Backup Documents 12/11/2018 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 0 4
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 unty Attorney Office no later
than Monday preceding the Board meeting. I 14
**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
I.
2.
3. County Attorney Office County Attorney Office ,, Q \a /'1 i t
4. BCC Office Board of County Commissioners gc\ �.\ \Z..�\\Vet
:Air.1%24,,5. Minutes and Records Clerk of Court's Office ��J , ` , ..c)-t
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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 Joshua Thom s/Tessie Sillery Phone Number 252-8989 or 252-5840
Contact/ Department PTNE Divisio (old ATM Dept)
Agenda Date Item was 12-11-2018 Agenda Item Number 16 D(4)
Approved by the BCC Item#7343
Type of Document Grant Application Number of Original (1) Grant ✓ /
Attached Resolution 1 Documents Attached Application '//
X0 It – 11 (I) Resolution
PO number or account
number if document is to SEE ATTACHED MEMO
be recorded
Special instructions: email a copy to ;joshualhomas( colliercovmet &tessiesillery ii colliergov.net
See Attached Memo
INSTRUCTIONS&CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable Colum ,whichever is appropriate. Yes N/A(Not
(Initial) Applicable)
L Does the document require the chairman' origina ignature? -T1-
2.
j r2. Does the document need to be sent to ano r agency for additional signatures? If yes,provide JT
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 signed by JT
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 Office JT
and all other parties except the BCC Chairman and the Clerk to the Board —I
5. The Chairman's signature line date has been entered as the date of BCC approval of the document JT 1
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 JT
and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JT
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 12-11-2018 and all changes made during the N/A is not an
meeting have been incorporated in the attached document. The County Attorney's Office ki I option for
has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the BCC,all . N/A is not an
changes directed by the BCC have been made,and the document is ready for the Chairman's N,'\ option for
signature. � this line.
I.
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(—I: 6(—
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
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, ,.....„_...„,,,,,,
County of Collier
CLERK OF THE CIECUII COURT
COLLIER COUNTY COURTHO"USE
3315 TAMIAMI TRL E STE 102 Crystal K. Kinzel- Cle`rof Circµit Court P.O.BOX 413044
NAPLES,FL 34112-5324 + : NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor • Custodian of County Funds
December 14, 2018
FDOT
Attn: Steven Felter
Local Agency Program Coordinator
FDOT District One Modal Development Office
10041 Daniels Parkway
Fort Myers, Florida 33913
Re: Revised FY 18 Section 5310 Grant Application
Transmitted herewith is one (1) certified resoltuion and the original revised grant
application as referenced above, for your records per request, as adopted by the Collier
County Board of County Commissioners of Collier County, Florida on Tuesday,
December 11, 2018, during Regular Session.
Very truly yours,
CRYSTAL K. KINZEL, CLERK
- 1\tti - 1
Martha Vergara, Deputy C rk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com
160 4
RESOLUTION NO.2018- 21 1 A
A RESOLUTION BY THE BOARD OF COUNTY COMMISSIONERS, COLLIER
COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO SIGN AND SUBMIT A
SECTION 5310 GRANT APPLICATION, INCLUDING ALL RELATED
DOCUMENTS AND ASSURANCES, TO THE FLORIDA DEPARTMENT OF
TRANSPORTATION, REVISE AND EXECUTE ANY REQUIRED
DOCUMENTATION, AND TO ACCEPT, ON BEHALF OF THE COUNTY, ANY SUCH
GRANT AWARDED.
WHEREAS,49 U.S.C.§ 5310 authorizes the Secretary of Transportation to make grants and loans to
local government authorities such as Collier County to help provide mass transportation services to meet
the special needs of elderly individuals and individuals with disabilities; and
WHEREAS, each year, through an application process administered by the Florida Department of
Transportation,the Collier County Transportation Disadvantaged program has obtained funds that are used
for the purchase of vehicles and for the provision of transportation services to the elderly and disabled
residents of Collier County; and
WHEREAS, the Collier County Local Coordinating Board (LCB) has requested that the Collier
County Board of County Commissioners apply this year for FTA 49 U.S.C.§ 5310 funds in order to
purchase vehicles to transport the elderly and disabled residents of Collier County; and
WHEREAS, the Board of County Commissioners of Collier County, Florida, has authority to apply
for and accept grants from the Florida Department of Transportation as authorized by Chapter 341,Florida
Statutes, and by the Federal Transit Administration Act of 1964,as amended.
