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Backup Documents 01/12/2016 Item #10B ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 0 B 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(ount) 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 JAK 1/13/16 4. BCC Office Board of County Commissioners // i\k 3\A(4, 5. Minutes and Records Clerk of Court's Office k)ly.(t ) /tV. 257 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 Jeffrey A.Klow Phone Number 252-8400 Contact/ Department Agenda Date Item was 1/12/16 Agenda Item Number 10B Approved by the BCC Type of Document Resolution Number of Original 1 0/3:1161-' �(� Attached SDocuments 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 Y-s N/A(Not appropriate. nitial) Applicable) 1. Does the document require the chairman's original signature? JAK 2. Does the document need to be sent to another agency for additional signatures? If yes, JAK 10‘.,`Sc provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. --t ., 3. Original document has been signed/initialed for legal sufficiency. (All documents to be JAK 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 4741£ 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 JAK 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 1/12/16 (enter date)and all changes .AK N/A is not made during the meeting have been incorporated in the attached document. The an option for County Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the is not BCC,all changes directed by the BCC have been made,and the document is ready for th; . option for Chairman's signature. !s line. I:Forms/County Forms/BCC orms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12 co��y 1 0 B MEMORANDUM Date: January 14, 2016 To: Scott Teach, Deputy County Attorney County Attorney's Office From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Resolution 2016-15: Placing a Straw Ballot Referendum on the March 15, 2016 Presidential Preference Primary Ballot regarding a single Fire and Emergency Medical Response Independent Special District Attached please find a certified copy of the document as referenced above (Agenda Item #10B), approved by the Board of County Commissioners on Tuesday, January 12, 2016. The original document will be held in the Minutes & Records Department as part of the Board's Official Records. If you should have any questions, please contact me at 252-8411. Thank you. Attachments 1 0 B MEMORANDUM Date: January 14, 2016 To: Jennifer Edwards, Supervisor of Elections From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Resolution 2016-15: Placing a Straw Ballot Referendum on the March 15, 2016 Presidential Preference Primary Ballot regarding a single Fire and Emergency Medical Response Independent Special District Attached please find a certified copy of the document as referenced above (Agenda Item #10B), approved by the Board of County Commissioners on Tuesday, January 12, 2016. The original document will be held in the Minutes & Records Department as part of the Board's Official Records. If you should have any questions, please contact me at 252-8411. Thank you. Attachments 1 ;',J RESOLUTION NO. 2016 - 1 5 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, DIRECTING THE COLLIER COUNTY SUPERVISOR OF ELECTIONS TO PLACE A STRAW BALLOT REFERENDUM ON THE MARCH 15, 2016 PRESIDENTIAL PREFERENCE PRIMARY BALLOT ASKING THE VOTERS OF UNINCORPORATED COLLIER COUNTY IF THEY SUPPORT A SINGLE COMBINED FIRE AND EMERGENCY MEDICAL RESPONSE INDEPENDENT SPECIAL DISTRICT IN UNINCORPORATED COLLIER COUNTY THAT IS GOVERNED BY AN INDEPENDENT ELECTED BODY, TO PROVIDE A UNIFIED EMERGENCY RESPONSE. WHEREAS, by letter dated December 18, 2015, the Chairman of the Greater Naples Fire Rescue District requested that the Board of County Commissioners (Board) support a straw ballot referendum concerning the creation of a single combined fire and emergency medical response independent special district in unincorporated Collier County that is governed by an independent elected body, to provide a unified emergency response; and WHEREAS, the Board desires to gauge the sentiment of Collier County voters on this new approach through a straw ballot referendum. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that: Section 1. The Supervisor of Elections is hereby directed to include within the ballot for the March 15, 2016 Presidential Preference Primary Ballot the following straw ballot referendum language: Creation of a Combined Fire and Emergency Medical Response Independent Special District "WOULD YOU SUPPORT A SINGLE COMBINED FIRE AND EMERGENCY MEDICAL RESPONSE INDEPENDENT SPECIAL DISTRICT IN UNINCORPORATED COLLIER COUNTY THAT IS GOVERNED BY AN INDEPENDENT ELECTED BODY, TO PROVIDE A UNIFIED EMERGENCY RESPONSE?" Yes No 1 106 6 Section 2. The Supervisor of Elections shall provide any and all notices required by the Florida Election Code in connection with placing a straw ballot on the March 15, 2016 Presidential Preference Primary Ballot. Section 3. The Board of County Commissioners hereby directs the Clerk of Courts to deliver, or cause to be delivered, a certified copy of this Resolution to the Supervisor of Elections upon adoption and execution of this Resolution. THIS RESOLUTION ADOPTED after motion, second and majority vote favoring same, this IZ-\-\-Nday of January, 2016. ATTEST: , ' .'1P,r: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA By: 1 IV/1"-e-- -�,1-4164 Attest as to ChahttrilV Clerk DO2 FIALA , CHAIRMAN signature only. Appro , d • . e,l orm a�gality: t 'dolli It i Jeffrey A!'.1 1 zkow, County Attorney ,err il -r Item# 1a6 Agenda 1 l 1�, 1=. 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