Backup Documents 12/13/2016 Item #16D22 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16DTO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 2
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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAK . 12/22/16
4. BCC Office Board of County "b •-‘
c> -‘
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. tZ1 '(o
5. Minutes and Records Clerk of Court's Office " rC 1 lit--2*(4° I-V°p•/1
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 Paula Spring ,University Extension Phone Number 252-4801
)/
Contact/Department Services
Agenda Date Item was 12/13/16 Agenda Item Number 16-D-22
Approved by the BCC
Type of Document MOU—4H Number of Original One
Attached Documents Attached
PO number or account n/a
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 JAK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAK
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 JAK
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 JAK
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 JAK
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 12/13/16 and all changes made during JAK
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 tl-- .
BCC, all changes directed by the BCC have been made, and the document is ready f the
Chairman's signature. 'k
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
16D
MEMORANDUM
Date: December 22, 2016
To: Paula Springs, Administrative Assistant
University Extension Services
From: Teresa Cannon, Deputy Clerk
Minutes and Records Department
Re: Memorandum of Understanding - 2017 Grant Funds for the 4H
Youth Development Program
Attached for your records is a copy of the document referenced above, (Item #16D22)
approved by the Board of County Commissioners on Tuesday, December 13, 2016.
The Minutes and Record's Department will hold the original in the Board's
Official Records.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
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U
Memorandum of Understanding
2017 Grant Funds for the 4H Youth Development Program
THIS MEMORANDUM OF UNDERSTANDING (MOU) is made by and between the Collier
County 4H Association. ("ASSOCIATION"), A Florida Not for Profit Organization, and the
Collier County Board of County Commissioners, a political subdivision of the State of Florida,
to support the 4H Youth Development Program of Collier County UF/IFAS Extension.
WHEREAS, the Collier County 411 Association agrees to provide grant funds to support the 4H
Youth Development Program of Collier County UF/IFAS Extension in the amount of$79,880.00
for the calendar year of January 1, 2017 through December 31, 2017 to the extent funds are
available; and,
WHEREAS, the Collier County OF/IFAS Extension agrees to provide outreach services and
staff in support of the 4H Youth Development Program; and
WHEREAS, funds will be invoiced by Collier County and distributed quarterly by the
Association based on 2017 budgeted programs in January, April, July and October and with a
minimum distribution each quarter of$10,795.00.
NOW THEREFORE, IN CONSIDERATION OF THE MUTUAL COVENANTS AND
PROMISES SET FORTH HEREIN, THE PARTIES AGREE AS FOLLOWS:
1. This MOU shall remain in full force and effect for one year and be subject to three
additional one year renewals.
2. Either party may terminate this MOU with at least thirty (30) days written notice to the
other party.
3. The Associations' financial obligation is subject to availability of funds and appropriation
by the Association.
4. The funds awarded, $79,880.00, shall be used by the County to assist in salary expenses
of the full and part time outreach coordinators and actual program expenditures.
5. The remaining invoices will include quarterly expenditures and will be reimbursed within
30 days from receipt of the invoice.
6. The County will invoice the Association quarterly. The minimum distribution each
quarter shall be $10,795.00 for salaries. For example, the 1St invoice and distribution will
be for salary expenses, the 2nd quarter check would be for the actual 1st quarter program
expenditures and 2nd quarter salary expenses,the 3rd quarter check would be for the actual
2'4 quarter program expenditures and 3rd quarter salary expenses, and so on. The 4th
quarter actual program expenditures would be invoiced at the end of the calendar year.
7. Program status and expenditures will be reported to the Association at the end of each
quarter along with the request for the next quarter. Adjustments/program re-allocations
will be reviewed and approved/denied at that time.
8. Either party may request changes to this MOU. Any changes, modifications, revisions or
amendments to this MOU which are mutually agreed upon by and between the parties to
this MOU shall be incorporated by written instrument, and effective when executed and
signed by all parties to this MOU.
16L122 2 ,1,
9. The construction, interpretation and enforcement of this MOU shall be governed by the
laws of the State of Florida.
IN WITNESS WHEREOF, the parties have executed this MOU on the \ "Nr\day of
December, 2016.
COLLIER COUNTY 4H ASSOCIATION
ATTEST: (� I
Jan\5 `�� C 0 By. , fill6: 1(4,4, ,,y-Ntirvkg::7
Witness (1)Name Mary ummefalls, Treasurer
I, _ (Z,,,,,,,ta_ Date: 1 l-U.-1(v
Sign. e
PA tkLi _5P26,46-,
Witness (2)Name
ptuab._- 0:,
Signature -
BOARD OF COUNTY COMMISSIONERS,
COLLI COUNTY, FLORIDA
AT] ' R,. 1/1110
4 By:
Donna Fiala, Chairman
(t 471:
f !�[ Date: \2\\-;;'\\ D
D , lit E. Brock, Clerk
Attest asto Chairman's
s nature only.
Appr4 ed s form and legality:
Jeffrey' . 4H .'zkow
Coun Attoney
1, i
41