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Backup Documents 12/09/2025 ITem #16G 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 60 1 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later than Monday preceding the Board meeting. **NEW** ROUTING SLIP Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. 2. 3 County Attorney Office County Attorney Office ��k// 1 ei 4. BCC Office Board of County Commissioners t$�� M7�/ [2� 5. Minutes and Records Clerk of Court's Office 11 Send via email to: Danielle.Bates(a)collier.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 12/9/25 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 go d-S 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 your deadlines! 8. The document was approved by the BCC on 1211. and all changes made PA is not during the meeting have been incorporated in the attached document. The County pJ0„1 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 314`lttb an option fci Chairman's signature. • 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:96963856-F3F1-41A7-A188-AFB65AAFD628 Doc,,stgr Lrvelope ID'7AFH531-C-u215-4BE5-A46C•n4744C47H4C'I sTA*E Or FL DRIDA DEPARTMF VT OF•RANSDORTAT!04 Foam 725.000.03 PUBLIC TRANSPORTATION 5'RATEGIC OEVELOPVIEVT AMENDMENT TO THE PUBLIC TRANSPORTATION OGC03.25 GRANT AGREEMENT _ `Exhibit I Certification of Disbursement of Payment to Vehicle and%or Equipment Vendor `Additional Exhibit(s) 4. Project Cost. The estimated total cost of the Project is X increased/_ decreased by$65.875.bringing the revised total cost of the project to$309 000 The Department's participation is X increased/_ decreased by 552,700 The Department agrees to participate in the Project cost up to the maximum amount of$247.200, and, additionally the Department's participation in the Project shall not exceed 80 00%of the total eligible cost of the Project Except as modified,amended or changed by this Amendment, all of the terms and conditions of the Agreement and any amendments thereto sha'remain in full force and effect IN WITNESS WHEREOF,the Parties have executed this Amendment on the day and year written above AGENCY Collier County Airport STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Authority Signed by: B By I e il--1 5 Nam leA4411K7.P E. T tie Director of Transportation Development Burt L. Saunders,Chairman ,. ..-_._._.. wry r' STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION .- Lego Review Don Conway, Senior Attorney(as to legality and form) s„,-,41tiegtt as to Chairman's Docus red ^signature i)no. �L a//!y'b'rl:,-� ,?.i 1 937D 1 D5420A84D9... APProv i T" and legality -4;11 7 iir■i.� 1 Jeffrey A.K III 1 kow ty Attorney • Page 2 of 6 1 G1 RESOLUTION NO. 2025- 269 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, ACTING AS THE . COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND AUTHORIZING THE EXECUTION OF AMENDMENT NO. 2 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 14-60 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 452978-1-94-0 I); and WHEREAS, FDOT is willing to amend the Agreement to provide additional FDOT funding in the amount of$52,700, increasing the FDOT share from $194,500 to $247,200; 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. 2 to the Agreement (FPN 452978-1-94-01, 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. ADOPTED this 10`1' day of November 2025 after motion, second and majority vote in favor of adoption. c ATTEST: COLLIER COUNTY AIRPORT J, .•' CRYSTAL 14:KINZEL,CLERK AUTHORITY `2; 'By, By: RUM' CLERK airman's V., tivAttest as to Ch BU T L. SAUNDERS, CHAIRMAN ' signature only Approv .1 t , •& • y: -■tart//� illiir Jeffrey A I latzk, w, County Attorney Docusign Envelope ID,28EB53FC-D215-4BE5-A46C-64744C4784C8 6 C 1 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 725-000-03 PUBLIC TRANSPORTATION STRATEGIC DEVELOPMENT AMENDMENT TO THE PUBLIC TRANSPORTATION OGC0125 GRANT AGREEMENT Financial Project Number(s). or Fund(s). DPTO,SAFE FLAIR Categ ory g Y C88719 452976-1-94-01 Work Activity Code/Function 215 Object Code. 751000 Federal Number/Federal Award Org. Code 55012020129 — Identification Number(FAIN)-Transit only _N/A Vendor Number VF596000558130 Contract Number G2J23 Federal