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Backup Documents 09/13/2016 Item #16G 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16G 2 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 'tF Commissioners VI (/ 1 qV'3\kte 5. Minutes and Records Clerk of Court's Office q't3h6 tr.OIQh 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 Brueggeman,Admin,Airport County Attorney's 642-7878 Ext.34 Contact/ Department Authority Office Agenda Date Item was 9/13/16 Agenda Item Number 16G/ 1823 Approved by the BCC `(o-C---jZ Type of Document Resoluti Number of Original 1 Attached c:0016,—/75 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 signature -FigT-Mi4R-VIC" -` a 4t; n--( � 2. Does the document need to be sent to another agency for additional signatures? If yes, NA provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. ... ..-C. e._..d 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 �0.R) Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the J BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. f II 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 121J\ , 1' G 2 Counfy-of Co11ier CLERK OF THE CiP.CUi COURT COLLIER COUNTY CC*RTHO SE Dwight E.Brock-C1erp f 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 • C'u'stodian 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 #G0594 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 RESOLUTION NO. 2016-17 5 16G 2 RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT G0594 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 G0594 to fund upgrades to the AVGAS fuel farm facility, and purchase one Jet-A and one AVGAS refueler truck as further described in the JPA, Financial Management Number 433643-1-94-01, 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 G0594 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 By: \t ' . - -\ -\-\\‘ t Attest as to ChasnnaRSP Cle # By: DONNA FIALA, CHAIRMAN signature only. Approved as to form and legality: Jennifer A. Belpedij �\ C Assistant County Attorney C)-5)7q). .� . 16G 2 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 7 -07 PUBLIC TRANSPORTATION PUBIC TRANSPORTATION SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT 12/14 Page t d Number One Financial Project No(s): 438877-1-94-01 Fund: 010 FLAIR Category: 088719 Function: 215 Object Code: 751000 Federal No.: N/A Org.Code: 55012020129 otern-segment-phase-s•querux) DUNS No.: 80-939-7102 Vendor No.: F598000558130 Contract No.: 00594 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 010°1 day of , 0,2614 , Pd4.1417"—) 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$332,897.00 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. loG Z 725-03D-07 PUBLIC TRANSPORTATION 12/14 Pegs 2 of S. 2.00 Project Cost: Paragraph 3.00 of said Agreement is r, increased/ l decreased by $56,121.00 bringing the revised total cost of the project to $416,121.00 Paragraph 4.00 of said Agreement is f increased/ f decreased by$44,897.00 bringing the Department's revised total cost of the project to $332,897.00 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 2 TANNOW Riuc TRANSPORTATION Page i or e 438877-1-94-01 Finances Project No(s) Contract No. G0694 Agreement Date a�iearfye _azT 2b/te 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 Cdtier County Airport Authority See attached Encumbrance Form for date of Funding Approval by ComptrollerAGENCY MAINE "(V Ili =NA FIALAREVIEW -- SIGNATORY(PRA4TED OR TYPED) DEGI. EPAANTidk���j� MENT •RTATK7N 141,000/".14 M OF f � � 4 aa; LeMoniti DEPARTMENT OF TRANSPORTATION CHAS Director of Transportation Development TIRE TIRE Approved as to fare and legality DWIGHT E B' �t Clark y t Jennifer A.Beiped1� -."44AddinwAssistant County Attorney 1-` J G/ *Atom onk cep(a 1 6G 2 725030-07 PUBLIC TRANSPORTATION 12/14 Pays 4 of 5 438877-1-94-01 Financial Project No(s) Contract No. G0594 Agreement Date le,Arilliet_ 20/(, 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 ,Ggg3d' P • st 7, t o t(.P 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 $360,000.00 $416,121.00 $56,121.00 Total Project Cost $360,000.00 $416,121.00 $56,121.00 II. Fund Participation: As Approved As Amended Net Change Department: $288,000.00 $332,897.00 $44,897.00 Agency: $72,000.00 $83,224.00 $11,224.00 $0.00 $0.00 $0.00 Total Project Cost $360,000.00 $416,121.00 $56,121.00 Comments: Phased airport project. 1 6 G 2 725030.07 PUBLIC TRANSPORTATION 12114 Page S 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 $288,000.00 FY FY 2017 $44,897.00 FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY FY Project years may be advanced or deferred subject to Legislative appropriation or availability of funds. 