Backup Documents 11/18/2014 Item #16A22 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO A ? p
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 S1KC
-V k`\z\A
4. BCC Office Board of County -rN
Commissioners k-A2\A
5. Minutes and Records Clerk of Court's Office 7)(r 11(02(14 3114
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 Diane Lynch- oad Maintenance Phone Number 252-5820
Contact/ Department
Agenda Date Item was 11/18/14 Agenda Item Number 16A22
Approved by the BCC
Type of Document Adopt-a-Road Agreement for Young Number of Original 1
Attached Realty Group Documents Attached
PO number or account •
number if document is
to be recorded
Please return a executed copy to Diane Lynch in Road Maintenance. Thank you
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? dl
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 dl
by the Office of the County Attorney. •
4. All handwritten strike-through and revisions have been initialed by the County Attorney's dl
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 dl
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 dl
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip dl
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 11/18/14 and all changes made during dl
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
16A22
MEMORANDUM
Date: December 3, 2014
To: Diane Lynch, Operations Supervisor
Road Maintenance
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Adopt-A-Road w/Young Realty Group
Attached is copy of the document referenced above, (Item #16A22)
approved by the Board of County Commissioners on November 18, 2014.
The original will be held on file in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
• A 2 2
COLLIER COUNTY ADOPT A-ROAD PROGRAM
AGREEMENT
Terms and Conditions
THIS COLLIER COUNTY ADOPT A-ROAD AGREEMENT entered into this
1 8 day of November , 2014, by and between Collier County (hereinafter the
"COUNTY"), and the volunteer group, Young Realty Group whose address is, 10436
Winterview Dr.Naples,Fl.34109.
WITNESSETH:
WHEREAS, the COUNTY and the GROUP recognize the need and desire for
litter-free roads, and enter this Agreement to permit the GROUP to contribute toward the
effort of safely maintaining a litter-free Collier County;and
WHEREAS, by signature below, the GROUP agrees to adopt the segment of
roadway known as, Airport Road from Golden Gate Parkway to Clubhouse Drive,
and acknowledges the hazardous nature of picking up litter, and agrees to the following
terms and conditions:
A. THE GROUP SHALL:
1. Obey and abide by all laws and regulations relating to safety on the Adopted
Roadway.
2. Perform litter removal on the Adopted Roadway in accordance with the Florida
Department of Transportation's Accident Prevention Manual, Safe Field Practices, the
Florida Manual on Uniform Traffic Control Devices (MUTCD), and the Florida
Department of Transportation Design Roadway and Standard Index 601 and 602, all of
which by this reference are incorporated herein.
1 6 4 2 2
3. Only allow such persons to participate as are determined by the GROUP to be
responsible enough to safely participate in litter removal activities. Participants must be
at least 14 years of age and the GROUP shall provide at least one adult supervisor for
every 5 minors participating in the litter removal. There shall at all times be at least one
person 18 years of age or older who is on site and responsible for supervising all litter
removal activities,with no one at the site under the age of 14 for any reason_
4. Conduct at least two safety procedure meetings per year for its participating
members. Participants must sign the hold harmless agreement provided by the
COUNTY,and attend a safety meeting conducted by the GROUP before participating in a
cleanup activity pursuant to this Agreement.
5. Call the Collier County Adopt-A-Road contact and set up dates and times for their
safety meetings.
6. Remove litter during daylight hours only,in good weather conditions only.
7. Pick up litter on one side of the road at a time.
8. Not pick up litter at construction sites, in tunnels, on bridges or over-passes, and
on medians,or where otherwise hazardous to do so.
9. Park all vehicles well clear of the Adopted Roadway, at least 20 feet from the
edge of the pavement.
10. Remove litter a minimum of once monthly, and whenever the appearance of the
Adopted Roadway is objectionable.
