Backup Documents 05/12/2015 Item #16E1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI1 6E }
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office O1l3 s j l k' 15C
4. BCC Office Board of County -114
Commissioners /�/ s\r; A\S
5. Minutes and Records Clerk of Court's Office `(l
S 1I1151 r'- •
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 Greg Fisher Phone Number 252-3608
Contact/ Department
Agenda Date Item was 5/12/15 / Agenda Item Number 16E1
Approved by the BCC /
Type of Document MOU—Naples United Church of Christ Number of Original 1
Attached Documents Attached
PO number or account
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? CB
2. Does the document need to be sent to another agency for additional signatures? If yes, N I
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 p
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
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
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip CB
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 05/12/15(enter date)and all changes
made during the meeting have been incorporated in the attached document. The .e-
County Attorney's Office has reviewed the changes,if applicable.
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
16E 1
MEMORANDUM
DATE: May 15, 2015
TO: Greg Fisher, Human Services Program Manager
Bureau of Emergency Services
FROM: Martha Vergara, Deputy Clerk
Minutes and Records Department
RE: Memorandum of Understanding (MOU)
Naples United Church of Christ
Attached for your records is a scanned copy of the document referenced above, (Item
#16E1) approved by the Board of County Commissioners on, Tuesday, May 12, 2015.
The original will be held on file in the Minutes and Records Department as
part of the Board's Official Record.
If you have any questions, please contact me at 252-7240.
Thank you.
Attachment
16E 1
Memorandum of Understanding
Between
Collier County Board of Commissioners
And
Naples United Church of Christ,Inc
I: Purpose: The purpose of this Memorandum of Understanding (MOU) is to set forth, define
and establish mutual agreements, understandings, and obligations by and between the Collier
County Board of County Commissioners, through its Emergency Management Department, and
Naples United Church of Christ, Inc ("Naples United Church of Christ").
II: Statement of Basic Responsibilities:
A. Collier County Board of County Commissioners, through its Emergency
Management Department, provides coordination of emergency services with
Collier County, including incorporated areas. This includes the selection and
utilization of various resources and organizations capable of rendering assistance.
Under Chapter 252, Florida Statutes, the Board of County Commissioners,
through its Emergency Management Department, also coordinates the
administration of relief activities of both public and private relief or disaster
assistance organizations which agree to volunteer their services under the
direction or guidance of Collier County authorities. In addition, Collier County
may utilize personnel and facilities of relief or disaster assistance organizations,
not-for-profit organizations, churches, temples and synagogues in the distribution
of food, relief supplies, medicines or other items and temporary sheltering as part
of the restoration, rehabilitation or reconstruction of community services and
essential facilities whenever Collier County authorities deem it necessary and the
Organization signed below is in agreement.
B. Recognizing the increased demand for churches, temples, and synagogues to
supplement assistance and recovery to victims of both Presidentially declared or
undeclared disasters and the need to work in harmony with local governments and
private relief agencies, the Naples United Church of Christ wishes to assist in
rendering the most efficient service with a minimum of duplication to the citizens
and guests of Collier County.
III: Coordination of Effort: Cooperation and coordination between Collier County
Government, through its Emergency Management Department and Naples United Church of
Christ at a time of major disaster and during the post-disaster recovery period should be
maintained at efficient levels and is part of the purpose of this Agreement. Naples United Church
of Christ will make a continuing effort to acquaint its members of this Agreement to assist
Collier County government in carrying out mutual responsibilities for disaster relief.
