Backup Documents 12/09/2025 Item #16G 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 6 G 2
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 Addressees (List in routing order)
Office
Initials
Date
1. County Attorney Office
CAO
2. Board of County Commissioners Office
BOCC
3. Minutes and Records
Clerk of Court's Office
4. Send signed copy to Bryant Garrett
Collier County
bryant.garrett@collier.gov
Airport Authority
PRIMARY CONTACT INFORMATION
I
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
Bryant Garrett, Airport Authority
Cell: (801) 603-8625
239-252-8425
Contact / Department
Agenda Date Item was
December 9, 2025
Agenda Item Number
16.G
2
Approved b the BCC
Type of Document Attached
Resolution & FDOT PTGA Amendment 1 for time and
Number of Original
more funds IMM Airport Emergency Generator
Documents Attached
Z
PO number or account number
N/A rr��
� 0
if document is to be recorded
V c;r�
INSTRUCTIONS & CHECKLIST
Initial the "Yes" column or mark "N/A" in the Not Applicable column, whichever is
Yes
N/A (Not
a ro riate.
Initial
Applicable)
1.
Does the document require the chairman's original signature STAMP OK
BG
2.
Does the document need to be sent to another agency for additional signatures? Yes,
BG
Airport Authority will send FDOT Grant Amendment to DOT for signature. Please do not
date amendment as FDOT will date when they execute. Any questions x8425 please.
3.
Original document has been signed/initialed for legal sufficiency. (All documents to be
BG
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
BG
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
BG
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
BG
signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
BG
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 Feb.11, 2025 and all changes made
BG
is not
during the meeting have been incorporated in the attached document. The County
an option for
Attorne '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
BG
N/A is not
BCC, all changes directed by the BCC have been made, and the document is ready for the
an option for
Chairman's signature.
tw110,419,1
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- 270
I6G2
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, ACTING AS THE
COLLIER COUNTY AIRPORT AUTHORITY, APPROVING AND AUTHORIZING THE
EXECUTION OF THE ATTACHED AMENDMENT NO. 1 TO THE PUBLIC
TRANSPORTATION GRANT AGREEMENT 453536-1-94-01, CONTRACT NO. G2Y90,
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 11, 2024, 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 $159,280 for the
purchase and installation of an emergency generator at Immokalee Region Airport (IMM). (FPN
453536-1-94-0 I); and
WHEREAS, FDOT is willing to amend the Agreement to provide additional FDOT funding
in the amount of $56,720, increasing the FDOT share from $159,280 to $216,000 and to allow an
additional six months of time on the agreement, changing the expiration date from December 31,
2025 to June 30, 2026; and
WHEREAS, the Collier County Board of Commissioners finds that the Agreement is in the
public interest and benefits the citizens of Collier County.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
1. The Board of County Commissioners approves and authorizes its Chairman to sign
Amendment No. 1 to the Agreement (FPN 453536-1-94-01, Contract No. G2Y90).
2. The Collier County Clerk is directed to forward a certified copy of this Resolution along with
the Supplemental Agreement for execution by FOOT.
3. This Resolution shall take effect immediately upon adoption.
a ' F-� x ,,ADOPTED this 101" day of November 2025 after motion, second and majority vote in favor
fad' fl` n.
'AT M T:
5; ,A K. KINZEL, CLERK
,
Ai l >
DEPUT)k&10 Chaicl
COLLIER COUNTY AIRPORT
AUTH ITY
Burt . Saunders, Chairman
Docusign Envelope ID 1F7CBOE1-2E42-4DE7-B976-D682143DCA9C
16G2
Financial Project Numbers)
,item segmen;.p�asn-anquen^a1
453536-1-94-01
Contract Number. G2Y90
CFDA Number NlA
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
AMENDMENT TO THE PUBLIC TRANSPORTATION
GRANT AGREEMENT
Funds)
Work Activity Code/Function
Federal Number/Federal Award
Identificatlor, Number (FAIN) — Transit only
Federal Award Date.
SAMWEI Number,
CFDA Title WA
CSFA Number 55 004
CSFA Title Aviation Grant Program
215
N/A
N/A
NIA
Form 726-000.03
STRATEGIC
DEVELOPMENT
OGC 03t25
DPTO FLAIR Category, 088719
Object Code
Org Code:
Vendor Number
Amendment No
_51�040 ------_ -
7
55012020129 _
VF596000558130
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 6/14/2024 (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 and extend contract end date to June 30, 2026.