Award Date: N/A Amendment No. 2 CFDA Number NIA SAMIUEI Number N/A CFDA Tite: N/A CSFA Number 55 004 CSFA Title. Aviation Grant Program THIS AMENDMENT TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT("Amendment")is made and entered into on . by and between the State of Florida, Department of Transportation ("Department"), and Collier County Airport Authority, ('Agency"),collectively referred to as the"Parties." RECITALS WHEREAS, the Department and the Agency on 6/21/2023 (date original Agreement entered) entered into a Public Transportation Grant Agreement ('Agreement"). WHEREAS, the Parties have agreed to modify the Agreement on the terms and conditions set forth herein. NOW THEREFORE, in consideration of the mutual covenants in this Amendment, the Agreement is amended as follows: 1. Amendment Description. The project is amended to add state and local funds, in accordance with the procedure for multi-phased airport projects. 2. Program Area. For identification purposes only. this Agreement is implemented as part of the Department program area selected below(select all programs that apply)' X Aviation _ Seaports Transit _ Intermodal Rail Crossing Closure Match to Direct Federal Funding (Aviation or Transit) (Note: Section 15 and Exhibit G do not apply to federally matched funding) Other 3. Exhibits. The following Exhibits are updated, attached, and incorporated into this Agreement' _ Exhibit A Project Description and Responsibilities X Exhibit B: Schedule of Financial Assistance _ *Exhibit B1 Deferred Reimbursement Financial Provisions _ 'Exhibit B2: Advance Payment Financial Provisions 'Exhibit C: Terms and Conditions of Construction X Exhibit D: Agency Resolution Exhibit E: Program Specific Terms and Conditions _ Exhibit F Contract Payment Requirements X *Exhibit G: Financial Assistance(Single Audit Act) *Exhibit H: Audit Requirements for Awards of Federal Financial Assistance Page 1 of 6 Docusign Envelope ID 28E953FC-D215-4BE5-A46C-64744C47E34C8 16 G 1 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION Form 725.000-02 PUBLIC TRANSPORTATION STRATEGIC DEVELOPMENT GRANT AGREEMENT EXHIBITS OGC0325 EXHIBIT B Schedule of Financial Assistance FUNDS AWARDED TO THE AGENCY AND REQUIRED MATCHING FUNDS PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: A. Fund Type and Fiscal Year: Financial Fund FLAIR State Object CSFA/ CSFA/CFDA Title or Management Type Category Fiscal Code CFDA Funding Source Funding Number yp Year Number Description Amount 452976-1-94-01 DPTO 088719 2026 751000 55 004 Aviation Grant Program $52.700.00 452976-1-94-01 LF 088719 2026 751000 55 004 Aviation Grant Program $13.175.00 452976-1-94-01 LF 088719 2023 751000 55.004 Aviation Grant Program S48.625.00 452976-1-94-01 SAFE 088719 2023 751000 55.004 Aviation Grant Program i $194,500 00 Total Financial Assistance { $309,00000 B. Estimate of Project Costs by Grant Phase: Phases* State Local Federal Totals State Local Federal Land Acquisition $0.00 $0 00 $0.00 $0 00 0.00 0.00 l 0 CO Planning $0.00 $0.00 $0.00 $0.00 1 0.00 0.00 ! 0.00 , Environmental!Design! $0.00--- $0.00 . $0 00 $0.00 0.00 0 0 00 Construction Capital Equipment/ $247.200 00 ' $61.800 00 $0 00 $309,000 00 80 00 20 00 0.00 Preventative Maintenance Match to Direct Federal $0.00 $0 00 $0.00 $0.00 0 00 0 00 i 0.00 Funding Mobility Management $0.00 $0.00 $0.00 i $0 00 0 00 0 00 . 0.00 (Transit Only) Totals $247,200.00 $61,800.00 ' $0.00 I $309,000.00 l 'Shifting items between these grant phases requires execution of an Amendment to the Public Transportation Grant Agreement. Scope Code and/or Activity Line Item (ALI) (Transit Oniyi Common Name/UZA Name (Transit Only)___ _ BUDGET/COST ANALYSIS CERTIFICATION AS REQUIRED BY SECTION 216.3475, FLORIDA STATUTES: I certify that the cost for each line item budget category (grant phase) has been evaluated and determined to be allowable, reasonable, and necessary as required by Section 216.3475, Florida Statutes. Documentation is on file evidencing the methodology used and the conclusions reached. Dawn Gallon, CPM, FCCM Department Grant Manager Name a Page 3 of 6 Docusign Envelope ID:28EB53FC-D215-4BE5-A46C-64744C47B4C8 1 6 G I STATE OF FLORIDA DEPARTMENT Or TRANSPORTATION Form 725000.02 PUBLIC TRANSPORTATION STRATEGIC DEVELOPMENT by: GRANT AGREEMENT EXHIBITS OGC03,2S LOocuS4ned +c.w-$ trcLlos. 