERTIFICATION OF EQUIVALENT SERVICE
Collier County Board of County Commissioners certifies that its demand responsive
service offered to individuals with disabilities,including individuals who use wheelchairs,
is equivalent to the level and quality of service offered to individuals without disabilities.
Such service, when viewed in its entirety, is provided in the most integrated setting
feasible and is equivalent with respect to:
1 Response time;
2 Fares;
3 Geographic service area;
4 Hours and days of service;
5 Restrictions on trip purpose;
6 Availability of information and reservation capability;and
7 Constraints on capacity or service availability.
In accordance with 49 CFR Part 37, public entities operating demand responsive systems
for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311
of the Federal Transit Administration (FTA) funds must file this certification with the
appropriate state program office before procuring any inaccessible vehicles or
employing private entities such as Transportation Network Companies (TNCs) or taxi
services in demand-responsive services of any kind. Such public entities not receiving
FTA funds shall also file the certification with the appropriate state office program. Such
public entities receiving FTA funds under any other section of the FTA Programs must file
the certification with the appropriate FTA regional office. This certification is valid for no
longer than one year from its date of filing. Non-public transportation systems that serve
their own clients, such as social service agencies, are required to complete this form.
Executed this 9th day of December,2025
Burt I. sounders, Chairman
Typed Name and Title of Authorized Representative
i4.517,01 $1504—
6v, t�r ,Signature of Authorized Representative
•
Pit: Li , r��,' 4_ .y L�.�tEC LAC_
n Cif LI 'y ,, Pnt4tmans
,A"'o-` V2,
� •, signature only
1 R 1 6
OMB Number:4040-0004
Expiration Date:11/30/2025
Application for Federal Assistance SF-424
*1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s):
n Preapplication ®New
® Application Continuation *Other(Specify):
n Changed/Corrected Application Revision
*3.Date Received: 4.Applicant Identifier:
I I
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State: 7.State Application Identifier: 1001
8.APPLICANT INFORMATION:
*a.Legal Name: I
*b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI:
56-6000558 JWKJKYRPLLU6
d.Address:
*Streetl: 3299 Tamiami Trail East, Suite 700
Street2:
*City: Naples
County/Parish:
*State: FL: Florida
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: 3 4112-5 7 4 6
e.Organizational Unit:
Department Name: Division Name:
Transportation Management Svcs PTNE
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mr. *First Name: Omar
Middle Name:
*Last Name: DeLeon
Suffix:
Title: Transit Manager
Organizational Affiliation:
Collier County
*Telephone Number: 239-252-4996 Fax Number:
*Email: Omar.DeLeon@collier.gov
16R16
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
B: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
Federal Transit Administration
11.Catalog of Federal Domestic Assistance Number:
CFDA Title:
*12.Funding Opportunity Number:
20.509
*Title:
Formula Grants for Rural Area
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
5311 Areas Affected.pdf Add Attachment Delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
Operational funding request to 5311 to cover costs of operating in the identified rural parts of
Collier County.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
1 6 B 1 6
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 19 *b.Program/Project 19&26
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 10/01/2026 *b.End Date: 09/30/2027
18.Estimated Funding($):
*a.Federal 779,000.00
*b.Applicant
*c.State
*d.Local 779,000.00
*e.Other
*f. Program Income
*g.TOTAL 1,558,000.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
n a.This application was made available to the State under the Executive Order 12372 Process for review on •
n b. Program is subject to E.O. 12372 but has not been selected by the State for review.
® c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
n Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attacr:!rt
21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 18,Section 1001)
**I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. *First Name: Burt
Middle Name: L.
*Last Name: Saunders
Suffix:
*Title: Chairperson, Board of County Commissioners
*Telephone Number: 239-252-8603 Fax Number:
*Email: gflrt.Saunders@collier.gov
*Signature of Authorized>Representative: *Date Signed: 12/0 9/2 0 2 5
epihy_.>iOr;
1 6 R 1 6
RESOLUTION NO. 2025 - 263
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS
CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A
SECTION 5339 GRANT APPLICATION, INCLUDING ALL RELATED
DOCUMENTS AND ASSURANCES, WITH THE FLORIDA
DEPARTMENET OF TRANSPORTATION; TO ACCEPTING A GRANT
AWARD FROM THE FLORIDA DEPARTMENT OF
TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF A
REPLACEMENT BUS, AND THE PURCHASE AND INSTALLATION OF
A CANOPY FOR THE IMMOKALEE TRANSFER STATION.
