Backup Documents 02/09/2016 Item #16H2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SA P H
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO c
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNE
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 JAK 2/10/16
4. BCC Office Board of County
Commissioners \j't4/�$`/ ZkaV6.
5. Minutes and Records Clerk of Court's Office
>41TzJja lip 4:7- 1011-1
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 Ro tguez,ACP Phone Number 252-8123
Contact/ Department Office of e County Attorney
Agenda Date Item was 2/9/16 Agenda Item Number 16-H-2
Approved by the BCC
Type of Document Resolution appointing member to Pelican Number of Original one
Attached Bay Services Division Board Documents Attached
PO number or account N/A
numberifdocument is n ,,� D1 �� TO`�
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? STAMP Ok 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 2/9/16 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version appro .y thedvcS&
BCC, all changes directed by the BCC have been made, and the document ' ready for tft?
VV-Z� r�
Chairman's signature. v'�,
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 141/30/12
1 6 H 2
RESOLUTION NO. 2016— 2 8
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING JACOB DAMOUNI TO THE
PELICAN BAY SERVICES DIVISION BOARD.
WHEREAS, Collier County Ordinance No. 2002-27, created the Pelican Bay Municipal
Service Taxing and Benefit Unit (Unit) and established the Pelican Bay Municipal Service Taxing and
Benefit Unit Advisory Committee (known as the Pelican Bay Services Division Board); and
WHEREAS, Ordinance No. 2002-27, as amended, provides that the that the Pelican Bay
Services Division Board shall consist of nine members representing the residential interests within the
Unit and two members representing the commercial and business interests within the Unit; and
WHEREAS, there is one current vacancy on the Pelican Bay Services Division Board for a
member representing commercial and business interests; and
WHEREAS, one applicant has applied for the position and, pursuant to Section 122-1662(f) of
the Collier County Code of Laws and Ordinances, no balloting is required, but instead the nominee's
application shall be forwarded to the Board of County Commissioners to make the necessary
appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that JACOB DAMOUNI, representing
commercial and business interests, is hereby appointed to the Pelican Bay Services Division Board to
serve the remainder of a vacant term expiring on March 31, 2017.
THIS RESOLUTION ADOPTED upon majority vote this 9th day of February, 2016.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
By: /WA- / 0 • - • By: 1249 I&
-DutyDONNAClerk FIALA CHAIRWOMAN
Attest a o`C irman's '
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Jeffrey '. 'atzkow
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