10/022025 1 4 03 PM EDT hator6,4`440.4 Date - Page 4 of 6 Docusign Envelope ID.28EB53FC-D215-4BE5-A46C-64744C4784C8 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION J.6T.a.1 PUBLIC TRANSPORTATION STRATEGIC DEVELOPMENT GRANT AGREEMENT EXHIBITS OGG 0325 EXHIBIT D AGENCY RESOLUTION PLEASE SEE ATTACHED Page 5 of 6 Docuslgn Envelope ID 28EB53FC-D215-4BE5-A46C-64744C47B4C8 1 C 1 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATIc'. Form 125.000-02 PUBLIC TRANSPORTATION STRATEGIC DEVELOPMENT GRANT AGREEMENT EXHIBITS OGC0325 EXHIBIT G AUDIT REQUIREMENTS FOR AWARDS OF STATE FINANCIAL ASSISTANCE THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING: SUBJECT TO SECTION 215.97, FLORIDA STATUTES:- Awarding Agency: Florida Department of Transportation State Project Title: Aviation Grant Program CSFA Number: 55.004 'Award Amount: $247,200 *The award amount tray change with amendments Specific project information for CSFA Number 55.004 is provided at: https://apps fldfs com/fsaa/searchCatalog.aspx COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT: State Project Compliance Requirements for CSFA Number 55.004 are provided at. https/lapps,fldfscom/fsaa/searchCompliance.aspx The State Projects Compliance Supplement is provided at https://apps.fldfs.com/fsaa/compliance.aspx CA Page 6 of 6 Docusign Envelope ID 28EB53FC-D215-4BE5-A46C-64744C47(34C8 16G1 To: Dawn.Gallon@dot.stato.fLus FLORIDA DEPARTMENT OF TRANSPORTATION FUNDS APPROVAL G2J23 10l212025 CONTRACT INFORMATION Contract: G2J23 Contract Type: GD-GRANT DISBURSEMENT(GRANT) Method of Procurement: G-GOVERMENTAL AGENCY::'d7 057 F.S,) Vendor Name: COLLIER COUNTY AIRPORT Vendor ID: F596000558130 Beginning Date of This Agreement: 06/21/2023 Ending Date cf This Agreement: 06/30/2026 Contract Total/Budgetary Ceiling? ct=6247,200.00 Description: rnmokalee Regional Airport Security Enhancements FUNDS APPROVAL INFORMATION FUNDS APPROVED/REVIEWED FOR JASON ADANK.CPA,COMPTROLLER ON 10/2/2025 Action. Supplemental Reviewed or Aparoved APPROVED Organ zatior Cade 5 C,12C20129 ?Expans,or Option A8 jObject Code. 751000 tAmount. $52,700 00 Financ;al Project 45297619401 Work Act'v'ty(FCT;, 215 CFDA ;Fiscal Year. 2026 'Budget Entity. 551C0100 Category/Category Year. 088719/26 Amendment ID, S001 Sequence. 00 [User Assigned ID. 2 Eric Lme(5s)IStatus. 0002/04 Total Amount: S52,700.00 Pagel of .C� Leci 6 G 1 o usign Certificate Of Completion Envelope to 28E953FC-D215-4BE5-A46C-64744C47B4C8 Status:Completed Subject:Complete with Docusign: IMM G2J23 452976-1 Security Enhancements SAFE_PTGA AM 2_Draft for Revie... 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 HR Action?:No Source Envelope. Document Pages:7 Signatures: 1 Envelope Originator: Certificate Pages:2 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: 156.75.180.190 Record Tracking Status Original Holder Dawn Gallon Location:DocuSign 10/1212025 4 01 05 PM dawn gallon@dot.state.fl.us Signer Events Signature Timestamp Dawn Gallon °Y Sent 10/2/2025 4;03:41 PM dawn.gallon@dot.state.fi.us Q"w"GAR. Viewed: 10/2/2025 4:03:49 PM FDOT Aviation Coordinator `—"44°""u°" Signed: 10/2/2025 4.03.56 PM Florida Department of Transportation Security Level:Email.Account Authentication Signature Adoption:Pre-selected Style (None) Using IP Address:156.75 180 190 Electronic Record and Signature Disclosure: Not Offered via Docusign Don Conway °° Sent: 10/2/2025 4:03:57 PM don.conway©dot.state ft us rek Viewed: 10/3/2025 7:35:44 AM Senior Attorney Signed: 10/3/2025 7:36:15 AM Florida Department of Transportation Security Levef 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 Tirnestamp Intermediary Delivery Events Status Timestamp Certified Delivery Events Status Timestamp Carbon Copy Events Status Tirnestamp Witness Events Signature Timestamp Notary Events Signature Timestamp 1 6 G 1 Envelope Summary Events Status Timestamps Envelope Sent tiashediEncrypted 1012/2025 4:03.42 PM Certified Delivered Security Checked 10/3/2025 7:35:44 AM Signing Complete Security Checked 10/3/2025 7:36 15 AM Completed Security Checked 10/312025 7 36 15 AM Payment Events Status Timestamps