Backup Documents 05/24/2016 Item #16G4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 15
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.
2.
3. County Attorney Office County Attorney Office �Ol (3 GA14 f 1(p
4. BCC Office Board of County —1),F b
Commissioners y\ /( ,Y
5. Minutes and Records Clerk of Court's Office 51*(I
PRIMARY CONTACT INFORMATION I
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 addition or missing information.
Name of Primary Staff Debbie Brueggem ,Admin,Airport Phone Number 642-7878 Ext.34
Contact/ Department Authority
Agenda Date Item was May 24,2016 Agenda Item Number [ C-L/
G I l
Approved by the BCC `�
Type of Document 1. Resolution Number of Original 2 Resolutions
Attached 2. FDOT JPA 0,4I b—113 Documents Attached 1 JPA
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 chair an's original si. ature? ,{S N/A
2. Does the document need to be sent to ano er agency for additional signa S �E q<Tp�{� f�
provide the Contact Information(Name;Agency;Address; Phone) n an attached s �""'� e—b-.v l &_
3. Original document has been signed/initialed for legal sufficiency. (A l 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 I 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 j r oT O.;\
document or the final negotiated contract date whichever is applicable. F pp-r- . ) k L.C.- p flT E
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!
8. The document was approved by the BCC on 5/24/16 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 4.e
BCC,all changes directed by the BCC have been made,and the document is ready for the -
Chairman's signature.
I:Forms/County Fonns/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 r `��
1664
MEMORANDUM
Date: May 25, 2016
To: Debbie Brueggeman, Operations Coordinator
Collier County Airport Authority
From: Teresa Cannon, Deputy Clerk
Minutes and Records Department
Re: Resolution 2016-113 and FDOT JPA Agreement
Attached for your records is an original resolution and original agreement as
referenced above (Item #16G4), approved by the Collier County Board of County
Commissioners on Tuesday, May 24, 2016.
Please forward to FDOT for further processing and return a fully executed
agreement back to the Minutes & Records Department for the Board's Official
Records.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachments
TcP f
RESOLUTION NO. 2016- 1 1 3
RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY
APPROVING AND AUTHORIZING CHAIRMAN EXECUTION OF THE
ATTACHED SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT
NUMBER ONE TO CONTRACT NO. G0576 WITH THE FLORIDA
DEPARTMENT OF TRANSPORTATION
WHEREAS, the Collier County Airport Authority has the authority to enter into the
attached amendment to agreement with the Florida Department of Transportation to
undertake projects as authorized by Chapter 332, Florida Statutes, and Section 14-60 of the
Florida Administrative Code, and Ordinance 2004-03, as amended.
NOW, THEREFORE, BE IT RESOLVED BY THE Collier County Airport Authority,
Collier County, Florida, that:
1. That the Supplemental Joint Participation Agreement (JPA) Number One to JPA
Contract Number G0576 to purchase a fuel truck for the Immokalee Regional
Airport, Financial Management Number 433631-1-94-01, attached hereto, is
hereby approved.
2. The Chairman of the Collier County Airport Authority, Donna Fiala, is
authorized to enter into, modify or terminate Supplemental JPA Number One to
Contract No. G0576 with the Florida Department of Transportation, unless
specifically rescinded.
3. This Resolution shall take effect immediately upon adoption.
ADOPTED this 24th day of May 2016 after motion, second and majority vote in
favor of adoption.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA, IN ITS
CAPACITY AS THE COLLIER COUNTY
AIRPORT AUTHORITY
By:
esj as to Chairu *puty Clerk DONNA IALA, CHAIRMAN
si naa��are o .
Approved as to Corm and legality:
fltem#
-
Agenda
Jenm'er A. Belpedtl ssistant County Attorney Date 3 tt l�
4\2-1\\t's
Date ci e-A qo
Rec'd
Deputy Clerk
1 604
STATE OF GLO RtUA DEPARTMENT OF INANSPORTA I ION
725-090-07
PUBLIC TRANSPORTATION PUBLIC TRANSPORTATION
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT 12/14
Number One Pagel of
Financial Project No(s):
433631-1-94-01 Fund: 010 FLAIR Category: 088719
Function: 215 Object Code: 751000
Federal No.: N/A Org.Code: 55012020129
(item-segment-prase-sequence) DUNS No.: 80-939-7102 Vendor No.: F596000558130
Contact No.: G0576
Catalog of Federal Domestic Assistance Number. N/A Catalog of State Financial Assistance Number: 55.004
CFDA Title: CSFA Title: Aviation Development Grants
THIS AGREEMENT, made and entered into this day of
by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida,
hereinafter referred to as the Department, and Collier County Airport Authority
2005 Mainsail Drive, Suite 1, Naples, Florida 34114 —.—
hereinafter referred to as Agency.
