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10/18/2001 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION CLERK-'S ORIGINAL PUBLIC TRANSPORTATION SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT Number 3 FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 1 of 4 FINANCIAL PROJECT NO.: 25437119401 Contract No.: AF374 Fund: DDR Federal No.: 3-12-0037-1399 FLAIR Approp.: FLAIR Obj.: 750004 Org.Code: 55062020628 Vendor No.: F596000749053 Catalog of State Financial Assistance Number: 55004 Function: 637 Catalog of Federal Domestic Assistance Number: 20-106 THIS AGREEMENT, made and entered into this tt. '7 - day of Nu-.be-Y' UJO 1-, by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida, hereinafter referred to as the Department, and MONROE COUNTY 3491 S. ROOSEVELT BOULEVARD, KEY WEST, FLORIDA 33040 hereinafter referred to as Agency. WITNESSETH: WHEREAS, the Department and the Agency heretofore on the 2nd entered into a Joint Participation Agreement; and WHEREAS, the Agency desires to accomplish certain project items as outlined in the Attachment "A" appended hereto; and of September 1998 WHEREAS, the Department desires to participate in all eligible items for this project as outlined in Attachment "A" for a total Department Share of $515,775.00 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: The 1" Gject description is an .ellded The project description remains the same: GA APRON OVERLAY AND PART OF THE HI-MAST LIGHTING AT KEY WEST INTERNATIONAL AIRPORT 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 $ 124,000.00 bringing the revised total cost of the project to $ 1,136,876.00 Paragraph 4.00 of said Agreement is increased by $ 62,000.00 bringing the Department's revised total cost of the project to $ 515,775.00 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 December 31st, 2003 FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 3 of 4 Financial Project No. 25437119401 Contract No. AF374 , Agreement Datel::ta I ~ d 00/. Except as hereby modified, amended or changed, all other terms of said Agreement dated September 2nd, 1998 and any subsequent supplements shall remain in full force and effect. above written. IN WITNESS WHEREOF, the parties hereto have caused these presents be executed, the day and year first AGENCY ~NTY ~ ~". NAME ~~ IlLII.o I M 41/ .., , TITLE DATE FUNDING APPROVED BY COMPTROLLER (SEE ATTACHED ENCUMBRANCE FORM) - T A TION Planning & Programs, Dist. VI TITLE ~ ~ <:;:) "" <- :boo Z I .&- fi ,~~-"t. C) C ..,.. ~ ~,,~c: filE; :..< n- r.... On- ~;:O2 -I _. :-<~:x --.,' >- r- C) )> ITI -0 ::r N c..n +- .." - r- rr'I o .." o ::0 ::0 1"11 ('"') <:> :::0 o FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 4 of 4 Financial Project No. 25437119401 Contract No. AF374 Agreement Date ':be(! / J II ~O{) / 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 BOULEVARD, KEY WEST, FLORIDA 33040 , dated -Veld!"J / ~)OO I f DESCRIPTION OF SUPPLEMENT (Include justification for cost change): ADDITIONAL COSTS INCURRED THROUGH CHANGE ORDER NO.1 ADDING CONTRACT TIME TO BEGIN WORK ON SCHEDULE. I. Project Cost: As Approved As Amended Net Change $1,012,876.00 $1,136,876.00 $124,000.00 Total Project Cost $1,012,876.00 $1,136,876.00 $124,000.00 II. Fund Participation: As Approved As Amended Net Change Department: $453,775.00 $515,775.00 $62,000.00 Agency: $453,775.00 $515,775.00 $62,000.00 FAA $105,326.00 $105,326.00 $0.00 Total Project Cost $1,012,876.00 $1,136,876.00 $124,000.00 Comments: With Federal Participation Federal: (FAA)Hi-Mast (90%) 94,794. Agency: (5%) 5,266. Department (5%) 5,266.= $105,326.00 Without Federal Participation Agency: (50%) 515,775. Department: (50%) 515,775. = $1,031,550.00 STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION FORM 350-020-01 ENCUMBRANCE INPUT FORM COMPTROLLER-FIN ADMIN 09/99 (Letting Date) _ TerminationlCert ofComp LOA _X Supp1ementa1_ Renewal _ Correction Addition Court Order Overrun SUPPLEMENTAL NO. 3 Contract # _ AF3 74_ Contract Type _ AG _ Method of Procurement _ G_ Vendor Name _MONROE COUNTY_ VendorlD _F596000749053 Has WrittenlVerba1 Approval from a Parti,cipating Federal Agency been received Yes No X Fed Agmt Amt State Funds_62,000_ Local Funds Beginning date of this Agmt: _11/~7(Must be after fund approval) Ending date of this Agmt: 12/31/0 _ stimate if necessary) Execution date of this Agmt: -.! ~ _(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 No ****************************************************************** RUSH_CNeeded by -.!~_(date)) Reason for RUSH: Advertise Award New Brief Description of Work/Comments: ADDED COST TO THE GA APRON OVERLAY PROJECT. THE GA APRON OVERLAY AND PART OF THE HI-MAST LIGHTING AT KWI. RECIPIENT "C" CSF A NO.55004 ****************************************************************** ORG-CODE *EO * OBJECT * AMOUNT *FIN PROJ or JOB # *FCT (FISCAL YEAR) (FUND) alpha 55062020628 *PT * 750004 * $* 25437119401 *637 (01/02) (DDR) ------------------------------------------------------------------ 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) (xxxx) * xxxxxxxxxxx *xxx ------------------------------------------------------------------ 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) (xxxx) * xxxxxxxxxxx *xxx ------------------------------------------------------------------ TOTAL AMOUNT * $ 62,000.00* ----------------------------------------------------------------- Originator:ANDREA CHAO-GARCIA DATE SENT:_06/25/01 PH/SC: 452-5912 E-mail USERID(s) ****************************************************************** TO BE COMPLETED BY OFFICE OF COMPTROLLER ****************************************************************** BUDGET ENTITY _55100300_ CATEGORY 088719 WORK PROGRAM VERlFICATION _OK ALLOTMENT YEAR 02 DATE CHECKED CI S03_6SLINE_0002______ FUNDS APPROVED BY JOHN FAIN CPA, COMPTROLLER DATE: _07-19-2001 FORROBINM. NAITOVE, CPA, COMPTROLLER DATE: ****************************************************************** FOR ROBIN M. NAITOVE,