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Backup Documents 05/14/2013 Item #16C 5ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO .16 C5 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 #I through #2 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the ..fthe r- t,a:rn,an's si nature dra.0 n line thronah rnntina lines 41 through #2. complete the checklist. and forward to the County Attorney Office. .,,.1. ...,..,, .... ...,..... ». ». Route to Addressees (List in routing order) Office Initials Date 1. appropriate. (Initial) Applicable) 2. 5/14/13 Agenda Item Number 16 -C -5 3. County Attorney Office County Attorney Office z �� 5/28/13 4. BCC Office Board of County Commissioners Number of Original S '�_4 5. Minutes and Records Clerk of Court's Office 534Ie, G®�1oq(�\ 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 AA l, .,.,e .» need to contact staff for additinnal nr missina information. Name of Primary Staff Scott R. Teas , Deputy County Attorney Phone Number 252 -8400 Contact / Department appropriate. (Initial) Applicable) Agenda Date Item was 5/14/13 Agenda Item Number 16 -C -5 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, SRT Type of Document Resolution — FDOT — Amendment Number Number of Original One Attached 1 Documents Attached PO number or account n/a number if document is by the Office of the County Attorney. to be recorded All handwritten strike- through and revisions have been initialed by the County Attorney's SRT INSTRUCTIONS & CHECKLIST 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 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? SRT 2. Does the document need to be sent to another agency for additional signatures? If yes, SRT 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 SRT 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 SRT 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 SRT 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 SRT sign e and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip 114 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 awa a our deadlines! 8. The document was approved by the BCC on 5/14/13 and all changes made during the SRT 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 e SRT BCC, all changes directed by the BCC have been made, and the document is read for the (it- Chairman's signature. 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 16C5 MEMORANDUM Date: May 31, 2013 To: Scott Teach, Deputy County Attorney County Attorney's Office From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Resolution 2013 - 105 /An Appendix to the FDOT Utility Work by Highway Contractor Agreement — Project #415621- 2 -52 -01 Attached for your records is one (1) copy of the document referenced above, (Agenda Item #16C5) approved by the Board of County Commissioners on Tuesday, May 14, 2013. The original has been kept by the Minutes and Records Department as part of the Boards Official Records. If you have any questions feel free to contact me at 252 -8411. Thank you C.mt' of Collier CLERK OF THE'jCIMIRTHOUSE UIT COURT Dwight E. Brock COLLIER CO"TY Clerk of Courts 3315 TAMIAMI TRL E STE 102 ". P.O. BOX 413044 NAPLES, FLORIDA l" �NAPLES, FLORIDA 34112 -5324 34101 -3044 May 31, 2013 Florida Department of Transportation Attn: Terry W. Beacham District One P.O. Box 1249 Bartow, Florida 33831 -1249 16C5 Clerk of Courts Accountant Auditor Custodian of County Funds Re: Resolution 2013 - 105 /An Appendix to the FDOT Utility Work by Highway Contractor Agreement — Project #415621- 2 -52 -01 Transmitted herewith is a certified copy of the above referenced document for your records, as adopted by the Collier County Board of County Commissioners of Collier County, Florida on Tuesday, May 14, 2013, during Regular Session. Very truly yours, DWIGHT E. BROCK, CLERK Teresa Cannon, Deputy Clerk Enclosure Phone- (239) 252 -2646 Fax- (239) 252 -2755 Website- www.CollierClerk.com Email- CollierClerkacollierclerk.com 16C5 RESOLUTION NO. 2013 - 10 5 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, ACTING AS THE EX- OFFICIO BOARD OF THE COLLIER COUNTY WATER -SEWER DISTRICT ( "CCWSD "), APPROVING AN APPENDIX TO THE FLORIDA DEPARTMENT OF TRANSPORTATION ( "FDOT ") UTILITY WORK BY HIGHWAY CONTRACTOR AGREEMENT (FINANCIAL PROJECT ID: 415621- 2- 52 -01) APPROVED BY THE BOARD ON JANUARY 22, 2013, REGARDING THE RELOCATION OF CCWSD UNDERGROUND UTILITY FACILITIES IN CONJUNCTION WITH FDOT'S PROJECT TO WIDEN U.S. 41 BETWEEN COUNTY ROAD 951 AND GREENWAY ROAD. WHEREAS, on January 22, 2013, the CCWSD approved a Utility Work by Highway Contractor Agreement ( "UWHCA ") with FDOT that authorizes FDOT's competitively solicited highway contractor to relocate CCWSD underground infrastructure in conjunction with FDOT's Financial Project ID: 415621- 2 -52 -01 (the "Project ") involving the widening of U.S. 41 between County Road 951 and Greenway