NOW THEREFORE,BE IT RESOLVED by the Board of County Commissioners, Collier County,
Florida,that:
•
1. The Chairman, or his designee, is hereby authorized to revise and execute any and all
documents necessary to apply for the Federal Transit Administration Section 5310 Grant,
including executing the Certification and Assurance to FDOT document, a copy of which
documents are attached hereto, to approve any budget amendments necessary to receive these
funds,and to accept these funds on behalf of the County.
2. Any decision to terminate or otherwise not accept the Grant shall first require approval by the
Board of County Commissioners as an agenda item.
3. This Resolution shall be effective immediately upon signature by the Chairman.
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This Resolution adopted after motion, second and majority vote favoring same, this 11th day
of December, 2018.
ATTEST: , BOARD OF Co: TY CO'' ` ISSIONERS
CRYSTAL K. KINZl L,,Clerk COLLIER 0'•LINTY, F • '.4
By: By:
Attest as to Chairma a Cle Ali!' Soli hairman
signature only. ••• ,
Approved as to form and legality:
J i er A. Belpe
Assistant County Attorney
16134
OMB Number:4040-0004
Expiration Date: 10/31/2019
Application for Federal Assistance SF-424
' 1.Type of Submission' '2.Type of Application' If Revision.select appropriate letter(s):
❑Preapplication ®New
Application Li Continuation 'Other(Specify):
Changed/Corrected Application ❑Revision
*3.Date Received: 4.Applicant Identifier:
5a.Federal Entity Identifier: 5b.Federal Award Identifier:
State Use Only:
6.Date Received by State:I 7 State Application Identifier. 1 n;i
8.APPLICANT INFORMATION:
'a.Legal Name: Collier County Board of County Commissioners
b.Employer/Taxpayer Identification Number(EINITIN): 'c.Organizational DUNS:
59-60005511 07(9977900000
d.Address:
*Slreell' 3299 Tamiami Trail East. Suite 103 7
Street2:
City Naples
County/Parish:
Slale. Pl,: eI or.icla
Province
'Country. USA: UNITED STATES
'Zip/Postal Code: 34 1.12-57 4 6
e.Organizational Unit:
Department Name: Division Name:
Public Services tTNV
f.Name and contact Information of person to be contacted on matters involving this application:
Prefix 'First Name: 1'ous i
Middle Name:
Last Name' r_ardeso
Suffix
Title: Operations Analyst
Organizational Affiliation:
'Telephone Number: 239-252-5886 Fax Number:
Email: yousicrrdeso@coilieryov.net
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Application for Federal Assistance SF-424
"9.Type of Applicant 1:Select Applicant Type:
6: County Go'r2iranent
Type of Applicant 2 Select Applicant Type
Type of Applicant 3.Select Applicant Type.
Other(specify)
10.Name of Federal Agency:
Ferler•el T__m>i.t Adminis t.e?�_i�n
11.Catalog of Federal Domestic Assistance Number:
_, .51
CFDA Title.
Formula GInntr, for of Fei:ic,rc and ludi.vi.duais with Dis.obilitten
12.Funding Opportunity Number:
Title:
13.Competition Identification Number:
Title.
14.Areas Affected by Project(Cities,Counties,States,etc.):
Add Attachment [Ito.hnn i:I
15.Descriptive Title of Applicant's Project:
Capital. A;inc..c.;c: for expansion of paratraneit vehicles
Attach supporting documents as specified in agency instructions l�1
Add Attachments ( ' !t.
