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Backup Documents 06/13/2017 Item #16A9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATI1F6 A9 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. S c, - e Ass+. A44_ D//3// ) 3 County Attorney Office County Attorney Office \ NC*4>:-S.> skl 4. BCC Office Board of County Commissioners 5. Minutes and Records Clerk of Court's Office "TM '�I, !2011 9 3:1�C �1 PRIMARY CONTACT INFORMATION `�{N 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 Daniel G.Hal Phone Number 252-6077 Contact/ Department Agenda Date Item was 6-13-17 Agenda Item Number 16A 9 Approved by the BCC Type of Document. Supplemental Agreement Number of Original j Attached _ Documents Attached PO number or account number if document is to be recorded n-to?, 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? 1 2. Does the document need to be sent to another agency for additional signatures? If yes, Vy IA provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. VO IA 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 )6A'1 by the Office of the County Attorney. 4. All handwritten strike-through and revisions have been initialed by the County Attorney's ' ( � Office and all other parties except the BCC Chairman and the Clerk to the Board 'V 5. The Chairman's signature line date has been entered as the date of BCC approval of the 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 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. IN 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 t -t3--(1 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 BCC,all changes directed by the BCC have been made,and the document is ready for the 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 I — � - C -1- q C i1r ty of Collier 1 6 A 9 CLERK OF THE)CIRUIT COURT Dwight E. Brock COLLIER COUI@Y COf I{THOUSE Clerk of Courts Clerk of Courts 3315 TAMIAMI TRL E STE 1021 "\P.O. BOX 413044 Accountant NAPLES,FLORIDA �r NAPLES,FLORIDA Auditor 34112-5324 I- ;34101-3044 Custodian of County Funds June 21, 2017 Jim Martin, CPM, FCCM Florida Department of Transportation D1 Office Program Management 801 N. Broadway Ave, MS 1-12 Bartow, FL 33830 Re: Resolution 2017-102: Authorizing an LAP Supplemental Agreement (FPN 433177-1-58/68) with the Florida Department of Transportation for Construction and Construction Engineering Inspection (CEI) for intersection improvements on Golden Gate Parkway at Livingston Road in Collier County FL Mr. Martin, Attached for further processing is a certified Resolution and an original copy of the agreement referenced above, adopted/approved by the Collier County Board of County Commissioners on June 13, 2017. If your office requires further information, please feel free to contact me at 239-252-8406. Thank you, DWIGHT E. BROCK, CLERK Ann Jennejohn, Deputy Clerk Attachment Phone- (239) 252-2646 Fax- (239) 252-2755 Website- www.CollierClerk.com Email- CollierClerk@collierclerk.com —1 1 tt PULL AND RETAIN THIS COPY BEFORE AFFIXING TO THE PACKAGE.NO POUCH NEEDED. F --. C iii IA xa 3 t.13- V-- . y- re II g ❑ $1g lJ LLI 11 ❑ i d ❑ I l't_ ❑ ❑ ❑ _ e s yzp s L 2 2 a y g oft 11 ❑ 3 1-1 W I 1 to gg E tea $ et g 1� a as © IgE � El . mg ~ > `m w dl >d fU ii i Q. A g i g1 .r ' _ is E. i aa is 1 j. > ❑ G� ❑ in ❑ .00 ❑ ❑ 0133 a lu u 1/40 �+ N N V - lilt liiii _ go Ln N 0 O W ❑ 0 co Q M M N • R O O 1_ N g q ,tt .. W LD N Q N I a stn `i .M N r, 0 z cz ill "W gc g H 0 1 �1 v x. 121 >4 al V N Z W L 4 ea.�[� 1.y C) •f a [7 ") If) CO I.N W H N i 0 m • i - 1 H a ag El 1 t 11 1 s Ji gl - ii ig , N M ,,.,„ _ --. :i . Ili •' ....