PUBLIC TRANSPORTATION AMENDMENT TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT - FPN 452861-1-94-01 - AVIATION GRANT PROGRAMDocusign Envelope ID: 6B0C41B9-3476-4C95-A359-B12174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
AMENDMENT TO THE PUBLIC TRANSPORTATION
GRANT AGREEMENT
Form 725-000-03
STRATEGIC
DEVELOPMENT
OGC 07/22
Financial Project Number(s):
(item -segment -phase -sequence)
452861-1-94-01
Contract Number: G2I04
CFDA Number: N/A
CFDA Title: N/A
CSFA Number: 55.004
CSFA Title:
Fund(s):
DDR,DPTO FLAIR Category:
Work Activity Code/Function:
Federal Number/Federal Award
Identification Number (FAIN) — Transit only:
Federal Award Date:
SAM/UEI Number:
215 Object Code:
Org. Code:
Vendor Number:
Amendment No.:
088719
751000
55072020728
VF596000800011
1
Aviation Grant Program
THIS AMENDMENT TO THE PUBLIC TRANSPORTATION GRANT AGREEMENT ("Amendment") is made and entered
into 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 5/31/2023 (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 Agreement is amended as
follows:
1. Amendment Description. The project is amended FY2025 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
_ Intermodal
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 Exhibits are 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 D: 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
*Exhibit I: Certification of Disbursement of Payment to Vehicle and/or Equipment Vendor
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Docusign Envelope ID: 6B0C41B9-3476-4C95-A359-612174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
AMENDMENT TO THE PUBLIC TRANSPORTATION
GRANT AGREEMENT
*Additional Exhibit(s):
Form 725-000-03
STRATEGIC
DEVELOPMENT
OGC 07/22
4. Project Cost.
The estimated total cost of the Project is X increased/ _ decreased by $200,000 bringing the revised total
cost of the project to $500,000.
The Department's participation is X increased/ _ decreased by $160,000. The Department agrees to
participate in the Project cost up to the maximum amount of $400,000, and, additionally the Department's
participation in the Project shall not exceed 80.00% of the total eligible cost 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 remain in full force and effect.
IN WITNESS WHEREOF, the
AGENCY City of Clearwater
Parties have executed this Amendment on the day and year written above.
By:
Name:
Title:
STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
By:
Name: Justin Hall
Title: Director of Transportation Development
STATE OF FLORIDA, DEPARTMENT OF TRANSPORTATION
Legal Review: Martin Hernandez
[844ABB321213B414...
DocuSigned by:
uvtiw Fhnuu&ott.y
07/29/2024 1 9:04 AM EDT
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Docusign Envelope ID: 6B0C41 B9 -3476 -4C95 -A359-612174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT A
Project Description and Responsibilities
Form 725-000-02
STRATEGIC
DEVELOPMENT
OGC 07/22
A. Project Description (description of Agency's project to provide context, description of project components funded
via this Agreement (if not the entire project)): Design New Terminal FBO Building at Clearwater Airpark
B. Project Location (limits, city, county, map): Clearwater Air Park/Clearwater, FL/Pinellas
C. Project Scope (allowable costs: describe project components, improvement type/service type, approximate
timeline, project schedule, project size): As required by 215.971, F.S., this scope of 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 building project. The Sponsor will comply with Aviation
Program Assurances.
D. Deliverable(s):
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, to allow for a determination of the amount of
incremental progress that has been made, and provide evidence that the payment requested is commensurate with
the accomplished incremental progress and costs incurred by the Agency.
E. Unallowable Costs (including but not limited to):
F. Transit Operating Grant Requirements (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
original grant agreement will include funding for year one. Funding for years two and three will be added by
amendment as long as the grantee has submitted all invoices on schedule and the project deliverables for the year
have been met.
