Backup Documents 05/08/2012 Item #16A 416 A4
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
excention of the Chairman's signature_ draw a line through routine lines #I through #4. complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
List in routing order
Office
Initials
Date
1.
(Initial )
Applicable)
2.
May 8, 2012
Agenda Item Number
16A4
3.
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
4. Scott R. Teach, Deputy County Attorney
County Attorney
Number of Original
1
5 Ian Mitchell, BCC Executive Manager
Board of County Commissioners
Documents Attached
6. Minutes and Records
Clerk of Court's Office
5 /ZU
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item.)
Name of Primary Staff
Scott R. Teach
Phone Number
(239) 252 -8400
Contact
(Initial )
Applicable)
Agenda Date Item was
May 8, 2012
Agenda Item Number
16A4
Approved by the BCC
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
Type of Document
Supplemental Agreement #2 to
Number of Original
1
Attached
Maintenance Agreement
Documents Attached
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
«matter number» /<<document_number»
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
(Initial )
Applicable)
1.
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
SRT
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.
2.
All handwritten strike - through and revisions have been initialed by the County Attorney's Office and
N/A
all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the document or
SRT
the final ne otiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and
SRT
initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
SRT
provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. 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!
6.
The document was approved by the BCC on 05/08/12 and all changes made during the meeting
SRT
have been incorporated in the attached document. The County Attorney's Office has reviewed
"-a
the changes, if applicable.
7.
Please return the original and one CERTIFIED copy to Scott R. Teach, Deputy County
SRT
Attorney
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
«matter number» /<<document_number»
16 A 4
MEMORANDUM
Date: May 30, 2012
To: Margaret Ramos, Administrative Supervisor
Transportation Road Maintenance
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Amendment to Maintenance Agreement No. 412918- 1 -72 -01
Supplemental Agreement #2 between FDOT and Collier County
Attached for further processing is a certified copy of the document referenced above,
(Item #16A4) approved by the Board of County Commissioners on May 8, 2012.
After forwarding to the State for signature(s), if possible, please return a copy of the
executed agreement to the Minutes & Records Department for the Official Record.
If you have any questions, please call me at 252 -8406.
Thank you.
Attachment
16 A4
Jackson, Wayne
From: The Job FI989WMR
Sef: Wsdneaday, Mangy 21, 2012 4:03 PM
To: Jackson, Wayne
Subjoft FUNDS APPROVAL/REVIEWED FOR CONTRACT 80418
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
Contract #80418 Contract Type: Method of Procurement:
Vendor Name: COLLIER COUNTY B
Vendor ID: VF596A86SS89A4
Beginning date of this Agnt: 86/28/92
Ending date of this Agent: 09 /38/12
l tww tw!l tti!! w!!t wl w!! wtl ttlw wwitwlt wwwwt w!!w!s! *wwwwtltitilttstttt!!t!w
ORG -CODE *EO *063ECT •AMMW •FIN PR03ECT *FCT *CFDA
(FISCAL YEAR) •BUDGET ENTITY *CATEGORY /CAT YEAR
AMENDMENT ID *SEQ. *USER ASSIGNED ID •ENC LINE(6S) /STATUS
/t itti!l tittil iil• ittitt!!tl itl tiw• iiiifwwitttt ! *t!tlttltiltwi!!ltittlfw
Action: SUPPLEMENTAL Funds have been: APPROVED
SS 014846119 *0M •242059 •
2012 •55150299
5802 •08 •
---------------------------
TOTAL AMOUNT: *$
.............................
FUNDS APPROVED /REVIEWED FOR I
DATE: 93/21/2612
446900.58 *41291817261 0999 •
*988712/12
92 *8912/94
-------------------------------------
446,908.58 *
-------------------------------------
IOBIN M. NAITOVE, CPA, COMPTROLLER
Please provide us your feedback on the Contract Funds Management system.
A survey is available at the following link:
htto: / /coshareooint dot state fl us /sites /OOC /FMO /CFM /default asox
under the Surveys tab.
Thank you in advance for your time!
16 A4
Florida Department of Transportation
RICK SCOTT 801 North Broadway Avenue ANANTH PRASAD, P.E.
