Backup Documents 04/12/2016 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
I n
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. Raynesha Hudnell Community & Human 4/8/2016
Services
2. Jennifer Belpedio County Attorney Office I
3. BCC Office Board of County 't ‘=•■•\
Commissioners 75/ 4{111\'t_
4. Minutes and Records Clerk of Court's Office
II Z.11(0 3:30pm
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 Raynesha Hudn 11 Phone Number 239-252-5312
Contact/ Department
Agenda Date Item was 4/12/2016 Agenda Item Number 16D.3.
Approved by the BCC
Type of Document SHIP 2012/2013 Annual Report and Local Number of Original 1
Attached Housing Incentives Certification Documents Attached
PO number or account
number if document is N/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)
1. Does the document require the chairman's original signatu- . 54.6 vt-, P o RH N/A
2. Does the document need to be sent to another agency for ad• '• al signatures? If yes N/A
provide the Contact Information(Name;Agency;Address; Phone)on an . -• s eet.
3. Original document has been signed/initialed for legal sufficiency. (All documents to be RH
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 RH
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 RH
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_4/12/2016 and all changes N/A
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 approved by the
BCC,all changes directed by the BCC have been made, and the document is ready for
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
1 6 0 3
MEMORANDUM
Date: April 13, 2016
To: Raynesha Hudnell, Grant Coordinator
Community & Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: SHIP 2012/2013 Annual Report and Local Housing
Incentives Certification
Enclosed, please find one (1) original of the document referenced
above, (Agenda Item #16D3) which was approved by the Board of
County Commissioners on Tuesday, April 12, 2016.
An original has been kept by the Minutes and Records Department as
part of the Board's Official Records.
If you should have any questions, please call me at 252-8411.
Thank you
State l oust t Initiatives Partnership(SHIP,'Program
1
603
Annual Report and Local I I ousmn t centives Certification
On Behalf of Collier County (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2012-2013.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164 (15) and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated to
be $0.00.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
$ 0.00.
Staff Member responsible for submitting annual report to FHFC: Raynesha Hudnell
\k\ 41121 16
Witness Signature Date Donna Fiala Date
Chairman
tri
Witness Printed Name Chief Elected Official or Designee Printed Name
N 1A
Witness Signature Date Approved as to form and legality
Assistant County t rney cob
Witness Printed Name
or 3\
ATTEST(Seal) „�,
BRNk:Ci
Signature Date •
w., 1j t a _
Attest as to Ch irn1an's
signature only.
420.9075(10) Each county or eligible municipality shall submit to the corporation by September 15 of each year a report of
its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifies
that the local housing incentive strategies,or,if applicable,the local housing incentive plan, have been implemented or are in
the process of being implemented pursuant to the adopted schedule for implementation.