Backup Documents 05/10/2016 Item #16E3 ORIGINAL DOCUMENTS CHECKLIST & ROUTINGS IP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT FRF3
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SI
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.
2.
3. County Attorney Office County Attorney Office SRT 5-10-16
4. BCC Office Board of County 1�
Commissioners /i/
5. Minutes and Records Clerk of Court's Office
51[ 1 Ito
�
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 Alan McLaughl' Contact Information 239-695-4 14
Contact/ Department
Agenda Date Item was May 10,2016 Agenda Item Number 16E3
Approved by the BCC
Type of Document Florida Department of Transportation for Number of Original One
Attached the third year funding of Fire Station 63 on Documents Attached
I-75 and authorize the necessary budget
amendment recognizing State grant funds in
the amount of$1,522,069.60.
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 $4 ,11 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 our deadlines!
8. The document was approved by the BCC on and all changes made during SRT
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 the 9 fk
Chairman's signature.
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
Coiiri of Collier 1 6E 3
CLERK OF THE)CIRUIT COURT
Dwight E. Brock COLLIER COUI` ; Y COI IZTHOUSE Clerk of Courts
Clerk of Courts 3315 TAMIAMI TRL E STE 102 ,, P.O.BOX 413044 Accountant
NAPLES, FLORIDA q,r j NAPLES,FLORIDA
Auditor
34112-5324 _I- ;34101-3044 Custodian of County Funds
May 12, 2016
Erik R. Fenniman, Deputy General Counsel
Florida Department of Transportation
605 Suwannee Street, M.S. 58
Tallahassee, FL 32399-0458
Re: Amending Exhibit "B" of the Agreement between Florida Department of
Transportation and Collier County for funding Fire Station 63 on I-75
(SFY 2016/17: Contract No. ARF81/Project ID: 435289-1-94-01)
Mr. Fenniman,
Attached for further processing are two (2) original copies of the amendment referenced
above, approved by the Collier County Board of County Commissioners on May 10, 2016.
After the documents are signed by the appropriate party, if you would please return one of
the agreements to Collier County's Minutes and Records Department, that serves as Clerk to
the Board, it would be most appreciated. Upon receipt, I will provide a copy to appropriate
County staff. I have included a mailing label to assist in processing.
If you require further information, please feel free to contact our office at 239-252-8406.
Thank you,
DWIGHT E. BROCK, CLERK
Ann Jennejohn,
Deputy Clerk
Attachments (2)
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com
16E3
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Florida Department of Transportation
RICK SCOTT 605 Suwannee Street JIM BOXOLD
GOVERNOR Tallahassee,FL 32399-0450 SECRETARY
Direct No: (850)414-5263
Email: erik.fenniman@dot.state.fl.us
May 18, 2016
Collier County Government Center VIA UPS Overnight
Board Minutes & Records Department
3299 Tamiami Trail East, Suite 401
Naples, FL 34112
Re: Amending Exhibit"B" of the Agreement between FL Department of
Transportation and Collier County for funding Fire Station 63 on I-75 (SFY
2016/17: Contract No. AFR81/Project ID: 435289-1-94-01
Pursuant to your letter of May 12, 2016, enclosed is an original executed copy of the above
amendment.
Sincerely,
rik R. Fennim n
Deputy General Counsel
ERF/nj
Enclosure
www.dot.state.fl.us
16E3
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Monday, May 23, 2016 10:28 AM
To: Swisher, Linda (LindaSwisher@colliergov.net)
Subject: Agreement w/FDOT Amended Exhibit "B" (May 10, 2016 Item#16E3)
Attachments: Item #16E3 (5-10-2016 BCC Meeting).pdf
Hi Livtda,
A sigvted copy of the "Exhibit 13" amendment to the agreewtevtt with
FDOT for 3rd year funding for Fire Station 63 on 1-75, that was
approved by the Board May 10, 2016 (Item #16E3),
is attached For you. Thanks so much for your help.
Have a great day!
Ann Jennejohn, Deputy Clerk
Clerk of the Circuit Court
Clerk to the Value Adjustwtevtt Board
Collier County Board Minutes & Records Dept.
2.39-252-8406 Fax 239-252-8408
1
16E3
AMENDED EXHIBIT B—Schedule of Capital and Annual Funding Schedule
For SFY 2016/17
Estimated Budgeted Amount
Item/Work Capital and O&M
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual 3.5 Paramedics Hired (includes $405,000 $406,000
uniforms and protective clothing)
Includes all benefits and all insurance
coverage for personnel including workers
compensation &malpractice insurance
Annual 9.5 Fire Fighters Hired— $843,000 $844,000
Uniforms/Gear noted below.
Includes all benefits and all insurance
Coverage for personnel including workers
Compensation. This includes Operations
Coordinator Support.
Annual Admin/Indirect costs/800 MHZ $27,000 $27,000
maintenance/IT services/phone/
Internet/radio repair, maintenance, parts
and accessories
Annual Building maintenance $9,000 $7,000
Annual Bulk fuel on site-estimate includes $25,000 $25,000
Trucks, &station generator fill and estimated
Annual consumption. This also includes
Diesel Exhaust Fluid.
