Backup Documents 09/13/2016 Item #16G 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 6G
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 JAB 9/13/16
4. BCC Office Board of County b%-.1\
Commissioners A f q\V \\b
5. Minutes and Records Clerk of Court's Office i('.0(00
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 Debbie B ggeman,Admin,Airport County Attorney's 642-7878 Ext. 34
Contact/ Department Authority Office
Agenda Date Item was 9/13/16 Agenda Item Number 16G/ 1824
Approved by the BCC , -Cv-
Type of Document Resolution Number of Original 1
Attached .010/G/'- /74 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 signa ;w XMP OK 77Tir
2. Does the document need to be sent to another agency for additio . signatures? If yes, NA \\
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. �jC� k-C,
3. Original document has been signed/initialed for legal sufficiency. (All documents to be JAB
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 NA
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 JAB
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 9/13/16 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's ( .13
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 t
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
16G
Counfy- ofCollier
CLERK OF THE CfP.CUi COURT
COLLIER COUNTY C(s TRTHO SE
Dwight E.Brock-ClerKpf Circuit Court
3315 TAMIAMI TRL E STE 102 P.O.BOX 413044
NAPLES,FL 34112-5324 NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor • Cust"odian of County Funds
September 14, 2016
Florida Department of Transportation
Attn: Wendy Sands
Aviation/Intermodal Agency Liaison
801 N. Broadway Avenue
Bartow, Florida 33830-3809
Re: Joint Participation Agreement #G0615
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, September 13, 2016, during Regular Session.
Please forward/e-mail any fully executed documents to (martha.vergara@collierclerk.com)
for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
Martha Vergara, Deputy Clerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com
16G i
RESOLUTION NO. 2016- 1 7 4
RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY
APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT G0615 WITH THE
FLORIDA DEPARTMENT OF TRANSPORTATION
WHEREAS, the Collier County Airport Authority has the authority to enter into the
attached agreement with the Florida Department of Transportation to undertake projects as
authorized by Chapter 332, Florida Statutes, and Rule 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. Supplemental Joint Participation Agreement (JPA) Number One to JPA Contract
Number G0615 to fund an AVGAS fuel farm facility at Everglades Airpark, as
further described in the JPA, Financial Management Number 438875-1-94-01,
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 Number G0615 with the Florida Department of Transportation unless
and until it may be specifically rescinded.
3. This Resolution shall take effect immediately upon adoption.
ADOPTED this 13th day of September 2016 after motion, second and majority vote in
favor of adoption.
ATTEST: COLLIER COUNTY AIRPORT AUTHORITY,
COLLIER COUNTY, FLORIDA
DWIGHT E. BROCK, Clerk
ti
vy
tiAlk
)106-7-)-1- jA-44:L
Attest as to Clerk By: 46
signature only: DONNA FIALA, CHAIRMAN
Approved as to form and legality:
t \�
Jennifer A. Belpedio — acoi.,Df2
Assistant County Attorney
i66 �.
STATE CF FLORIDA DEPARTMENT OF TRANSPORTATION T25-03347
PUBLIC TRANSPORTATION PJeiuCTRANSPORTATION
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT 12/14
Page I C
Number One
Financial Project No(s):
438875-1-94-01 Fund: 010 FLAIR Category: 088719
Function: 215 Object Code: 751000
Federal No.: N/A Org.Code: 55012020129
tdem•segrnent-phase-seauen* DUNS No.: 80-939-7102 Vendor No: F596000558130
Contract No.: G0615
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 _201--1 day of p�YY! J ,('�/(.o
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 28th day of December 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 $152,896.00
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
16G 725.03401
PUBLIC TRANSPORTATION
12/14
Page 2a S
2.00 Project Cost:
Paragraph 3.00 of said Agreement is r increased/ r decreased by $41,120.00
bringing the revised total cost of the project to $191,120.00 •
Paragraph 4.00 of said Agreement is r,increased/ fl decreased by $32,896.00
bringing the Department's revised total cost of the project to $152,896.00
3.00 Amended Exhibits:
Exhibit(s) B and D of said Agreement is amended by Attachment"A".
4.00 Contract
Time:
Paragraph 16.00 of said Agreement is not amended.
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.
16G I.
7:3(3.x)-47
P.&JC TRANSPORTATION
12'14
FY}e3d jf
438875-1-94-01
Financial Project No(s)
Contract No. G0615
Agreement Date q_10- () ( L'
Except as hereby modified, amended or changed,all other terms of said Agreement dated ember 28th 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
rp Approval by Comptroller
AGENCY NA71E rfr/)!
