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Backup Documents 12/09/2025 Item #16B16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 81 6 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. County Attorney Office County Attorney Office klik / l 2/ 2. BCC Office Board of County bs [5I q Commissioners 3 Minutes and Records Clerk of Court's Office ( ( t ?H-- q/. 5 4. Send via email to Caroline.Soto@collier.gov 5. 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 Caroline Soto,Grants Accountant/TMSD Phone Number 252-6932 Contact/ Department Agenda Date Item was 12/9/25 Agenda Item Number 16.B.T ({ Approved by the BCC Type of Document (3)Resolutions Number of Original 25 Attached (20)Grant Application documents Documents Attached PO number or account N/A number o document is r-,O�5 , a� I 2 C).>/5 , �@� aU — ��j to be recorded o� l 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? CS 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 CS 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 N/A 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 CS 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 CS signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CS 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 12/9/25 and all changes made during the meeting have been incorporated in the attached document. The County S MIj Attorney's Office has reviewed the changes,if applicable. 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 the (Cf/h an t for Chairman's signature. e, 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 1616 RESOLUTION NO. 2025 -261 A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5310 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF FOUR REPLACEMENT PARATRANSIT VEHICLES. WHEREAS, the Board of County Commissioners of Collier County, Florida ("Board"), has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes. and by the Federal Transit Administration Act of 1964, as amended; and NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Collier County, Florida, that: 1. This resolution applies to the Federal Program under U.S.C. §5310. 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. Burt L. Saunders, is authorized to including, but not limited to: (a) sign the application, accept and accept the grant award; (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County, (c) approving all necessary budget amendments related to this grant application; and (d) authorize the purchase of four replacement Paratransit vehicles pursuant to the grant awarded,unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112. 5. This Resolution shall be effective immediately upon signature by the Chairman. Page 1 of 2 1 6 8 1 6 (IA This Resolution adopted after motion, second and majority vote favoring same, this day of Decembey 20435. AVE:ST: BOARD OF COUNTY COMMISSIONERS 00.YSTAL KIN/1.,L, Clerk OF COLLIER COUNTY, FLORIDA - 4 : A4."-tAlIC By: 4,44..c..iff.....„,e414,11.406-- Deput irttEits to Chairman's Burt L. Saunders, Chairman signature only Approve a to brm and legality: Jeffrey lat ow, County Attorney Page 2 of 2 (/i'ok Collier County tt TRANSPORTATION V MANAGEMENT SERVICES Cover Letter STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Collier County Board of County Commissioners submits this Application for the Section 5310 Program Grant and agrees to comply with all assurances and requirements applicable to the Section 5310 Program. Collier County Board of County Commissioners further agrees,to the extent provided by law(in case of a government agency in accordance with Sections 129.07 and 768.28,Florida Statutes)to indemnify, defend and hold harmless FDOT and all of its officers, agents and employees from any claim, loss, damage, cost,charge,or expense arising out of the non-compliance by the Agency, its officers, agents or employees,with any of the assurances stated in this Application. This Application is submitted on this 9th day of December,2025 with an original resolution or certified copy of the original resolution authorizing the Chairman of the Board of County Commissioners to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Name "getgOwP4'- Signature Burt L.Saunders-Chairman Typed Name and Title of Authorized Representative December09,2025 rp � ' E� ict;s1'.. i,.,1C'�[ rv , Date ept.hy 'et Attest as to Chairman's signature only 16816 FDOT Certification and Assurances Collier County Board of County Commissioners certifies and assures to the Florida Department of Transportation regarding its Application under U.S.C. Section 5310 dated 9tn day of December,2025: 1 It shall adhere to all Certifications and Assurances made to the federal government in its Application. 2 It shall comply with Florida Statues: • Section 341.051-Administration and financing of public transit and intercity bus service programs and projects • Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment, services, or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 3 It shall comply with Florida Administrative Code(Does not apply to Section 5310 only recipients): • Rule Chapter 14-73-Public Transportation • Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit Systems • Rule Chapter 14-90.0041-Medical Examination for Bus System Driver • Rule Chapter 41-2-Commission for the Transportation Disadvantaged 4 It shall comply with FDOT's: • Bus Transit System Safety Program Procedure No. 725-030-009 (Does not apply to Section 5310 only recipients) • Transit Vehicle Inventory Management Procedure No.725-030-025 • Public Transportation Vehicle Leasing Procedure No.725-030-001 • Guidelines for Acquiring Vehicles • Procurement Guidance for Transit Agencies(2024) 5 It has the fiscal and managerial capability and legal authority to file the application. Local matching funds will be available to purchase vehicles/equipment at the time an order is placed. 6 It will carry adequate insurance to maintain, repair, or replace project vehicles/equipment in the event of loss or damage due to an accident or casualty. 7 It will maintain project vehicles/equipment in good working order for the useful life of 16B16 the vehicles/equipment. 8 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer needed or used for the purpose intended. 9 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose intended, improperly maintained, uninsured, or operated unsafely. 10 It will not enter into any lease of project vehicles/equipment or contract for transportation services with any third party without prior approval of FDOT. 11 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/equipment and submit related reports as required by FDOT. 12 It will notify FDOT and request assistance if a vehicle should become unserviceable. 13 It will submit an annual financial audit report to FDOT (FDOTSingleAudit@dot.state.fl.us), if required. 14 It will undergo a triennial review and inspection by FDOT to determine compliance with the baseline requirements. If found not in compliance,it must send a progress report to the local FDOT District office on a quarterly basis outlining the agency's progress towards compliance. 15 Executive Order 20-44: If agency is required by the Internal Revenue Code to file IRS Form 990 and is named in statute. Agencies (sub-recipients) shall submit an Annual Report to the Department, including the most recent IRS Form 990, detailing the total compensation for each member of the agency's executive leadership team. Total compensation shall include salary, bonuses, cashed-in leave, cash equivalents, severance pay, retirement benefits, deferred compensation, real-property gifts, and any other payout.Agency shall inform the Department of any changes in total executive compensation during the period between the filing of Annual Reports within 60 days of any change taking effect. Annual Reports shall be in the form approved by the Department and shall be submitted to the Department at fdotsingleaudit@dot.state.fl.us within 180 days following the end of each tax year of the agency receiving Department funding. 12/09/2025 Date .44/..... '" " ''Signature of Authorized Representative Burt L Saunders- Chairman Typed Name and Title of Authorized Representative 5R. '''fir :+7,,� _ Cr,+ TA <, KIP?. -,L,'CLER1 Attest as to Chairman's signature only Standard Lobbying Certification 6 16 The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge and belief,that: 1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress, an officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal contract, grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65,to be codified at 2 U.S.C. 1601,et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers(including subcontracts,sub-grants,and contracts under grants, loans,and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NOTE: Pursuant to 31 U.S.C.§1352(c)(1)-(2)(A),any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure. The (Contractor), certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801, et seq.,apply to this certification and disclosure, if any. 12/0 2025 Date ated91104" Signature of Contractor's Authorized Official Burt L. Saunders- Chairman Typed Name and Title of Authorized Representative AT'i E3T: ' "RYSTt L K. K1NZr CLE7 ep0=, Clerk Attest as to Chairman's t Signature.only Leasing Certification Memorandum for FTA 5310 12/09/2025 Date: From: Signature Burt L. Saunders-Chairman Typed Name and Title of Authorized Representative Collier County Board of County Commissioners Typed Agency Name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: FFY26/SFY27 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL ASSISTANCE FOR ENHANCED MOBILITY OF SENIORS AND INDIVIDUALS WITH DISABILITIES PROGRAM, 49 UNITED STATES CODE SECTION 5310 Leasing: Will the Collier County Board of County Comissioners, as applicant to the Federal Transit Administration Section 5310 Program, lease the proposed vehicle(s) or equipment out to a third-party? No ['Yes If yes, specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. K. -'OIN7r 1...,,LERK eptfLy Clerk cozoii Attest as to Chairman's signature only 16316 Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners certifies that its demand responsive service offered to individuals with disabilities,including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1 Response time; 2 Fares; 3 Geographic service area; 4 Hours and days of service; 5 Restrictions on trip purpose; 6 Availability of information and reservation capability; and 7 Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311 of the Federal Transit Administration (FTA) funds must file this certification with the appropriate state program office before procuring any inaccessible vehicles or employing private entities such as Transportation Network Companies (TNCs) or taxi services in demand-responsive services of any kind. Such public entities not receiving FTA funds shall also file the certification with the appropriate state office program. Such public entities receiving FTA funds under any other section of the FTA Programs must file the certification with the appropriate FTA regional office. This certification is valid for no longer than one year from its date of filing. Non-public transportation systems that serve their own clients,such as social service agencies, are required to complete this form. Executed this 9th day of December,2025 Burtl. Saunders, Chairman Typed Name and Title of Authorized Representative Ale_litt,strAnwes. Signature of Authorized Representative t• s Attest as to lalrman's signature only OMBlaum`b$41t00004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): n Preapplication ®New ®Application n Continuation *Other(Specify): n Changed/Corrected Application n Revision *3.Date Received: 4.Applicant Identifier: 1 5a.Federal Entity Identifier: 5b.Federal Award Identifier: State Use Only: 6.Date Received by State: 7.State Application Identifier: 10 o i 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: De Leon Suffix: Title: Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: omar.deleon@collier.gov 16B16 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.513 CFDA Title: *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5310 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Section 5310 Capital Application to purchase four replacement vehicles. In addition, (4)tablet and (4) routers for the use of those vehicles. In the Bonita Springs-Estero UZA. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 16ri16 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2025 *b.End Date: 09/30/2026 18.Estimated Funding($): *a.Federal 555,520.00 *b.Applicant *c.State 69,440.00 *d.Local 69,440.00 *e.Other *f. Program Income *g.TOTAL 694,400.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? n a.This application was made available to the State under the Executive Order 12372 Process for review on . n 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 ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 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 18,Section 1001) • **I AGREE ** The list of certifications and assurances, or an intemet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: .Chairman, Board of County Commissioners *Telephone Number:' I239252-8603 Fax Number: * Pnail: Burt.Saun4ers@eollier,gov - s`546rt81U)'e,of'Auth n ( *Date Signed:,,. $� 9 12/09/2025 n, r �t � 1� � 'st (1tt 1Y 16516 RESOLUTION NO. 2025 -2 6 2 A RESOLUTION OF THE COLLIER COUNTY BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5311 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION, ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE EXPENDITURE OF GRANT FUNDS FOR THE FIXED ROUTE TRANSIT OPERATING SERVICES. WHEREAS. the Board of County Commissioners of Collier County. Florida ("Board"). has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341. Florida Statutes, and by the Federal Transit Administration Act of 1964, as amended; and NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Collier County, Florida, that: 1. This resolution applies to the Federal Program under U.S.C. §5311. 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. Burt L. Saunders. Chairman, is authorized to including, but not limited to: (a) sign the application, accept the grant award, and (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County, (c) approving all necessary budget amendments related to this grant application, and (d) authorize the expenditure of grant funds pursuant to the grant awarded, unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112. 5. This Resolution shall be effective immediately upon signature by the Chairman. 123-TRO-00394/1821761/11 Page 1 of 2 Gt` 1 6 6 This Resolution adopted after motion, second and majority vote favoring same, this q day of , 2025. ATTEST.,\ BOARD OF COUNTY COMMISSIONERS tRYSIAG,K. KINZEL, Clerk OF COLLIER COUNTY, FLORIDA , By: )„,;, ••• , - CJ?Slha man,s urt L. Saunders, Chairman • Kif 1",'Wn L, signature Only Approve Approve as t form and legality: Jeffrey A lat tow, County Attorney 123-TRO-0039411821761 Page 2 of 2 tit'AN Collier County TRANSPORTATION 1 6 R 1 LL MANAGEMENT SERVICES 6 Cover Letter STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Collier County Board of County Commissioners submits this Application for the Section 5311 Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made a part thereof, as itemized in the Checklist for Application Completeness. Collier County Board of County Commissioners further agrees, to the extent provided by law (in case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes) to indemnify, defend and hold harmless the FDOT and all of its officers, agents and employees from any claim, loss, damage, cost, charge, or expense out of the non-compliance by the Agency, its officers, agents or employees,with any of the assurances stated in this Application. This Application is submitted on this 9th day of December, 2025 with an original resolution or certified copy of the original resolution authorizing the Chairman of the Board of County Commissioners to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Name Ate,) ,11-trtisibelfa-- Signature Burt L. Saunders-Chairman, Board of County Commissioners Typed Name and Title of Authorized Representative 12/9/2025 Date r .....E .. CF 'S 6T'r L K Klf a?El CLLF\ -4"4 1 Cionk Attestas.to Chairman's s• ignature only 0 )" Collier County 6 R TRANSPORTATION 6 MANAGEMENT SERVICES FDOT Certification and Assurances Collier County Board of County Commissioners certifies and assures to the Florida Department of Transportation regarding its Application under U.S.C. Section 5311 dated 9tn day of December,2025: a It shall adhere to all Certifications and Assurances made to the federal government in its Application. 2 It shall comply with Florida Statues: • Section 341.051-Administration and financing of public transit and intercity bus service programs and projects • Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment, services, or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 3 It shall comply with Florida Administrative Code: • Rule Chapter 14-73-Public Transportation • Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit Systems • Rule Chapter 14-90.0041-Medical Examination for Bus System Driver • Rule Chapter 41-2-Commission for the Transportation Disadvantaged 4 It shall comply with FDOT's: • Bus Transit System Safety Program Procedure No. 725-030-009 (Does not apply to Section 5310 only recipients) • Public Transit Substance Abuse Management Program Procedure No.725-030-035 • Transit Vehicle Inventory Management Procedure No. 725-030-025 • Public Transportation Vehicle Leasing Procedure No. 725-030-001 • Guidelines for Acquiring Vehicles • Procurement Guidance for Transit Agencies 5 It has the fiscal and managerial capability and legal authority to file the application. 6 Local matching funds will be available to purchase vehicles/equipment at the time an order is placed. 7 It will carry adequate insurance to maintain, repair, or replace project 16816 vehicles/equipment in the event of loss or damage due to an accident or casualty. 8 It will maintain project vehicles/equipment in good working order for the useful life of the vehicles/equipment. 9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer needed or used for the purpose intended. 10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose intended, improperly maintained, uninsured, or operated unsafely. 11 It will not enter into any lease of project vehicles/equipment or contract for transportation services with any third party without prior approval of FDOT. 12 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/equipment, and submit related reports as required by FDOT. 13 It will notify FDOT and request assistance if a vehicle should become unserviceable. 14 It will submit an annual financial audit report to FDOT (FDOTSingleAuditPdot.state.fl.us), if required. 15 It will undergo a triennial review and inspection by FDOT to determine compliance with the baseline requirements. If found not in compliance,it must send a progress report to the local FDOT District office on a quarterly basis outlining the agency's progress towards compliance. 12/9/2025 Date Signature of Contractor's Authorized Official Burt L. Saunders,Chairman Name and Title of Contractor's Authorized Official K 'p""1.., C . . 4ttas as to Chairman's l' . ., � �` signature only f ik' 16R16 Standard Lobbying Certification The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge and belief,that: 1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress,or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract,grant, loan,or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency,a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying,"61 Fed.Reg.1413(1/19/96). Note:Language in paragraph(2)herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601,et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NOTE: Pursuant to 31 U.S.C.§1352(c)(1)-(2)(A),any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure. The (Contractor), certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition,the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801, et seq.,apply to this certification and disclosure, if any. 12/9/2025 Date ____Agi`tf‘t4.416•04 - Signature of Contractor's Authorized Official Burt L.Saunders- Chairman Name and Title of Contractor's Authorized Official Attest as to Chairman's signature only FTA Section 5333 (b) Assurance 1 6 R i 6 (Note: By signing the following assurance,the recipient of Section 5311 and/or 5311(f) assistance assures it will comply with the labor protection provisions of 49 U.S.C. 5333(b) by one of the following actions: (1) signing the Special Warranty for the Rural Area Program(see FTA Circular C 9040.IH,Chapter VIII (2)agreeing to alternative comparable arrangements approved by the(Department of Labor(DOL);or(3)obtaining a waiver from the DOL.) The Collier County Board of County Commissioners (hereinafter referred to as the "Recipient") HEREBY ASSURES that the "Special Section 5333 (b) Warranty for Application to the Small Urban and Rural Program" has been reviewed and certifies to the Florida Department of Transportation that it will comply with its provisions and all its provisions will be incorporated into any contract between the recipient and any sub- recipient which will expend funds received as a result of an application to the Florida Department of Transportation under the FTA Section 5311 Program. December 9, 2025 r Date Um, �Y .Y�pJaFa ^ Al • CRY 1�. j""• F-"1., �-"/ � ��.w Burt L. Saunders- Chairman Name an title of authoriz ed representative �, Signature of authorized representative Note: All applicants must complete the following form and submit it with the above Assurance. LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, UNIONS OF SUB- RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY 1 2 3 4 Identify Recipients of Site Project by Name, Identify Other Eligible Identify Unions(and Transportation Assistance Description,and Provider Surface Transportation Providers) Representing Under this Grant. (e.g. Recipient,other Providers(Type of Employees of Providers in Agency,or Contractor) Service) Columns 1,2,and 3 Collier County Board Application FTA Collier Area Transit Transport workers of County Section 5311 for the urban transit Union Local 525 Commissioners Operating Assistance service. AFL-CIO 2595 North funding of FY26/27 Courtenay Pkwy. for Collier Area Suite 104 Merritt Transit to provide Island, FL 32953 continuing public transportation services to residents of the non- urbanized areas of Collier County traveling within the rural area and/or the adjacent urban area and returning to the rural domicile. 16B16 Leasing Certification Memorandum for FTA 5311 December 9,2025 Date: Burt L. Saunders-Chairman From: Signature Burt L. Saunders-Chairman Typed name and title Collier County Board of County Commissioners Typed or printed agency name To: Florida Department of Transportation, District Office Modal Development Office/Public Transit Subject: FFY26/SFY27 GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, OPERATING OR CAPITAL GRANTS FOR RURAL AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5311 Leasing: Will the Collier County Board of County Commissioners, as applicant to the Federal Transit Administration Section 5311 Program, lease the proposed vehicle(s) or equipment out to a third-party? ® No ❑Yes If yes, specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of -.:all lease agreements. 4irtger:; 1//�� KiFIZEL OLEI I' Irran s �`�%; Pu saiki-lititure only I El16 Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners certifies that its demand responsive service offered to individuals with disabilities,including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1 Response time; 2 Fares; 3 Geographic service area; 4 Hours and days of service; 5 Restrictions on trip purpose; 6 Availability of information and reservation capability;and 7 Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310 and 5311 of the Federal Transit Administration (FTA) funds must file this certification with the appropriate state program office before procuring any inaccessible vehicles or employing private entities such as Transportation Network Companies (TNCs) or taxi services in demand-responsive services of any kind. Such public entities not receiving FTA funds shall also file the certification with the appropriate state office program. Such public entities receiving FTA funds under any other section of the FTA Programs must file the certification with the appropriate FTA regional office. This certification is valid for no longer than one year from its date of filing. Non-public transportation systems that serve their own clients, such as social service agencies, are required to complete this form. Executed this 9th day of December,2025 Burt I. sounders, Chairman Typed Name and Title of Authorized Representative i4.517,01 $1504— 6v, t�r ,Signature of Authorized Representative • Pit: Li , r��,' 4_ .y L�.�tEC LAC_ n Cif LI 'y ,, Pnt4tmans ,A"'o-` V2, � •, signature only 1 R 1 6 OMB Number:4040-0004 Expiration Date:11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): n Preapplication ®New ® Application Continuation *Other(Specify): n Changed/Corrected Application Revision *3.Date Received: 4.Applicant Identifier: I I 5a.Federal Entity Identifier: 5b.Federal Award Identifier: State Use Only: 6.Date Received by State: 7.State Application Identifier: 1001 8.APPLICANT INFORMATION: *a.Legal Name: I *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 3 4112-5 7 4 6 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: DeLeon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@collier.gov 16R16 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: CFDA Title: *12.Funding Opportunity Number: 20.509 *Title: Formula Grants for Rural Area 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5311 Areas Affected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Operational funding request to 5311 to cover costs of operating in the identified rural parts of Collier County. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 1 6 B 1 6 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2026 *b.End Date: 09/30/2027 18.Estimated Funding($): *a.Federal 779,000.00 *b.Applicant *c.State *d.Local 779,000.00 *e.Other *f. Program Income *g.TOTAL 1,558,000.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? n a.This application was made available to the State under the Executive Order 12372 Process for review on • n 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.) n Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attacr:!rt 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 18,Section 1001) **I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairperson, Board of County Commissioners *Telephone Number: 239-252-8603 Fax Number: *Email: gflrt.Saunders@collier.gov *Signature of Authorized>Representative: *Date Signed: 12/0 9/2 0 2 5 epihy_.>iOr; 1 6 R 1 6 RESOLUTION NO. 2025 - 263 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS, COLLIER COUNTY, FLORIDA, APPROVING AND AUTHORIZING ITS CHAIRMAN TO SIGN AND APPROVE THE SUBMITTAL OF A SECTION 5339 GRANT APPLICATION, INCLUDING ALL RELATED DOCUMENTS AND ASSURANCES, WITH THE FLORIDA DEPARTMENET OF TRANSPORTATION; TO ACCEPTING A GRANT AWARD FROM THE FLORIDA DEPARTMENT OF TRANSPORTATION, AND AUTHORIZING THE PURCHASE OF A REPLACEMENT BUS, AND THE PURCHASE AND INSTALLATION OF A CANOPY FOR THE IMMOKALEE TRANSFER STATION. WHEREAS, the Board of County Commissioners of Collier County, Florida (-Board-), has the authority to apply for and accept grants and make purchases and expend funds pursuant to grant awards made by the Florida Department of Transportation as authorized by Chapter 341, Florida Statutes, and by the Federal Transit Administration Act of 1964. as amended; and NOW THEREFORE, BE IT RESOLVED by the Board of County Commissioners of Collier County, Florida, that: 1. This resolution applies to the Federal Program under U.S.C. 0339, 2. The submission of a grant application(s), supporting documents, and assurances to the Florida Department of Transportation is approved. 3. Burt L. Saunders, Chairman, is authorized to, including, but not limited to: (a) sign the application and accept a grant award; (b) accept and execute any required certifications and assurances and all supporting documents relating to the grant awarded to the County, (c)approve all necessary budget amendments related to this grant application, and (d) authorize the purchase of a replacement bus and the expenditure of grant funds for the purchase and installation of a canopy for the Immokalee Transfer Station and/or expenditure of grant funds pursuant to the grant awarded, unless specifically rescinded. 4. The Board's Registered Agent in Florida is Jeffrey A. Klatzkow, County Attorney. The Registered Agent's address is 3299 Tamiami Trail East, Suite 800, Naples, FL 34112. 5. This Resolution shall he effective immediately upon signature by the Chairman. 123-1 RO-00394/1821761/1] Page 1 of 2 1 6 R 1 6 k This Resolution adopted after motion, second and majority vote favoring same. this °Ifi day of Dectj,e/ , 2025. BOARD OF COUNTY COMMISSIONERS CfY SI AL 1< K*,H . Clerk OF COLLIER COUNTY, FLORIDA 1:3. . j, • - \---1414---- By: .,4,,,,,gr.,....... urt L. Saunders, Chairman : I . **IA Gitirman's signature only Approve a ti or and legality: Jeffrey A lat- ow. County Attorney 123-1 R0-00394,1821761/11 Page 2 of 2 (11) eNNN- Collier County 16 R 1 6 L TRANSPORTATION / MANAGEMENT SERVICES STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION GRANT APPLICATION Collier County Board of County Commissioners submits this Application for the Section 5339 Program Grant and agrees to comply with all assurances and exhibits attached hereto and by this reference made a part thereof,as itemized in the Checklist for Application Completeness. Collier County Board of County Commissioners further agrees, to the extent provided by law (in case of a government agency in accordance with Sections 129.07 and 768.28, Florida Statutes) to indemnify,defend and hold harmless the Department and all of its officers,agents and employees from any claim, loss,damage,cost,charge,or expense out of the non-compliance by the Agency,its officers, agents or employees,with any of the assurances stated in this Application. This Application is submitted on this 9th day of December,2025 with an original resolution or certified copy of the original resolution authorizing Burt L.Saunders. Chairman to sign this Application. Authorized representative signs below certifying that all information contained in this application is true and accurate. Collier County Board of County Commissioners Agency Name W...,„pit,har.... Signature Burt L. Saunders, Chairman Typed Name and Title of Authorized Representative 1 7/9/7025 Date .ac..C-:1i„t•, io 4 , list: -1,,ti:- .4AtA\, . —, 7,- , .,signature only eil‘ ,), 2885 Horseshoe Drive South, Naples, FL 34104. Phone: (239)252-8192 www.colliercountyfl.gov t 6 R t FDOT Certification and Assurances Collier County Board of County Commissioners certifies and assures to the Florida Department of Transportation regarding its Application under U.S.C. Section 5339 dated 9th day of December,2025: 1 It shall adhere to all Certifications and Assurances made to the federal government in its Application. 2 It shall comply with Florida Statues: • Section 341.051-Administration and financing of public transit and intercity bus service programs and projects • Section 341.061 (2)-Transit Safety Standards; Inspections and System Safety Reviews • Section 252.42 - Government equipment, services and facilities: In the event of any emergency, the division may make available any equipment, services, or facilities owned or organized by the state or its political subdivisions for use in the affected area upon request of the duly constituted authority of the area or upon the request of any recognized and accredited relief agency through such duly constituted authority. 3 It shall comply with Florida Administrative Code (Rule Chapter 14-73-Public Transportation) • Rule Chapter 14-90-Equipment and Operational Safety Standards for Bus Transit Systems • Rule Chapter 14-90.0041-Medical Examination for Bus System Driver • Rule Chapter 41-2-Commission for the Transportation Disadvantaged 4 It shall comply with FDOT's: • Bus Transit System Safety Program Procedure No. 725-030-009 (Does not apply to Section 5310 only recipients) • Public Transit Substance Abuse Management Program Procedure No.725-030-035 • Transit Vehicle Inventory Management Procedure No. 725-030-025 • Public Transportation Vehicle Leasing Procedure No.725-030-001 • Guidelines for Acquiring Vehicles • Procurement Guidance for Transit Agencies 5 It has the fiscal and managerial capability and legal authority to file the application. 6 Local matching funds will be available to purchase vehicles/equipment at the time an order is placed. 7 It will carry adequate insurance to maintain, repair, or replace project vehicles/equipment in the event of loss or damage due to an accident or casualty. 8 It will maintain project vehicles/equipment in good working order for the useful life of the vehicles/equipment. 16816 9 It will return project vehicles/equipment to FDOT if, for any reason, they are no longer needed or used for the purpose intended. 10 It recognizes FDOT's authority to remove vehicles/equipment from its premises, at no cost to FDOT, if FDOT determines the vehicles/equipment are not used for the purpose intended, improperly maintained, uninsured, or operated unsafely. 11 It will not enter into any lease of project vehicles/equipment or contract for transportation services with any third party without prior approval of FDOT. 12 It will notify FDOT within 24 hours of any accident or casualty involving project vehicles/equipment and submit related reports as required by FDOT. 13 It will notify FDOT and request assistance if a vehicle becomes unserviceable. 14 It will submit an annual financial audit report to FDOT (FDOTSingleAudit(adot.state.fl.us), if required. 15 It will undergo a triennial review and inspection by FDOT to determine compliance with the baseline requirements. If found not in compliance, it must send a progress report to the local FDOT District office on a quarterly basis outlining the agency's progress towards compliance. 12/09/2025 Date /4„.g# 534— Signature of Authorized Representative Burt L. Saunders,Chairman Typed Name and Title of Authorized Representative • • �A � •. /A * i_� i�3;r � "ply* Depci' (akc nan't‘ �� +} . :'Attest a riawre on\Y Standard Lobbying Certification Form 16 8 1 6 The undersigned Collier County Board of County Commissioners certifies,to the best of his or her knowledge and belief,that: 1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency,a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract, the making of any Federal grant, the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract,grant, loan, or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency,a Member of Congress,an officer or employee of Congress,or an employee of a Member of Congress in connection with this Federal contract,grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying," 61 Fed. Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65,to be codified at 2 U.S.C. 1601,et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31,U.S.C.§1352(as amended by the Lobbying Disclosure Act of 1995).Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NOTE: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A), any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure. The Collier County Board of County Commissioners, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801,et seq.,apply to this certification and disclosure, if any. 12/09 025 Date ft 4 Signature of Contractor's Authorized Official Burt L. Saunders,Chairman Typed Name and Title of Authorized Representative Y rz S.64-14(44s.1- Lle�i ,�lairman's Kt� signitdre-only 16Rt6 Leasing Certification MEMORANDUM for FTA 5339 Date: December 9,2025 From: Burt L.Saunders,Chairman (Typed name and title) Signature) :�C Collier County Board of County Commissioners 1 * (Typed or printed agency name) a Ci°rk To: Florida Department of Transportation,District Office . , Attest"t fci Qh man s Modal Development Office/Public Transit t ., signatre�onry Subject: FFY26/SFY27GRANT APPLICATION TO THE FEDERAL TRANSIT ADMINISTRATION, CAPITAL GRANTS FOR NON-URBANIZED AREAS PROGRAM, 49 UNITED STATES CODE SECTION 5339 Leasing Will the Collier County Board of County Commissioners , as applicant to the Federal Transit Administration Section 5339 Program, lease the proposed vehicle(s) (or any other equipment that may be awarded to the Applicant)to a third-party? DYes ® No If yes,specify to whom: NOTE: It is the responsibility of the applicant agency to ensure District approval of all lease agreements. 