AMENDMENT TO THE PUBLIC TRANSPORATION GRANT AGREEMENT - FPN 435222-1-94-01 - AVIATION GRANT PROGRAMDocuSign Envelope 10: F48E5434 1466=4532-9857-5F26A2t]iCFE30
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
AMENDMENT TO THE PUBLIC TRANSPORTATION
GRANT AGREEMENT
Pone 725-000413
.STRATEGIC
DEVELOPMENT
OGC 11119
Financial .Project Nurnber(s):
(itc m -seg ment•ptiase-sequence)
435222-1-94-01
Contract. Number: GOY92
CFDA Number: N/A
CFDA Title NIA
Fund(s):
DPTO FLAIR Category:
Work Activity CodelFunction:.
Federal Number/Federal Award
Identification Number (FAIN) — Transit only:
Federal Award Date:
Agency DUNS Number:
21.5
078307303
Object Code:
Org..Code:
Vendor Number:
Amendment No.:
088719
751000
55072020728
VF596000800011
1
CSFA Number: 55.004
CSFA Title: Aviation Grant Program
THIS AMENDMENT TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT ("Amendment") is made and entered
irito on , by and between the State of Florida, Department of Transportation
("Department"), and City of Clearwater, ("Agency"),collectively referred to as the "Parties."
RECITALS
WHEREAS, the Department and the Agency on 10/2/2018 (date original Agreement entered) entered into a Public
Transportation Grant Agreement ("Agreement").
WHEREAS, the Parties have agreed to modify the Agreement on the:. terms and conditions set forth herein.
NOW THEREFORE, in consideration of the mutual covenants in this. Amendment, the Agreementis arriended as
follows:.
1. Amendment Description. The project is amended Additional Funding.
2. Program Area. For identification purposes only, this Agreement is implemented as part of the Department
program area selected below (select all programs that apply):
X Aviation
Seaports
Transit
Intermodai
Rail Crossing Closure
_ Match to Direct Federal Funding (Aviation or Transit)
(Note: Section 15 and Exhibit'G do .not apply to federally matched funding)
Other
3.. Exhibits. The following.Exhiibitsare updated,. attached, and incorporated into this Agreement:
X. Exhibit A: Project Description and Responsibilities
X. Exhibit B: Schedule of Financial Assistance
*Exhibit B1: Deferred Reimbursement Financial Provisions
*Exhibit B2: Advance Payment Financial Provisions
_ *Exhibit C: Terms and Conditions of Construction
X Exhibit 0: Agency Resolution
Exhibit E: Program Specific. Terms and Conditions
_ Exhibit F: Contract Payment Requirements.
X *Exhibit G: Financial Assistance (Single Audit Act)
_ *Exhibit. H: Audit Requirements for Awards of Federal Financial Assistance
*Additional Exhibit(s):
1 of 7
DocuSigh Enverope Ip: F413E5434-74c -4532=9857-SF26A2D1,CBBo
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
AMENDMENT TO THE PUBLIC TRANSPORTATION
GRANT AGREEMENT
Fomi 72S -a60-03
STRATEGFC
DEVELOPMENT
OGC 11!19
4, Project Cost.
The estimated. total .cost of the Project is X increased/ decreased by $100.000 bringing the revised total
cost of the project to $1,300,000:
The Departments participation is X increased/ _:decreased; by $80,000. The Department agrees to participate
in the Project cost up to the maximum amount of $1,044,000, and, additionally the Department's participation In
the. Project shall not exceed 80.00% of the total eligible cast of the Project.
Except as modified, amended, Or changed by this Amendment, all of the terms and conditions of the Agreement and any
amendments thereto shall rernain in full force and effect.
IN WITNESS WHEREOF, the
AGENCY City of Clearwater
Parties have executed this „Amendpient an the day and year written above.:
By::
Name:
Title:
STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
By:
Name: Richard Was, P.E.
Title: Director of Transportation Development
STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
Legal Review: Martin Hernandez
.—DocuSIgned by;
M tti (kt Yt 120A j.tlj?
`---873937EFFECS41A:..
:2. of 7
DecuSign Envelope ID: F4BE5434 74C6-4532-9B57-BF26A2D1 C880.
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS.
