SUPPLEMENTAL JONT PARTICIPATON AGREEMENT NO 4 ADDING STORMWATER MANAGEMENT PLAN TO PROJECT DESCRIPTION
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STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
FORM 725-030-07
PUBLIC TRANSP ADMIN - 07/00
Page 1 of4
PUBLIC TRANSPORTATION
SUPPLEMENTAL JOINT PARTICIPATION AGREEMENT
Number 4
FINANCIAL PROJECT NO.:
40297919401
Contract No.: AE263
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.: n/a
Catalog of Federal Domestic Assistance Number: n/a
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by and between the STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION, an agency of the State of Florida,
THIS AGREEMENTi made and entered into this
8 fk. day of
-CLd-~ -
hereinafter referred to as the Department, and City of Clearwater
P.O. Box 4748, Clearwater, FL 33758-4748
hereinafter referred to as Agency.
WITNESSETH:
WHEREAS, the Department and the Agency heretofore on the 5th of May 1997
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
WHEREAS, the Department desires to participate in all eligible items for this project as outlined in Attachment
"A" for a total Department Share of $209,964.00
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 adds Stormwater Management Plan to the project description.
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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 $ 100,000.00
bringing the revised total cost of the project to $ 274,464.00
Paragraph 4.00 of said Agreement is increased by $ 100,000.00
bringing the Department's revised total cost of the project to $ 209,964.00
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
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FORM 725-030-07
PUBLIC TRANSP ADMIN - 07/00
Page 3 of4
Financial Project No. 40297919401
Contract No. AE263
Agreement Date ad. B I 2 t":}(') ,
Except as hereby modified, amended or changed, all other terms of said Agreement dated May 5th, 1997
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
DATE FUNDING APPROVED BY COMPTROLLER
(SEE ATTACHED ENCUMBRANCE FORM)
City of Clearwater .
f)~^ (~ k~
~J NAME I,
D William B. Horne II
LEGAL REVIEW
DEPARTMENT OF TRANSPORT TION
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TITLE
~1~l-T~~ATION
City Manager
ATTEST:
Donald J Skelton, P.E.,
__J)~!rictDtr_ec!oL<<!LflallDin~ and Production
~A~~I:.~~dtdt?au ~I~
-Otv ~:thtlrE '.~:;;1, City ci;i1
U Countersigned:
Brian J. Ag~ J::&~
TITLE
Approved as to form:
. Carassas, Assistant City Attorney
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FORM 72S.Q30.Q7
PUBLIC TRANSP ADMIN - 07/00
Page 4 of 4
Financial Project No. 40297919401
Contract No. AE263
Agreement Date Bet, e) "2~C) \
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 /\.1.. 8 200 I
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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. Stormwater
Management Plan is being added to the project socpe.
I.
Project Cost:
As Approved
As Amended
Net Change
$174,464.00
$274,464.00
$100,000.00
Total Project Cost
$174,464.00
$274,464.00
$100,000.00
II. Fund Participation: As Approved As Amended Net Change
Department: $109,964.00 $209,964.00 $100,000.00
Agency: $64,500.00 $64,500.00 $0.00
Other:
Total Project Cost $174,464.00 $274,464.00 $100,000.00
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)
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Encumbrance
Administrator
Sent by: Elizabeth
Wellington
To: John H Roeller/D7/FDOT@FDOT
cc:
Subject: Re: 40300619401 S1 ~
08/01/01 11 :55 AM
John H Roeller
c
John H Roeller
08/01/0108:18 AM
To: Encumbrance Administrator/CO/FDOT@FDOT
cc:
Subject: 40300619401 S 1
STATE OF FLORIDA
ENCUMBRANCE
RUSH
Reason for RUSH-:---
Advertise
Award
New
DEPARTMENT OF TRANSPORTATION FORM 350-020-01
INPUT FORM COMPTROLLER-FIN ADMIN 3/99
(Needed by __/__/____ (date))
(Letting Date) Termination/Cert of Comp
_X_ supplementa~ Renewal Correction
Court Order Overrun
LOA
Addition
Contract i AI076 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 250,000 Local Funds n/a
Beginning da~of this Agmt: 08/12/01 (Must be after funa-approval)
Ending date of this Agmt: 08/12/04(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:Construction of two aircraft
T-Hangars and one Corporate Hangar.
Grant/CSFAi 55004 Recipient Type C
******************************************************************
ORG-CODE *EO * OBJECT * AMOUNT
(FISCAL YEAR)
*FIN PROJ or JOB i *FCT
(FUND) alpha
==================================================================
55 072020728 *pt'* 750004 * $250,000 * 40300619401
(01/02) - (DS)
*637
------------------------------------------------------------------
55 xxxxxxxxx *xx * xxxxxx * $
(xx/xx)
* xxxxxxxxxxx
(xxxx)
*xxx
------------------------------------------------------------------
55 xxxxxxxxx *xx * xxx xxx * $
(xx/xx)
* xxxxxxxxxxx
(xxxx)
*xxx
------------------------------------------------------------------
TOTAL AMOUNT * $250,000____ *
------------------------------------------------------------------
Originator:John Roeller DATE SENT:8-1-01 PH/SC:512-7766
E-mail USERID(s)pt729jr
******************************************************************
TO BE COMPLETED BY OFFICE OF COMPTROLLER
******************************************************************
CATEGORY 088719
OK
YEAR 02
BUDGET ENTITY 55100300
WORK PROGRAM VERIFICATION
ALLOTMENT
CI S02 6S LINE 0003
FUNDS APPROVED BY JOHN FAIN -------
FOR ROBIN M. NAITOVE, CPA, COMPTROLLER
DATE CHECKED
DATE: _08-01-2001