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Backup Documents 03/22/2016 Item #11H ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT T THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGN T 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 3/22/16 4. BCC Office Board of County Commissioners U'S/ 3\Z3\\(,0 5. Minutes and Records Clerk of Court's Office 3231(.6 14'.Otpm 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 Artie Bay,E 252-3756 Contact/Department Agenda Date Item was 3/22/16 Agenda Item Number 11-H ' Approved by the BCC Type of Document Resolution-Uncollectible Accounts Number of Original One Attached Documents Attached PO number or account n/a number if document is `� to be recorded 019 59 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 signat re STAMP OK JAK 2. Does the document need to be sent to another agency for ad ' ' nal signa . 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 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 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 3/22/16 and all changes made during the JAK meeting have been incorporated in the attached document. The County Attorney's �' �� a< Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the a \< BCC, all changes directed by the BCC have been made,and the document is ready fo th- Chairman's signature. 'etc 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 11H Ann P. Jennejohn From: Ann P.Jennejohn Sent: Wednesday, March 23, 2016 4:56 PM To: Bay, Artie Subject: Item #11H Attachments: Resolution 2016-059.pdf Hi Artie, A copy of the Resolutiovt authorizivtg removal of EMS urcollectable accouvtts for your records for you. Happy Easter! Avtvt Jevtvtejohvt, Deputy Clerk Clerk of the Circuit Court Clerk to the Value Adjustvvievtt Board Collier Couvtty Board Mivtutes & Records Dept 1 111-I RESOLUTION NO.2016- 59 RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, TO AUTHORIZE THE REMOVAL FROM THE BOOKS AND RECORDS OF COLLIER COUNTY CERTAIN ACCOUNTS AND THEIR RESPECTIVE BALANCES WHICH HAVE BEEN IDENTIFIED AS UNCOLLECTIBLE. WHEREAS, Collier County provides emergency ambulance transportation services throughout Collier County; and WHEREAS, emergency ambulance transportation service fees are received by the County after the services have been rendered due to the County's responsibility to protect the public health, safety and welfare; and WHEREAS, the County is unable to collect some debts, and others the Board is statutorily prohibited from collecting or due to contractual arrangements cannot be collected; and WHEREAS,the County's generally accepted and practiced accounting method to recognize an allowance for bad debts is a periodic or annual bad debt expense in the books and records for accounts that have been identified by the Department as un-collectible; and WHEREAS, Rule 69I-71, Florida Administrative Code, allows the Board to adjust accounts receivable for less than the full amount if the accounts have not been reported to the Department of Financial Services, Division of Accounting and Auditing for disposition; and WHEREAS, the subject accounts have not been reported to the Department of Financial Services,Division of Accounting and Auditing; and WHEREAS, County Resolution No. 08-27, Section 2. H and I, provides for removing these accounts from the Board's Emergency Medical Services Fund Accounts Receivable; and WHEREAS, the Board of County Commissioners hereby finds that diligent efforts at collection have proven unsuccessful and circumstances warrant the adjustment. NOW THEREFORE, IT IS RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY,FLORIDA,that: 1. The following chart sets forth the charges billed, the portion uncollectible due to statutory prohibitions and Board contractual arrangements, the amount collected and the balance of accounts receivable to be written off(FY 12): 1 11H Gross Charges Contractual & Amount Collection Write-Off Write- Total Billed Other Adjustments Net Billed Collected Net% Amount Off% Accounts 22,108,285.25 6,505,643.68 15,602,641.57 10,015,925.48 64% 5,586,716.09 36% 7,608 2. The Board authorizes staff to remove 7,608 individual accounts and their respective balances for a total of$5,586,716.09 from the Board's Emergency Medical Services Fund. Same amount will be removed from the Accounts Receivable General Ledger control account, and the Allowance for Doubtful Accounts General Ledger control account in the Board's Emergency Medical Services Fund. This Resolution adopted on this Z24-0.day of4ebRibuy 2016 after motion, second and majority vote favoring adoption. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROOK, CLERK OF COLLIER COUNTY, FLORIDA ljec.1 f ' ` �! By: " ERK D A FIALA, CHAIRMAN Attest •S ' gn. ure on y. Ap. o. orm and legality: 41 Jeffre ? .tzkow Coun • orney item# 1i i1 ADategenda ?�_221 Date Rec'd J • • 2 Deputy CI; .