Backup Documents 09/23/2014 Item #16H6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6
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 JAK 9/23/14
4. BCC Office Board of County b
Commissioners V (5l aAZs\V-k
5. Minutes and Records Clerk of Court's Office (Z� (y
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 Rodriguez,ACP Phone Number 252-8123
Contact/ Department Office of the C my Attorney
Agenda Date Item was 9/23/14 Agenda Item Number 16-H-6
Approved by the BCC
Type of Document Resolution appointing members to Health Number of Original one
Attached Facilities Authority Documents Attached
PO number or account N/A i‘ a p _
number if document is t 1 a.
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)
I. 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
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 JAK
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 9/23/14 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.
9. Initials of attorney verifying that the attached document is the version approve. 'y e *A.'4T -1
BCC,all changes directed by the BCC have been made, and the document is ,-•. for the
Chairman's signature. -11;;P. .,
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05, •- • , •evised 11/30/12
161-16
RESOLUTION NO. 2014 - 202
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPPOINTING ALLISON KRIDER
AND ROBERT CHALHOUB TO THE COLLIER COUNTY HEALTH
FACILITIES AUTHORITY.
WHEREAS, in accordance with Chapter 154, Florida Statutes, Collier County Ordinance
No. 79-95 established the Collier County Health Facilities Authority to assist health facilities in
the acquisition, construction, financing and refinancing of projects within unincorporated Collier
County; and
WHEREAS, Ordinance No. 79-95 provides that the Health Facilities Authority shall
consist of five members who are residents of Collier County; and
WHEREAS, there are currently vacancies on the Health Facilities Authority; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, the Collier County Health Facilities Authority has provided the Board of
County Commissioners with its recommendations for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that ALLISON KRIDER is hereby
appointed to the Health Facilities Authority to serve the remainder of a vacant term to expire on
February 9, 2018, and ROBERT CHALHOUB is hereby appointed to the Health Facilities
Authority to serve the remainder of a vacant term to expire on May 10, 2017.
THIS RESOLUTION ADOPTED upon majority vote this 23`d day of September, 2014.
ATTEST;. BOARD OF COUNTY COMMISSIONERS
DWIGHT E'rBROCK, Clerk COLLIER C• .0 TY, F ID RIDA
li ' : NXIK.SLr By:
---,, if 1
Attest 't lajrOuty Clerk TOM HENNING, CHAIRMAN
signat e o j ,
Approves,a ;, s_els - d legality: 1 ( _� J
.." Item# �l rW
ibi■ Agenda c93
Jeffrey A. K'a zk)w Date 1
County At y
Date 9 I Z(Q 1 (c(Re
Deputy lerk 1\--itilith--.