Backup Documents 05/28/2019 Item #16G1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 G 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 County Attorney Office no later
than Monday preceding the Board meeting.
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 -
4. BCC Office Board of County
Commissioners NJ / c\,{ \�c
5. Minutes and Records Clerk of Court's Office
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 Brueggem4n, Admin,Airport Phone Number 642-7878 Ext. 34
Contact/ Department Authority J
Agenda Date Item was May 28,2019 I' Agenda Item Number 16G 1
Approved by the BCC
Type of Document Terracon Access Agreement Number of Original
Attached Documents Attached
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? 34-ctM? 0✓cG. 0 I-A
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed pUB
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N
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
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 Accela. C
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 5/28/19_and all changes made during
the meeting have been incorporated in the attached document. The County w *
Attorney's Office has reviewed the changes, if applicable. 614,
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 t � -o
Chairman's signature. 6"
l: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
1 6 G 1 i
ACCESS AGREEMENT 1
Reference Number: _BF00D71318
DEFINITIONS
r
The property to which access is granted is: Immokalee Regional Airport("Property").
The Legal Owner(s)of the Property or person/entity with legal authority to grant access to the Property is: Collier Coujy
(`Grantor)
The services to be conducted on the Property are generally described as follows: Phase I Environmental Site Assessment
("Services").
1
The entity granted access for the purposes of performing the Services is Terracon Consultants, Inc.,which shall include its
employees,agents, and subcontractors("Grantee").
The Services are performed for the benefit of Southwest Florida Regional Planning Council(SWFRPC)('Client"),pursuant to the
Agreement for Services between Ten-acon and Client,date and reference number August 3_0,2018/H418MSA189..
AGREEMENTS
By its signature below,Grantor represents it has authority to,and does,grant access to the Property to Grantee for the purpose of
performing the Services. Grantor agrees that:
• Grantee may conduct a Phase I Environmental Site Assessment(ESA)site visit consistent with ASTM Standard E 1527,
including on-site observations,photographs,and interviews.
• The site visit will not include intrusive drilling and/or sampling.
• Grantor will not interfere with any of the activities of Grantee or undertake any actions regarding the use of Property that
would endanger the health,safety,or welfare of the Grantee employees,agents,or subcontractors,or damage their
equipment,materials,or property.
The Services and field activities authorized under this Access Agreement may begin after signature of Grantor. Access is granted until
Services are completed,which should not exceed 30 days following commencement of Services,except for period of access
necessary for monitoring equipment,if applicable,after which time all rights of access given by Grantor shall cease.
SIGNATURES
Gra County Terracon Consultants,Inc.
By: • , C .i . c:‘
By: ...r/ Date: G G/ ( y
Warrre,Titl� _William "rni`,� ." ''man e ' e: S •tt D Graf P.G./Environmental Dept.Mgr.
Address*/ 3299 Tamiami Trail East,Su to 303 Ad• ess: 5463 W.Waters Ave.,Suite 830
Naples,Florida 34112 ampa,Florida 33634
Phone: 239-252-8605 Fax: 239-252-3041 Phone: (813)321-0321 Fax:
't' ‘ Approved as to form and legality
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