GOVERNOR Bartow, FL 33830 SECRETARY
MEMORANDUM
Date: June 6, 2012
To: Billy L. Hattaway, P.E., District Secretary
From: Edward J. Gonzalez, P.E., Director of Transportation Operations
Copies: Carol Finn, L.K. Nandam, Sharon Harris, Jon Sands, Sam Joseph,
Cheryl Willetts
Subject: Delegation of Authority
I will be out of the office beginning Thursday, June 7, 2012 through Friday, June 15, 2012
returning to the office Monday, June 18, 2012.
I delegate authority to L. K. Nandam, District Traffic Operations Engineer to act on my
behalf and to sign all documents within my authorization which may be delegated
pursuant to Florida Statutes in my absence.
In the event I return to the office prior to the expiration of this delegation of authority, said
delegation automatically expires.
EJG:clw
www.dot.state.fl.us
www.dot.state.fl.us
® RECYCLED PAPER
- 16 A4
Contract No.: BD-418
Financial Project No.: 412918- 1 -72 -01
Page 1 of 2
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
MAINTENANCE AGREEMENT
SUPPLEMENTAL AGREEMENT #2
This is Supplemental Agreement #2 which modifies the STATE OF FLORIDA
DEPARTMENT OF TRANSPORTAT IONMAINTENANCEAGREEMENT, hereinafter refen-ed to as
the "Agreement', between COLLIER COUNTY, hereinafter referred to as the "COUNTY" and the
STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION, hereinafter referred to as the
"DEPARTMENT" dated June 28, 2002.
WITNESSETH
A. WHEREAS, the DEPARTMENT and the COUNTY entered into a Maintenance Agreement for
the COUNTY to perform Asset Maintenance throughout the County; and
B. WHEREAS, the DEPARTMENT and the COUNTY have agreed to extend said Maintenance
Agreement for a period of three (3) months beginning the 1" day of July . _2Qa and
ending the 30'x' day of Member . 2012 to eliminate a potential gap in service between
the expiration of the original term and the execution of a new contract; and
C. WHEREAS, the DEPARTMENT and the COUNTY have agreed that the COUNTY will be
compensated for this extended service at a cost of $446.900.50 to be paid in equal monthly
increments over this three (3) month extension; and
D. WHEREAS, the DEPARTMENT and the COUNTY have agreed that NOW, THEREFORE,
that for and in consideration of the mutual covenants, promises and representations contained
herein, the parties agree as follows:
1. All expressions used herein, unless herein separately defined, shall have the same meaning
herein as in the original Agreement.
2. Except as expressly or by necessary implication modified hereby, all provisions of the original
Agreement shall remain in full force and effect in accordance with their terms.
3. Except as set forth herein, all terms and conditions of said original Agreement shall remain in
force and effect during the remainder of this Agreement and any Supplements.
4. There are no other modifications.
Contract No.: BD-418
Financial Project No.: 412918- 1 -72 -01
Page 2 of 2
IN WITNESS WHEREOF the COUNTY has caused this Supplemental A eem,i�t #2atc,or �o lli er
be executed in its behalf this L day of ��LL��, 2012, by theChQ it m*" Of4* GRo'sized
to enter into an&execute same by Resolution/Number `a0 1 a c��' dated
'204 2 and the DEPARTMENT has executed this Supplemental Agreement #2
throu -its District Secretary or authorized designee, Florida Department of Transportation, this
loth Aay -of 5-ur1f, , 2012.
COLLIER COUNTY
ATTEST° L (SEAL)
NAME:
Print
TITLE: l i 'e�--
Collier County Legal Review:
Signature
BY: i r
dw
Signature
NAME: Fred W. Coyle
TITLE: Chairman
Print
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
./ , 15 to& ALt
ATTEST: (SEAL) BY:
Executive ecretary District One Secretary or Designee
DATE:
NAMEA-eR 1. ltl ae ��6
Orint
DOT Dis . t aintenance Administrator
Approval
4�/ �/ I-
Signature
NAME: nj /m T 6�riznlez /?F,
Print �—
DOT Legal Review:
pi> Signature
Availability of Funds Approval:
DATE: 03/22/2012