__ n� RESOLUTION NO. 2017 - 10 2 1 6 A9 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY FLORIDA, APPROVING, AND AUTHORIZING ITS CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FOR CONSTRUCTION AND CONSTRUCTION ENGINEERING INSPECTION OF INTERSECTION IMPROVEMENTS ON GOLDEN GATE PARKWAY AT LIVINGSTON ROAD (FPN 433177-1-58/68-01) WHEREAS, the State of Florida Department of Transportation (FDOT) and Collier County entered into a Local Agency Program Agreement on February 18, 2016, wherein FDOT agreed to reimburse Collier County up to the sum of$272,184 for intersection improvements on Golden Gate Parkway at Livingston Road and up to the sum of $59,179 for Construction Engineering and Inspection (CEI) of the same; and WHEREAS, FDOT and Collier County wish to amend the Agreement by entering into the attached Supplemental Agreement to decrease the CEI funding from $59,179 to $51,628, and increase the construction funding from $272,184 to $279,735; and WHEREAS, the Collier County Board of Commissioners finds that the Agreement is in the public interest and benefits the citizens of Collier County. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA,that: 1. The Board of County Commissioners approves and authorizes its Chairman to sign the attached Supplemental Agreement pertaining to FPN 433177-1-58/68-01. 2. The Collier County Clerk is directed to forward a certified copy of this Resolution along with the Agreement for execution by FDOT. 3. This Resolution shall take effect immediately upon adoption. hTHIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same, this\ "day of J u , 2017. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROOK„,, Clerk OF COL IER COUNTY, FLORIDA 7. By: ati ,O.& By: .«r Attest as o Cha deputy Clerk PENNY AYLO' ■••■■■•■ signature only. [ '# I v t Agenda Date VI Date to '2.0-r [17-ECM-02244/1337571/1] R. .d y l Deputy Clea% fi. 1 6 A 9 Approved as to form and legality: Scott A. Stone, Assistant County Attorney [17-ECM-02244/1337571/1] STATE OF FLORIDA DEPAR WENT OF TRANSPORTATION 01 LOCAL AGENCY PROGRAM PROOR MA M cA11 SUPPLEMENTAL AGREEMENT iiii Page 1 of 3 SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN) 1 8886 719 A CONTRACT NO. FEDERAL AWARD DATE G0870 02/01/2016 FPN LOCAL AGENCY DUNS NO. 433177-1-58/68-01 The Agency(Collier County desires to supplement the original Agreement entered into and executed on February 18, 2016 as identified above. All provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this supplement. The changes to the Agreement and supplements, if any, are described as follows: PROJECT DESCRIPTION Name CR 886 (Golden Gate Parkway) Length 0.140 Termini At Livingston Road Description of Work: Construction of eastbound and westbound turn lanes at the intersection of CR 886 (Golden Gate Parkway)and Livingston Road. Reason for Supplement and supporting engineering and/or cost analysis: Decrease CEI (Phase 68)funding from $59,179 to $51,628, a difference of$7,551, and increase Construction (Phase 58)funding from $272,184 to $279,735, an additional $7,551. The changes are based on construction bids which are higher than original estimates. O G STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 5-,14327 LOCAL AGENCY PROGRAM PROG p� G: T 03/17 SUPPLEMENTAL AGREEMENT Page2of3 ADJUSTED EXHIBIT B SCHEDULE OF FUNDING FPN 433177-1-58/68-01 TYPE OF WORK FUNDING By Fiscal Year PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL(AGENCY TOTAL(STATE& PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS Planning FY: FY: FY: FY: FY: FY: Total Planning Cost $0.00 $0.00 $0.00_ $0.00 $0.00_ Project Development& Environment(PD&E) FY: FY: FY: FY: FY: FY: Total PD&E Cost $0.00 $0.00 $0.00 $0.00 $0.00 Design FY: FY: FY: FY: FY: FY: Total Design Cost $0.00 $0.00 $0.00 $0.00 $0.00_ Right-of-Way FY: FY: FY: FY: FY: FY: Total Right-of-Way Cost $0.00 $0.00 $0.00 $0.00 $0.00 Construction FY: 2015/2016 $272,184.00 $272,184.00 $272,184.00 FY: 2016/2017 $7,551.00 $7,551.00 $7,551.00 FY: FY: FY: FY: Total Construction Cost _ $272,184.00 $7,551.00 $279,735.00 $0.00 $279,735.00_ Construction Engineering and Inspection(CEI) FY: 2015/2016 $59.179.00 ($7,551.00) $51,628.00 $51,628.00 FY: FY: FY: FY: FY: Total CEI Cost $59,179.00 ($7,551.00 $51,628.00 $0.00 $51,628.00 Total Construction&CEI Costs _ $331,363.00_ $0.00 $331,363.00 $0.00 $331,363.00 TOTAL COST OF THE $331,363.00 $0.00 $331,363.00 $0.00 $331,363.00 PROJECT STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM PROGi649 03/17 SUPPLEMENTAL AGREEMENT Page 3of3 IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written. AGENCY Collier County STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 4 By: By: Name::f2� K Act' Name: L.K. Nandam, P.E. Title: c,‘nq, r..r.gn Title: District Secretary or Designee Attest: ata Attest: Name: 14 # °c' 1 Name: Title: cepa; Title: Date: nfC: 241 201`1 Date: Legal Review: r i A . .ved$s to form and legality 5I,. # A. Skc0 Q.., Assistant County Attorney O� v 1 6 A9 Ann P. Jennejohn From: Martin, Jim <Jim.Martin@dot.state.fl.us> Sent: Monday, June 26, 2017 3:28 PM To: Hall, Daniel Cc: BlevinsCaroline; LingarKimberly; Nauth, Rookmin;Ann P. Jennejohn; Castillo, Tara Subject: RE:433177-1 Golden Gate Parkway at Livingston Road Attachments: 433177-1 Executed SA#1.pdf Attached is the executed Supplemental Agreement for FM 433177-1. Please upload a copy of this document into LAPIT. A hard copy will also be mailed to the County. Jim Martin, CPM, FCCM Local Program Coordinator Florida Department of Transportation FDOT D1 Office Program Management 801 N. Broadway Ave, MS 1-12, Bartow,FL 33830 /IR 863-519-2665 '11 DOTNet 881-2665 Fax: (863)534-7179 From: HallDaniel [mailto:DanielHall@colliergov.net] Sent: Wednesday,June 21, 2017 10:43 AM To: Martin,Jim <Jim.Martin@dot.state.fl.us> Cc: BlevinsCaroline<CarolineBlevins@colliergov.net>; LingarKimberly<KimberlyLingar@colliergov.net>; NauthRookmin <RookminNauth@colliergov.net>; Ann P.Jennejohn <Ann.Jennejohn@collierclerk.com> Subject: RE: 433177-1 Golden Gate Parkway at Livingston Road Jim It is anticipated that you will receive a FedEx package tomorrow morning. Please let me know that you received the package. Thank you. Sincerely, Daniel G. Hall, P. E. Principal Project Manager Collier County Traffic Operations (239) 252-6077 From: Martin, Jim [mailto:Jim.Martin@dot.state.fl.us] Sent: Wednesday, June 21, 2017 7:42 AM To: HallDaniel Cc: BlevinsCaroline; LingarKimberly; NauthRookmin; Ann P. Jennejohn Subject: RE: 433177-1 Golden Gate Parkway at Livingston Road Anything you can do to move this along would be greatly appreciated. I will need to get our Legal Department and District Secretary to sign it before June 27. Jim Martin, CPM, FCCM A 9 STATE OF FLORIDA DEPAR WENT OF TRANSPORTATION .126-3 LOCAL AGENCY PROGRAM PROGRAM A AGEMENT 03/17 SUPPLEMENTAL AGREEMENT Page 1 of 3 SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN) 1 8886 719 A CONTRACT NO. FEDERAL AWARD DATE G0870 02/01/2016 FPN LOCAL AGENCY DUNS NO. 433177-1-58/68-01 The Agency(Collier County desires to supplement the original Agreement entered into and executed on February 18, 2016 as identified above. All provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this supplement. The changes to the Agreement and supplements, if any, are described as follows: PROJECT DESCRIPTION Name CR 886 (Golden Gate Parkway) Length 0.140 Termini At Livingston Road Description of Work: Construction of eastbound and westbound turn lanes at the intersection of CR 886 (Golden Gate Parkway) and Livingston Road. Reason for Supplement and supporting engineering and/or cost analysis: Decrease CEI (Phase 68)funding from $59,179 to $51,628, a difference of$7,551, and increase Construction (Phase 58)funding from $272,184 to$279,735, an additional $7,551. The changes are based on construction bids which are higher than original estimates. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010.32 LOCAL AGENCY PROGRAM PROGRAM MANAGEMENT 0 SUPPLEMENTAL AGREEMENT Page 2of3 ADJUSTED EXHIBIT B SCHEDULE OF FUNDING 1 6 A 9 FPN 433177-1-58/68-01 FUNDING TYPE OF WORK By Fiscal Year PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL(A4)GENCY TOTAL(5)STATE& PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS Planning FY: FY: FY: FY: FY: FY: Total Planning Cost $0.00 $0.00 $0.00 $0.00 $0.00 Project Development& Environment(PD&E) FY: FY: FY: FY: FY: FY: Total PD&E Cost $0.00 $0.00 $0.00 $0.00 $0.00 Design FY: FY: FY: FY: FY: FY: Total Design Cost $0.00 $0.00 $0.00 $0.00 $0.00 Right-of-Way FY: FY: FY: FY: FY: FY: Total Right-of-Way Cost $0.00 $0.00 $0.00 $0.00 $0.00 Construction FY: 2015/2016 $272,184.00 $272,184.00 $272,184.00 FY: 2016/2017 $7,551.00 $7,551.00 $7,551.00 FY: FY: FY: FY: Total Construction Cost $272,184.00 $7,551.00 $279,735.00 $0.00 $279,735.00 Construction Engineering and Inspection(CEI) FY: 2015/2016 $59,179.00 ($7,551.00) $51,628.00 $51,628.00 FY: FY: FY: FY: FY: Total CEI Cost $59,179.00 '.7 551.00 $51,628.00 $0.00 $51,628.00 Total Construction&CEI Costs $331,363.00 $0.00 $331,363.00 $0.00 $331,363.00 TOTAL COST OF THE $331,363.00 $0.00 $331,363.00 $0.00 $331,363.00 PROJECT 0 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525.010-32 LOCAL AGENCY PROGRAM PROG4 MGETA SUPPLEMENTAL AGREEMENT (�L1/�9 333[[77�� IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written. AGENCY Collier County STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION By: _ gY; � s Name:,{'t, �,r a tor' a . L.K. Nandam, P.E. /Ge— '�S Title: � 'Gq, <,-,-. ,,,r. Title: istrict Secretary or Designee 1)r1"' Attest: ` �,( .,I" / Q i Attest: �.0 (� Name: d'� Name: yy� �C�y m c Title: oeptiitt Title: / d nn a n i S fiat ✓e AS' Stant Date: SUne, 2-ti 2011 Date: (o l a (/J'7 Legal Review: 1,J APPROVED AS TO FORM AND LEGALITY DON CONWAY, SENIOR ATTORNEY FDOT Ap ved to form and legality A s/«/(7 5 t,es}} A. 5-k-cone.., Assistant County Attorney co.U 1 6 A9 To:John.West@dot.state.fl.us FLORIDA DEPARTMENT OF TRANSPORTATION FUNDS APPROVAL G0870 6/15/2017 CONTRACT INFORMATION Contract: G0870 Contract Type: GD-GRANT DISBURSEMENT(GRANT) Method of Procurement: G-GOVERMENTAL AGENCY(287.057,F.S.) Vendor Name• COLLIER COUNTY Vendor ID: F596000558102 Beginning Date of This Agreement: 02/18/2016 Ending Date of This Agreement: 12/31/2017 Contract Total/Budgetary Ceiling: ct=$331,363.00 Description: Intersection Improvements on Golden Gate Parkway at Livingston Road in Collier County FUNDS APPROVAL INFORMATION FUNDS APPROVED/REVIEWED FOR ROBIN M.NAITOVE,CPA,COMPTROLLER ON 6/15/2017 Action' Supplemental Supplemental Reviewed or Approved. APPROVED APPROVED Organization Code. 55014010106 55014010106 Expansion Option A9 AD Object Code: 780000 780000 Amount. ($7,551.00) $7,551.00 Financial Project. 43317716801 43317715801 Work Activity(FCT) 215 215 CFDA. 20.205 20.205 Fiscal Year. 2016 2017 Budget Entity. 55150200 55150200 Category/Category Year. 088718/16 088717/17 Amendment ID S001 S001 Sequence. 