Backup Documents 03/10/2026 Item #16C 1 16C1
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Risk Risk Management
2. County Attorney Office County Attorney Office
Ji4kI ih 31/
4. BCC Office Board of County /rt
Commissioners a'by in3
4. Minutes and Records Clerk of Court's Office ^^��--
5. Procurement Services Procurement Services
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 missi information.
Name of Primary Staff Cole Chandler/Procurement / Contact Information 239-252-8987
Contact/Department
Agenda Date Item was March 10th,2026 Agenda Item Number 16.C.1
Approved by the BCC
Type of Document Amendment Number of Original 1
Attached Documents Attached
PO number or account N/A 24-059-NS-WV 24-059-NS-WV
number if document is "Komline-Sanderson Komline-Sanderson
to be recorded Belt Press Equipment, Corporation
Parts&Service"
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 N/A
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 cc
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 cc
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 cc
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 March 10th,and all changes made N/A is not
during the meeting have been incorporated in the attached document. The County 9ki b an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the i, an option for
Chairman's signature. r J this line.
16C1
FIRST AMENDMENT TO AGREEMENT No. 24-059-NS
FOR
KOMLINE-SANDERSON BELT PRESS EQUIPMENT, PARTS, AND SERVICES
THIS FIRST AMENDMENT, made and entered into on this !O'\ day of
/►'i h 2025, by and between Komline-Sanderson Corporation. (the "Contractor") and
Collier County, a political subdivision of the State of Florida, (the "County" or "Owner")
(collectively, the "Parties"):
WHEREAS, on March 25, 2025 (Agenda Item No. 16.C.2), the County entered into an
Agreement No. 24-059-NS-WV "Komline-Sanderson Belt Press Equipment, Parts, and Services" (the
"Agreement") with the Contractor to provide parts and services; and
WHEREAS, the Parties desire to amend the Agreement to add four (1) one year renewals,
and replace Exhibit B with revised Fee Schedule to reflect an increase in hourly rates and parts upon
expiration of current term March 25, 2026; and
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the Parties as follows:
1. The above recitals are hereby incorporated into this First Amendment as if fully set forth
herein.
2. Upon execution of this First Amendment, the Parties agreed to update Agreement term and
replace Exhibit B Fee Schedule attached hereto beginning at current term expiration, March 25,
2026.
3. All other terms and conditions of the Agreement, as previously amended, shall remain the
same.
Words Sn-r-augh are deleted; Words Underlined are added
........._._............
1. AGREEMENT TERM, The Agreement shall be for a one ( 1 ) year period,
commencing ii upon the date of Board approval; or❑on and
terminating on one ( 1 ) year(s) from that date or until all outstanding Purchase
Order(s) issued prior to the expiration of the Agreement period have been completed or
terminated.
The County may, at its discretion and with the consent of the Contractor, renew the Agreement under
all of the terms and conditions contained in this Agreement for four (4) additional one (1) year(s)
periods. The County shall give the Contractor written notice of the County's intention to renew the
Agreement term prior to the end of the Agreement term then in effect.
Page 1 of 2
First Amendment to Agreement No. 24-059-NS-WV
04)
16C1
IN WITNESS WHEREOF, the Parties have executed this First Amendment on the date and year first
written above by an authorized person or agent.
ATTEST:
Crystal K. Ki zipl. rk of the Circuit BOARD OF COUNTY COMMISSIONERS
Court ands miptrall 0,4, ' COLLIER COUNTY, FLORIDA
By: 1041 By: _c____/___.-----2-___ cl:)
IA ' ,'�' Dan Kowa!,Chairma
Dated' !.,�
(SEAL) `'�.Aftest as to Chairman's
signature only
CONTRACTOR:
Komline-Sanderson Co ration
By:
Signature
44•1.1-rV f../e1 , cro
TType/print signature and titleT
3/(/72-(r
Date
Approv •• a•I • I
and Legality:
Ip 1
Ila_ / .
Jeffre A.i latzkI , ounty Attorney
Page 2 of 2
First Amendment to Agreement No.24-059-NS-WV
�h
0
16C1
Exhibit B-Fee Schedule
24-059-NS-WV Komline-Sanderson Belt Press Equipment,Parts and Services
Hourly Rate: $210.00
(Normal hours are Monday through Friday,7:00am-4:00pm,excluding County observed holidays).
Hourly labor rates shall be inclusive of all overhead,insurance,profit,and use of company owned equipment
(excluding rental equipment).
Overtime Rate: $315.00
(Overtime rate shall apply to hours outside of normal hours or in the event of a declared local state of
emergency).
Equipment Rental Markup: 10%
(Rental invoice shall be provided as backup documentation).
Subcontractor Markup: 10%
(Subcontractor invoice shall be provided as backup documentation).
Travel and Reimbursable Expenses: must be approved in advance in writing by the County.Travel expenses
shall be reimbursed as per Section 112.061 Fla.Stats.
Items not listed on the Fee Schedule may be quoted on an as-needed basis.