WHEREAS, the Board of County Commissioners of Collier County, Florida (-Board-),
has the authority to apply for and accept grants and make purchases and expend funds pursuant
to grant awards made by the Florida Department of Transportation as authorized by Chapter 341,
Florida Statutes, and by the Federal Transit Administration Act of 1964. as amended; and
NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of
Collier County, Florida, that:
1. This resolution applies to the Federal Program under U.S.C. 0339,
2. The submission of a grant application(s), supporting documents, and assurances to the Florida
Department of Transportation is approved.
3. Burt L. Saunders, Chairman, is authorized to, including, but not limited to: (a) sign the application
and accept a grant award; (b) accept and execute any required certifications and assurances and all
supporting documents relating to the grant awarded to the County, (c)approve all necessary budget
amendments related to this grant application, and (d) authorize the purchase of a replacement bus
and the expenditure of grant funds for the purchase and installation of a canopy for the Immokalee
Transfer Station and/or expenditure of grant funds pursuant to the grant awarded, unless
specifically rescinded.
4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney.
The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112.
5. This Resolution shall he effective immediately upon signature by the Chairman.
123-1 RO-00394/1821761/1] Page 1 of 2
1 6 R 1 6
k
This Resolution adopted after motion, second and majority vote favoring same. this °Ifi day
of Dectj,e/ , 2025.
BOARD OF COUNTY COMMISSIONERS
CfY SI AL 1< K*,H . Clerk
OF COLLIER COUNTY, FLORIDA
1:3. .
j,
• - \---1414---- By: .,4,,,,,gr.,.......
urt L. Saunders, Chairman
: I . **IA Gitirman's
signature only
Approve a ti or and legality:
Jeffrey A lat- ow. County Attorney
123-1 R0-00394,1821761/11 Page 2 of 2
(11)
eNNN- Collier County 16 R 1 6
L
TRANSPORTATION
/ MANAGEMENT SERVICES
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
GRANT APPLICATION
Collier County Board of County Commissioners submits this Application for the Section 5339
Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this
reference made a part thereof,as itemized in the Checklist for Application Completeness.
Collier County Board of County Commissioners further agrees, to the extent provided by law (in
case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes) to
indemnify,defend and hold harmless the Department and all of its officers,agents and employees from
any claim, loss,damage,cost,charge,or expense out of the non-compliance by the Agency,its officers,
agents or employees,with any of the assurances stated in this Application.
This Application is submitted on this 9th day of December,2025 with an original resolution or certified
copy of the original resolution authorizing Burt L.Saunders. Chairman to sign this Application.
Authorized representative signs below certifying that all information contained in this application is
true and accurate.
Collier County Board of County Commissioners
Agency Name
W...,„pit,har....
Signature
Burt L. Saunders, Chairman
Typed Name and Title of Authorized Representative
1 7/9/7025
Date
.ac..C-:1i„t•,
io
4
, list: -1,,ti:- .4AtA\, . —, 7,-
, .,signature only eil‘
,), 2885 Horseshoe Drive South, Naples, FL 34104. Phone: (239)252-8192
www.colliercountyfl.gov
t 6 R t
FDOT Certification and Assurances
Collier County Board of County Commissioners certifies and assures to the Florida
Department of Transportation regarding its Application under U.S.C. Section 5339 dated 9th
day of December,2025:
1 It shall adhere to all Certifications and Assurances made to the federal government in
its Application.
2 It shall comply with Florida Statues:
• Section 341.051-Administration and financing of public transit and intercity bus service
programs and projects
• Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews
• Section 252.42 - Government equipment, services and facilities: In the event of any
emergency, the division may make available any equipment, services, or facilities
owned or organized by the state or its political subdivisions for use in the affected area
upon request of the duly constituted authority of the area or upon the request of any
recognized and accredited relief agency through such duly constituted authority.