16G 2 TO: PT129WSSdot.state.fl.us SUBJECT: FUNDS APPROVAL/REVIEWED FOR CONTRACT G0594 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FUNDS APPROVAL Contract #G0594 Contract Type: GD Method of Procurement: G Vendor Name: COLLIER COUNTY A Vendor ID: VF596000558130 Beginning date of this Agmt: 11/19/15 Ending date of this Agmt: 07/01/17 Contract Total/Budgetary Ceiling: ct ` 332897.00 ************************************************************************ Description: AVGAS FUEL FARM FACILITY AND REFUELER ************************************************************************ ORG-CODE *EO *OBJECT *AMOUNT *FIN PROJECT *FCT *CFDA (FISCAL YEAR) *BUDGET ENTITY *CATEGORY/CAT YEAR AMENDMENT ID *SEQ. *USER ASSIGNED ID *ENC LINE(6S)/STATUS ************************************************************************ Action: SUPPLEMENTAL Funds have been: APPROVED 55 012020129 *A8 *751000 * 44897.00 *43887719401 *215 * 2017 *55100100 *088719/17 S001 *00 *ONE *0002/04 TOTAL AMOUNT: *$ 44,897.00 * FUNDS APPROVED/REVIEWED FOR ROBIN N. NAITOVE, CPA, COMPTROLLER DATE: 08/23/2016 16G 2 RESOLUTION NO.2016- 1 7 5 RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT G0594 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 G0594 to fund upgrades to the AVGAS fuel farm facility, and purchase one Jet-A and one AVGAS refueler truck as further described in the JPA, Financial Management Number 438877-1-94-01, attached hereto, is hereby approved. 2. The Chairman of the Collier County Airport Authority, Donna Fiala, is tY authorized to enter into, modify or terminate Supplemental JPA Number One to Contract Number G0594 with the Florida Department of Transportation unless and until it may be specifically rescinded. 3. This Resolution shall take effect immediately upon adoption. ADOYI'ED 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,Cork B Attest as t4 4einnampeOuty a By; signaturet. DOd),•,.-eruc A FIALA,CHAIRMAN Approved as to form and legality: %C„)\._ l.0 Jennifer A. Belpedio 7 `S'`` Assistant County Attorney �0" \` ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16G 2 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. SECOND ROUTING TO CORRECT SCRIVENER'S ERROR 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 Coun Attorney Office. Route to Addressee(s) (List in routing order) Office Initials Date 1. County Attorney Office County Attorney Office \f1{/5-7 \ZZ.V.0 2. BCC Office Board of County Commissioners 9f as))(i 3. Minutes and Records Clerk of Court's Office 9j q 22/I(v0):5810ti 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 Brueggeman,A in,Airport Phone Number 642-7878 E .34 Contact/ Department Authority Agenda Date Item was September 13,2016 Agenda Item Number 16G2 Approved by the BCC Type of Document Resolution 2016-175. Second routing to Number of Original Attached correct scrivener's error*„20/6 75 Documents Attached t PO or account number N/A 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?STAMP—OKAY 2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 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 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 N/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 JAB 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 JAB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip JAB should be provided to the County Attorney Office at the time the item is input into Accela. 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 deadlines! 8. The document was approved by the BCC on 9/13/16 and all changes made during JAB 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 n BCC,all changes directed by the BCC have been made,and the document is ready for "e �(,/1 Chairman's signature. — *To correct JPA, Financial Management Number on Resolution. It was _ - =. in the Executive Summary and Supplemental JPA presented to the Board. 1: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 Z County-of Collier CLERK OF THE CIRCUt F COURT COLLIER COUNTY CC TRTHO\JSE 3315 TAMIAMI TRL E STE 102 Dwight E.Brock-Cler 'pf Circuit Court P.O.BOX 413044 NAPLES,FL 34112-5324 =L .� • NAPLES,FL 34101-3044 Clerk of Courts • Comptroller • Auditor • di dian of County Funds September 22, 2016 Florida Department of Transportation Attn: Wendy Sands Aviation/Intermodal Agency Liaison 801 N. Broadway Avenue Bartow, Florida 33830-3809 Re: Corrected Resolution due to a Scrivners Error Joint Participation Agreement #G0594 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 (debrabrueggeman@colliergov.net) for the Boards Official Records. Very truly yours, DWIGHT E. BROCK, CLERK Martha Vergara, Deputy le Enclosure Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email-CollierClerk@,collierclerk.com 16G 2 RESOLUTION NO. 2016- 17 5 RESOLUTION OF THE COLLIER COUNTY AIRPORT AUTHORITY APPROVING AND AUTHORIZING THE EXECUTION OF THE ATTACHED SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT G0594 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 G0594 to fund upgrades to the AVGAS fuel farm facility, and purchase one Jet-A and one AVGAS refueler truck as further described in the JPA, Financial Management Number 438877-1-94-01, 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 G0594 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 B . Attest as to Cbaimwn s,DeputyFle • By: signature only. DO NA FIALA, CHAIRMAN Approved as to form and legality: L.0 Jennifer A. Belpedio Assistant County Attorney 0\\