Road; and WHEREAS, FDOT has decided to procure the Project as a design -build project and has submitted an Appendix to the UWHCA that makes certain changes to the UWHCA to reflect FDOT's decision to procure and construct the Project as design- build; and WHEREAS, the UWHCA previously approved by the CCWSD included on page 9 of 9 that any changes to the Form UWHCA document would only be made pursuant to an Appendix entitled "Changes to Form Document," which is attached hereto referencing the changes agreed upon by FDOT and the CCWSD; and WHEREAS, the Collier County Board of County Commissioners as the Ex- Officio Board of the Collier County Water -Sewer District by this Resolution approved the attached Appendix to the UWHCA and authorized its Chairwoman to sign this Resolution acknowledging same on behalf of the CCWSD at its May 14, 2013, meeting. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE EX- OFFICIO GOVERNING BOARD OF THE COLLIER COUNTY WATER -SEWER DISTRICT AS FOLLOWS: 1. The foregoing WHEREAS clauses are incorporated herein by reference. 2. The Board of County Commissioners of Collier County, Florida, as the Ex- Officio Governing Board of the Collier County Water -Sewer District, hereby approves the attached Appendix to the subject UWHCA regarding the relocation of CCWSD underground infrastructure in conjunction with FDOT's Project involving the widening of U.S. 41 between County Road 951 and Greenway Road. 16C5 3. The Board hereby authorizes its Chairwoman to execute this Resolution on behalf of the Collier County Water -Sewer District. 4. This Resolution shall become effective immediately upon its adoption. 5. The Clerk of the Court shall send FDOT a certified copy of this Resolution along with the attached Appendix. PASSED AND DULY ADOPTED by the Board of County Commissioners of Collier County, Florida, this 14th day of May, 2013 after majority vote. ATTEST: DWIGHT E. BROCK, Clerk B e Clerk'- Attu # ©hlrm's c, tT!c 0r.ly Approved as to form and legal sufficiency: Scott R. Teach Deputy County Attorney .......... BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, AS EX- OFFICIO THE GOVERNING BOARD OF THE COLLIER COUNTY WATER - SEWER DISTRICT B�glr� Itcm # Agenda 113 Date Date 1 Recd q�LkA Deputy Clerk 16C5 APPENDIX CHANGES TO FORM DOCUMENT (Amendment Number 1) The following changes are made to the Utility Work by Highway Contractor Agreement (AT UTILITY EXPENSE) between the State of Florida Department of Transportation (FDOT) and Collier County Water - Sewer District (UAO) dated April 23, 2013: 1. The fourth WHEREAS clause is changed to read: WHEREAS the FDOT and the UAO desire to enter into a joint agreement pursuant to Section 337.403(1)(b), Florida Statutes for the Utility Work to be accomplished by the FDOT's contractor and /or its design consultant as part of the construction of the Project. 2. Paragraph 1.a. is changed to read: UAO shall prepare, at UAO's sole cost and expense, a final engineering design, plans, technical special provisions and a cost estimate for the Utility Work (hereinafter referred to as the "Plans Package') on or before May 13, 2013. 3. Paragraph 1.f. is deleted. 4. Paragraph 1.g. is designated as Paragraph 1.f. and changed to read as follows: In the event that the FDOT Design /Build Firm finds any deficiencies when reviewing the Plans Package, it will notify the UAO in writing of the deficiencies and the UAO will correct the deficiencies and return corrected documents within the time stated in the notice. The FDOT's Design /Build Firm review and approval of the documents shall not relieve the UAO from responsibility for subsequently discovered errors or omissions. S. Paragraph 1.h. is designated as Paragraph l.g. and changed to add, after each reference to "FDOT ", "Design /Build Firm ". 6. Paragraphs 1.i. j. k. I. are designated as Paragraphs 1.h. i. j. k. 7. Paragraph 2.a. is changed to read as follows: The FDOT Design /Build Firm shall incorporate the Plans Package into its contract for construction of the Project. 8. Paragraph 2.i. is changed to read as follows: The UAO shall not make any changes to the Plans Package after the date on which the FDOT's RFP documents are mailed. All changes, regardless of the nature of the change or the timing of the change, shall be subject to the prior approval of the FDOT. 9. Paragraph 3.c., lines 1 and 2 are changed as follows: At least Fourteen(14) calendar days prior to the date on which the FDOT receives proposals, the UAO will pay to FDOT an amount equal to the FDOT's official estimate: plus 2% for 16C5 10. Paragraph 4.a. is changed as follows: Delete the word "contractors ", add the words "Design /Build Firm ". 11. Paragraph 4.b. is changed as follows: Delete the word "contractor", add the words "Design /Build Firm ". 12. Paragraph 9.f. is changed as follows: Delete "John Faison" and substitute, "FDOT District Utilities Office ". Cry ()