Backup Documents 09/13/2016 Item #16D 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 60 9
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
P4 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
9/ghir> 1. Ali; , / _ ''c Q /_bD Community & Human
Vv� l� f7 Services
2. D i i 4, 6dpedi6 County Attorney Office ' 9/,3J1f '3. BCC Office Board of County 1. 'r
Commissioners Z21VA , '
4. Minutes and Records Clerk of Court's Office (TO\ 03116 ;
Opiii
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 co ct staff for additional or missing information.
Name of Primary Staff T'�iSc Tv, d��a C��n 1 Phone Number
Contact/ Department OQOr Li/nC1,T IAS So? -531d-
Agenda Date Item wasAgenda Item Number
Approved by the BCC q_13, 16 J Q• Q• q
Type of Document /� L /' / Number of Original ,
Attached 814 1 `tr'h t (o. /7 d ri ✓ Documents Attached
PO number or account
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? Sktta+rtp YSit— N I A
2. Does the document need to be sent to another agency for additional signatures? If yes, J 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
by the Office of the County Attorney. ,�L.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's NA
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 ' a
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 y' D
signature and initials are required. n
7. In most cases(some contracts are an exception),the original document and this routing slip i
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! n�
8. The document was approved by the BCC on , nd all changes made ' to
during the meeting have been incorporated in the attar d docum nt. he County Q,Ippuft
Attorney's Office has reviewed the changes,if applicable. 9//3Ic9.OJ .0 c�tt
9. Initials of attorney verifying that the attached document is the version approved by the I
BCC,all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature. +I
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
1609
County -of'Collier
CLERK OF THE CII CULT COURT
COLLIER COUNTY C( JRTHO\SE
3315 TAMIAMI TRL E STE 102 Dwight E.Brock-Clem'Circuit Court P.O.BOX 413044
NAPLES,FL 34112-5324 - NAPLES,FL 34101-3044
Clerk of Courts • Comptroller • Auditor • &isfodian of County Funds
September 14, 2016
Florida Housing Finance Corporation - FHFC
Attn: Terry Auringer
227 North Bronough Street
Suite 5000
Tallahassee, Florida 32301-1329
Re: State Housing Initiatives Partnership (SHIP) Program
Annual Report and Local Housing Incentives Certification
Transmitted herewith are the originals of the above referenced document for your records
per request, as adopted by the Collier County Board of County Commissioners of Collier
County, Florida on Tuesday, September 13, 2016, during Regular Session.
Please forward/e-mail any fully executed documents to (martha.vergara@collierclerk.com)
for the Boards Official Records.
Very truly yours,
DWIGHT E. BROCK, CLERK
i
Martha Vergara, Depu y Clerk
Enclosure
Phone- (239) 252-2646 Fax- (239) 252-2755
Website- www.CollierClerk.com Email-CollierClerk@collierclerk.com
_ 1609
State Housing Init at vesPartnersh p.lSHIP.) Program
Annual effort and Local Housingincentives Certification
On Behalf of Collier County, I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout years FY 13/14 and interim years FY 14/15 and FY 15/16.
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.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
$0.
Staff Member responsible for submitting annual report to FHFC: Priscilla ria
N IA wfv,Ga
tr11410 lierld..,' *
Witness Signature Date Chief Elected Official or Designee Signature Date
9113 lite
UDRnet Fig /a , Cha,rma )
Witness Printed Name Chief Elected Official or Designee Printed Name .
Witness Sign ure Date Approved as to form and legality
4%SQ °C31 =e-'
Assistant Count turneycy., �
�
ATTEST; oY
ness Printed Name DWlGiT E.BRQC,K,CLERK `
1 ,
.. 1 ( / . 1
ATTEST(Seal)' eS 8S At Et ai!tman
signature only.
Signature Date
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. 42141