Backup Documents 04/12/2016 Item #16H1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 H 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
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.
3. County Attorney Office County Attorney Office JAK 4/12/16
4. BCC Office Board of County �t�
Commissioners 4..2V\
5. Minutes and Records Clerk of Court's Office e4)1 Z'I 3:30 poi
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 t County Attorney
Agenda Date Item was 4/12/16 Agenda Item Number 16-H-1
Approved by the BCC
Type of Document Resolution appointing a member to the Number of Original one
Attached Black Affairs Advisory Board Documents Attached
PO number or account N/A C90((o—lob
number if document is
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 4/12/16 and all changes made during the •
meeting have been incorporated in the attached document. The County Attor I • '• ..K
Office has reviewed the changes, if applicable.
9. Initials of attorney verifying that the attached document is the version approve' by the lf"R� ��
BCC, all changes directed by the BCC have been made,and the document is re:dycfur4h� -
Chairman's signature.
�.v
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9,03.04,Revised 1.26.05,Revise. . , 'evised 11/30/12
1 6 H 1
MEMORANDUM
Date: April 13, 2016
To: Wanda Rodriguez
Office of the County Attorney
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Resolution 2016-66: Appointment to the Black
Affairs Advisory Board
Enclosed please find one (1) copy of the document (Agenda Item
#16H1) as referenced above, approved by Board of County
Commissioners on Tuesday, April 12, 2016.
If you should have any questions, please contact me at 252-8411.
Thank you.
Enclosure
16H1
RESOLUTION NO. 2016 - 6 6
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA APPOINTING LIS ESQUILIN TO THE
BLACK AFFAIRS ADVISORY BOARD.
WHEREAS, Collier County Ordinance No. 91-38 established the Black Affairs Advisory
Board to provide periodic reports to the Board of County Commissioners that identify and
evaluate problems unique to the black community and recommend ways to ensure open
communication between minorities and Collier County Government; and
WHEREAS, Ordinance No. 91-38, as amended, provides that the Advisory Board shall
consist of nine members; and
WHEREAS, there are currently four vacancies on this Advisory Board; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, staff has provided the Board of County Commissioners with its
recommendation for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that LIS ESQUILIN is hereby
appointed to the Black Affairs Advisory Board to fill the remainder of a vacant term expiring on
June 25, 2019.
THIS RESOLUTION ADOPTED after majority vote on the 12th day of April, 2016.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK,Clerk COLLI COUNTY FLORIDA
B ..'CCO ..._.
By:
Deputy Clerk DONNA FIALA, CHAIRWOMAN
s'!nature only.
Approv � • orm an• legality:
lIlA_
Jeffrey ' . latzkow Item# A q
County t i trney
Agenda
Date ki)IZJi,iz,
Date `�
g1l (42
Recd t
Deputy Clerk .