11. Obtain required supplies and material from the COUNTY.
12 Place traffic control signs supplied by the COUNTY during trash pickup.
13. Ensure that all participants wear COUNTY supplied or approved safety vests at
all times during the litter removal activity. The local maintenance office should be
contacted to obtain safety vests,traffic control signs and litter collection bags at least five
(5)days prior to litter removal activity and return the same when activity is complete.
14. Not wear clothing that will hinder the sight of participants.
1 6 A2 ,
15. Coordinate pickup details with the County's project coordinator at least one week
prior to a pickup.
16. Place filled trash bags at the site for pickup and disposal by the COUNTY.
17. After each pickup, the adopting GROUP coordinator will file a report detailing
the number of people involved, number of bags of litter collected, composition and
estimate of recyclable materials, and hours spent. Pre-printed forms will be furnished by
the COUNTY for making the reports,and filed with the COUNTY project coordinator.
18. The GROUP is encouraged to separate recyclable materials. All proceeds from
redemption of recyclable materials shall become the property of the Group.
19. Unused materials and supplies furnished by the COUNTY shall be returned to the
COUNTY within two workdays following cleanup or, with COUNTY coordinator's
permission,be retained by the GROUP during the term of this Agreement.
B. THE COUNTY SHALL:
1. Provide safety vests,trash bags,pickup sticks,and traffic control signs.
2. Provide GROUP with an outline pertaining to safety regulations.
3. Remove the filled trash bags as soon as possible after the pickup.
4. Remove litter from the Adopted Roadways only under unusual circumstances,i.e.,
to remove large,heavy or hazardous items.
5. Construct and place a roadside sign stating that the GROUP is responsible for
keeping the area free of litter.
C. TERM OF AGREEMENT: This is a month-to-month, at-will agreement,
terminable by either party, with or without cause, on 30 days written notice to the other
party. This Agreement creates no rights or interest. If, in the sole judgment of the
County Project Coordinator, it is found that the GROUP is not meeting the terms and
conditions of this Agreement, the COUNTY may terminate this Agreement effective
-' -'
4
immediately. The COUNTY reserves the right to modify or cancel the program at any
time. Upon the termination of this Agreement by either party, the GROUP will
immediately return all County-owned materials to the County project coordinator.
D. HOLD HARMLESS CLAUSE: The GROUP covenants and agrees that it will
indemnify and hold harmless Collier County and its officers,agents and employees from
any claim,loss,rlarnage,cost, chsrge or expense arising out of any act, action,neglect or
omission by the Group or by any person performing litter removal as part of the GROUP
during the performance of the Agreement,whether direct or indirect, and whether to any
person or property to which Collier County or said parties may be subject, except that
neither GROUP nor any of its members shall be liable under this provision for damages
arising out of injury or damage to persons or property directly caused or resulting from
the sole negligence of Collier County,and its officers,employees or agents.
E. NO ASSIGNMENT: This Agreement is non-transferable and non-assignable in
whole or in part without the prior written consent of Collier County.
F. MISCELLANEOUS PROVISIONS: This Agreement is the full and complete
agreement between the parties, and may not be modified except by a writing signed by
both parties. Any and all prior understandings between the parties, either oral or written,
with respect to the matters set forth above, have been incorporated and merged into this
Agreement, and are otherwise of no further force or effect. This Agreement is for litter
removal activities only. No beautification activities are authorized by this Agreement.
IN WITNESS WHEREOF, the Parties have caused this Agreement to be
executed as of the date written above.
• 2
BOARD OF COUNTY COMMISSIONERS
ATTEST OF COLLIER COUNTY,FLORIDA
DWIGHTE.BROCK,Clerk
oLadu jtet.csxvux..4.4Astr)._
ItY2... Ad\
Deputy Clerk Tom Henning,C, ,
)yttest as to Chaimpis , November 18, 2014
signature only.
GROUP:
By:,�(
%IS
Name L ci'
Title(print): 2c 11, YYT OP 1 e
Phone#(day): 3 ) C'3 F S d ( (
Phone#(night): 39 �3 ��
Approved as to form
and legality:
1
C,Scott Teach,
Deputy County Attorney
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