The Fee Schedule may be updated through an Amendment,in accordance witht the Procurement Ordinance
PARTS LIST
Part Number Unit Price Part Number Unit Price Part Number Unit Price
0390209 $ 249.00 37A2012 $ 609.00 6395888 $ 279.00
0390210 $ 569.00 37A2017 $ 773.00 6395894 $ 120.00
0390211 $ 446.00 37A2018 $ 1,103.00 6395900 $ 68.00
0390213 $ 314.00 37A2019 $ 1,239.00 6396949 $ 114.00
0390299 $ 593.00 37A2020 $ 216.00 90B3034 $ 20.00
0394025* $ 7.00 37A2021 $ 848.00 90X0207/90K0306 $ 147.00
0399208 $ 1,078.00 4086(23'-7") $ 1,195.00 90X9002 $ 707.00
03H0190 $ 459.00 4086(37'-8") $ 2,001.00 Z0390210/0390255 $ 608.00
03H0289 $ 80.00 4086(47'-1") $ 2,592.00 Z0394021* $ 33.00
03Q0133 $ 156.00 4086(47'-5") $ 2,400.00 Z0394025 $ 165.00
03Q0145 $ 756.00 4086(49'-11") $ 1,616.00 Z03Q0083 $ 176.00
03Q0149 $ 672.00 4086(51'-7") $ 2,011.00 Z0300084 $ 163.00
4086(80"x 280")
03Q0151 $ 82.00 $ 1,238.00 Z03Q0114 $ 233.00
4086(80"x 283")
03Q0152 $ 87.00 $ 1,360.00 Z03Q0114 $ 276.00
4086(82"x 392")
03Q0163 $ 159.00 $ 1,662.00 Z03Q0158 $ 46.00
4086(82"x 452")
03Q0176 $ 70.00 $ 1,950.00 Z03Q0159-2 $ 453.00
03Q0181 $ 669.00 4086(82"x 507") $ 2,065.00 Z25Q1529X7-2 $ 236.00
4086(82"x 569")
03Q0229 $ 198.00 $ 2,395.00 Z43A0917 $ 688.00
03Q0229 $ 236.00 41L0018 $ 25.00 Z43Q1005 $ 615.00
09G1009 $ 8.00 6391021 $ 160.00 Z43Q1005 $ 728.00
25Q1529 $ 23.00 6395832 $ 2,300.00 Z6391021(2M) $ 162.00
28R1504* $ 7.00 6395864 $ 245.00 Z6395830/90B3034 $ 4,641.00
29A2827 $ 373.00 6395871 $ 3,990.00 Z6395859/90B3034 $ 4,242.00
36G2006 $ 12.00 6395882 $ 416.00 Z90X0207/90K0306 $ 147.00
6395883 $ 811.00 Z90X0474/90X0475 $ 529.00
*Price per foot. Please note length required.
16C1
AFFIDAVIT REGARDING LABOR AND SERVICES
AND CONTRACTING WITH ENTITIES OF FOREIGN COUNTRIES OF CONCERN PROHIBITED
Effective July 1, 2024, pursuant to § 787.06(13), Florida Statutes, when a contract is executed, renewed, or extended between a
nongovernmental entity and a governmental entity, the nongovernmental entity must provide the governmental entity with an
affidavit signed by an officer or a representative of the nongovernmental entity under penalty of perjury attesting that the
nongovernmental entity does not use coercion for labor or services.
Effective January 1,2024,a governmental entity may not accept a bid on,a proposal for,or a reply to,or enter into,a contract with
an entity which would grant the entity access to an individual's personal identifying information unless the entity provides the
government with an affidavit signed by an officer or representative under penalty of perjury attesting that the entity does not meet
any of the following criteria: (a)the entity is owned by the government of a foreign country of concern; (b)the government of a
foreign country of concern has a controlling interest in the entity;or(c)the entity is organized under the laws of or has its principal
place of business in a foreign country of concern.
Effective July 1,2025,when an entity extends or renews a contract with a governmental entity which would grant the entity access
to an individual's personal identifying information, the entity must provide the governmental entity with an affidavit signed by an
officer or representative of the entity under penalty of perjury attesting that the entity does not meet any of the criteria in paragraphs
(2)(a)-(c), §287.138,Florida Statutes.
Nongovernmental Entity's Name: Kom line-Sanderson Corporation
Address: 12 Holland Avenue,Peapack,NJ 07977
Phone Number: 908-234-1000
Authorized Representative's Name: Robert J.Vander Meulen
Authorized Representative's Title: CFO
Email Address: rjvandermeulen@komline.com
I, h012G1�- VoL✓iatl//140/6"./,(Name of Authorized,Representative), as authorized representative attest under
penalty of perjtuy that 'kin (,;.ti.2 - 5e 4 nd.e-&- cU/ . 1(Name of Nongovernmental Entity) does not: (I) use
coercion for labor or services as defined in § 787.06,Florid Statutes,and(2)the nongovernmental entity is not(a)owned by
a government of a foreign country of concern,(b) that a foreign country of concern does not have a controlling interest in the
entity, and (c) that the entity is not organized under the laws of or has its principal place of business in a foreign country of
concern,all as prohibited under§287.138,Florida Statutes.
Under penalty of p ury,I declare that I have read the foregoing Affidavit and that the facts stated in it are true.
//:;47.2-.
(Signature off (thorized representative) Date
STATE OF /9C4-) �-
COUNTY OF ONte-c(Ci/
Sworn to(or affirmed)and subscribed before me,by means of Pphysical presence or 0 online notarization this
?K day of 5xnt.e ,20;26,by ) V tL 'liame of Affiant),wh&produced his Florida Driver's License as
identification.
I.113vNt A • (c./31" e
Notary Public /
FITSUM A TESFAYE
Notary Public,State of New Jersey
��- a aMy Commission Expires May 10, 2029
Comr�ii ion Expires
•Personally Known IOR Produced Identification❑
Type of Identification Produced: