Backup Documents 03/09/2021 Item #16D 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 1
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.
**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
1. Judith Sizensky Community and Human 03/10/2021
Services
2. County Attorney Office County Attorney Office
9 a.0$ 31 tc‘1Z az �
3. BCC Office Board of County a l
Commissioners 3. "V`
4. 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 Judith Sizensky/CHS Phone Number 252-2590
Contact/Department
Agenda Date Item was 3.9.2021 Agenda Item Number 16.D.1
Approved by the BCC
Type of Document Trip&Equip Amendment Number of Original 2
Attached Documents Attached
PO number or account Document to be sent via email and
number if document is to FedEx to FDOT(will provide account#)
be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable colu whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? r`1e OK JS
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 JS
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 NA
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 JS
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 JS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 03/9/2021 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. � this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for e a )n option for
Chairman's signature. this line.
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
1601
Co ier County
Public Services Department
Community & Human Services Division
MEMO
March 10, 2021
TO: BCC—Minutes & Records
FROM: Judith Sizensky, Grants Coordinator-CHS (Judith.Sizensky@Colliercountyfl.gov)
RE: BCC Agenda Item 16D1
CTD Trip and Equipment Grant Amendment
Please sign two original copies in blue ink with original signatures (Minutes and Records will
keep one) and send one via Fed Ex to the following address:
Mr. John P. Irvine, Transportation Disadvantaged Specialist
Commission for the Transportation Disadvantaged
605 Suwannee Street, Mail Station 49
Tallahassee, FL 32399
Please do not date page 1 of the amendment, the amendment will be dated by the grantor
when received.
Please contact Tessie Sillery for the fed ex account number at 239-252-5840 or
Tessie.Sillery@colliercountyfl.gov
If you have any questions, please call me at: X-2590
Thank You!
Community&Human Services Division•3339 Tamiami Trail East,Suite 211 •Naples,Florida 34112-5361
239-252-CARE(2273)•239-252-CAFE(2233)•239-252-4230(RSVP)•wvwnw.colliergov.net/humanservices
Crystal K. Kinzel 1 6 0 Z
coT Coij,
��c`� Collier County
0
Clerk of the Circuit Court and Comptroller
0 3315 Tamiami Trail East, Suite 102
Naples, Florida 34112-5324
Ce,FR couNTY.�°��o
March 24, 2021
John P. Irvine
FL Commission for the Transportation Disadvantaged
605 Suwannee Street, Mail Station No. 49
Tallahassee, FL 32399
Re: Florida Commission for the Transportation Disadvantaged
Trip & Equipment Grant Agreement Amendment #1 (Collier County)
Mr. Irvine,
Attached for further processing is an original copy of the amendment document
referenced above, approved by the Collier County Board of County Commissioners
March 9, 2021.
After the amendment is signed by the appropriate party, please email a signed copy to
ann,jennejohn@collierclerk.com , with Collier County's Board Minutes and Records
Department, that serves as Clerk to the Board, thereby providing a fully executed
document for the Official Record
If your office requires further information regarding this mailing, please feel free to
contact me at 239-252-8406.
Thank you.
CRYSTAL K. KINZEL, CLERK
Ann Jennejohn, Deputy Clerk
Attachment
Phone-(239)252-2646 Fax-(239) 252-2755
Website-www.CollierClerk.com Email-CollierClerk@collierclerk.com
1601
SAMAS Approp: 108846 Fund: TDTF FM/Job No(s): 43202718401/43202818401
SAMAS Obj.: 751000 Function: 683 CSFA No. 55.001
Org Code:55 12 00 00 952 Contract No.: G1N34 Vendor No.: 59-6000558
FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
TRIP& EQUIPMENT GRANT AGREEMENT
AMENDMENT#1
THIS AGREEMENT, made and entered into this day of , 2021, by and between the
STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED,created pursuant to Chapter 427, F.S.,
hereinafter called the Commission and Collier County Board of County Commissioners, 3299 Tamiami Trail, Suite 700,
Naples, Florida 34112, hereinafter called the Grantee.
WITNESSETH:
WHEREAS, the Commission and the Grantee heretofore on July 1, 2020 entered into a Grant Agreement; and
WHEREAS,the Commission desires to participate in all eligible items of development for this project as outlined in the
attached Exhibit(s) A and B .