1681. 6 Certification of Equivalent Service CERTIFICATION OF EQUIVALENT SERVICE Collier County Board of County Commissioners certifies that its demand responsive service offered to individuals with disabilities,including individuals who use wheelchairs, is equivalent to the level and quality of service offered to individuals without disabilities. Such service, when viewed in its entirety, is provided in the most integrated setting feasible and is equivalent with respect to: 1 Response time; 2 Fares; 3 Geographic service area; 4 Hours and days of service; 5 Restrictions on trip purpose; 6 Availability of information and reservation capability; and 7 Constraints on capacity or service availability. In accordance with 49 CFR Part 37, public entities operating demand responsive systems for the general public which receive financial assistance under 49 U.S.C. 5310, 5311 and 5339 of the Federal Transit Administration (FTA)funds must file this certification with the appropriate state program office before procuring any inaccessible vehicles or employing private entities such as Transportation Network Companies (TNCs) or taxi services in demand-responsive services of any kind. Such public entities not receiving FTA funds shall also file the certification with the appropriate state office program. Such public entities receiving FTA funds under any other section of the FTA Programs must file the certification with the appropriate FTA regional office. This certification is valid for no longer than one year from its date of filing. Non-public transportation systems that serve their own clients,such as social service agencies, are required to complete this form. Executed this 9th day of December,2025 Burt L. Saunders, Chairman Typed Name and Title of Authorized Representative Signature of Authorized Representative 49 E pp.y clack A ''Attest as to Chairman's signature only OMB Number: 40-0004 Expiration Date: 11/30/2025 Application for Federal Assistance SF-424 *1.Type of Submission: *2.Type of Application: *If Revision,select appropriate letter(s): n Preapplication ®New ®Application n Continuation *Other(Specify): n Changed/Corrected Application I I Revision *3.Date Received: 4.Applicant Identifier: I I 5a.Federal Entity Identifier: 5b.Federal Award Identifier: State Use Only: 6.Date Received by State: 7.State Application Identifier: 1001 8.APPLICANT INFORMATION: *a.Legal Name: Collier County Board of County Commissioners *b.Employer/Taxpayer Identification Number(EIN/TIN): *c.UEI: 56-6000558 JWKJKYRPLLU6 d.Address: *Streetl: 3299 Tamiami Trail East, Suite 700 Street2: *City: Naples County/Parish: *State: FL: Florida Province: *Country: USA: UNITED STATES *Zip/Postal Code: 34112-5746 e.Organizational Unit: Department Name: Division Name: Transportation Management Svcs PTNE f.Name and contact information of person to be contacted on matters involving this application: Prefix: Mr. *First Name: Omar Middle Name: *Last Name: DeLeon Suffix: Title: Transit Manager Organizational Affiliation: Collier County *Telephone Number: 239-252-4996 Fax Number: *Email: Omar.DeLeon@collier.gov 16B16 Application for Federal Assistance SF-424 *9.Type of Applicant 1:Select Applicant Type: B: County Government Type of Applicant 2:Select Applicant Type: Type of Applicant 3:Select Applicant Type: *Other(specify): *10.Name of Federal Agency: Federal Transit Administration 11.Catalog of Federal Domestic Assistance Number: 20.526 CFDA Title: Bus and Bus Facilities Program *12.Funding Opportunity Number: *Title: 13.Competition Identification Number: Title: 14.Areas Affected by Project(Cities,Counties,States,etc.): 5339AreasAffected.pdf Add Attachment Delete Attachment View Attachment *15.Descriptive Title of Applicant's Project: Capital Funding request for 5339 to purchase one 90' Fixed-Route bus and the purchase and installation of a canopy for the Immokalee Transfer Station in the rural areas of Collier County. Attach supporting documents as specified in agency instructions. Add Attachments Delete Attachments View Attachments 13 1 6 Application for Federal Assistance SF-424 16.Congressional Districts Of: *a.Applicant 19 *b.Program/Project 19&26 Attach an additional list of Program/Project Congressional Districts if needed. Add Attachment Delete Attachment View Attachment 17.Proposed Project: *a.Start Date: 10/01/2026 *b.End Date: 09/30/2027 18.Estimated Funding($): *a.Federal 1,203,000.00 *b.Applicant *c.State 300,750.00 *d.Local *e.Other *f. Program Income *g.TOTAL 1,503,750.00 *19.Is Application Subject to Review By State Under Executive Order 12372 Process? n a.This application was made available to the State under the Executive Order 12372 Process for review on . n 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.) n Yes ®No If"Yes",provide explanation and attach Add Attachment Delete Attachment View Attachment 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 18,Section 1001) **I AGREE ** The list of certifications and assurances, or an internet site where you may obtain this list, is contained in the announcement or agency specific instructions. Authorized Representative: Prefix: Mr. *First Name: Burt Middle Name: L. *Last Name: Saunders Suffix: *Title: Chairman, Board of County Commissioners *,Telephone Number: 239-252-8603 Fax Number: 47 ,•*Ema1l r Saunders@colliercountyf1.gov *SignatureorAuthot1 edRepresentative: *Date Signed: 12/09/2025 A 14. 4� P`.r � r31♦ /49.4.-15ikregfbiL- 9 Attest as to Chairman'h signature only D pudy Clerk 16816 FTA Section 5333 (b) Assurance Note: By signing the following assurance,the recipient of Section 5339 assistance assures it will comply with the labor protection provisions of 49 U.S.C.5333(b) by one of the following actions: (1)signing the Special Warranty for the Rural Area Program (see FTA Circular C 9040.1H);(2) agreeing to alternative comparable arrangements approved by the Department of Labor(DOL); or(3)obtaining a waiver from the DOL. Collier County Board of County Commissioners (hereinafter referred to as the "Recipient") HEREBY ASSURES that the "Special Section 5333 (b) Warranty for Application to the Small Urban and Rural Program" has been reviewed and certifies to the Florida Department of Transportation that it will comply with its provisions and all its provisions will be incorporated into any contract between the recipient and any sub-recipient which will expend funds received as a result of an application to the Florida Department of Transportation under the FTA Section 5339 Program. Dece ber 9th,2025 Date .,,6,,,,+Citg....„4 ."00." Signature of Contractor's Authorized Official Burt L Saunders Typed Name and Title of Authorized Representative Note: All applicants must complete the following form and submit it with the above Assurance. LISTING OF RECIPIENTS, OTHER ELIGIBLE SURFACE TRANSPORTATION PROVIDERS, UNIONS OF SUB-RECIPIENTS,AND LABOR ORGANIZATIONS REPRESENTING EMPLOYEES OF SUCH PROVIDERS, IF ANY (See Appendix for Example) 1 2 3 4 Identify Recipients of Site Project by Name, Description,and Identify Other Identify Unions(and Transportation Provider(e.g.Recipient,other Agency, Eligible Surface Providers) Assistance Under or Contractor) Transportation Representing this Grant Providers(Type of Employees of Service) Providers in Columns 1,2,and 3 Collier County Application FTA Section 5339 Collier Area Transport workers Board of County Funding of FY26/27 for Collier Transit for Union Local 525 Commissioners Area Transit to purchase a 40' bus transit service AFL-CIO 2595 to provide service to residents of North Courtenay the non-urbanized areas of Collier Pkwy. Suite 104 County traveling within the rural Merritt Island, FL area and/or the adjacent urban area 32953 and returning to rural domicile. Additionally the application is to fund the purchase and construction of a canopy at the Immokalee Transfer Station. i lZ:r. $)c ;, t-'. {st "" trman't {,,��,,. tignatura on ,, ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO D L THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 681 V 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. County Attorney Office County Attorney Office 2. BCC Office Board of County Commissioners P51›,' /z' /2.l 3 Minutes and Records Clerk of Court's Office 4. Send via email to Caroline.Soto@collier.gov 5. 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 Caroline Soto, Grants Accountant/TMSD Phone Number 252-6932 Contact/ Department Agenda Date Item was 12/9/25 Agenda Item Number 16.B.16 Approved by the BCC Type of Document Addendum to Form 424&Lobbying Cert. Number of Original 3 Attached Forms for Sec. 5310& 5311 Grant Apps. Documents Attached PO number or account N/A number 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? CS 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 CS 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 N/A 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 CS 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 CS signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip CS 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 12/9/25 and all changes made N/A is not during 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 the an 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 Standard Lobbying Certification ' ' The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge and belief,that: 1 No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment,or modification of any Federal contract, grant, loan, or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract,grant, loan, or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying,"61 Fed.Reg. 1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601,et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. NOTE: Pursuant to 31 U.S.C. § 1352(c)(1)-(2)(A),any person who makes a prohibited expenditure or fails to file or amend a required certification or disclosure form shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such expenditure or failure. The Collier County Board of County Commissioners, certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition,the Contractor understands and agrees that the provisions of 31 U.S.C.A 3801,et seq., apply to this certification and disclosure, if any. 12/9/2025 Date ___ __ _y ��, .,. Signature of Contractor's Authorized Official Burt L. Saunders- Chairman Name '1fle"64 ontractor's Authorized Official • " in-end for Cc>Ilier County lit*al K.I n!J.Clerk cN a 6u►fs do hoarby(*Whitt the above instrument is a true and correct 6fMgirra fit®din Iier County a g'l i' e t fit- Deputy Clerk y Standard Lobbying Certification 1 816 The undersigned Collier County Board of County Commissioners certifies, to the best of his or her knowledge and belief,that: 1. No Federal appropriated funds have been paid or will be paid, by or on behalf of the undersigned,to any person for influencing or attempting to influence an officer or employee of an agency, a Member of Congress, an officer or employee of Congress, or an employee of a Member of Congress in connection with the awarding of any Federal contract,the making of any Federal grant,the making of any Federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any Federal contract,grant, loan,or cooperative agreement. 2 If any funds other than Federal appropriated funds have been paid or will be paid to any person for making lobbying contacts to an officer or employee of any agency, a Member of Congress,an officer or employee of Congress, or an employee of a Member of Congress in connection with this Federal contract, grant, loan,or cooperative agreement,the undersigned shall complete and submit Standard Form--LLL, "Disclosure Form to Report Lobbying," (a copy of the form can be obtained from FDOT's website) in accordance with its instructions [as amended by "Government wide Guidance for New Restrictions on Lobbying,"61 Fed. Reg.1413 (1/19/96). Note: Language in paragraph (2) herein has been modified in accordance with Section 10 of the Lobbying Disclosure Act of 1995 (P.L. 104-65, to be codified at 2 U.S.C. 1601,et seq.)] 3 The undersigned shall require that the language of this certification be included in the award documents for all sub-awards at all tiers (including subcontracts, sub-grants, and contracts under grants, loans, and cooperative agreements) and that all sub-recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into.Submission of this certification is a prerequisite for making or entering into this transaction imposed by 31, U.S.C. § 1352 (as amended by the Lobbying Disclosure Act of 1995). Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. 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SUB -RECIPIENT: Collier County By IQq4.As .►�j F Name and Title: Dan Kowal, ChairmanERK Date, 312,q 12-� ��tttest.as tcs•fij�airman': �, � �y .......•,fie► sigrtat tie only FID# 59-6000558 114;'. t•� V" �4';t .I If signing electronically: By providing this electronic signature, 1 am attesting that 1 unt erstand That electronic signatures are legally binding and have the same meaning as handwritten signatures. I am also confirming that internal controls have been maintained, and that policies and procedures were properly followed to ensure the authenticity of the electronic signature. 1 acknowledge that typewritten and/or script fonts are not acceptable as a digital signature. All electronic signatures shall be certified digital signatures and include: the signee's name, time and date stamp, This statement is to certify that I confirm that this electronic signature is to be the legally binding equivalent of my handwritten signature and that the data on this form is accurate to the best of my knowledge. STATE OF FLORIDA DIVISION OF EMERGENCY MANAGEMENT By. for: Name and Title: Kevin Guthrie, Executive Director Date: March 29, 2026 28 CAO (-,V() J (� \ 110M\6ga6 GdMf\9\Gut O\ W) (19UgMl\((611 21aM%M.6 9Uq ((S91 j416 q%9 Oki t,3\2 Vo vw 12 9CCnl9(6 to (p6 p62( 04 U1,K ip(2 2(9tewGUt 12 to CG14Q(test \ COu\Il133 tp9t (p\z 6\6C(lOu1C ?