EXHIBIT A.
Project Description and Responsibilities
Form 7254 (10
STRATEGIC
DEVELOPMENT
OGC a2ao
A. Project Description (description of Agency's project to provide context, description of project components funded
via this Agreement (if not the entire project)); The Hanger C reconstruction project will be assigned a Construction
Manager at Risk who will facilitate all requireddesign, permitting, building codes, and construction. The design and
construction will be for one (1) pre-engineered aircraft hangerwith site improvements. The pre-engineered aircraft
hanger will consist of 10separate hangers totaling approximately 12,500 square feet.
B. Project Location (limits, city, county, map): Clearwater Air Park/Clearwater; FUPinelias
C. Project Scope (allowable costs: describe project components, Improvement type/service type, a pproximate
timeline, project schedule; project size): As required by 2.15.971, F.S„ this scopeof work includes but is not limited to
consultant and design fees, survey and geotechnical costs, permitting, construction inspection and material testing
costs, mobilization and demobilization, maintenance of traffic, erosion control, demolition, pavement (access
roadways, parking lots,and sidewalks), drainage, utilities, primary and back-up power supplies, building (foundation,
structure, roof, MEP, drainage, and fire prevention and protection), pavement marking, lighting and signage, fencing
and gates, landscaping (including outdoor lighting), and indoor/outdoor security systems, including' all materials,
equipment, labor; and incidentals required to complete the box hangar project: The Sponsor will comply with Aviation
Program Assurances.
D. Deliverable(s): A.New Hanger.
The: project, scope identifies the ultimate project deliverables. Deliverables. for requisition,. payment and invoice
purposes:will be the.incremental progress made toward completion of -project scope elements, Supporting
documentation will be quantifiable, measurable,. and verifiable, toallowfor a determination' of the amount of
incremental progress, that'has.been made; and provide evidence that the payment requested is commensurate with
the` accomplished incrementatprOgresS and costs incurred bythe Agency.
E. Unallowable Costs'{including but not limited to):
F. Transit.Operating. Grant Requirerne.nts (Transit Only):
Transit Operating Grants.billed as an operational subsidy Will require.an: expenditure.detail report from the. Agency that
matches the invoice period. The expenditure detail, along with the progress report,. will be the required deliverables for
Transit Operating Grants. Operating grants may be issued for a term not to exceed three years from execution. The
originai'grant agreement will include .funding for year one. Funding for years two and three will be added by
amendrnent.as.long as the grantee has submitted all invoices 'on schedule and the project deliverables for the year
have been met.
3of7
Public Transportation Grant Agreement Amendment
Project No. 435222-1-94-01 Contract No. GOY92
Mayor
Approved as to form:
Michael P. Fuino
Senior Assistant CityAttorney
W
)
William B. Horne, 11
City Manager
Attest:
Rosemarie Cali
City Clerk
Dd:u5ign Envelope ID: F4BE543474C6-4532-9B57-BF26A2D1C5 O
STATE OF -FLORIDA DEPARTMENT OF IRAN2PORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENTEXHIBITS
EXHIBIT B
Schedule of Financial Assistance
Form 725-000-02
STRATEGSC
DEVELOPMENT
OGC. 02/20
FUNDS AWARDED TO 'THE AGENCY AND REQUIRED MATCHING FUNDS PURSUANT TO. THIS AGREEMENT
CONSIST OF THE FOLLOWING:
A. Fund Type and Fiscal Year:
Financial:. .
Management.
Number
Fund
Type
: FLAIR:
Category.
:State
Flscal.: ,
:Year
Object
Code.
CSFAJ
CF[3A•
Number
CSFAICFDA.Title ar
Funding Source
Descraptlon
Funding ..
Amount:
4.35222-1-94-01
435222-1-94-01
435222-1-94-01
435222-1-9401
DPTO
DPTO
LF
LF
088719
088719
088719
088719
2019'
.2021
2021
2019
751000
751000
751000
751000
55.004
55.004
55.004
55.004
Aviation Grant Program
Aviation Grant Program
Aviation Grant Program
Aviation Grant Program
$960,000
$80;000
$20,000
$240,000
i tal FinariciatSSIstance
B. Estimate of Project Costs by Grant Phase:
Phases*
State
Local:
Federal
Total's
State:"
:Local::
Federal
Land Acquisition
$0
$0
$0
0.00
0.00
0.00
Planning
$0
$0.