00 01 User Assigned ID. 1 1 Enc Line(6s)/Status: 0002/04 0003/04 Total Amount: $0.00 Pagel of 1 16A9 RESOLUTION NO.2017- 102 A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY FLORIDA, APPROVING, AND AUTHORIZING ITS CHAIRMAN TO EXECUTE A LOCAL AGENCY PROGRAM SUPPLEMENTAL AGREEMENT WITH THE STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FOR CONSTRUCTION AND CONSTRUCTION ENGINEERING INSPECTION OF INTERSECTION IMPROVEMENTS ON GOLDEN GATE PARKWAY AT LIVINGSTON ROAD (FPN 433177-1-58/68-01) WHEREAS, the State of Florida Department of Transportation (FDOT) and Collier County entered into a Local Agency Program Agreement on February 18, 2016, wherein FDOT agreed to reimburse Collier County up to the sum of$272,184 for intersection improvements on Golden Gate Parkway at Livingston Road and up to the sum of $59,179 for Construction Engineering and Inspection(CEI) of the same; and WHEREAS, FDOT and Collier County wish to amend the Agreement by entering into the attached Supplemental Agreement to decrease the CEI funding from $59,179 to $51,628, and increase the construction funding from $272,184 to $279,735;and WHEREAS, the Collier County Board of Commissioners finds that the Agreement is in the public interest and benefits the citizens of Collier County. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: 1. The Board of County Commissioners approves and authorizes its Chairman to sign the attached Supplemental Agreement pertaining to FPN 433177-1-58/68-01. 2. The Collier County Clerk is directed to forward a certified copy of this Resolution along with the Agreement for execution by FDOT. 3. This Resolution shall take effect immediately upon adoption. hTHIS RESOLUTION ADOPTED after motion, second, and majority vote favoring same, this\` 'day of J u nt- , 2017. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, Clerk OF COL IER COUNTY, FLORIDA By: ()JL.L ' ' .y-Q4[�Inriria By: _'..ate.., Attest as o Ch a" :y�e>1�LLIER PENNY AYLOR Chairman signature only. I HEREBY CERTIFYMIAT this is a true and correct copy of.a document bn file in Board N}iriutesid ecoids ofollier County WITN mX and offici Ideal this fayof et l01, [17-ECM-02244/1337571/1] r DWIGHT'. BROCK;'CLERK'OF COURTS 16A9 Approved as to form and legality: 4 , Scott A. Stone, A ...s/1t/p7 Assistant County Attorney [I 7-ECM-02244/1337571/1) 1 6 A9 FDDD" Florida Department of Transportation RICK SCOTT 801 North Broadway Avenue MIKE DEW GOVERNOR Bartow, Florida 33830 SECRETARY MEMORANDUM Date: June 6, 2017 To: Greg Bowne, District Right of Way Manager John Kubler, Program Management Administrator Bernie Masing, District One Design Engineer Laura Herrscher, ISD Administrator From: Chris Smith, Director of Transportation Development Ci Copies: File Subject: Delegation of Authority for Chris Smith You are delegated signature and approval authority anytime during my absence from the office. Signature should be made "in your name for the District Director of Transportation Development". This delegation rescinds any prior delegations. This delegation will remain in effect from June 6, 2017 through July 13, 2017. Please ensure all documents requiring signature/or approval under this delegation are forwarded to my office for proper coordination prior to signing and also provide a reading file copy of any documents you sign. CES:jm www.fdot.gov STATE OF FLORIDA DEPAR fMENT OF TRANSPORTATION 525-010-32 LOCAL AGENCY PROGRAM PROD'M6G NTn9 SUPPLEMENTAL AGREEMENT g f SUPPLEMENTAL NO. FEDERAL ID NO. (FAIN) 1 8886 719 A CONTRACT NO. FEDERAL AWARD DATE G0870 02/01/2016 FPN LOCAL AGENCY DUNS NO. 433177-1-58/68-01 The Agency(Collier County desires to supplement the original Agreement entered into and executed on February 18, 2016 as identified above. All provisions in the original Agreement and supplements, if any, remain in effect except as expressly modified by this supplement. The changes to the Agreement and supplements, if any, are described as follows: PROJECT DESCRIPTION Name CR 886 (Golden Gate