Amended Exhibit"B" as per Contract Number:ARF81 Financial Project ID:435289-1-94-01
For SFY 2016/17 with CPI
State o Florida Department of Transportation
16E3
Department-Collier County Interlocal Agreement
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual Canal dive and water search & $13,000 $24,000
Rescue Equipment, Haz/Mat absorbent &
Response, foam, minor medical,
minor operating equipment
Annual Haz/Mat-Mutual Aid $12,500 $9,000
contingency
Annual Insurance-All Coverage Estimates $30,000 $30,000
for Facilities,errors and Omissions,
portable equipment environmental
estimated, vehicles
Annual Minor office supplies, $3,500 $3,500
Printers & Display Monitors
Annual Minor station supplies $4,069.60 $4,469.60
Annual Electric estimated (water and $10,000 $10,000
Sewer included in site lease provided by
FDOT Rest Area systems)
Annual Vehicle and Apparatus,Small $33,000 $34,000
Equipment and Compressor maintenance
repair, SCBA, Hose,Apparatus, Protective
Clothing testing/certification and calibration
Annual Operational,Training& Licensing $7,000 $5,000
Annual Uniform clothing, accessories, $15,000 $12,000
personal protective gear and
safety equipment
Amended Exhibit"B"as per Contract Number:ARF81 Financial Project ID: 435289-1-94-01
For SFY 2016/17 with CPI
0
16E3
State of Florida Department of Transportation
Department-Collier County Interlocal Agreement
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual Machinery and Fire Equipment, $25,000 $51,100
Radio and Station Appliance replacement,
Foam Trailer
Annual EMS Medical Supplies,Equipment $60,000 $30,000
And Equipment Maintenance
Annual O&M for SP/With CPI Total $1,522,069.60 $1,522,069.60
Amended Exhibit "B"as per Contract Number:ARF81 Financial Project ID:435289-1-94-01
For SFV 2016/17 with CPI.
AWL O -
State of orida Department of Transportation
Department-Collier County Interlocal Agreement
3
i.0
16E 3
This Amendment to Exhibit B of Contract Number: ARF81 Financial Project ID:
435289-1-94-01 for SFY 2016/17 with CPI is approved by the Collier County Board of County
Commissioners after motion, second,and majority vote favoring approval on May 10,2016.
ATTEST) BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROOK,Clerk COLLIER COUNTY, FLORIDA
to By: �.1 By:
Aest 8S .> ?i tuty Clerk Do a Fiala,Chairman
signature only.,
Approved as to form and legality:
L.. ` _
Scot R.Teach,Deputy County Attorney
4
1 6E 3
AMENDED EXHIBIT B—Schedule of Capital and Annual Funding Schedule
For SFY 2016/17
Estimated Budgeted Amount
Item/Work Capital and O&M
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual 3.5 Paramedics Hired (includes $405,000 $406,000
uniforms and protective clothing)
Includes all benefits and all insurance
coverage for personnel including workers
compensation & malpractice insurance
Annual 9.5 Fire Fighters Hired— $843,000 $844,000
Uniforms/Gear noted below.
Includes all benefits and all insurance
Coverage for personnel including workers
Compensation. This includes Operations
Coordinator Support.
Annual Admin/Indirect costs/800 MHZ $27,000 $27,000
maintenance/IT services/phone/
Internet/radio repair, maintenance, parts
and accessories
Annual Building maintenance $9,000 $7,000
Annual Bulk fuel on site-estimate includes $25,000 $25,000
Trucks, & station generator fill and estimated
Annual consumption. This also includes
Diesel Exhaust Fluid.
Amended Exhibit "B"as per Contract Number:ARF81 Financial Project ID: 435289-1-94-01
For SFY 2016/17 with CPI
State of Florida Department of Transportation
1 a
16E3
Department-Collier County Interlocal Agreement
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual Canal dive and water search & $13,000 $24,000
Rescue Equipment, Haz/Mat absorbent &
Response, foam, minor medical,
minor operating equipment
Annual Haz/Mat-Mutual Aid $12,500 $9,000
contingency
Annual Insurance-All Coverage Estimates $30,000 $30,000
for Facilities, errors and Omissions,
portable equipment environmental
estimated, vehicles
Annual Minor office supplies, $3,500 $3,500
Printers & Display Monitors
Annual Minor station supplies $4,069.60 $4,469.60
Annual Electric estimated (water and $10,000 $10,000
Sewer included in site lease provided by
FDOT Rest Area systems)
Annual Vehicle and Apparatus, Small $33,000 $34,000
Equipment and Compressor maintenance
repair, SCBA, Hose, Apparatus, Protective
Clothing testing/certification and calibration
Annual Operational,Training& Licensing $7,000 $5,000
Annual Uniform clothing, accessories, $15,000 $12,000
personal protective gear and
safety equipment
Amended Exhibit "B"as per Contract Number:ARF81 Financial Project ID: 435289-1-94-01
For SFY 2016/17 with CPI
01-.5
Z
16E3 ..
State of Florida Department of Transportation
Department-Collier County Interlocal Agreement
Action/Milestone Estimated Budget Estimated Budget
Current Proposed 2016/17
Annual Machinery and Fire Equipment, $25,000 $51,100
Radio and Station Appliance replacement,
Foam Trailer
Annual EMS Medical Supplies, Equipment $60,000 $30,000
And Equipment Maintenance
Annual O&M for SFY With CPI Total $1,522,069.60 $1,522,069.60
Amended Exhibit"B" as per Contract Number:ARF81 Financial Project ID:435289-1-94-01
For SFY 2016/17 with CPI.
State of Florida Department of Transportation
Department-Collier County Interlocal Agreement
34D„
;o
1 6 E 3 ..*
This Amendment to Exhibit B of Contract Number: ARF81 Financial Project ID:
435289-1-94-01 for SFY 2016/17 with CPI is approved by the Collier County Board of County
Commissioners after motion, second,and majority vote favoring approval on May 10,2016.
ATTEST BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,Clerk COLLIER OUNTY,FLORIDA
•
By: OAAAA—A.- d 0.0 . By: L,f,
Attest as to 1 , J=uty Clerk Do ,r. Fiala, Chairman
signature only.
Approved as to form and legality:
Scott R.Teach,Deputy County Attorney
4