3 It shall comply with Florida Administrative Code (Rule Chapter 14-73-Public
Transportation)
• Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit
Systems
• Rule Chapter 14-90.0041-Medical Examination for Bus System Driver
• Rule Chapter 41-2-Commission for the Transportation Disadvantaged
4 It shall comply with FDOT's:
• Bus Transit System Safety Program Procedure No. 725-030-009
(Does not apply to Section 5310 only recipients)
• Public Transit Substance Abuse Management Program Procedure No.725-030-035
• Transit Vehicle Inventory Management Procedure No. 725-030-025
• Public Transportation Vehicle Leasing Procedure No.725-030-001
• Guidelines for Acquiring Vehicles
• Procurement Guidance for Transit Agencies
5 It has the fiscal and managerial capability and legal authority to file the application.
6 Local matching funds will be available to purchase vehicles/equipment at the time an
order is placed.
7 It will carry adequate insurance to maintain, repair, or replace project
vehicles/equipment in the event of loss or damage due to an accident or casualty.
8 It will maintain project vehicles/equipment in good working order for the useful life of
the vehicles/equipment.
16816
9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer
needed or used for the purpose intended.
10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no
cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose
intended, improperly maintained, uninsured, or operated unsafely.
11 It will not enter into any lease of project vehicles/equipment or contract for
transportation services with any third party without prior approval of FDOT.
12 It will notify FDOT within 24 hours of any accident or casualty involving project
vehicles/equipment and submit related reports as required by FDOT.
13 It will notify FDOT and request assistance if a vehicle becomes unserviceable.
14 It will submit an annual financial audit report to FDOT
(FDOTSingleAudit(adot.state.fl.us), if required.
15 It will undergo a triennial review and inspection by FDOT to determine compliance with
the baseline requirements. If found not in compliance, it must send a progress report to
the local FDOT District office on a quarterly basis outlining the agency's progress
towards compliance.
12/09/2025 Date
/4„.g# 534— Signature of Authorized Representative
Burt L. Saunders,Chairman Typed Name and Title of Authorized Representative
•
• �A � •. /A
* i_� i�3;r
�
"ply*
Depci' (akc nan't‘
�� +} . :'Attest a riawre on\Y
Standard Lobbying Certification Form 16 8 1 6
The undersigned Collier County Board of County Commissioners certifies,to the best of his or her knowledge
and belief,that:
1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any
person for influencing or attempting to influence an officer or employee of an agency,a Member of Congress,
an officer or employee of Congress, or an employee of a Member of Congress in connection with the
awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the
entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or
modification of any Federal contract,grant, loan, or cooperative agreement.
2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making
lobbying contacts to an officer or employee of any agency,a Member of Congress,an officer or employee of
Congress,or an employee of a Member of Congress in connection with this Federal contract,grant, loan,or
cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form
to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its
instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg.
1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of
the Lobbying Disclosure Act of 1995 (P.L. 104-65,to be codified at 2 U.S.C. 1601,et seq.)]
3 The undersigned shall require that the language of this certification be included in the award documents for
all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and
cooperative agreements) and that all sub-recipients shall certify and disclose accordingly.
This certification is a material representation of fact upon which reliance was placed when this transaction was
made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction
imposed by 31,U.S.C.§1352(as amended by the Lobbying Disclosure Act of 1995).Any person who fails to file the
required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for
each such failure.
NOTE: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or
amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and
not more than $100,000 for each such expenditure or failure.
The Collier County Board of County Commissioners, certifies or affirms the truthfulness and accuracy of each
statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the
provisions of 31 U.S.C.A 3801,et seq.,apply to this certification and disclosure, if any.