%&S9 Mr. 12 t0 PG tp6 \689\\K p1Ug1Ua 2\all9tnl62 2p9\t p6 C6q%rq glalp\ 2\aU9tnl62 9uq IUIcpg6,. tt36 21C1U66 2 U(AW6' (1ule 9Uq qs(6 2(sulb' ( 9C\(1fOM\6ga6 t\19( t)\b6Mu,((6U 9uqp, nu.bt \out2 9l6 \lot 9CC6bt9p\6 9'L 9 g1ap( 21au%me q\t 6\6Ctl01SiC 40ttoMGq t0 6U2M16 tp6 9Mtprk)tpk)\ 0V tpG 6\Gct10111C 21aligp-6 coqvwwu tp9t I11t6l1S9\ COutlo\2 \l9r\6 p66U w91U(91116g' 911q (\S9t b0\lC\G2 910, blOC6gnl62 MGl6 blob6yl� 6\6Ctlow.c 21aU9t11\62 9l6 \east\x plUgllla 9Uq \39r\G tp6 291116 lll6s\liUa 92 psugMut(6u 21au9tMl62' \ 9Ul 9\20 It 2laulua 6I6CfLOUIC9IlA: BN blONP13a (p12 6\SC(lOulc 21au9(nl6' \ 9w SgG2t111a tp9( \ Mug6l2tsug tp`Ct buul6q WSWG 9Uq llAs Ir111CPSGI 2P9M' D!L6ClOL BA. 2pgmvy!cp,361 Dvi t ivo!!a!ol:ea n.oe, D9i6: p,d ;r, ` t Baca a" [V��nria yvI 2np-KsC!DIGUj: C011lsl ConutA bLoaL9W2 suq 81916 bLO16c12 iucing6q iu Exp pi j p6 bLonigsq to 1pe 2np-becibi6ul tA01E 5 C E b b911500 9Uq 26c110u 542 as(2)(9) EIOLlg9 2191n162L6dnlL6 Iusl 1116 IUlOLW9pou sponl E6g6L91 L62onLC62 2N911 p6 n26q OL I10M 611a1p1111A g616LWIUS110U2 9l6 l0 p6 W9g6 3' 2np-66cib16Ul 215911 cOWbIA MIlp 2b6clllc 19M2 Ln162' Ol 16an19p0U2 1IS91 b6491U 10 uOM 1156 9M9Lg6q 215911 Uol p6 Iu COWb119uc6 Milp lu6 16LW2 Ol lu6 vaL66WGU1 5 2np-66cibi6ul 12 znpl6cl to 911 sgWw12lL9lln6 suq t!U9ucisl L6dniLGWGU12 92 26l JOQP lU 4pi2 yaL66Wsul oL 26cnLila Hopc6 of Enugiva pbboLlnullA l 2np-b6cjbi6ul )2 to n26 lnugiud to bG40Lw 61,aiple 9clinlp62 92 Igeulili6q LA 5052 D6bs4W6u101 HOW619uq V<2t 9bb\\C9ptG COWbt�SUCG 1,6drntewsut2 s2 \opoM2-. 66g6LSI bLoaL9W: EUJGLdGUCA w9U9 GWGU1 bG40LWSUCG CL9Ul Ewbe bL0 L9W VMVBDED nADEb 1H12 VeVEEWEVII IHE EOFrOMIVIc' COWbrlVVICE BEOf11bEWEVt12 dbbF k 10 IHE EEDELNF BE2onBcE2 VMSLq suionul: 2 400'1 Cslsloa Ot LGg6Lsl D=62llc y22121suc6 lips suq unWpsL: a- 015 (_6g6LSI VdGucN: 11 2 D6 9L1W6ul Ol HOW619uq 26CnLIl ' E6g6L91 EWGLd6ucA V49U9 6W6Uj E6g6LSI bLoaL9W: EWEISCENCA W` 14VCEWEVIl bEHEOISMACE CIMI EWbC bISOeHVR ` OBEEWEWI IHE EOVrOMIVIc' EEDEbdF BE2onBCE2 VBE `dMVBDED 10 IHE 2n13-BECIblEVIl nWDEb 1HI2 E6g619I bloal9W2 9Uq U620n1062 %fM9LgGq EXHIBIT — 4 30 nugsLlsKeU OL Leeowweugeq- unWpsL)! 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Within ten (10) business days of submitting the aforementioned information: Any further avillabie r• information about mitigation actions undertaken or recommended. In addition, the S- Rk?pieot shall describe the efforts it undertook to prevent use or submission of covered telecvh?twnications equipment or services, and any additional efforts that shall be incorporated to prey fujurg use or rf' submission of covered telecommunications equipment or services. P.Y ' TAL K. Kt tV Sub-Reci len ;igt^ 8y: / Date:_ 6 _ Dan Kowal. Chairman Printed Name and Title If signing electronically: By providing this electronic signature, I am attesting that / understand that electronic signatures are legally binding and have the same meaning as handwritten signatures. i am also confirming that internal controls have been maintained, and that policies and procedures were properly followed to ensure the authenticity of the electronic signature. 1 acknowledge that typewritten andlor script fonts are not acceptable as a digital signature. All electronic signatures shalt be certified digital signatures and include: the signee's name, time and date stamp. This statement is to certify that I confirm that this electronic signature is to be the legally binding equivalent of my handwritten signature and that the data on this form is accurate to the best of my knowledge. 31 CAp EXHIBIT — 3 CERTIFICATION REGARDING LOBBYING Check the appropriate box: ❑ This Certification Regarding Lobbying is required because the Contract, Grant, Loan, or Cooperative Agreement shall exceed $100,000 pursuant to 2 C.F.R. Part 200, Appendix I1(I); 31 U.S.C. § 1352; and 44 C.F.R. Part 18. ❑ This Certification is not required because the Contract, Grant, Loan, or Cooperative Agreement shall be equal to or less than $100,000. APPENDIX A 44 C.F.R. PART 18 — CERTIFICATION REGARDING LOBBYING Certification for Contracts, Grants, Loans, and Cooperative Agreements The undersigned certifies, to the best of his or her knowledge and belief, that: No federal appropriated funds have been paid or shall be paid, by or on behalf of the undersigned, to any person for influencing or attempting to influence an officer or employee of an agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with the awarding of any federal contract, the making of any federal grant, the making of any federal loan, the entering into of any cooperative agreement, and the extension, continuation, renewal, amendment, or modification of any federal contract, grant, loan, or cooperative agreement. 2. If any funds other than federal appropriated funds have been paid or shall be paid to any person for influencing or attempting to influence an officer or employee of any agency, a member of Congress, an officer or employee of Congress, or an employee of a member of Congress in connection with this federal contract, grant, loan, or cooperative agreement, the undersigned shall complete and submit Standard Form-LLL, "Disclosure Form to Report Lobbying," in accordance with its instructions. 3. The undersigned shall require that the language of this certification be included in the award documents for all subawards at all tiers (including subcontracts, subgrants, and contracts under grants, loans, and cooperative agreements) and that all Sub -Recipients shall certify and disclose accordingly. This certification is a material representation of fact upon which reliance was placed when this transaction was made or entered into. Submission of this certification is a prerequisite for making or entering into this transaction imposed by section 1352, title 31, U.S. Code. Any person who fails to file the required certification shall be subject to a civil penalty of not less than $10,000 and not more than $100,000 for each such failure. The Sub -Recipient or subcontractor, Ca l 1 ; C �M •Y%� certifies or affirms the truthfulness and accuracy of each statement of its certification and disclosure, if any. In addition, the Contractor understands and agrees that the provisions of 31 U.S.C. Ch. 38, Administrative Remedies for False Clai State pts��is cptfit"qtion and disclosure, if any. r Signature of Sub -Recipient subcontractor's Authorized Official rr Dan Kowal. Chairman Name and Title of Sub-Recipient/subcontracto(s Authorized Official 3/Zw Date 32 V VV/ CLERK ure only CAO FY 2025 EMPG AGREEMENT ATTACHMENT A PROPOSED PROGRAM BUDGET DETAIL WORKSHEET Funding from the Emergency Management Performance Grant (EMPG") is intended for use by the Sub- Recipient to perform eligible activities as identified in the Fiscal Year 2025 Notice of Funding Opportunity(NOFO) and must be consistent with 2 C.F.R. Part 200 and Chapter 252, Florida Statutes. The "Proposed Program Budget Detail Worksheet" serves as a guide for both the Sub - Recipient and theDivision during the performance of the tasks outlined in the Scope of Work (Attachment A). Prior to execution of this Agreement, the Sub -Recipient shall complete the "Proposed Program BudgetDetail Worksheet" listed below. If the Sub -Recipient fails to complete the "Proposed Program Budget Detail Worksheet", then the Division shall not execute this Agreement. After execution of this Agreement, the Sub -Recipient may change the allocation amounts in the "Proposed Program Budget Detail Worksheet." If the Sub -Recipient changes the "Proposed Program Budget Detail Worksheet", then the Sub -Recipient 's quarterly report must include an updated "Proposed Program Budget Detail Worksheet" to reflect current expenditures. BUDGET SUMMARY AND EXPENDITURES SUB -RECIPIENT: Collier COUNTY AGREEMENT: G0635 1. PLANNING $ 2. ORGANIZATION 3. EQUIPMENT $ 4. TRAINING S 8,451.00 5. EXERCISE $ 92,279.99 MANAGEMENT AND ADMINISTRATION $ 7. TOTAL AWARD 100,730.99 FY 2025 PROPOSED PROGRAM BUDGET DETAIL WORKSHEET - ELIGIBLE.AGTI ES. 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