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SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT NO 1 TO ADJUST FUNDING ~ , . STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION PUBLIC TRANSPORTATION SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT Number 1 FORM 72S-03Q-{)7 PUBLIC TRANSP ADMIN - 07/00 Page 1 of 4 FINANCIAL PROJECT NO.: 40300619401 Contract No.: AI076 Fund: 010 FLAIR Approp.: 088719 FLAIR Obj.: 750004 Org.Code: 55072020728 Vendor No.: f596000289002 Catalog of State Financial Assistance Number: 55004 Function: 637 Federal No.: nfa Catalog of Federal Domestic Assistance Number: nfa THIS AGREEMENT, made and entered into this 8 tL. day of Oct-~ ~(') \ I by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida, hereinafter referred to as the Department, and City of Clearwater P.O. Box 4748, Clearwater, FL 33758-4748 hereinafter referred to as Agency. WIT N ES SET H : WHEREAS, the Department and the Agency heretofore on the 21st 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 June 2000 WHEREAS, the Department desires to participate in all eligible items for this project as outlined in Attachment "A" for a total Department Share of $550,000.00 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 project description is amended This Supplemental Agreement does not change the project description. or - //5--C f '\ (/1) Ml " . . ~ FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 2 014 2.00 Project Cost: Paragraph 3.00 of said Agreement is increased by $ 250,000.00 bringing the revised total cost of the project to $ 850iOOO.00 Paragraph 4.00 of said Agreement is increased by $ 250,000.00 bringing the Department's revised total cost of the project to $ 550,000.00 3.00 Amended Exhibits: Exhibit(s) B of said Agreement is amended by Attachment "A". 4.00 Contract Time: Paragraph 18.00 of said Agreement is amended Not Applicable Jtl . ..\.. ,.,- .. . . FORM 72S-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 3 of 4 Financial Project No. 40300619401 Contract No. AI076 Agreement Date QJ-. e "./")D\ I Except as hereby modified, amended or changed, all other terms of said Agreement dated June 21st, 2000 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 City of Clearwater fJ~NA* A DATE FUNDING APPROVED BY COMPTROLLER (SEE ATTACHED ENCUMBRANCE FORM) f William B. Horne II LEGAL REVIEW DEPARTMENT OF TRANSPO ~~TM~~TATION City Manager TITLE ATTEST: .. ---- - .-,-- Donald J Skelton, P.E., District Director of Plannin~ and Production )... ~~~~&uL ~ cynt~ "E. Goudeau, City Cle n Countersigned: TITLE Brian J. Aung t, . Carassas, Assistant City Attorney pO ,l(C. .' ., . . FORM 725-030-07 PUBLIC TRANSP ADMIN - 07/00 Page 4 of 4 Financial Project No. 40300619401 Contract No. AI076 Agreement Date ~ ) ATTACHMENT "A" SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT This Attachment forms an integral part of that certain Supplemental Joint Participation Agreement between of Florida, Department of Transportation and City of Clearwater P.O. Box 4748, Clearwater, FL 33758-4748 dated -&d 8 200 \ J DESCRIPTION OF SUPPLEMENT (Include justification for cost change): The total project cost is being increased as a result of the Department's funding over multi-years. I. Project Cost: As Approved As Amended Net Change $600,000.00 $850,000.00 $250,000.00 Total Project Cost $600,000.00 $850,000.00 $250,000.00 II. Fund Participation: As Approved As Amended Net Change Department: $300,000.00 $550,000.00 $250,000.00 Agency: $300,000.00 $300,000.00 $0.00 Other: Total Project Cost ' $600,000.00 $850,000.00 $250,000.00 Comments: The Department may participate in up to eighty percent of the non-federal share of this project as provided by Florida Statutes 332.007 (6) ttJ " . e Encumbrance Administrator Sent by: Elizabeth. Wellington To: John H Roeller/D7/FDOT@FDOT cc: Subject: Re: 40297919401 S4~ 55 xxxxxxxxx *xx * xxx xxx * $ (xx/xx) * xxxxxxxxxxx (xxxx) *xxx 08/01/01 11 :57 AM John H Roeller John H Roeller 08/01/01 08:37 AM To: Encumbrance Administrator/CO/FDOT@FDOT cc: Subject: 40297919401 S4 STATE OF FLORIDA DEPARTMENT OF ENCUMBRANCE INPUT FORM RUSH (Needed by Reason for RUSH-:--- Advertise Award New TRANSPORTATION FORM 350-020-01 COMPTROLLER-FIN ADMIN 3/99 _/_/_ (date)) (Letting Date) Termination/Cert of Comp LOA X supplementar-- Renewal Correction Addition - - Court Order Overrun Contract # AE-263 Contract Type AG Method of Procurement G Vendor Name City ~Clearwater Vendor-ID f596000289002 Has Written/Verbal Approval from a Participating Federal Agency been received Yes X No Fed Agmt Amt n/a State Funds 100,000 Local Funds n/a Beginning date of this Agmt: 08/12701(Must~e after fund-approval) Ending date of this Agmt: 07/15/02(Estimate 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 X No ****************************************************************** Brief Description of Work/Comments:Airport Master Plan/Stormwater plan. ' Grant/CSFA # 55004 Recipient Type C ****************************************************************** ORG-CODE *EO * OBJECT * AMOUNT (FISCAL YEAR) *FIN PROJ or JOB # *FCT (FUND) alpha 55 072020728 *pt * 750004 * $100,000 _ * 40297919401 *637 (01/02) (OS) 55 xxxxxxxxx *xx * xxxxxx * $ (xx/xx) * xxxxxxxxxxx (xxxx) *xxx TOTAL AMOUNT * $100,000_ * Originator:John Roeller DATE SENT:8-1-01___ PH/SC:_512-7766 E-mail USERID(s) pt729jr ****************************************************************** TO BE COMPLETED BY OFFICE OF COMPTROLLER ****************************************************************** BUDGET ENTITY 55100300 CATEGORY 088719 WORK PROGRAM VERIFICATION OK ALLOTMENT YEAR 02_ DATE CHECKED CI 503 6S LINE _0004_ _ _ _ FUNDS APPROVED BY JOHN FAIN FOR ROBIN M. NAITOVE, CPA, COMPTROLLER DATE: _08-01-2001