Backup Documents 07/08/2014 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D 1 0
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 fonsarded 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.
2.
3. County Attorney Office County Attorney Office S
4. BCC Office Board of County T\k 1
Commissioners \ J < / -t l \\\L\
5. Minutes and Records Clerk of Court's Office ,
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 Phone Number 252-5832
Contact/ Department Alternative T ansportation Modes
Agenda Date Item was 7/8/2014 Agenda Item Number
Approved by the BCC \b-"\:),-1r)
Type of Document Agreement Number of Original (1)
Attached Documents Attached
PO number or account
number if document is V1/ -
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. (Inial) Applicable)
1. Does the document require the chairman's original signature? 0
2. Does the document need to be sent to another agency for additional signatures? If yes, 1,
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.
JA(
4. All handwritten strike-through and revisions have been initialed by the County Attorney's If'1/
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 \ r{ r
•
signature and initials are required.
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 '/�J,
time frame or the BCC's actions are nullified. Be aware of your deadlines! �.
8. The document was approved by the BCC on 7/8/2014 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. �6,
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 th-
Chairman's signature.
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I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revs • 2.24.05;Revised 130/12
16010 0
Coordination Agreement
1. United Cerebral Palsy of Southwest Florida, Inc. hereinafter, the "Grantee", agrees to
coordinate transportation services to children, young people, and the elderly who may
have mental or behavioral problems or who are at risk receiving services at facilities
operated by Grantee, as required by the Collier County Community Transportation
Coordinator, herein referred to as the "Coordinator."
2. Grantee will identify client transportation needs and refer those who are appropriate to
the Coordinator.
3. Grantee acknowledges that, if feasible, vehicles purchased with Federal funds shall be
made available to the Coordinator upon execution of a rate agreement between the
Coordinator and the Grantee.
4. Grantee shall maintain daily records of ridership and mileage and provide such to the
Coordinator monthly. Additional data may be required as specified in the FY Annual
Operating Report Instructions from the Commission for the Transportation
Disadvantaged.
5. Grantee has developed and implemented a system Safety Program Plan (SSPP) and
agrees to abide by said policy.
6. Grantee shall conduct a criminal background screening, pre-employment drug screening,
pre-employment physical for all drivers. Grantee will provide training to include safety,
vehicle operations, and passenger sensitivity in accordance with Florida Statutes 427.
7. Grantee agrees to submit the following items annually:
• Annual Operating Report—by July 15 (covering period of July 1 to June 30)
• Certifications of Compliance—by July 15 (covering period of July 1 to June 30)
• Federal Transit Adminsitration Drug and Alcohol Reports by February 1 (covering
period of January 1 to December 31)
• Quality Assurance Report — by February 1 (covering period of January 1 to
December 31)
8. To the maximum extent permitted by Florida law, the Grantee shall indemnify and hold
harmless Collier County, its officers and employees from any and all liabilities, damages,
losses and costs, including, but not limited to, reasonable attorneys' fees and paralegals'
fees, to the extent caused by the negligence, recklessness, or intentionally wrongful
conduct of the Grantee or anyone employed or utilized by the Grantee in the performance
of this Agreement. This indemnification obligation shall not be construed to negate,
abridge or reduce any other rights or remedies which otherwise may be available to an
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indemnified party or person described in this paragraph. This section does not pertain to
any incident arising from the sole negligence of the County.
9. The Parties may provide any notices to one another as follows:
Grantee: United Cerebral Palsy of Southwest Florida, Inc.
Attn: James G. Weeks, PhD
9040 Sunset Drive
Miami, Florida 33173
(305) 273-3055
Coordinator: Collier County Board of County Commissioners
Attn: Trinity Scott, Public Transit Manager
3299 Tamiami Trail East
Naples, FL 34112
Tel: (239) 252-5832
10. The Coordinator may cancel this Agreement without cause upon 30 days notice to the
Grantee. Otherwise, the Agreement may be terminated upon the mutual agreement of
both parties or when the vehicle operated by Grantee has reached its useful life or ceases
to be operated for the intended purpose of this Agreement, whichever is later.
IN WITNESS WHEREOF, the below parties hereto have caused this Agreement to be
executed by their appropriate officials, as of this'\ day ofwA,_\ , 2014.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHTE:"BROCK, Clerk COLLIE' 4 OUN Y, FLORIDA
Attest as to Chatrmarl'S ep ty 1e r TOM HE G, C IRMAN
signature only.
Approved as to form and legality:
INV
Scott R. Teach
Deputy County Attorney
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United Cerebral Palsy of Southwest Florida, Inc.
Grantee
By AT
First Witness . Sig ture
Arl& ZLi n 4-kke— By: James G. Weeks, PhD - Secretary/Treasurer
Type/print witness name Typed Signature and Title
Seco na Witness
Type/print witness name
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