Backup Documents 07/12/2016 Item #16C6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6 C
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE mss'
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
4. BCC Office Board of County --"OF
.
Commissioners A
W / --(1l5\1.E,
5. Minutes and Records Clerk of Court's Office � �,y
(attn: Sandra Herrara) Q C 1-I C��16 CTSSI
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 Teresa Riesen, Financial Phone Number 252-2362
Contact/ Department Opererations/ CS
Agenda Date Item was 7/12/16 Agenda Item Number 16-C-6
Approved by the BCC
Type of Document Amendment to the Collector Solutions Number of Original 2
Attached agreement#06-3972—signature page Documents Attached
PO number or account -
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�c_
2. Does the document need to be sent to another agency for additional signature If yes, LH
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 LH
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's LH
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 LH
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 LH
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip LH
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 7/12/16 (enter date)and all changes LH
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 the ` c
Chairman's signature. \l .\S3
***PLEASE NOTE: Clerks Office: Do Not provide a copy of the recorded documents***
l: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
16C6
MEMORANDUM
Date: July 18, 2016
To: Teresa Riesen, Revenue Manager
Utility Billing & Customer Service Department
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Amendment #2 to Contract #06-3972
Agreement w/CollectorSolutions, Inc.
Enclosed please find one copy of the document referenced above,
(Agenda Item #16C6), adopted by the Board of County Commissioners on
Tuesday, July 12, 2016.
The original document will be kept in the Minutes and Records Department
as part of the Board's permanent record.
If you should have any questions, please call me at 252-8411.
Thank you.
Enclosures
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1C b
EXHIBIT A-2 CONTRACT Amendment#2 to Contract 06-3972
"CREDIT CARD& ACH PROCESSING"
This amendment dated L, lZ�
r 2016, to the referenced agreement shall be by and
between the parties to the oal Agreement, CollectorSolutions, Inc. (to be referred to as"CSI") and
Collier County,Florida(to be referred as"Client")..
Statement of Understanding
RE:Contract#06-3972 "CREDIT CAltD AN11 ACH PROCESSING
The parties hereby agree to amend Contract .#06-3972 by replacing and superseding in its entirety
"Appendix A.1"with the Exhibit"A2-A".
All other terms and conditions of the agreement shall remain in force.
IN WITNESS WHEREOF, CSI and the Client have each, respectively, by an authorized person or
agent,hereunder set their hands and seals on the date(s)indicated below.
Accepted: '.0\ .\ \7. 2016.
CLIENT:
BOARD OF COUNTY COIVIIVIISSIONERS
OF COLI; COUNTY LORIDA
Qy;
D nna Fiala, Chairman
First Witness: CSI:
ColiectorSolutions,Inc.
Qy:`
By.
Print Name Le, r '
Print\ant and Title !C#,4
eD✓
Second Witness:
By:
arae. ,,i �,. ,
.A
Appr t I -. .e and legality
iii 8i` idept._" ..ie . ..
'1 e, Attest as toVha ari b
�� eh. Attest
signature onl�
Jeffrey • . ° atzkow,County Attorney g l�' k":-`
t I P a r e
Contract Amendment*#2 to Contract$$00-3972
"CREDIT CARD 8 ACti PROCESSING". .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
EXHIBIT A2-A
Cantraet Amendment#2 to Contract#06.3972
"CREDIT CARD coACU PROCESSING"
Aunendjx A.1
1. Software System Utilized
2. Web Modules Utilized
3. IVR Systems Utilized
4. POS Systems.Utilized
5 Payment Type Collier County Government Services
6 FEES:
Set up Fees $0.00
Recurring Fees $0.00
Accepting Credit Cards YES
Transactional Fees 2.35%
Fees to be paid by CLIENT or CUSTOMER
Re-presentment count N/A
Miscellaneous Fees
Charge-backs $20.00 Paid by Client
Credits. $ 1.75 Paid by Client
Non-NSF Check Returns $ 1.75 Paid by Client
NSF Check Returns $20.00 Paid by Client
Minimum payment for a transaction is$1.00 for%eater/sever payments only. All only typos of payments
are 235%flat
21Page
Contract AmenQment*2 to Contract#09-3972
"CREDIT CARD&ACH PROCESSING"