WITNESSETH :
WHEREAS, the Department and the Agency heretofore on the 19th day of November 2015
entered into a Joint Participation Agreement;and
WHEREAS, the Agency desires to accomplish certain project Items as outlined In the Attachment"A"appended
hereto; and
WHEREAS, the Department desires to participate In all eligible items for this project as outlined In Attachment
"A"for a total Department Share of$155,200.00
NOW, THEREFORE THIS INDENTURE WITNESSETH: that for and in consideration of the mutual benefits to flow
from each to the other, the parties hereto agree that the above described Joint Participation Agreement is to be amended
and supplemented as follows:
1.00 Project Description:
There are no changes to the project description,or if subsequently amended,to the last amended project description.
1
6 0 4
nS-030-01
PUBLIC TRANSPORTATION
12114
Pale 2 of 5'
2.00 Project Cost:
Paragraph 3.00 of said Agreement is r, increased/ fl decreased by $14,000.00
bringing the revised total cost of the project to $194,000.00
Paragraph 4.00 of said Agreement is r increased/ r"decreased by $11,200.00
bringing the Department's revised total cost of the project to $155,200.00
3.00 Amended Exhibits:
Exhibit(s) B and D of said Agreement is amended by Attachment"A".
4.00 Contract Time:
Paragraph 1600 of said Agreement, "hxpiration A"rccmcnt" is amended to December 31, 2016
5.00 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.
1
1 6 G 4
....,43::.,7
PUBLIC TRANSPORTATION
12114
Page 3 Q ,,.i
433631-1-94-01
Financial Project No(s)
Contract No. G0576
Agreement Date
Except as hereby modified, amended or changed, all other terms of said Agreement dated November 19th 2015
and any subsequent supplements shall remain in full force and effect.
IN WITNESS WHEREOF, the parties hereto have caused these presents to be executed,the day and year first
above written.
AGENCY FOOT
See attached Encumbrance Form for date of Funding
Gollil'.r County Airport AUtiinrit Approval by Comptroller
Ai>,:Nl Y NM, ..
V 1" fr"
,,1/1t-1JF
SIGNATORY(PRNTED OR TYPED) _ L.LGAI RL/11 W
DEPARIMEN I 01 1RANEPORTATON
1):19-)7)-•,.) Ok44:
DEPARTMENT OF TRANSPORTATION
C._ti-li, P.,\_2 - f`-) Director of Transportation Development
1111 1
T171F
AaApproved as to form and legality
vizi " 1. E. kepi t ago ::
, r.,..; 'C'' '.mo"'" Ass'. ant County Atto eyj
A 3 a n f. ,�:f'I';'' , ._ ;.sICY (D
G,,\
.•,,jl
1 6 G
725-03U-07
PUBLIC TRANSPORTATION
12/14
Paye 4 of
433631-1-94-01
Financial Project No(s)
Contract No. G0576
Agreement Date
ATTACHMENT "A"
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT
This Attachment forms an integral part of that certain Supplemental Joint Participation Agreement between
the State of Florida, Department of Transportation and Collier County Airport Authority
2005 Mainsail Drive, Suite 1, Naples, Florida 34114
dated
DESCRIPTION OF SUPPLEMENT(Include justification for cost change):
Adding additional Fiscal Year 2016 funding to adjust to award. Extending contract time to December 31, 2016,to allow for
manufacturer lead time.
I. Project Cost: As Approved As Amended Net Change
$180,000.00 $194,000.00 $14,000.00
Total Project Cost $180,000.00 $194,000.00 $14,000.00
II. Fund Participation: As Approved As Amended Net Change
Department: $144,000.00 $155,200.00 $11,200.00
Agency: $36,000.00 $38,800.00 $2,800.00
$0.00 $0.00 $0.00
Total Project Cost $180,000.00 $194,000.00 $14,000.00
Comments:
Phased airport project.
1 6 4
725 OIL 07
PUBLIC TRANSPORTATION
12/14
Pe,ie 5 of�..._.
III. MULTI-YEAR OR DEFERRED REIMBURSEMENT PROJECT FUNDING
If a project is a multi-year or prequalified project subject to paragraphs 4.10 and 17.20 of this agreement, funds
are programmed in the Department's Work program in the following fiscal year(s):
FY 2016 $155,200.00 FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
Project years may be advanced or deferred subject to Legislative appropriation or availability of funds.
16G4
Teresa L. Cannon
From: Brueggeman, Debra
Sent: Wednesday,June 01, 2016 2:20 PM
To: Teresa L. Cannon;Thomas,Joshua
Cc: Kushi, Edmond; Nauth, Rookmin; Stanley,Therese
Attachments: JPA G0576 Supp 1 -IMM Refueler 1.1.16.pdf
For your file --- fully executed FDOT Supplemental Agreement for the fuel truck at Immokalee Airport.