12/09 025 Date
ft 4 Signature of Contractor's Authorized Official
Burt L. Saunders,Chairman Typed Name and Title of Authorized Representative
Y rz
S.64-14(44s.1- Lle�i ,�lairman's
Kt� signitdre-only
16Rt6
Leasing Certification
MEMORANDUM for FTA 5339
Date: December 9,2025
From: Burt L.Saunders,Chairman
(Typed name and title) Signature) :�C
Collier County Board of County Commissioners 1 *
(Typed or printed agency name)
a Ci°rk
To: Florida Department of Transportation,District Office . , Attest"t fci Qh man s
Modal Development Office/Public Transit t ., signatre�onry
Subject: FFY26/SFY27GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION,
CAPITAL GRANTS FOR NON-URBANIZED AREAS PROGRAM,
49 UNITED STATES CODE SECTION 5339
Leasing
Will the Collier County Board of County Commissioners , as applicant to the Federal
Transit Administration Section 5339 Program, lease the proposed vehicle(s) (or any other
equipment that may be awarded to the Applicant)to a third-party?
DYes ® No
If yes,specify to whom:
NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease
agreements.
1681. 6
Certification of Equivalent Service
CERTIFICATION OF EQUIVALENT SERVICE
Collier County Board of County Commissioners certifies that its demand responsive
service offered to individuals with disabilities,including individuals who use wheelchairs,
is equivalent to the level and quality of service offered to individuals without disabilities.
Such service, when viewed in its entirety, is provided in the most integrated setting
feasible and is equivalent with respect to:
1 Response time;
2 Fares;
3 Geographic service area;
4 Hours and days of service;
5 Restrictions on trip purpose;
6 Availability of information and reservation capability; and
7 Constraints on capacity or service availability.
In accordance with 49 CFR Part 37, public entities operating demand responsive systems
for the general public which receive financial assistance under 49 U.S.C. 5310, 5311 and
5339 of the Federal Transit Administration (FTA)funds must file this certification with the
appropriate state program office before procuring any inaccessible vehicles or
employing private entities such as Transportation Network Companies (TNCs) or taxi
services in demand-responsive services of any kind. Such public entities not receiving
FTA funds shall also file the certification with the appropriate state office program. Such
public entities receiving FTA funds under any other section of the FTA Programs must file
the certification with the appropriate FTA regional office. This certification is valid for no
longer than one year from its date of filing. Non-public transportation systems that serve
their own clients,such as social service agencies, are required to complete this form.
Executed this 9th day of December,2025
Burt L. Saunders, Chairman
Typed Name and Title of Authorized Representative
Signature of Authorized Representative
49
E pp.y clack
A ''Attest as to Chairman's
signature only
OMB Number: 40-0004
Expiration Date: 11/30/2025
Application for Federal Assistance SF-424
*1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s):
n Preapplication ®New
®Application n Continuation *Other(Specify):
n Changed/Corrected Application I I Revision
*3.Date Received: 4.Applicant Identifier:
I I
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State: 7.State Application Identifier: 1001
8.APPLICANT INFORMATION:
*a.Legal Name: Collier County Board of County Commissioners
*b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI:
56-6000558 JWKJKYRPLLU6
d.Address:
*Streetl: 3299 Tamiami Trail East, Suite 700
Street2:
*City: Naples
County/Parish:
*State: FL: Florida
Province:
*Country: USA: UNITED STATES
*Zip/Postal Code: 34112-5746
e.Organizational Unit:
Department Name: Division Name:
Transportation Management Svcs PTNE
f.Name and contact information of person to be contacted on matters involving this application:
Prefix: Mr. *First Name: Omar
Middle Name:
*Last Name: DeLeon
Suffix:
Title: Transit Manager
Organizational Affiliation:
Collier County
*Telephone Number: 239-252-4996 Fax Number:
*Email: Omar.DeLeon@collier.gov
16B16
Application for Federal Assistance SF-424
*9.Type of Applicant 1:Select Applicant Type:
B: County Government
Type of Applicant 2:Select Applicant Type:
Type of Applicant 3:Select Applicant Type:
*Other(specify):
*10.Name of Federal Agency:
Federal Transit Administration
11.Catalog of Federal Domestic Assistance Number:
20.526
CFDA Title:
Bus and Bus Facilities Program
*12.Funding Opportunity Number:
*Title:
13.Competition Identification Number:
Title:
14.Areas Affected by Project(Cities,Counties,States,etc.):
5339AreasAffected.pdf Add Attachment Delete Attachment View Attachment
*15.Descriptive Title of Applicant's Project:
Capital Funding request for 5339 to purchase one 90' Fixed-Route bus and the purchase and
installation of a canopy for the Immokalee Transfer Station in the rural areas of Collier County.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
13 1 6
Application for Federal Assistance SF-424
16.Congressional Districts Of:
*a.Applicant 19 *b.Program/Project 19&26
Attach an additional list of Program/Project Congressional Districts if needed.
