Backup Documents 06/23/2015 Item #16A20 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO § 20
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA
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 D1W24VT-
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 SRT 6/23/15
4. BCC Office Board of County
Commissioners
5. Minutes and Records Clerk of Court's Office1'1'^n
\ (0(23(15 lk'.4%tn
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 John Miller, ransportation Engineering Phone Number 252-8260
Contact/ Department
Agenda Date Item was 6/23/15 Agenda Item Number 16-A-20
Approved by the BCC
Type of Document Exhibit"A"Work Order—FDOT Lighting Number of Original Three I
Attached Maintenance Documents Attached
PO number or account n/a
number if document is
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 SRT
2. Does the document need to be sent to another agency for additional signatures? If yes, SRT
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 SRT
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 SRT
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 SRT
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 SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
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 6/23/15 and all changes made during the SRT
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 e
BCC,all changes directed by the BCC have been made,and the document is read for the
Chairman's signature.
PLEASE CONTACT JOHN MILLER WHEN READY—HE WILL T'+• SMIT TO ;OT
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
16A20
Martha S. Vergara
From: Khawaja, Anthony
Sent: Tuesday, June 23, 2015 5:43 PM
To: Minutes and Records
Cc: Miller, John; Bathon, Dale; Wilson, Pamela; Lehmann, June
Subject: Re: Reminder - Highway Lighting Maintenance and Compensation Agreements - MUST
BE FULLY EXECUTED NO LATER THAN 6/30/15
Hi Martha,
There are no additional documents.
The FDOT contact is:
Pam Grissette
District One Maintenance Contract Specialist
801 North Broadway Avenue
Bartow, Florida 33830
((863) 519-2761 7(863) 534-7045
* pamela.grissette@dot.state.fl.us<mailto:pamela.grissette@dot.state.fl.us>
Our FedEx account is:
Number is:
Collier County Traffic Ops
2885 Horseshoe Dr S
Naples FL 34104-6130
Our phone number on the account is 239-252-8260
Thanks for your help.
Anthony N. Khawaja P.E.
Chief Engineer of Traffic Operations
Growth Management Division
2885 South Horseshoe Drive<x-apple-data-detectors://0/0>
Naples, FL 34104<x-apple-data-detectors://0/0>
AnthonyKhawaja@CollierGov.Net<mailto:AnthonyKhawaja@CollierGov.Net>
Tel: (239) 252-8260<tel:(239)%20252-8260>
On Jun 23, 2015, at 12:36 PM, Minutes and Records
<MinutesandRecords@collierclerk.com<mailto:MinutesandRecords@collierclerk.com>>wrote:
Hi Anthony,
Please forward any and all documents that are to be attached to the packet, a contact name and address, and a FedEx
Account number so that we can forward the document to FDOT.
As soon as it's received for attestation, our office will e-mail you a complete scanned copy of what is being sent to FDOT
1
16 A 20
Cohntyof Collier
CLERK OF THE ORC6kIT COURT
COLLIER COUNTIOUR'IDOUSE
3315 TAMIAM1 TRL E STE 102 Dwight E. Brock-d.4erk of Circuit Court P.O. BOX 413044
NAPLES, FL 34112-5324 NAPLES, FL 34101-3044
Clerk of Courts • Comptroller • Audita '• Cstodian of County Funds
June 24, 2015
FDOT
Attn: Pam Grissette
District One Maint. Contract Specialist
801 North Broadway Avenue
Bartow, Florida 33830
Re: FDOT Work Order— State Highway Lighting Maintenance &
Compensation Agreement
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, June 23, 2015, during
Regular Session.
Please forward/e-mail an original, once the Work Order is fully executed to
(martha.vergara@a collierclerk.com) for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
Martha Vergara, I - huty Clerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
16 A 20
EXHIBIT"A"
FY 15/16 FDOT WORK ORDER
STATE HIGHWAY LIGHTING MAINTENANCE, AND COMPENSATION
AGREEMENT
Contract Number ANDO3
Maintaining Agency: Collier County
Financial Project No.: 412574-1-78-01
Effective Date: July 1, 2015 to June 30,2016
1.0 PURPOSE
This exhibit defines the method and limits of compensation to be made to the
Maintaining Agency for the services described in the original agreement executed
on 9/30/03.
2.0 COMPENSATION
The Department will compensate each Maintaining Agency for maintenance of
lights being maintained on state highways for FY 15/16 is 90%of the total
number of lights at $258.86 per light. ,
The current inventory of lights to be maintained by your agency for FY 15/16 is
one-thousand-two-hundred-eighty(1,280) at a cost of$258.86 per light, which
brings the amount of compensation to$298,206.72.
3.0 PAYMENT PROCESSING
The Maintaining Agency shall invoice the Department yearly for services
rendered in a format acceptable to the Department.
For Satisfactory completion of all services as detailed in the original agreement for this
FY 15/16,the Department will pay the Maintaining Agency a Total Lump Sum of
$298,206.72.
By: By. 7-r- /(Ze_v
Sharon L. Harris City/County TIM DANCE,
FDOT District Maintenance Administrator CHAIRMAN
Date: Date: �,`-A\S
pprove as o and legality
ATTEST ,L,.v
L.--
DWIGHT E. BRCK, CLERK Scott R.T ach,Deputy County Attorney
-1, �
BY: i '� 41),