�
Donna Fiala - —�'
� ( )/ J
, :.TORT kPR'NTED OR TYPED) LEGAL REVIEW
!:
DEPARTMENT OF TRANS T N
If
1"..,,e... .{..4.-6- /21e,e; ./kd
ic%;,TJ,r Ch Smr.h
DEPARTMENT OF TRANSPORTATION
Chairman Director of Transportation Development
TsTLE T1TL
i EST. - Approved as to foram and Icgality
ot+i/ aHT E. BRapK. Clerk
) Yibil U ;,N.,i,, - ) _ CNIC A) 0
-4.5 -
_______)____
Jennifer A. B edio
Attest as to Chairman s a Assistant County Attorney 9 \vI
signature only. 56�
It
16G I
725-m-or
PUBLIC TRANSPORTATION
12114
Pa?)4 d5
438875-1-94-01
Financial Project No(s)
Contract No, G0615
Agreement Date q- : 01
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 ?I43ojj Lr:.
DESCRIPTION OF SUPPLEMENT(Include justification for cost change):
Adding Fiscal Year 2017 funding to adjust for award_
I. Project Cost: As Approved As Amended Net Change
$150,000.00 $191,120.00 $41,120.00
Total Project Cost 5150,000.00 $191,120.00 541.120.00
II. Fund Participation: As Approved As Amended Net Change
Department: S120,000.00 $152,896.00 532,896.00
Agency: $30,000.00 $38,224.00 $8,224.00
$0.00 $0.00 $0.00
Total Project Cost $150,000.00 $191,120.00 $41,120.00
Comments:
Phased airport project.
16G I
725.030417
PUBLIC TRANSPORTATION
11fl4
Page S d
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 $120,000.00 FY
FY 2017 $32,896.00 FY •
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
FY FY
Project years may be advanced or deferred subject to Legislative appropriation or availability of funds.
16G 1
TO: PT129WS0dot.etate.fl.us
SUBJECT: FUNDS APPROVAL/REVIEWED FOR CONTRACT 00615
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
Contract #00615 Contract Type: GD Method of Procurement: 0
Vendor Name: COLLIER COUNTY A
Vendor ID: VF596000558130
Beginning date of this Agmt: 12/28/15
Ending date of this Agmt: 07/01/17
Contract Total/Budgetary Ceiling: ct a 152896.00
Description:
AVGAS FUEL FARM FACILITY
ORG-CODE *BO *OBJECT *AMOUNT *FIN PROJECT *FCT *CFDA
(FISCAL YEAR) *BUDGET ENTITY +CATEGORY/CAT YEAR
AMENDMENT ID *SEQ. *USER ASSIGNED ID *ENC LINE(6S)/STATUS
Action: SUPPLEMENTAL Funds have been: APPROVED
55 012020129 *A8 *751000 * 32896.00 *43887519401 *215 *
2017 *55100100 *088719/17
5001 *00 *ONE *0002/04
TOTAL AMOUNT: *$ 32,896.00 *
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER
DATE: 08/22/2016
16G I
RESOLUTION NO. 2016- 174
RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY
APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT G0615 WITH THE
FLORIDA DEPARTMENT OF TRANSPORTATION
WHEREAS, the Collier County Airport Authority has the authority to enter into the
attached agreement with the Florida Department of Transportation to undertake projects as
authorized by Chapter 332, Florida Statute's, and Rule 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. Supplemental Joint Participation Agreement (JPA) Number One to JPA Contract
Number G0615 to fund an AVGAS fuel farm facility at Everglades Airpark, as
further described in the JPA, Financial Management Number 438875-1-94-01,
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 Number G0615 with the Florida Department of Transportation unless
and until it may be specifically rescinded.
3. This Resolution shall take effect immediately upon adoption.
ADOPTED this 1301 day of September 2016 after motion, second and majority vote in
favor of adoption.
ATTEST: COLLIER COUNTY AIRPORT AUTHORITY,
COLLIER COUNTY, FLORIDA
DWIGHT E. BROCK. Clerk
Bv;)
Attest as to Chairmari3-r Clerk By: �c-•�
signature only. DONNA FIALA, CHAIRMAN
date of mama
Approved as to term and legality: County of COWER
I HEREBY CERTIFY THAT this Is a true and
1
correct Fc ,r ci a1,604nent on file In
Boartl,T�,��t,4e.{and Reccc:ds of CoAler County
Jennifer A. Iielpedio y
".ITNtS.:m�n n,7 arsd Otfct.ras Seal this
Assistant County Attorney "o� ‘� \ l�F "day of � 2c r�
DWIGHT E,BROCK,CLERK OF COURTS