Add Attachment Delete Attachment View Attachment
17.Proposed Project:
*a.Start Date: 10/01/2026 *b.End Date: 09/30/2027
18.Estimated Funding($):
*a.Federal 1,203,000.00
*b.Applicant
*c.State 300,750.00
*d.Local
*e.Other
*f. Program Income
*g.TOTAL 1,503,750.00
*19.Is Application Subject to Review By State Under Executive Order 12372 Process?
n a.This application was made available to the State under the Executive Order 12372 Process for review on .
n b.Program is subject to E.O. 12372 but has not been selected by the State for review.
® c.Program is not covered by E.O. 12372.
*20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
n Yes ®No
If"Yes",provide explanation and attach
Add Attachment Delete Attachment View Attachment
21.*By signing this application, I certify(1)to the statements contained in the list of certifications**and (2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances** and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 18,Section 1001)
**I AGREE
** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency
specific instructions.
Authorized Representative:
Prefix: Mr. *First Name: Burt
Middle Name: L.
*Last Name: Saunders
Suffix:
*Title: Chairman, Board of County Commissioners
*,Telephone Number: 239-252-8603 Fax Number:
47 ,•*Ema1l r Saunders@colliercountyf1.gov
*SignatureorAuthot1 edRepresentative: *Date Signed: 12/09/2025
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Attest as to Chairman'h
signature only
D pudy Clerk
16816
FTA Section 5333 (b) Assurance
Note: By signing the following assurance,the recipient of Section 5339 assistance assures it will
comply with the labor protection provisions of 49 U.S.C.5333(b) by one of the following actions:
(1)signing the Special Warranty for the Rural Area Program (see FTA Circular C 9040.1H);(2)
agreeing to alternative comparable arrangements approved by the Department of Labor(DOL);
or(3)obtaining a waiver from the DOL.
Collier County Board of County Commissioners (hereinafter referred to as the "Recipient") HEREBY
ASSURES that the "Special Section 5333 (b) Warranty for Application to the Small Urban and Rural
Program" has been reviewed and certifies to the Florida Department of Transportation that it will
comply with its provisions and all its provisions will be incorporated into any contract between the
recipient and any sub-recipient which will expend funds received as a result of an application to the
Florida Department of Transportation under the FTA Section 5339 Program.
Dece ber 9th,2025 Date
.,,6,,,,+Citg....„4 ."00." Signature of Contractor's Authorized Official
Burt L Saunders Typed Name and Title of Authorized Representative
Note: All applicants must complete the following form and submit it with the above Assurance.
LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, UNIONS OF
SUB-RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS,
IF ANY
(See Appendix for Example)
1 2 3 4
Identify Recipients of Site Project by Name, Description,and Identify Other Identify Unions(and
Transportation Provider(e.g.Recipient,other Agency, Eligible Surface Providers)
Assistance Under or Contractor) Transportation Representing
this Grant Providers(Type of Employees of
Service) Providers in Columns
1,2,and 3
Collier County Application FTA Section 5339 Collier Area Transport workers
Board of County Funding of FY26/27 for Collier Transit for Union Local 525
Commissioners Area Transit to purchase a 40' bus transit service AFL-CIO 2595
to provide service to residents of North Courtenay
the non-urbanized areas of Collier Pkwy. Suite 104
County traveling within the rural Merritt Island, FL
area and/or the adjacent urban area 32953
and returning to rural domicile.
Additionally the application is to
fund the purchase and construction
of a canopy at the Immokalee
Transfer Station.
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