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Backup Documents 03/24/2009 Item #16C 1 16C 1 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 lloard Office. The completed routing slip and original documents arc to be forwarded to the Board Office only after the Board has taken action 011 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 exception of the Chaimum's sil!nature, draw a line throul!h routine: lines #1 throul!h #4, comDlete the checklist, and forward to Sue Filson (line #5). Route to Addressee(s) Office Initials Date (List in routing order) 1. 2. 3. 4. 5. Sue Filson, Executive Manager Board of County Commissioners 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original do>.:ument pending Bee approval. Normally the primary contact is the person who created/prepared the executive summary. Primary contact infonnation is needed in the event one of the addressees above, including Sue Filson, need to contact staff for additional or missing !nfonnation. All original documents needing the Bee Chairman's signature are to be delivered to the BeC office only after the BCe has acted to prove ~el Item. ....,., Name of Primary Staff Ray Smith Phone Number 252-2502 SA 1>5 Contact u u, Agenda Date Item was March 24, 2009 A roved b the BCC Type of Document Attached Agenda Item Number Amendment Number of Original Documents Attached 16CI 2 Ves (Initial) Cw N/A(Not A Iicable) I. INSTRUCTIONS & CHECKLIST Initial the Ves column or mark "N/A" in the Not Applicable column, whichevcr is a ro riate, 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 by the Office of the County Attorney, This includes signature pages rrom ordinances. resolutions, etc, signed by the County Attorney's Office and signature pages rrom contracts, agreements. etc, that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and ossibl State Officials,) All handwritten strike-through and revisions have been initialed by the County Attorney's Office and all other arties exce tthe BCC Chairman and the Clerk to the Board The Chairman's signature line date has been entered as the date ofBCC approval of the document or the final ne Jotiated contract date whichever is a licable. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's si nature and initials are re uired. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson in the BCC office within 24 hours ofBCC 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 our deadlines! The document was approved by the BCC on_3/24/09 (enter date) and all changes made during the meeting have been incorporated in the attached document. The Count Attorne 's Office has reviewed the ehan es, if a licable. Cw Cw Cw Cw Cw 2, 3. 4, 5, 6, I: Fanus! County Forms! Bee Fonns! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 MEMORANDUM Date: March 25,2009 To: Ray Smith, Director Pollution Control & Prevention From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: DEP Contract #GC690 - Amendment #1 16C 1 Enclosed please find one original documents (Agenda Item #16Cl) as referenced above, which was approved by the Board of County Commissioners on Tuesday, March 24, 2009. The Minutes and Records Department has kept one of the fully executed documents for the Board's Official Record. If you have any questions, please call me at 252-7240. Thank you. Enclosure (I) 16C 1 DEP CONTRACT NO. GC690 AMENDMENT NO.1 THIS CONTRACT as entered into on the 26th day of June, 2007, between the FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION (hereinafter referred to as the "DEP" or "Department") and the COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS (hereinafter referred to as the "CONTRACTOR") is hereby amended as follows: Paragraph 5,H, is hereby deleted in its entirety, Paragraph 5,1. is hereby deleted in its entirety, Paragraph 28 is hereby deleted in its entirety and replaced with the following: The CONTRACTOR shall provide a Statement of Revenue, Expenses and Fund Balance utilizing the "Guidelines for Preparing Year End Financial Statement" (Guidance Document G) for the period of the executed Task Assignment within sixty (60) days of the end of the State fiscal year (June 30th), If the CONTRACTOR fails to timely provide a Statement of Revenue, Expenses and Fund Balance within the sixty (60) day period, the CONTRACTOR will be assessed a five percent (5%) penalty based on the current Task Assignment amount. The penalty amount will be subtracted from Invoice Number 12 in the current Task Assignment Year. The CONTRACTOR is still obligated to provide the Statement of Revenue, Expenses and Fund Balance to the DEP even if the CONTRACTOR provides this statement after the sixty (60) day deadline and is assessed the five percent (5%) penalty, In all other respects, the Contract of which this is an Amendment, and attachments relative thereto, shall remain in full force and effect. IN WITNESS WHEREOF, the parties have caused this Amendment to be duly executed the day and year last written below, COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS Collier County fP, Ilution Control and preven\i6t,pepartment 1_ By: '.,.y"'-#../ .;;t;....~ 'Title: Donna Fiala Chairman Date ~vd) .;:2:S ,'2.ocA FLORIDA DEPARTMENT OF ENVIRONMENTAL P T)7TION / ,', /7 /<A // ;;,,;,," / , /0' ATTEST :~=- h:'D~puty c~e~' At~." toCl\a..... '. , . , ! lcr.atlJ"~ nn ,.w , of,* Systetns or desiQnee Date /-<'</2 --/59 '. ,:~5z,t ~~ ~'- -~\, William E. Burns Jr., Contract Manager G~ lk ~ DEP Contracts A~~strator ~~~f~~n~~ t(20 '2 ' legal 6-~ If LA../ L Assistant County Attorney 'For contracts with governmental boards/commissions: If someone other than the Chairman signs this Contract, a resolution, statement or other document authorizing the person to sign the Contract on behalf of the Contractor must accompany the Contract. APPROVED as to form and legality: ~~~~ DE Attorney ~ v--.:::- DEP Contract No, GC690, Amendment No, 1. Page 1 of 1