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Application for Federal Assistance SF-424
16.Congressional Districts Of:
a.Applicant 11: b Program/Project 14
Attach an additional list of Program/Proje.ct Congressional Districts if needed
Add Attachment I b l u
17.Proposed Project:
•a.Start Dale. 10/01/20L13 'b End Date. 39i30i20I9
18.Estimated Funding($):
a Federal 281,382.4u
b Applicant Is 5,:7L.SU
c Slate ; /2.s)n
d.Local
'e.Other
'f Program Income
g TOTAL001
"19.Is Application Subject to Review By State Under Executive Order 12372 Process?
U a.This application was made available to the Slate under the Executive Order 12372 Process for review on
El b.Program is subject to E.O. 12372 but has not been selected by the State for review.
c.Program is not covered by E.O. 12372.
•20.Is the Applicant Delinquent On Any Federal Debt? (If"Yes,"provide explanation in attachment.)
Yes Z No
If"Yes",provide explanation and attach
21.*By signing this application,I certify(1)to the statements contained in the list of certifications`"and(2)that the statements
herein are true, complete and accurate to the best of my knowledge. I also provide the required assurances" and agree to
comply with any resulting terms if I accept an award.I am aware that any false,fictitious,or fraudulent statements or claims may
subject me to criminal,civil,or administrative penalties.(U.S.Code,Title 218,Section 1001)
® "' I AGREE
" The list of certdications and assurances or an internet site where you may obtain this list, is contained in the announcement or agency
specific Instructions
Authorized Representative:
Prefix h9: . •First Name Andy
Middle Name:
'Last Name So
Suffix:
Title Chairman
Telephone Number 7'._2;;,_2 793 Fa umber.
Email: Andy.So; is@r.olliercountyfl.gov
'Signature of Authorized Representative: ` •Date Signed:
Approved as to form and legality
ATTEST
CRYSTAL K. K[NZEL,CLERK
r rr
BY: � c c' i:,ur,, Asti'.runt Courtly A it nryDo.Yi \\g '
160 4
! I .,I:i,:l .ii t nI i;. �:. .u•., •.�,I,I..,I!: ii I I i i:. .'t!II li i!i;,l
i ' ��`.. i'-i�Ji1
s
How will the grant funding be used?
Check all that apply:
Vehicle(s) 4 I Expansion Replacement
Equipment
i I Mobility Management
I :
Preventative Maintenance
Operating 4 Expansion Continuing Service
In which geographic area(s)will the requested grant funds be used to provide service?
Urban(UZA)
'Small Urban(SUZA)
,Rural
Complete the service area percentages for the geographic areas where the requested grant funds will
be used to provide service
Example:
11 your agency rnalces 500 trips per year and 100 of those trips are urban then:
100 UZA trips/500 total(rips = .2 * 100 -- 20% UZA service area
UZA %UZA service
area
SUZA Y %Small Urban
y service area
Rural %Rural service
area
Number of trips, Total number of Percentage of
revenue service hours, trips, revenue service within
i'•Iti±i is1i1
or revenue service service hours,or I.E,.=..:= specified
miles within specified revenue service geographic
geographic area miles area
Page 3.7 0132
160 4
.„ ,,,,„
Calculate the funding split for the geographic areas where the requested grant funds will be used to
provide service. N/A
UZA r: $
SUZA $
Rural $
Total amount requested Percentage of service
within specified '=gyp' i'. Funding
eo ra hic area split
When invoicing for operating projects, you must use the above funding split on your invoice
summary forms.
Once you have determined the funding split between UZA,SUZA and Rural,you will need to calculate the
match amount.
UZA .5 Federal& .5 Local $ $
SUZA .5 Federal & .5 Local $ $
Rural .5 Federal& .5 Local $ $
Funding Split .5 Federal& .5 Local Federal Local
UZA .8 Federal& aState& $ $ $
.a Local
SUZA .8 Federal& aState& $ $ $
.1 Local
Rural .8 Federal&aState& $ $ $
.s Local
Funding i\liuliil lit l .8 Federal& a State& (!l . 1. Federal State Local
Split Local
Page a.8of3z �
>;3
160 4
How will the grant funding improve your agency's transportation service? Provide detail.
Will it be used to:
Provide more hours of service?
Expand service to a larger geographic area?
Provide shorter headways?
Provide more trips?
Also, highlight the challenges or difficulties that your agency will overcome if awarded these funds.
