Backup Documents 07/12/2016 Item #16H 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 L 2
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.
2.
•
3. County Attorney Office County Attorney Office JAK 7/12/16
4. BCC Office Board of County 17F
Commissioners/ -1\k2V1.,
5. Minutes and Records Clerk of Court's Office p� r l
(,�1r p,35p�
PRIMARY CONTACT INFORMATION I
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 th County Attorney
Agenda Date Item was 7/12/16 Agenda Item Number 16-H-2
Approved by the BCC
Type of Document Resolution appointing member to the Number of Original one
Attached Collier County Citizen Corp Documents Attached
PO number or account N/A ao11—J
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 7/12/16 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 app-s es by the - - lesas.k"-)s,
BCC,all changes directed by the BCC have been made,and the docume t is ready for the
Chairman's signature. .1SCuGZ.? J
tea.
1: 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
16H2 2
MEMORANDUM
Date: July 14, 2016
To: Wanda Rodriguez
Office of the County Attorney
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Resolution 2016-156: Appointing Adrian Corujo to
the Collier County Citizen Corps
Enclosed please find one (1) copy of the document (Agenda Item
#16H2) as referenced above, approved by Board of County
Commissioners on Tuesday, July 12, 2016.
If you should have any questions, please contact me at 252-8411.
Thank you.
Enclosure
::.
RESOLUTION NO. 2016 - 15 6
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING ADRIAN CORUJO TO
THE COLLIER COUNTY CITIZEN CORPS.
WHEREAS, Collier County Ordinance No. 2002-56, as amended, established the Collier
County Citizen Corps as an Advisory Committee to advise the Board of County Commissioners
(Board) on a wide range of domestic terrorism-related issues; and
WHEREAS, Ordinance No. 2002-56, as amended, provides that this Advisory
Committee shall consist of nine voting members representing the Community Emergency
Response Team, Collier County Medical Reserve Corps, Collier County Fire Chiefs Association,
Civil Air Patrol, Coast Guard Auxiliary, American Red Cross, Salvation Army, Retired Senior
Volunteer Program, and Collier County Business/Industry; and
WHEREAS, the representative for the Collier County Medical Reserve Corps has
resigned; and
WHEREAS, the Department of Health in Collier County has provided the Board with its
recommendation for appointment of the replacement Collier County Medical Reserve Corps
liaison.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that the Collier County Medical
Reserve Corps representative ADRIAN CORUJO is hereby appointed to the Collier County
Citizen Corps to serve the remainder of a vacant term expiring on November 5, 2017.
THIS RESOLUTION ADOPTED after majority vote on the 12th day of July, 2016.
ATTEST: ,, BOARD OF COUNTY COMMISSIONERS
DWIGHT a BRO,CK, Clerk COLL R COUNTY, FLORIDA
0
ilk. . ,,,.,._
i
By:
Att.', , '6 61Qa}Ilylerk DONNA FIALA, CHAIRWOMAN
. n
A . �, I i. orm"and legality. ,,,p,,,,-,„
I1+ i.
' �
�� Item#
Jeffrey . atzkow Agenda
County if. , ey Date
I
i
Date , ,i(„)1 i k,
Recd
v.Deputy Clerk