Backup Documents 03/24/2015 Item #16H2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING sir
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 4'15 H
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complete with the
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAK 3/24/15
4. BCC Office Board of County
Commissioners \i (16./
5. Minutes and Records Clerk of Court's Office 3124 S 3; 516riN
r rV
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who created/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additional or missing information.
Name of Primary Staff Wanda Rodri uez,ACP Phone Number 252-8123
Contact/ Department Office of the ounty Attorney
Agenda Date Item was 3/24/15 Agenda Item Number 16-H-2
Approved by the BCC
Type of Document Resolution appointing member�`�to the Forest Number of Original one GC�t
Attached Lakes Advisory Committee ,5— Documents Attached
PO number or account N/A
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the JAK
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 3/24/15 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's JAK
Office has reviewed the changes, if applicable. _____________b \
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16H 2
RESOLUTION NO. 2015 - 5 9
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA, APPOINTING BARBARA BELL
TO THE FOREST LAKES ROADWAY AND DRAINAGE ADVISORY
COMMITTEE.
WHEREAS, Collier County Ordinance No. 92-16 established the Forest Lakes Roadway
and Drainage Advisory Committee to aid and assist the Board of County Commissioners in
carrying out the purposes of the Forest Lakes Roadway and Drainage Municipal Service Taxing
Unit(MSTU); and
WHEREAS, Ordinance No. 92-16 provides that this Advisory Committee shall be
composed of five members who generally represent the area within the MSTU; and
WHEREAS, there is a vacancy on this committee; and
WHEREAS, the Board of County Commissioners has provided public notice soliciting
applications from interested parties; and
WHEREAS, the Forest Lakes Roadway and Drainage Advisory Committee has provided
the Board of County Commissioners with its recommendation for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that BARBARA BELL, a resident
within the MSTU, is hereby appointed to the Forest Lakes Roadway and Drainage Advisory
Committee to a four-year term to expire on April 21, 2019.
THIS RESOLUTION ADOPTED upon majority vote on the 24th day of March, 2015.
ATT : � r BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, Clerk COLLIER COUNTY, FLORIDA
a I
By: '';-2.--`72 : By:
Attestas to.Chairma�Veput le k I TIM NANCE, CHAIRMAN
.
signature oh1 :
Apprrasg fozlty
:
Jeffrey A. Klatzkow
//Li'
County Attorney