Collier County is requesting FTA Section 5310 funds to purchase four expansion vehicles. The county
is also requesting four two-way communication radios and tablets for these vehicles. Historically the
two-way radios had been moved from the old replacement vehicle to the new one and due to the age
of the radios they needed continued repairs which in turn mean the vehicle is down because the radios
are installed in the vehicles.These vehicles and radios will he to continue the existing level of service.
Page 19 of 32
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If this grant is not fully funded, can you still proceed with your transportation program? Explain.
Yes, however there are no other funds allocated for the expansion of these vehicles.
New agencies only: Have you met with the CTC and, if so, how are you providing a service they cannot?
Provide detailed information supporting this requirement.
N/A Collier County is the CTC.
Applications submitted without the appropriate CTC coordination agreement may be rejected by FDOT.
Grant awards will not be made without an appropriate coordination agreement. This coordination
agreement must be enforced the entire time of grant(vehicle life or operating JPA expiration).
Page 20 of 32
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. •
•
Source Amount
Local 427 $35,2/2.8o
$
Total Local Match—a.o%o(Total Project Cost $
*Note:Add more rows if needed.
Attach documentation of match funds directly after this page. Proof may consist of, but not be limited to:
Transportation Disadvantaged(TD)allocation,
• Written statements r m county commissions,state agencies,city managers,mayors, town councils,
organizations, a ousting firms ina .inl institutions.
Signature[blue in<]
Andy Solis, Chairman
Typed Name and Title of Authorized Representative
December ii, 2o3.8
Date
•
ATTEST Approved as to form and legality
CRYSTAL c,A\kthc.."
K,KINZZE�EL;CLERK
\ A ,.jotr cokinty Att -ncy � �\
Attest as to Chairman's
signature only.
Page 29 of 32
160 4
I u:ri tt i I-0i III
To identify vehicle type and estimate cost visit
All vehicle requests must be supported with a completed sample order form in order to generate a more
accurate estimation of the vehicle cost. The order from can be obtained from
1.. Select Desired Vehicle (Cutaway, Minibus etc.)
2. Choose Vendor(use drop clown arrow next to vendor name to see information)
3. Select Order Packet
4. Complete Exhibit A(Order Form)
The Auto and Light Truck contract can be found at
Vol kequest:
Replacement Estimated.
(R) Fuel Useful Life Description/Vehicle Cost
(See Application Quantity
or Expansion Type Instructions) Type (from Order
(E) Form)
E Gas 5Yearsl2oo,00o miles Cutaway 4 $83,958
Subtotal $335,832
*Under Description/Vehicle Type, include the length and type vehicle, lift or ramp,number of seats and wheelchair
positions.For example, 22'gasoline bus with lift,12 ambulatory seats,and 2 wheelchair positions.Any bus options
that are part of purchasing the bus itself should be part of the vehicle request and NOT separated out under
equipment.
liuplaceuu'n:Vt:In lc (k)
If the capital request includes replacement vehicles. Please list the vehicles in your current fleet that you are
intending to replace with the vehicle from your vehicle request. Please list by order of priority.
YEAR TYPE MAKE MILES V'IN FDOT Contro
Page 3o of 32
160 4
I :r: rlir. ,.ii-:il,ti.l3, i ,. •i�:aPn ;,::, .�, ii,::': 3 : ../.' f i :
Equipment Request
If item requested is after-market,it is recommended to gather and retain at least two estimates for the equipment
requested. Purchases must be approved at the local level and follow the
Description* Useful Life QuantityEstimated
;See Application Instructions) Cost
Two-way Mobile Radio loyears 4 $3,644
Tablets w/mounts 4 years 4 $330
Subtotal $15,896
* List the number of items and provide a brief description (i.e. two-way radio or stereo radio, computer
hardware/software,etc.)
$335,832 ' $15,896 = $351,728
Vehicle Subtotal i'l , Equipment Subtotal Equals Total Cost
$351,728 * o.8 $281,382.40
Multiplied Federal Request
Total Cost 8o% Lr.ttsi
by Form 424, Block 18 (a)
Page 31 of 32
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