Debbie IB'tuecjgenuurt I Operations Coordinator
Collier County Airport Authority
40Or t 2005 Mainsail Drive, Suite 1 I Naples, FL 34114
tel (239) 642-7878 x34 I fax (239)394-3515
website I map I email I flyMKY flvIMM II
Under Florida Law,e-mail addresses are public records.If you do not want your e-mail address released in response to a public records request,do not send
electronic mail to this entity.Instead,contact this office by telephone or in writing.
1
411
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 7$990-07
PUBLIC TRANSPORTATION PUBLIC TRANSPORTATION
SUPPLEMENTAL.JOINT PARTICIPATION AGREEMENT 12/14
Number One Po°7 d s
Financial Project No(s): Fund: 010 FLAIR 433631-1-9401 Category: 088719
Function: 215 Object Code: 751000
Federal No.: N/A Org.Code: 55012020129
titem.eegmeni-phaee-vequeneei DUNS No.: 80-939-7102 Vendor No.: F596000558130
Contract No.: G0576
Catalog of Federal Domestic Assistance Number N/A Catalog of State Finandai Assistance Number: 55.004
CFDA Title: CSFA Tit Aviation Development Grants
THIS AGREEMENT,made and entered into this 7 day of _kytt_ 2Q/6 ,
by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORT ION,an agency of the State of Florida,
hereinafter referred to as the Department,and Collier County Airport Authority
2005 Mainsail Drive,Suite 1, Naples, Florida 34114
hereinafter referred to as Agency.
WITNESSETH:
WHEREAS,the Department and the Agency heretofore on the 10th day of November 2015
entered Into a Joint Participation Agreement;and
WHEREAS,the Agency desires to accomplish certain project items as outlined In the Attachment"A"appended
hereto;and
WHEREAS,the Department desires to participate in all eligible items for this project as outlined in Attachment
"A"for a total Department Share of$155,200.00
NOW,THEREFORE THIS INDENTURE WITNESSETH: that for and in consideration of the mutual benefits to flow
from each to the other,the parties hereto agree that the above described Joint Participation Agreement is to be amended
and supplemented as follows:
1.00 Project Description:
There are no changes to the project description,or if subsequently amended,to the last amended project description.
�
1 :>3 L,
72sa3OC7
PUBLIC TRANSPORTATION
1214
Page d
2.00 Project Cost:
Paragraph 3.00 of said Agreement Is jRr. increased/ rj decreased by $14,000.00
bringing the revised total cost of the project to $194,000.00
Paragraph 4.00 of said Agreement is p increased! r'decreased by $11,200.00
bringing the Department's revised total cost of the project to $155,200.00
3.00 Amended Exhibits:
Exhibit(s) B and D of said Agreement is amended by Attachment NA".
4.00 Contract Time:
Paragraph 16.00 of said Agreement, "Expiration of Agreement" is amended to December 31,2016 .
5.00 E-Verify
Vendors/Contractors:
1. shall utilize the U.S.Department of Homeland Security's E-Verify system to verify the employment eligibility
of all new employees hired by the Vendor/Contractor during the term of the contract;and
2. shall expressly require any subcontractors performing work or providing services pursuant to the state contract
to likewise utilize the U.S.Department of Homeland Security's E-Verify system to verify the employment
eligibility of all new employees hired by the subcontractor during the contract term.
)
r ti
41.a iso'
• 7
PUBLIC 1RAN$PORTATION
12/14
Pugs 3 d 3-
433631-1-94-01
Financial Project No(s)
Contract No. G0578
Agreement Date izev / , 2 0/4
Except as hereby modified,amended or changed,all other terms of said Agreement dated November 19th 2015
and any subsequent supplements shall remain In full force and effect.
IN WITNESS WHEREOF,the parties hereto have caused these presents to be executed,the day and year first
above written.
AGENCY FDOT
Collier CountyAirport AuthoritySee attached Encumbrance Form for date of Funding
p Approval by Comptroller
AGENCY NAME
DotoNts, - aA ..
SIGNATORY(PRINTED OR TYPED) LEGAL REVIEW
4 OEPARTME OF ORTATION
4PreYrke.)
