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12/19/2001 Monroe County Clerk's Original STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION PUBLIC TRANSPORTATION SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT Number 3 FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 1 of 4 Federal No.: 3-12-0037-1399 FLAIR Approp.: 088719 FLAIR Obj.: 750004 Org.Code: 55062020628 Vendor No.: F596000749053 FINANCIAL PROJECT NO.: 25437019401 Contract No.: AF373 Fund: DS Function: 637 Catalog of Federal Domestic Assistance Number: 20-106 Catalog of State Financial Assistance Number: 55004 S.,.. THIS AGREEMENT, made and entered into this ~ day of -- by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agen y of the State of Florida, hereinafter referred to as the Department, and MONROE COUNTY 7ft6 ~ 3491 S. ROOSEVELT BLVD., KEY WEST, FLORIDA 33040 hereinafter referred to as Agency. WITNESSETH: WHEREAS, the Department and the Agency heretofore on the 8th of January entered into a Joint Participation Agreement; and WHEREAS, the Agency desires to accomplish certain project items as outlined in the Attachment "A" appended 1998 hereto; and WHEREAS, the Department desires to participate in all eligible items for this project as outlined in Attachment "A" for a total Department Share of $715,442.00 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 Joint Participation Agreement is to be amended and supplemented as follows: 1.00 Project Description: -1~'6jeet-eeseriptieA-ts-'6ffieflEie6 The project description remains the same: COMMERCIAL AIRCRAFT APRON OVERLAY AND PART OF THE HI-MAST LIGHTING AT KEY WEST INTERNATIONAL AIRPORT. .Vl.:l:A1NOO:J 30ClNmoJ IJ .~I:J .)'rlJ 3~\fH10:~ 01 } '1~Nr , .;" ~ --- trS :S Wd 61 83.1 lOOZ O~OJ3~ HO.:J 031/j FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 2 of 4 2.00 Project Cost: Paragraph 3.00 of said Agreement is increased by $ 168,406.00 bringing the revised total cost of the project to $ 1,564,084.00 Paragraph 4.00 of said Agreement is increased by $ 65,000.00 bringing the Department's revised total cost of the project to $ 715,442.00 3.00 Amended Exhibits: Exhibit(s) "A" of said Agreement is amended by Attachment "A". 4.00 Contract Time: Paragraph 18.00 of said Agreement is amended Not Applicable FORM 725-030,07 PUBLIC TRANSP ADMIN - 07/00 Page 3 of 4 Financial Project No. 25437019401 Contract No. AF373 Agreement Date ---l'" ~ , - 0 ............... Except as hereby modified, amended or changed, all other terms of said Agreement dated ,/- '3 I - 0 d and any subsequent supplements 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. AGENCY MONROE COU~ DATE FUNDING APPROVED BY COMPTROLLER (SEE ATTACHED ENCUMBRANCE FORM) NAME IEW SPORTATION c IIlrI!J-f(/ jVt C C{)l{ , /V{ (VI ~ e_ TITLE I Director of Planning & programs,Dist. VI TITLE '-}T~\\'V~;'>> , \ .-, ~ '1/'\ ,':," -, V-:-,',' - AGE, CLERK ~ I.j..., 'i, 2..~ "" FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 4 of 4 Financial Project No. 25437019401 Contract No. AF373 Agreement Date I ~ ? I ~D ). ATTACHMENT "A" SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT This Attachment forms an integral part of that certain Supplemental Joint Participation Agreement between the State of Florida, Department of Transportation and MONROE COUNTY 3491 S. ROOSEVELT BLVD., KEY WEST, FLORIDA 33040 dated 1- :" -D r DESCRIPTION OF SUPPLEMENT (Include justification for cost change): ADDITIONAL COSTS INCURRED THROUGH CHANGE ORDERS. I. Project Cost: As Approved As Amended Net Change $1,395,678.00 $1,564,084.00 $168,406.00 Total Project Cost $1,395,678.00 $1,564,084.00 $168,406.00 II. Fund Participation: As Approved As Amended Net Change Department: $650,442.00 $715,442.00 $65,000.00 Agency: $650,442.00 $715,442.00 $65,000.00 FAA $94,794.00 $133,200.00 $38,406.00 Total Project Cost $1,395,678.00 $1,564,084.00 $168,406.00 Comments: With Federal Participation Federal: (FAA) 90% $133,200.00 Agency: 5% $7,400.00 Department: 5% $7,400.00= $148,000.00 Without Federal Participation Agency: 50% $708,042.00 Department: 50% $708,042.00 = $1,416,084.00 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER-FIN ADMIN 09/99 ------------------------------------------------------------------ ------------------------------------------------------------------ (Letting Date) _ Termination/Cert of Comp LOA _X_ Supplemental _ Renewal _ Correction Addition Court Order Overrun Supplemental No.3 Contract # AF373 Contract Type _AG_ Method of Procurement _G_ Vendor Name Monroe County Vendor ID F596000749053 Has WrittenNerbal Approval from a Participating Federal Agency been received Yes No X_ Fed Agmt Amt State Funds 65.000.00 Local Funds 65.000.00 Beginning date of this Agmt: 10/19/01 (Must be after fund approval) Ending date of this Agmt: 12/31/01 (Estimate if necessary) Execution date of this Agmt: OO/OO/OO(Only on original agreements) Has work been authorized to begin? _ Yes _X_ No Have standard financial provisions been altered by contract terms? _ Yes _X_ No If so, show Revision date: Does this agreement and/or change order include provisions for reimbursement to D.O.T. from other entities? Yes _X_ No RUSH _ (Needed by -'-'_ (date)) Reason for RUSH: Advertise Award New ****************************************************************** Brief Description of Work/Comments: Commercial Aircraft Apron Overlay and Part of the Hi-Mast Lighting at KWI. RECIPIENT "C" CSFA NO. 55004 ****************************************************************** ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (FUND) alpha ------------------------------------------------------------------ ------------------------------------------------------------------ 55062020628 *PT* 750004* $_65,000.00 (01/02) DS * 25437019401 *637 ------------------------------------------------------------------ ----------------------------------------------------------------- TOTAL AMOUNT * $65,000.00 ----------------------------------------------------------------- Originator: ANDREA CHAO-GARCIA_ DATE SENT:_10/19/01 PH/SC:_ 452-5912 E-mail USERID(s) ****************************************************************** TO BE COMPLETED BY OFFICE OF COMPTROLLER ****************************************************************** BUDGET ENTITY _55100300 WORK PROGRAM VERIFICATION ALLOTMENT CI S03 6S LINE _0002 FUNDS APPROVED BY C B SMITH FOR ROBIN M. NAITOVE, CPA, COMPTROLLER CATEGORY _088719-02 OK DATE CHECKED YEAR ****************************************************************** DATE: _10/22/2001