Parkway) Length 0.140 Termini At Livingston Road Description of Work: Construction of eastbound and westbound turn lanes at the intersection of CR 886 (Golden Gate Parkway) and Livingston Road. Reason for Supplement and supporting engineering and/or cost analysis: Decrease CEI (Phase 68)funding from $59,179 to $51,628, a difference of$7,551, and increase Construction (Phase 58)funding from $272,184 to $279,735, an additional $7,551. The changes are based on construction bids which are higher than original estimates. STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION 525-010-32 LOCAL AGENCY PROGRAM PROGGM M614?-0 SUPPLEMENTAL AGREEMENT ADJUSTED EXHIBIT B SCHEDULE OF FUNDING FPN 433177-1-58/68-01 FUNDING TYPE OF WORK B Fiscal Year (1) (2) (3) (4) (5) Y PREVIOUS TOTAL ADDITIONAL CURRENT TOTAL TOTAL AGENCY TOTAL STATE& PROJECT FUNDS PROJECT FUNDS PROJECT FUNDS FUNDS FEDERAL FUNDS Planning FY: FY: FY: FY: FY: FY: Total Planning Cost $0.00 $0.00 $0.00 $0.00 $0.00 Project Development& Environment(PD&E) FY: FY: FY: FY: FY: FY: Total PD&E Cost $0.00 $0.00 $0.00 $0.00 $0.00 Design FY: FY: FY: FY: FY: FY: Total Design Cost $0.00 $0.00 $0.00 $0.00 $0.00 Right-of-Way FY: FY: FY: FY: FY: FY: Total Right-of-Way Cost $0.00 $0.00 $0.00 $0.00 $0.00 Construction FY: 2015/2016 $272,184.00 $272,184.00 $272,184.00 FY: 2016/2017 $7,551.00 $7,551.00 $7,551.00 FY: FY: FY: FY: Total Construction Cost $272,184.00 $7,551.00 $279,735.00 $0.00 $279,735.00 Construction Engineering and Inspection(CEI) FY: 2015/2016 $59,179.00 ($7,551.00) $51,628.00 $51,628.00 FY: FY: FY: FY: FY: Total CEI Cost $59,179.00 ($7,551.00) $51,628.00 $0.00 $51,628.00 Total Construction&CEI Costs $331,363.00 $0.00 $331,363.00 $0.00 $331,363.00 TOTAL COST OF THE $331,363.00 $0.00 $331,363.00 $0.00 $331,363.00 PROJECT 0 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION LOCAL AGENCY PROGRAM PIG AkE 031 7 SUPPLEMENTAL AGREEMENT Page3of IN WITNESS WHEREOF, the parties have caused these presents to be executed the day and year first above written. AGENCY Collier County STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION By: By: � �e— Name:,;ft„k '< A '4o Title;: r. a . L.K. Nandam P.E. �" C4-S '-r, G�nc,. �..r,qn Title: istrict Secretary or Designee , � n Attest: toll ,� U f Attest: t� / Cr/��1.. Name: A- a ':. Name: -e 18�[y„ M� v� Title: - j Title: Adr,rtin>Sfrail ve Sfa id- Date:te: 3 Une, vi 2011 Date: Co Ig 4Jfl Legal Review: APPROVED ASK-TO FORM AND LEGALITY DON CONWAY, SENIOR ATTORNEY FDOT Apved to form and legality 6 G A A. S4-con.., AsCounty Attorney I AQ To:John.West@dot.state.fl.us FLORIDA DEPARTMENT OF TRANSPORTATION FUNDS APPROVAL G0870 6/15/2017 CONTRACT INFORMATION Contract: G0870 Contract Type GD-GRANT DISBURSEMENT(GRANT) Method of Procurement: G-GOVERMENTAL AGENCY(287.057,F.S.) Vendor Name: COLLIER COUNTY Vendor ID: F596000558102 Beginning Date of This Agreement: 02/18/2016 Ending Date of This Agreement: 12/31/2017 Contract Total/Budgetary Ceiling: ct=$331,363.00 Description: Intersection Improvements on Golden Gate Parkway at Livingston Road in Collier County FUNDS APPROVAL INFORMATION FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE,CPA,COMPTROLLER ON 6/15/2017 Action: Supplemental Supplemental Reviewed or Approved: APPROVED APPROVED Organization Code: 55014010106 55014010106 Expansion Option: A9 AD Object Code: 780000 780000 Amount: ($7,551.00) $7,551.00 Financial Project: 43317716801 43317715801 Work Activity(FCT): 215 215 CFDA: 20.205 20.205 Fiscal Year: 2016 2017 Budget Entity: 55150200 55150200 Category/Category Year: 088718/16 088717/17 Amendment ID: S001 S001 Sequence: 00 01 User Assigned ID: 1 1 Enc Line(6s)/Status: 0002/04 0003/04 Total Amount: $0.00 Pagel of 1