$.0
$0
0:00
0.00
0.00
Environ rnental/Des igntConstruction
81,04.0,000
$260;000
$0
$1.;300,000
80.00
20.00
0.00
Capital Equipment
$0
$o
$0
$0
0.00
0.00
0.00
Match to. Direct.Federal Funding
$0.
$0
$0
so
0.00
0.00
0.00
Mobility Management
(Transit Only)
$0
$0
$0
$o
0.00
0..0.0
0.00
4260,0,00.:
$1;300,000;:.
*Shifting items between these grant phases requires execution of an Amendment to the Public Transportation Grant
Agreement.
BUDGET/COST ANALYSIS CERTIFICATION AS REQUiRED BY SECTION 216.3475, FLORIDA STATUTES:
I: certify that .the .cost for each line item budget category (grant phase) has been evaluatedand determined to be
allowable, reasonable, and necessary as required by°Section 216.3475, Florida Statutes. Documentation is on file
evidencing the methodology used and the conclusions reached.
Raymond Clark
Department Grant Manager Name
Signature
Date
5. of 7
DocuSign Envelope ID: F48E5434-74C6-4532-9B57-BF26A2D.1CB6O
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT D
AGENCY RESOLUTION
PLEASE SEE A TTA CHER
Form 725.000.02
STRATEGIC
DEVELOPMENT
OCC 02120
6 of 7
bocuSign Envelope lb: F4BE5434-74C6.4532-9657-BF26A2D1 CBBO
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
Form 725400-02.
STRATEGIC
DEVELOPMENT
OGC ova
EXHIBIT G.
AUDIT REQUIREMENTS FOR AWARDS OF STATE FINANCIAL ASSISTANCE
THE STATE RESOURCES AWARDED PURSUANT TO THIS AGREEMENT CONSIST OF THE FOLLOWING:
SUBJECT TO SECTION 215:97, FLORIDA. STATUTES: --
Awarding Agency:
State Project Title:
CSFA Number:
*Award Amount:
Florida. Department of Transportation
Aviation Grant Program
55.0.04
$1,040,000
'The award amount may change With amendments
Specific 'Project information for CSFA Number 55.004 is provided at:•.https //apps.fldfs.corntfsaaisearchCatalbg.aspx
COMPLIANCE REQUIREMENTS APPLICABLE TO STATE RESOURCES AWARDED PURSUANT TO THIS
AGREEMENT:
State Project Compliance Requirements for CSFA Number 55.004 are provided at:
https:/Lapps.fldfs.com/fsaa/searchCompliance.aspx
The State Projects Compliance. Supplement is provided at: https:Uapps.fldfs:com/fsaa/complianceaspx
7 of 7
DocuSign Envelope ID: F48E5434 74C64532-9857-BF26A2D1CBB0
To: Michael.Brown@dot.state.fl.us
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
G0Y92
2/25/2021
CONTRACT INFORMATION
':Cgntrac.
G0Y92
•CoitractTYp
GD -GRANT DISBURSEMENT (GRANT)
)4(44140.44.0.44.6.-
G - GOVERMENTAL AGENCY (287.057,F.S.)
:Veiii
CITY OF CLEARWATER
F596000289005
1Reg r n `g`Date'of T!t`s'Agreemen
10/02/2018
:Endi 1}ate`of Tt is'Agreement
0613012022
ContractTotat!8udgetary Ceilln9
et = $1,040.000,00
13esariptio,
CLEARWATER :AIRPAF K.- REPLACE HANGARC
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR ROBIN M. NAITOVE, CPA, COMPTROLLER 0N21251.2021
Acti01
Suppiernental
Reviewed ar
APPROVED
ani anion
55072020728
Expans or.
Ai
Object cal
740100
$80,000.00
Financial: Pro
43522219401
..o
215
CF
)scaj ;Yep
2021
Et dget Entit
55100100
Catego
Category<Yr:y-'
088719/21
S001
Yuen
00
User Ass Jgfiec
D1
Enc Line (6s)15tat
0002/04
Total Amount: $80;000.00.