NOW,THEREFORE,THIS INDENTURE WITNESSETH: that for and in consideration of the mutual benefits to flow from
each to the other,the parties hereto agree that the above described Grant Agreement is to be amended and supplemented
as follows:
1.00 Purpose of Agreement: The purpose of the agreement is not changed.
2.00 Accomplishment of the Project: The accomplishment of the project is not changed.
3.00 Project Cost: Project Cost is not changed.
4.00 Exhibits: Exhibit(s) B(page 2 ONLY) of said Agreement is(are)replaced by Amended Exhibit(s) B(page
2 ONLY)and which is(are) attached hereto and made a part hereof.
EXCEPT as hereby modified, amended or changed, all other terms of the Agreement dated July 1, 2020, shall remain
in full force and effect.
IN WITNESS WHEREOF,the parties hereto have caused these presents be executed,the day and year first above written.
GRANTEE: Collier County Board of County Commissioners DOSADVANONGED N FOR THE TRANSPORTATION
IBY: BY:
Penn aylor, Chairperson
TITLE: TITLE: Executive Director(Commission Designee)
ATTEST
CRYSTAL K.KINZEL,CLERK Approved as to form and legality
BY: • `\`
' Ass ant County Att
t nt rI/
Trip&Equipment Grant Ag nd(Vent 2020/2021
Form Rev.04/20 r e,on y Page 1 of 2
Collier "? iM. 4i v
Cj,/ `
16D1
FM/308 No(s), 43202718401/43202818401
CONTRACT NO. Q NI 3i-j-
AGREEMENT DATE: 07/0,i I7 ;;'
EXHIBIT"A"
PROJECT DESCRIPTION AND RESPONSIBILITIES
TRIP/EQUIPMENT
This exhibit forms an integral part of that Grant Agreement, between the State of Florida, Commission
for the Transportation Disadvantaged and Collier County Board of County Commissioners, 3299
Tamiami Trail, Suite #700, Naples, Florida, 34112.
PROJECT LOCATION: Collier County(ies)
PROJECT DESCRIPTION: To purchase passenger trips and/or capital equipment so that transportation
can be provided to eligible transportation disadvantaged individuals in accordance with Chapter 427,
Florida Statutes, Rule 41-2, Florida Administrative Code, the most current Commission policies and the
Fiscal Year 2020-21 Program Manual and Application Instructions for the Trip & Equipment. Services
shall be provided and equipment, including vehicles, will be utilized through a coordinated
transportation system which has a Memorandum of Agreement in effect, as set forth in Chapter 427,
Florida Statutes and Rule 41-2, Florida Administrative Code. Trips shall be purchased at the fares
indicated in Exhibit B, Page 2 of 2 attached to and made a part of this agreement. There shall be an
approved eligibility application for each rider who receives transportation service (trip or bus pass). In
addition, documentation which supports the eligibility determination shall be maintained by the
recipient as part of the rider's eligibility file. Capital equipment will consist of:
None.
SPECIAL CONSIDERATIONS BY GRANTEE:
1. Ail project equipment or vehicles shall meet or exceed the applicable criteria set forth in the latest
Florida Department of Transportation's Guidelines for Acquiring Vehicles or criteria set forth by any
other federal, state, or local government agency.
SPECIAL CONSIDERATIONS BY COMMISSION:
Not applicable.
Item# 1,62�
Agenda 34 (
Date
Trip&Equipment Grant Agreement 2020/2021
Form Rev. 4/13/2020 Date 3.
Collier Rec'd
GULL(, ,
16D1
FM/JOB No(s). 43202718401/43202818401_
CONTRA CTNO. (y I tii 3/4-
AGREEMENT DATE: 0'7%n i /)1>1.i.)
AMENDED EXHIBIT"B"
PROJECT BUDGET AND DISBURSEMENT SCHEDULE
This exhibit forms an integral part of that certain Grant Agreement between the Florida Commission
for the Transportation Disadvantaged and Collier County Board of County Commissioners, 3299
Tamiami Trail, Suite #700, Naples, Florida, 34112.
I. PROJECT COST:
Estimated Project Cost shall conform to those eligible costs as indicated by Chapter 427, Florida Statutes,
Rule 41-2, Florida Administrative Code, the most current Commission policies and Fiscal Year 2020-21
Program Manual and Application Instructions for the Trip &Equipment Grant. Trips shall be purchased at
the fares indicated in Exhibit B, Page 2 of 2 attached to and made a part of this agreement.
Grantee shall invoice on a monthly basis actual costs that may be above or below (+/-) the amount of the
monthly allocation disbursement schedule reflected on Exhibit"B". At times,this may result in"underbilling"
or"overbilling". Any excess(underbilled)funds may be recaptured on a monthly invoice that does not exceed
the cumulative total of funds disbursed to date with supporting documentation. No excess funds remaining
on the grant at the end of the grant period will be reimbursed to the Grantee. Any overpayment of TD funds
must be repaid to the Commission upon project completion. Reimbursement payment for transportation
services shall not be provided to the Grantee until documentation supporting such services has been
approved. In addition, payment shall not be provided to the Grantee for capital until the capital has been
received and proof of payment and other back up documentation, as requested, is provided to the
Commission. The project must be completed (capital received and approved by the Grantee) no later than
June 30, 2021. Grantee will make every effort to submit invoices within thirty (30) days after the month of
service provision.
TD Trust Fund Trips $ 1,011,500.00 43202718401
Voluntary Dollars 103.00 43202818401
TOTAL $ 1,011,603.00
II. SOURCE OF FUNDS:
Commission for the Transportation
Disadvantaged State Funds(no more than 90%) $910,350.00
Local Cash Funds $101,150.00
Voluntary Dollar Contributions $93.00
Monetary Value of In-Kind Match $10.00
Hold Harmless Funds $ .00
Hold Harmless Local Cash Funds $ .00
Total Project Cost $1,011,603.00
III. DISBURSEMENT SCHEDULE OF COMMISSION (State) FUNDS
FY 20/21 Jul Aug Sep ct J Q Dec au Feb Mer _Apr M1naY $III
Trips 75,961 75,862 75,862 75,862 75,862 75,862 75,862 75,862 75,862 75,862 75,862 75,862
Capital
Trip&Equipment Grant Agreement 2020/2021
Form Rev. 4/13/2020
Collier
cal
1 6 0 I
AMENDED EXHIBIT"B"
Page 2 of 2
TRANSPORTATION DISADVANTAGED TRUST FUND
SERVICE RATES
COMMUNITY TRANSPORTATION COORDINATOR: Collier County Board of County Commissioners
EFFECTIVE DATE:
UNIT COST PER UNIT
TYPE OF SERVICE TO BE PROVIDED (Passenger Mile or Trip) $
Ambulatory Trip 36.24
Wheelchair Trip 62.13
Group per passenger Trip 25.87
Group per group Trip 36.26
Daily Bus Pass Pass 3.00
Daily Bus Pass- Reduced Pass 1.50
15 Day—Bus Pass Pass 20.00
15 Day Reduced—Bus Pass Pass 10.00
Monthly Bus Pass Pass 40.00
Monthly Bus Pass- Reduced Pass 20.00
Macro Express—Bus Pass Pass 70.00
Macro Express Reduced—Bus Pass Pass 35.00
CERTIFICATION (To Be Completed By Commission Staff):
I certify that the cost for each line item budget category has been evaluated and determined to be
allowable, reasonable, and necessary as required by section 216.3475, F.S. Documentation is on file
evidencing the methodology used and the conclusions reached.
Name: Signature:
Title: Project Manager Date:
Trip&Equipment Grant Agreement Amendment 2020/2021
Form Rev.04/20 Page 2 of 2
Collier
I6D1
Ann P. Jennejohn
From: Irvine,John P. <John.lrvine@dot.state.fl.us>
Sent: Thursday, May 13, 2021 3:58 PM
To: arnold_m; KemnerCynthia
Cc: Ann P.Jennejohn; SizenskyJudith;WeinmannLisa
Subject: Collier Trip & Equipment Grant G1 N34 - Amendment#1
Attachments: G1 N34 Collier T&E Grant -Amendment 1 - Executed.pdf
External Message: Please use caution when opening attachments, clicking links,or replying to this message.
Please find attached the Executed Amendment #1 to the Grant #G1N34.
Please pass this along to any additional parties in your agency that may need to have a
copy of this.
Thanks,
John
de Cis.warow
John P. Irvine, F.C.C.M.
411117dr Project Manager
Phone: (850) 410-5712
konseortotioa
Diedrantosed Email: John.Irvine(a�dot.state.fl.us
Website: www.dot.state.fl.us/ctd
i
6 13I
SAMAS Approp: 108846 Fund: TDTF FM/Job No(s): 43202718401/43202818401
SAMAS Obj.: 751000 Function: 683 CSFA No. 55.001
Org Code:55 12 00 00 952 Contract No.: G1N34 Vendor No.: 59-6000558
FLORIDA COMMISSION FOR THE TRANSPORTATION DISADVANTAGED
TRIP&EQUIPMENT GRANT AGREEMENT
AMENDMENT#1
St ` 2021, by and between the
THIS AGREEMENT, made and entered into this -I- _ day of
STATE OF FLORIDA COMMISSION FOR THE TRANSPORTATION DI ADVANTAGED,created pursuant to Chapter 427,F.S.,
hereinafter called the Commisslon and Callier County Board of County Commissioners. 3299 Tamiaml Trail. Suite 700.
Naples. Florida 34112,hereinafter called the Grantee.
WITNESSETH:
WHEREAS,the Commission and the Grantee heretofore on July 1.2020 entered into a Grant Agreement; and
WHEREAS,the Commission desires to participate In all eligible items of development for this project as outlined in the
attached Exhibit(s) A and B B .
NOW,THEREFORE,THIS INDENTURE WITNESSETH: that for and In consideration of the mutual benefits to flow
from
each to the other,the parties hereto agree that the above described Grant Agreement is to be amended and supplemented
as follows:
1.00 Purpose of Agreement: The purpose of the agreement is not changed.
2.00 Accomplishment of the Project: The accomplishment of the project is not changed.
3.00 Project Cost: Project Cost is not changed.
4.00 Exhibits: Exhibit(s) B(page 2 ONLY) of said Agreement is(are)replaced by Amended Exhibit(s)B(Dage
2 ONLY)and.which Is(are)attached hereto and made a part hereof.
EXCEPT as hereby modified,amended or changed, all other terms of the Agreement dated Jule_1, 2020, shall remain
in full force and effect.
IN WITNESS WHEREOF,the parties hereto have caused these presents be executed,the day and year first above written.
GRANTEE: Collier County Board of County Commissioners DOSADVANONGED N FOR THE TRANSPORTATION
Penny ylor,Chairperson
TITLE: TITLE: Executive Director(Commission Designee)
.,._.... _..--
ATTEST :,d�wT.. ?. z
L,K.
CRY S70 • Approved as to form and legalitysit ',, • 4 d oc)) \a`
��•� � Assistant County arn�yZ
Trip&Equipment Grant Aq n 0/2021
Form Rev.04/20 ..•• • ur Page 1 of 2
Collier .t t
16 I
AMENDED EXHIBIT"B"
Page 2 of 2
TRANSPORTATION DISADVANTAGED TRUST FUND
SERVICE RATES
COMMUNITY TRANSPORTATION COORDINATOR: Collier County Board of County Commissioners
EFFECTIVE DATE: 4•- I ZGZt
UNIT COST PER UNIT
TYPE OF SERVICE TO BE (Passenger Mile or Trip) $
PROVIDED
Ambulatory Trip 36.24
Wheelchair Trip 62.13
Group per passenger Trip 25.87
Group per group Trip 36.26
Daily Bus Pass Pass 3.00
Daily Bus Pass-Reduced Pass 1.50
15 Day—Bus Pass Pass 20.00
15 Day Reduced—Bus Pass
Pass 10.00
Monthly Bus Pass
Pass 40.00
Monthly Bus Pass-Reduced
Pass 20.00
Macro Express—Bus Pass Pass 70.00
Macro Express Reduced—Bus Pass
Pass 35.00
CERTIFICATION(To Be Completed By Commission Staff):
I certify that the cost for each line item budget category has been evaluated and determined to be
allowable, reasonable, and necessary as required by section 216.3475, F.S. Documentation is on file
evidencing the methodology used and the conclusions reached. /� �
Name: a h rt Z ry i rce. Signature: ter(/
Title: Project Manager Date: .il b /202.1
Trip&Equipment Grant Agreement Amendment 2020/2021
Form Rev.04/20 Page 2 of 2
Collier r-"