Backup Documents 04/11/2017 Item #16E 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16E
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 CMG 4/17/17
4. BCC Office Board of County
Commissioners_ / 4%h
i
5. Minutes and Records Clerk of Court's Office 4 i g I /:21410k.
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 Amy Lyberg,Director,Human Resources Phone Number 252-4030
Contact/Department Division
Agenda Date Item was 4/11/17 Agenda Item Number
Approved by the BCC '6 E.-4 ✓
Type of Document Agreement-FGCU 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 CMG
2. Does the document need to be sent to another agency for additional signatures? If yes, CMG
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 CMG
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 CMG
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 CMG
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 CMG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip CMG
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 4/11/17 and all changes made during the CMG
meeting have been incorporated in the attached document. The County Attorney's 4:0,11
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the c <> t'AN.fivito.
BCC,all changes directed by the BCC have been made, and the document is ready f• the ®® �®R
Chairman's signature. �� �
PLEASE CONTACT BERTA VILLAR(8053) WHEN READY. rpv_k•t_tAt
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
16E 4
MEMORANDUM
Date: April 18, 2017
To: Amy Lyberg, Director
Human Resources Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Agreement for 13 Workshops for Employee Training and
Development Plan
Florida Gulf Coast University Board of Trustees
Attached for your records is a scanned copy of the agreement referenced above
(Item #16E4) approved by the Board of County Commissioners April 11, 2017.
The original document will be held by the Board's Minutes and Records
Department as part of the Board's official record.
If you have any questions, please feel free to call me at 252-7240.
Thank you.
Attachment
1 6 E 4
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FWRI DA FLORIDA
GULF COAST -'.1 INSTITUTE OF
UNWVERSETY , 1, GOVERNMENT
AGREEMENT FOR WORKSHOP
PROVIDED BY Send invqice and Davment to:
Florida Institute of Government
FLORIDA INSTITUTE OF GOVERNMENT Florida Gulf Coast University
8695 College Parkway, Suite 1181
This Agreement for Workshop("Agreement"),is made this 7's Ft.Myers,FL 33919-5831
day of March,2017,between Florida Gulf Coast University Attention: Mary Louise Mondello
Board of Trustees on behalf of the Florida Institute of Phone:239-425-3278
Government,a public body corporate of the State of Florida
("FGCU")and ("Client"),whereby FGCU agrees to provide the services identified below under the terms and
conditions stated herein:
The Florida Institute of Government will provide 13 workshops for Collier County from April-September,2017.
! TITLE: Collier County Employee Training and Development Plan
TRAINERS: Jacquelyn Ferguson,Libby Anderson,Dr. David Kelley,Anne Schroeder,Lorna Kibbey,and
Lisa Gruenloh
DATE/TIME:April-September,2017. 13 workshop sessions(4-2 hour;8-3 hour;and 1-4hour)
LOCATION: Collier County training room(s)
CONTACT: Dr.Bob Peterson,941-626-9134,rpeterson@fgcu.edu
FEE: Not to exceed$9,700 for 13 workshops.($950 for 4 hour workshop; $500 for 2 hour workshop;
and$750 for 3 hour workshop.)
MISC: FGCU will provide the trainer,original of sign-in sheet,evaluation form and handouts-for
client to duplicate for staff attending as desired.Certificates are available upon request.
Client will provide training facility,AV equipment and duplication of handouts as needed as
requested by trainer(s),as well as the reproduction of original evaluation form and handouts/
materials for each participant.Upon completion of the program,client will return all evaluation
forms and the sign-in sheets indicating the names of the participants who attended the program.
Electronic certificates,if requested,will be issued for each participant on the sign-in sheet.
Audio or video taping of workshop sessions is not permitted without the advance written consent of the Institute
of Government.Client must provide a minimum of two weeks(14 days)advance notice in order to terminate this
Agreement unless agreed to by the provider of the service.FGCU will invoice the Client upon completion of the
Workshop.Payment is due in accordance with Chap.218,Florida Statutes,also known as the"Local
Government Prompt Payment Act,"
Client must provide a minimum of two weeks(14 days)advance notice in order to cancel the financial terms of
this Agreement unless agreed to by the provider of the service. FGCUwill invoice the Client upon completion
of the services. Payment is due no later than 30 days after invoicin .
I agree t terms as stated above.
44)c .,,,,,____e
,4_,......
Florida Gulf Coast University Board of Trustees Client Signa"
Dr.Paul Thornton,Executive Director,Office of �(Pn t Name and Tit(e)
Continuing Education and Off-Campus Programs
317/17.: CX`-->r N \.\ \--k to and tty
Date Date
ATTEST - 'V l�1
DWIGHT E. ERQCK, ttr �r Assistant County A+ 'rney
1
U tt+ celif ma vL,Action iu.'al Opportunity Employer•A member of the State University System of Florida
By. Attest as to:Glal�,s
sian attire er ly.