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
w 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
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 62: 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
0 Page 1 0` 5
Docusign Envelope ID: 14COAE56-604C-46D6-967C-F305561E7ED5
Docusign Envelope ID, 1F7CB0;�1-2E42.4DE7•B976-D682143DCA9C
SATE OF CLORIDA DEOARTN'ENT OF TRANSPORTATION Form725.000.03
PUBLIC TRANSPORTATION STRATEGIC
AMENDMENT TO THE PUBLIC TRANSPORTATION DEVELOPMENT
OOC OJ:25
GRANT AGREEMENT
"Exhibit I Certification of Disbursement of Payment to Vehicle and/or Equipment Vendor
'Additional Exhlbit(s).
4. Project Cost.
The estimated total cost of the Project is X increased/ _ decreased oy 70 900 bringing the revised ;oral cost
of the project to $270.000
The Department's participation is X increased/ _ decreased by 5 7 The Department agrees to participate
In the Project cost up to the maximum amount of 216 000. 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 ter-"s and co-lditions of the Agreement and any
amendments thereto shall remain in full force and effect
IN WITNESS WHEREOF the Parties have executed this Amendment on the pay and year written above
AGENCY Co;+Ier County Airport
Authority
Burt I . Saunders, Chairman
CLEfti�
rKJIKP''", t to C a�
�tgnatuse only
form and legality
STATE OF FLORiDA. DEPARTMENT OF TRANSPORTATION
sqT»d by:
By
Na �QFE44blflls. P.E
Title Director of Transportation Development
STATE OF FLORIDA. DEPARTMENT OF TRANSPORTATION
us
Legal Review Don Conway Senior Attorney (as to lepahty and form) IC
Jeffrey I, , County Attorney
Doc Signed by:
937D1D5420A64D9...
no -
Page 2 cf 6
Docusign Envelope ID: 1F7CBOE'-2F42-4DE7-B976-D682143DCA9C
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT B
Schedule of Financial Assistance
16G2
Form 726,000.02
STRATEGIC
DEVELOPMENT
OGC 03125
FUNDS AWARDED TO THE AGENCY AND REQUIRED MATCHING FUNDS PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOLLOWING
A. Fund Type and Fiscal Year:
Financial
Management
Number
Fund
Type
FLAIR
Category
State
Fiscal
Year
Object
Code
CSFA/
CFDA
Number
CSFA/CFDA Title or
Funding Source
Description
Funding
Amount
453536-'-94-01
DPTO
088719
2024
751000
55.004
Aviation Grant Program
$159,280.00
453536-1-94-01
DPTO
088719
2026
751000
55 004
Aviation Grant Program
S56.720 00
i
453536-1-94-01
LF
088719
21124
751000
55.004
Aviation Grant Program
$39,820 00
453536-1-94-01
LF
088719
J 2026
751000
55.004
Aviation Grant Program
$14,180.00
Total Financial Assistance S270,000.00
B. Estimate of Project Costs by Grant Phase:
Phases` State Local
Federal
Totals -F
-
State
Local
Federal
Land Acquisition
SO O0 $0.00 , $0 00
_ i sod j $0.00 SO 00
s
50.00
000
000
0,00
Planning
$0 00
0 00
0.00
; 000
_
Environmental) Design
_
S0.00 ' $0.00 $0.00
$0.00
0.00
0.00 0.04
Construction
j
Capital Equipment/
$216,000 00� $54,000,00 $0 00
$270,000.00
8000
20.00 0.00
Preventative Maintenance
Match to Direct Federal
$0.00
$0.00
S0.00
$0.00
0.00
0.00 0.00
Funding
Mobility Management
$0 00
$0.00
$0.00
$0 00
0.00
0.00 0 00
(Transit Only)
Totals
S216,000.00
$54.000,00
$0.00
$270.000.00
`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 Onl
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
(5 -- page 3 of 6
G4''
Docusign Envelope ID; 1F7CBOE1-2E42-4DE7-B976-D682143DCA9C
16G2
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
DacuSigned by: GRANT AGREEMENT EXHIBITS
10102/2025 1345 PM EDT
ttjL-a42A _ Date
Form 725.000.02
STRATEGIC
DEVELOPMENT
OGC 03,25
Page 4 of 6
�O
Docuslgn Envelope 10. 9F7CBOE1-2E42-4DE7-B976-D682143DCA9C 1 6 G 2 i I
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT D
AGENCY RESOLUTION
PLEASE SEE ATTACHED