Paae3a7
n^, mint" Envelope in• aunr^ 1 B9 -3476-4C95 A359-812174829740
Docusign Envelope ID: 6B0C41 B9 -3476 -4C95 -A359-612174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT B
Schedule of Financial Assistance
Form 725-000-02
STRATEGIC
DEVELOPMENT
OGC 07/22
FUNDS AWARDED TO THE AGENCY AND REQUIRED MATCHING FUNDS PURSUANT TO THIS AGREEMENT
CONSIST OF THE FOLLOWING:
A. Fund Type and Fiscal Year:
Financial
ManagementTe
Number
Fund
Type
FLAIR
Category
State
Fiscal
Year
Object
Code
CSFA/
CFDA
Number
CSFA/CFDA Title or
Funding Source
Description
Funding
Amount
452861-1-94-01
DDR
088719
2025
751000
55.004
Aviation Grant Program
$160,000.00
452861-1-94-01
DPTO
088719
2023
751000
55.004
Aviation Grant Program
$240,000.00
452861-1-94-01
LF
088719
2023
751000
55.004
Aviation Grant Program
$60,000.00
452861-1-94-01
LF
088719
2025
751000
55.004
Aviation Grant Program
$40,000.00
Match to Direct Federal Funding
Total Financial Assistance
$500,000.00
B. Estimate of Project Costs by Grant Phase:
Phases'
State
Local
Federal
Totals
State
Local
Federal
Land Acquisition
$0.00
$0.00
$0.00
$0.00
0.00
0.00
0.00
Planning
$0.00
$0.00
$0.00
$0.00
0.00
0.00
0.00
Environmental/Design/Construction
$400,000.00
$100,000.00
$0.00
$500,000.00
80.00
20.00
0.00
Capital Equipment/ Preventative
Maintenance
$0.00
$0.00
$0.00
$0.00
0.00
0.00
0.00
Match to Direct Federal Funding
$0.00
$0.00
$0.00
$0.00
0.00
0.00
0.00
Mobility Management
(Transit Only)
$0.00
$0.00
$0.00
$0.00
0.00
0.00
0.00
Totals
$400,000.00
$100,000.00
$0.00
$500,000.00.
*Shifting items between these grant phases requires execution of an Amendment to the Public Transportation Grant
Agreement.
Scope Code and/or Activity
Line Item (ALI) (Transit Only)
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 evaluated and 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
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Docusign Envelope ID: 6B0C41B9-3476-4C95-A359-B12174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
EXHIBIT D
AGENCY RESOLUTION
PLEASE SEE ATTACHED
Form 725-000-02
STRATEGIC
DEVELOPMENT
OGC 07/22
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Docusign Envelope ID: 6B0C41 B9 -3476 -4C95 -A359-612174829740
STATE OF FLORIDA DEPARTMENT OF TRANSPORTATION
PUBLIC TRANSPORTATION
GRANT AGREEMENT EXHIBITS
Form 725-000-02
STRATEGIC
DEVELOPMENT
OGC 07/22
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
55.004
$400,000
*The award amount may change with amendments
Specific project information for CSFA Number 55.004 is provided at: https://apps.fldfs.com/fsaa/searchCataloq.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://apps.fldfs.com/fsaa/searchCompliance.aspx
The State Projects Compliance Supplement is provided at: https://apps.fldfs.com/fsaa/compliance.aspx
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Docusign Envelope ID: 6B0C41 B9 -3476 -4C95 -A359-612174829740
To: Raymond.Clark@dot.state.fl.us
FLORIDA DEPARTMENT OF TRANSPORTATION
FUNDS APPROVAL
02104
7/25/2024
CONTRACT INFORMATION
Contract' G2104
Contract Types: GD - GRANT DISBURSEMENT (GRANT)
G - GOVERMENTAL AGENCY (287.057,F.S.)
Vendor Nome:
CITY OF CLEARWATER
Vendor ID:
F596000289005
inns Date of This Agreement. 05/31/2023
nl
nt. 06/30/2026
g,
ct = $400,000.00
Design New Terminal FBO Building
FUNDS APPROVAL INFORMATION
FUNDS APPROVED/REVIEWED FOR JASON ADANK, CPA, COMPTROLLER ON 7/25/2024
Supplemental
Reviewed
APPROVED
55072020728
A6
OI
751000
$160,000.00
Finanoi
45286119401
Work Activity (FCT):
215
CFDA:
Year.
2025
55100100
Year^
088719/25
D;I
S001
00
I9
1
Enc I..1
0002/04
Total Amount: $160,000.00
Public Transportation Grant Agreement
Project No. 452861-1-94-01 Contract No. G2I04
Michael MacDonald is hereby granted authority to sign the above -referenced grant agreement
and any exhibits or other documentation relating to this agreement on behalf of the City of
Clearwater, Florida in his capacity as Marine and Aviation Director.
Bruce Rector
Mayor
Approved as to form:
Melissa Isabel
Senior Assistant City Attorney
Jennifer Poirfier
City Manager
Attest:
'I/I,Ca Oa(
Rosemarie Call
City Clerk