Backup Documents 12/09/2025 Item #16B12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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 Attomey Office.
Route to Addressee(s)(List in routing order) Office Initials Date
1. County Attorney Office CAO
�191mh 121/
2. Board of County Commissioners Office BOCC
155 17/6# 27
3. Minutes and Records Clerk of Court's Office f
4. Send via email to: iok
Caroline.SotoAcollier.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 Caroline Soto,Grants Coordinator
Contact/ Department 2885 S. Horseshoe Dr 252-6932
Agenda Date Item was 12/9/25 Agenda Item Number 16.B Z
Approved by the BCC
Type of Document Resolution & (2) Grant DOGS. Number of Original 1 each
Attached Documents Attached
PO number or account
number if document is N/A _0 9-51
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 , 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
should be provided to the County Attorney Office at the time the item is input into SIRE. CS
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 N/A is not an
meeting have been incorporated in the attached document. The County Attorney's option for this
Office has reviewed the changes,if applicable. �A/rJ line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not an
BCC,all changes directed by the BCC have been made,and the document is ready for the kW option for this
Chairman's signature. 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
RESOLUTION NO. 2025 - 259
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 FIVE
REPLACEMENT BUSES AND THE EXPENDITURE OF GRANT FUNDS
FOR PARATRANSIT 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:
I. This resolution applies to the Federal Program under 49 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, Chairman, 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
five replacement vehicles and expenditure of grant funds for Paratransit Services 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
GAS
This Resolution adopted after motion, second and majority vote favoring same, this 1 day
of Decea,17 ci , 2025.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRyS.1,:,AL K. KINZEL Clerk OF COLLIER COUNTY, FLORIDA
lr
•(•• ,,' ', e%
• '• t '
By:/44.c.,1#1....,dedsrarm--
d0 Cha rman s Burt L. Saunders, Chairman signat —'
- lyproy-• : ‘, 1) n and legality:, isl, i
chilataiial CLP
c4 Jeffrey A. Ltzlow. County Attorney
'. 1 k 10131)11(
Page 2 of 2
CAQ
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 I I Revision
*3.Date Received: 4.Applicant Identifier:
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
Streetl:
*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: Transit Manager
Organizational Affiliation:
Collier County
*Telephone Number: 239-252-4996 Fax Number:
*Email: omar.deleon@colliercountyfl.gov
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:
Enhanced Mobility of Seniors & Individuals with Disabilities
*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 Operating Application for operating expenses to provide transportation to individuals
with disabilities. In the Bonita Springs-Estero UZA.
Attach supporting documents as specified in agency instructions.
Add Attachments Delete Attachments View Attachments
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 125,000.00
*b.Applicant 125,000.00
*c.State
*d.Local
*e.Other
*f. Program Income
*g.TOTAL 250,000.00
*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.)
• 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
*Telephdrie Number 23:9_252-8603 Fax Number:
a
B'ixtt: air^deY°
;�@colliercountyfl.gov
Al ' lgrtur of Auth nzed Rrresentative: *Date Signed: 12/10/2 02 4
Aositp,444191.44....
,� lc7Pr
'/y ;.t f as to Chairman's
signature only
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 I I Continuation *Other(Specify):
n Changed/Corrected Application n Revision
*3.Date Received: 4.Applicant Identifier:
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: 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: De Leon
Suffix:
Title: Transit Manager
Organizational Affiliation:
Collier County
*Telephone Number: 239-252-4996 Fax Number:
*Email: omar.deleon@colliercountyfl.gov
I
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:
Enhanced Mobility of Seniors & Individuals with Disabilities
*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 five replacement vehicles. In addition , (5) radios,
(5)tablets, (5) 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
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 625,766.00
*b.Applicant 78,221.00
*c.State 78,221.00
*d.Local
*e.Other
*f. Program Income
*g.TOTAL 782,208.00
*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:
,frEmai1.
Burt
*Signature of quthorize4 Representative: + *Date Signed: 12/10/2024
fir
as to Chairman's
.,,�;•�`"n signature only