Form 726-000-02
STRATEGIC
DEVELOPMENT
OGC 03i25
Page 5 of 6
Docusign Envelope ID lF7CBOE1.2E42-4DE7-8976-D6821410CA9C
g G 2 ► -q ,.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT G
AUDIT REQUIREMENTS FOR AWARDS OF STATE FINANCIAL ASSISTANCE
Form 726-000-02
STRATEGIC
DEVELOPMENT
OGC V25
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: S216.000
`The award amount may change with amendments
Specific project information for CSFA Number 55.004 is provided at: https://apps.fldfs com/fsaa/searchCatalog_askx
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
AGREEMENT:
State Project Compliance Requirements for CSFA Number 55.004 are
ht-ps://apps.fldfs.comtfsaa/searchCompliance aspx
The State Projects Compliance Supplement is provided at: htti)s://apps.fldfs.com/fsaa/comf)liance.aspx
provided at:
Page 6 of 6
;C't'
Docusign Envelope ID. lF7CB0E1.2E42-4DE7-B976-D682143DCA9C
6G2
To: Dawn.Gallon@dot.state fl.us
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
G2Y90
10012025
CONTRACT INFORMATION
Contract:
G2Y90
Contract Type:
GD - GRANT DISBURSEMENT (GRANT)
Method of Procurement:
G - GOVERMENTAL AGENCY (287 057,F S ;
Vendor Name:
COLLIER COUNTY AIRPORT
VendorlD:
F596000558130
Beginning Date of This Agreement:
06/14/2024
Ending Date of This Agreement:
2/31/2025
Contract Total/Budgetary Ceiling:
ct = $216,000 00
Description:
Immokalee Regional Atroort Acquire & Install Emergency Gererator
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 10/1/2025
!Action:
Scapie,nental
Revievred cr App'ovec
APPROVED
0-gar zat,ar Code
55012C23' 29
Expansior Opfcn�
AB
iObject Code
751000
Amount
S56 720.00
Financial Project
45353619401
Work Activity (FCT)
215
CFDA
Fiscal Year
2026
Budget Ent:ty
55100100
Category/Category+ Year
C88719r26
Amendment ID
SOC1
Sequence.
00
User Assigned ID
1
Eric Line (6s)/Status:
10002/04
Total Amount: $56,720.00
Pagel of 1
16G2
0 docusign
Certificate Of Completion
Envelope Id?F7CBOE1-2E42-4DE7-B976-D6821430CA9C
Status: Completed
Subject: Complete with Docusign: IMM_G2Y90453536.1_Emergency Generator_ PTGA AM 1_Draft
for Review.pdf..,
Contract Number (ex C9Al2, optional)r G2Y9O
Document Contains Confidential Information?, No
Fin Proi Num (ex 123456-1-32-01, Optional): 453536-1-94-01
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
IPAddress 156,75.180,190
Record Tracking
Status. Original
Holder. Dawn Gallon
Location, DocuSign
10/2/2025 3:43.01 PM
dawn gallon@dol state.fl us
Signer Events
Signature
Timestamp
Dawn Gallon
'°"'Sy—d °"
Sent: 10/2/2025 3 44 43 PM
dawn, allon dot.state.fl.usE"«
9 C�
���*
Viewed: 1012/2025 3 44 51 PM
FDOT Aviation Coordinator
r''" ° '�
Signed: 10/2/2025 3.45 02 PM
Flonda 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 3:45 03 PM
don conway@dot. state.tl.us
HZ"_
Viewed: 10/3/2025 7.36.21 AM
Senior Attorney
Signed: 1013/2025 7:36 26 AM
Florida Department of Transportation
Security Level: Email. Account Authentication
Signature Adoption: Pre -selected Style
(None)
Using IP Address 156 75.252.6
Electronic Record and Signature Disclosure:
Not Offered via Docusign
In Person Signer Events
Signature
Timestamp
Editor Delivery Events
Status
Timestamp
Agent Delivery Events
Status
Timestamp
Intermediary Delivery Events
Status
Timestamp
Certified Delivery Events
Status
Timestamp
Carbon Copy Events
Status
Timestamp
Witness Events
Signature
Timestamp
16G2.
Notary Events
Signature
Timestamp
Envelope Summary Events
Status
Timestamps
Envelope Sent
Hasned/Encrypted
1012t2025 3 44 43 PM
Certified Delivered
Security Checked
10i3/2025 7 36 21 AM
Signing Complete
Security Checked
10?312025 7 36 26 AM
Cornpleted
Security Checked
10/3/2025 7 36 26 AM
Payment Events
Status
Timestamps