SIGNATURE Chris Smith
DEPARTMENT OF TRANSPORTATION
CAA Pk t R. 'rIN SAO Director of Transportation Development
TITLE TITLE
a ':' P4' Approved as to form and legality
t c E.I Cltrik
a 4�: A t Coun Att
tty cy
Attestlef0'Ch irmaf'8 t
77
PUBLIC TRANSPORTATION
12/14
Pap 4 of.S
433631-1-94-01
Financial Project No(s)
Contract No. G0576
Agreement Date a 4 OD/ .0
ATTACHMENT"A"
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT
This Attachment forms an Integral part of that certain Supplemental Joint Participation Agreement between
the State of Florida,Department of Transportation and Collier County Airport Authority
2005 Mainsail Drive,Suite 1,Naples, Florida 34114
dated
DESCRIPTION OF SUPPLEMENT(Include justification for cost change):
Adding additional Fiscal Year 2016 funding to adjust to award.Extending contract time to December 31,2016,to allow for
manufacturer lead time.
I. Project Cost: As Approved As Amended Net Change
$180,000.00 $194,000.00 $14,000.00
Total Project Cost $180,000.00 $194,000.00 $14,000.00
II. Fund Participation: As Approved As Amended Net Change
Department: $144,000.00 $155,200.00 $11,200.00
Agency: $36,000.00 $38,800.00 $2,800.00
$0.00 $0.00 $0.00
Total Project Cost $180,000.00 $194,000.00 $14,000.00
Comments:
Phased airport project.
I
(6:1,-)
rso3Sar
PUBLIC TRANSPORTATION
12114
Pags3dS:
III. MULTI-YEAR OR DEFERRED REIMBURSEMENT PROJECT FUNDING
If a project is a multi-year or prequalified project subject to paragraphs 4.10 and 17.20 of this agreement,funds
are programmed in the Department's Work program In the following fiscal year(s):
FY 2016 $155,200.00 FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
Project years may be advanced or deferred subject to Legislative appropriation or availability of funds.
•
1 6 IA 4
TO: PT129WSigdot.state.fl.us
SUBJECT: FUNDS APPROVAL/REVIEWED FOR CONTRACT 00576
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
Contract #00576 Contract Type: GD Method of Procurement: G
Vendor Name: COLLIER COUNTY A
Vendor ID: VF596000558130
Beginning date of this Agmt: 11/19/15
Ending date of this Agmt: 07/01/16
Contract Total/Budgetary Ceiling: ct = 155200.00
Description:
Immokalee Regional Airport Fuel Truck
************************************************************************
ORG-CODE *EO *OBJECT *AMOUNT *FIN PROJECT *FCT *CFDA
(FISCAL YEAR) *BUDGET ENTITY *CATEGORY/CAT YEAR
AMENDMENT ID *SEQ. *USER ASSIGNED ID *ENC LINE(6S)/STATUS
************************************************************************
Action: SUPPLEMENTAL Funds have been: APPROVED
55 012020129 *A8 *751000 * 11200.00 *43363119401 *215 *
2016 *55100100 *088719/16
5001 *00 *ONE *0002/04
TOTAL AMOUNT: *$ 11,200.00 *
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER
DATE: 04/19/2016
I 6 rt
RESOLUTION NO. 2016-113
RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY
APPROVING AND AUTHORIZING CHAIRMAN EXECUTION OF THE
ATTACHED SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT
NUMBER ONE TO CONTRACT NO. G0576 WITH THE FLORIDA
DEPARTMENT OF TRANSPORTATION
WHEREAS, the Collier County Airport Authority has the authority to enter into the
attached amendment to agreement with the Florida Department of Transportation to
undertake projects as authorized by Chapter 332, Florida Statutes, and Section 14-60 of the
Florida Administrative Code,and Ordinance 2004-03,as amended.
NOW, THEREFORE, BE IT RESOLVED BY THE Collier County Airport Authority,
Collier County, Florida, that:
1. That the Supplemental Joint Participation Agreement (JPA) Number One to JPA
Contract Number G0576 to purchase a fuel truck for the Immokalee Regional
Airport, Financial Management Number 433631-1-94-01, attached hereto, is
hereby approved.
2. The Chairman of the Collier County Airport Authority, Donna Fiala, is
authorized to enter into, modify or terminate Supplemental JPA Number One to
Contract No. G0576 with the Florida Department of Transportation, unless
specifically rescinded.
3. This Resolution shall take effect immediately upon adoption.
ADOPTED this 24th day of May 2016 after motion, second and majority vote in
favor of adoption.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA, IN ITS
CAPACITY AS THE COLLIER COUNTY
r7:R A fi AIRPORT AUTHORITY
y '•r,_ or •6 , By: /G.R�Gi'
A esus to` hairmp�y Clerk DONNA/4--)vvvt-)
IALA, CHAIRMAN
'signature of l%` '/,,v�a `-'
Appr e as to orm.and:�'egality:
` L
•
Jennife'r A. Belpedio, istant County Attorney
4,12:1 1'c