Backup Documents 02/10/2015 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TOitE6
Q 3
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT
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 routingzlines#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.
2.
3. County Attorney Office County Attorney Office `
vN/S N Z \\\\`�
4. BCC Office Board of County +`1"�h b/`k /
V
Commissioners \ /5)
5. Minutes and Records Clerk of Court's Office
(Y\ z(a1t5 2: m
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 Trinity Scott -r 7f 55;e 5;I)t R Phone Number 252-5832
Contact/ Department Public Transit&NBHD Enhancement Dept.
(old ATM dept)/
Agenda Date Item was 2-10-2015 1✓ Agenda Item
Approved by the BCC Number 14
Type of Document GRANT AGREEMENT Number of Original
Attached Documents Attached c�-
PO number or account Po#4500154126
number if document is
to be recorded
SPECIAL INSTRUCTIONS; original igned copies of the grant agreement need to be sent to:
FDOT -
Attn: Paul Simmons, Modal Development Administrator
801 North Broadway Avenue, MS 1-39
Bartow, Florida 33830
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column, whichever is Yes N/A(Not
appropriate. (Igitial) Applicable)
1. Does the document require the chairman's original signature?
2. Does the document need to be sent to another agency for additional signatures? If yes, \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
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 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
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
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. 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!
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
8. The document was approved by the BCC on 02-10-2015 and all changes made
during the meeting have been incorporated in the attached document. The County
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 //v?
the Chairman's signature. •
3
•
1: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
County of Collier
1603
CLERK OF THE CJRCi IT COURT
COLLIER COUNTY,COURT\HOUSE
3315 TAMIAMI TRL E STE 102 Dwight E. Brock-bI,erk of Circuit Court P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Au itor•.Custodian of County Funds
•
February 16, 2015
FDOT
Attn: Paul Simmons
Modal Development Administrator
801 North Broadway Avenue
Mail Station 1-39
Bartow, Florida 33830
Re: Notice of FTA Section 5310 Grant Award/FL-16-0039, FY 2014/15
Transmitted herewith are the originals of the above referenced document for your records
per request, as adopted by the Collier County Board of County Commissioners of Collier
County, Florida on Tuesday, February 10, 2015, during Regular Session.
Please forward/e-mail a copy once the Notice is fully executed to
(martha.vergara@collierclerk.com) for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
Martha Vergara, De6u Cler
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
1603
NOTICE OF FTA SECTION 5310 GRANT AWARD/FL-16-0039, FY 2014/15
Based on the Agency's Application for Federal Assistance under U.S.C. Section 5310 dated January 15, 2014, on file at
the Florida Department of Transportation, District One, 801 North Broadway Avenue, Bartow, Florida 33830 offices, the
Department hereby makes the following grant award under the U.S.C. Section 5310 Program to:
Collier County Board of County Commissioners
3299 East Tamiami Trail, Suite 103, Naples, FL 34112
As of November 4, 2014
Description Total Federal State Applicant or Local
100% 80% 10% 10%
(5 or 6) Small Cutaway Vehicles with 12
foldaway seats $526,641 $421,313 $52,664 $52,664
(5 or 6) Two-way 800mhz communication radios $14,848 $11,878 $1,485 $1,485
$541,489 $433,191 $54,149 $54,149
ACCEPTANCE OF GRANT AWARD
(To be signed by the recipient and returned to the FDOT District Office)
The undersigned accepts the above-described award and:
a) The Recipient reaffirms its assurances to FTA and FDOT as stated in Exhibits F,G and H of its application.
b) The Recipient agrees to use and maintain the grant awarded equipment in accordance with the federal and state
program requirements, and for the services described, in its approved application.
c) The Recipient agrees to comply with all applicable civil rights statutes and implementing regulations.
d) The Recipient agrees to contact the FDOT Contractor,La7ara Stinnette, at the Center for Urban
Transportation Research, Florida Transit Research Inspection and Procurement Services (TRIPS) at 813-974-
0695 to arrange purchase of the above items.
e) The Recipient MUST request purchase of the vehicles/equipment on or before May 15,2015.
f) The Recipient agrees to submit the local matching funds when requested to do so.
g) The Recipient,if it is not a CTC,agrees to submit its Annual Operating Report(AOR)data to the CTC as
requested.
h) The Recipient will forward a copy of its maintenance plan,or a statement regarding its status to Ms. Stephens by
December 30, 2014. If it does not have a maintenance plan,it understands that it may request technical assistance
to develop the maintenance plan,and that its maintenance plan is due by April 15,2015.
i) The Recipient will furnish proof of insurance for the vehicle(s)to Ms. Stephens, listing FDOT District One as I'
Lien Holder and an additional insured,upon receipt of the vehicle.
SPECIAL CONSIDERATIONS:
E-Verify
Vendors/Contractors:
1. Shall utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility of
all new employees hired by the Vendor/Contractor during the term of the contract;and
2. Shall expressly require any subcontractors performing work or providing services pursuant to the state contract to
likewise utilize the U.S. Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the subcontractor during the contract term.
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AGENCY: Collier County Board of County Commissioners
(Name)
Accepted by: / � , Date 2/10/15
(Signature)
Typed Name and Title: TIM NANCE, CHAIRMAN
Agency Federal Employment Identification Number: 596000558
Agency Fiscal Year: 2014/2015
FLORIDA DEPARTMENT OF TRANSPORTATION
A
Award Approved by: Date: i
A
Typed Name and Title: Paul A. Simmons ••, •
,• ,• • ,• ,• ,
District Modal Development Administrator
ATTEST\
DWIGHT E. BROCK, CLERK Approved as to rm nd legality
Thrk �y 4011 ,
Or
BY:I -X J � •
Scott R.Teach, eputy ounty Attorney
Attest as to Chairman's
signature only. •
(5)
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