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1.6E 1
IV: Responsibilities:
A. Collier County Emergency Management Department agrees to the following:
1. Notify Naples United Church of Christ of the potential need to assist
in activities following a disaster, and
2. Participate in and develop training in disaster response for the members of
Naples United Church of Christ;and
3. Assist in the development of plans for Naples United Church of Christ; and
4. Schedule periodic meetings and/or exercises to familiarize members of
disaster preparedness or recovery initiatives; and
5. Utilize, when and as appropriate, the services of Naples United Church of
Christ for disaster relief and recovery projects; and
6. Whenever members of Naples United Church of Christ are
rendering aid to Collier County Government under this Agreement,
they shall have the same powers, duties, rights, privileges and
immunities as if they were performing their duties for Collier County,
and Collier County shall be liable for their acts and actions as if they
were performing their duties for Collier County; and
7. Collier County shall be liable for any loss or damages to any facility or
equipment utilized pursuant to this Agreement and shall pay any expenses in
the repair thereof; and
8. Collier County agrees to be responsible, to the extent provided under Florida
Statues 768.28, for its negligent acts, however, this responsibility shall not
serve as a waiver of Collier County's Sovereign Immunity limits.
B. Naples United Church of Christ agrees to:
1. Provide facilities and/or staff as available to Collier County at no charge
during the disaster recovery period; and
2. Provide a 24 hour contact person and alternates; and
3. Provide a representative to attend periodic meetings of the Collier
Emergency Response Volunteer(CERV) Working Group; and
4. Participate in exercises developed by the Emergency Management
Department; and
5. Provide the Emergency Management Department with an update of facility
and manpower capabilities at least annually prior to June of each year.
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16E 1
C. Both of the above named parties agreed to the following:
1. No modifications or changes will be made to the facility/property by
the Collier County Representative without the express written
approval of the owner/operator.
2. Prior to occupancy, representatives of both parties will inspect the
facility/property and will note any discrepancies on the inspection form,
and/or this agreement.
3. Prior to occupancy, representatives of both parties will again inspect the
facility/property to note any discrepancies on the release form. Normal
wear and tear is considered to the responsibility of the
organization/owner/operator.
4. The facility/property will be returned to the organization/owner/operator in
the same condition as it was when occupied/acquired.
V. Effective Date, Automatic Renewal, and Modification: This Agreement presents the
general and some specific guidelines by which Collier County, through its Emergency
Management Department and Naples United Church of Christ will cooperate to aid victims at
the time of disaster. In witness thereof, the parties have executed this agreement on the date
indicated. The provisions of the Agreement will be effective from the date approved by the
Board of County Commissioners for a period of three (3) years. At the end of the three year
(3) period, this Agreement will automatically renew for an additional term of one year unless
terminated as provided in Paragraph VI of this Agreement. At the end of the one (1) year
renewal period, this Agreement will renew for an additional term of one (1) year unless
terminated as provided in Paragraph VI of this Agreement. This Agreement may only be
automatically renewed two times. Both parties have the authority to amend provisions of this
Memorandum of Understanding upon mutual consent and by written instrument executed by
the Parties.
VI. Termination: Either party may terminate this Agreement by providing the other party with
notice of its intent to terminate with 30 days written notice. The Agreement may be
immediately and automatically terminated by the County without providing such notice,
should the County reasonably believe that the spirit or intent of Chapter 252, Florida Statutes
is not being effectuated by this Agreement.
^4r,,9 '.
AS TO COUNTY: ,
Attest: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BM) I Clerk COLLIER COUNTY, F RIDA,
Bei /
Y. �' � ' • �� By.
Ai 'g �� TIM NANCE , Chairman S 5
gi nature ont .
WITNESSESOrganization name: L.e„ ��
By: /
Print Name: T e:
Approved as to form and legality
3
Assistant Coun ey
r 6 E 1
Print Name: ,� —C-T/W__/)
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this l le day of
J`J
rbc r-�` by IS4v-jS:r\..e-\ , as Ad ri,,1..-1.4-Mcto.r of
r•)c-g1es , a e...\ . He/She is [X] personally known to me, or
[ ] has produced driver's license no. as identification.
NOTARY PUBLIC
(SEAL) Name: S 1-k, e_5'k ev'
(Type or Print)
My Commission Expires:
Approved as to form and legality:
= 0v Duo SHARON KLOSAK MAGIERA
,rt rt ',j ;-; Notary Public-State of Florida 1
,. My Comm.Expires Jul 28,2016
Jennifer A. Belped
'••.;;,a � s Commission+M EE 211961
Assistant County A'i'1t ey
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