Backup Documents 03/27/2018 Item #16D 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP i 6 5
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 4/9/18
4. BCC Office Board of County ��b
Commissioners y-NV/SN/ A\c \\%
5. Minutes and Records Clerk of Court's Office U(61
I 18 Z.*
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 Jake Sullivan,Parks and Recreation Phone Number 252-4060
Contact/Department Division
Agenda Date Item was 3/27/18 Agenda Item Number 16-D-5
Approved by the BCC
Type of Document Property Usage Authorization 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 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
MinuteTraq. 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 3/27/18 and all changes made during the JAK N/A is not
meeting have been incorporated in the attached document. The County Attorney' an option for
Office has reviewed the changes,if applicable. • line.
9. Initials of attorney verifying that the attached document is the version approved b the • 1110 is not
BCC,all changes directed by the BCC have been made,and the document is read or the k option for
Chairman's si' ature. V `►
`
[04-COA-01081/1344830/1]I:Forms/County Forms/BCC Forms/Original Documents RoutingSlip WWS Original 9.03.04,Revised 1.26.1 ,Revised 2.24.05;
Revised 11/30/12
16 5
Martha S. Vergara
From: Martha S. Vergara
Sent: Monday, April 09, 2018 3:15 PM
To: Sullivan, Jake
Subject: Agenda Item #16D5 (Property Usage Authorization)
Attachments: Jake Sullivan.pdf
Hi Jake,
Attached is a scanned copy of the referenced document for your records.
Thanks,
Martha Vergara, BMR Senior Clerk
Minutes and Records Dept.
Clerk of the Circuit Court
& Value Adjustment Board
Office: (239) 252-7240
Fax: (239) 252-8408
E-mail: martha.vergaragcollierclerk.com
1
160 5
PROPERTY USAGE AUTHORIZATION
The owner Collier County (hereinafter "the owner") hereby grants permission to the Florida Fish
and Wildlife Conservation Commission, an agency of the State of Florida (hereinafter "the
Commission"), to use the following real property:
Isle of Capri Paddlecraft Park address 1295 Capri Blvd.Naples, FL 34113
(hereinafter "the premises") for the storage of derelict vessels during the time such vessels are
being identified and claimed by the vessel owner or, in the alternative, destroyed on-site and
removed. Said permission shall include but not be limited to the right to bring personnel,
equipment and property onto the premises, the right to bring individuals identified as potential
owners of the derelict vessels stored on the premises onto the premises to identify and claim such
vessels, and the right to remove personnel,equipment, and property from the premises throughout
the term of and at the end of this authorization.
The owner expressly represents that granting the Commission such authorization to use the
premises shall not result in any compensation from the Commission.
The premises will be used, commencing on or about October 1, 2017 and continuing until April
20, 2018. The owner may authorize the continuing use of the premises at the expiration of this
authorization.
The owner represents that the owner owns the premises or otherwise has full authority from the
owner to enter into this authorization.
Both the owner and the Commission agree that they shall be solely responsible for the negligent
or wrongful acts of their respective employees while using the premises. Nothing contained herein
shall constitute a waiver by the Commission of its sovereign immunity or the provisions of Section
768.28,Florida Statutes.
Attest:
DWIGHT E. BROCK, Clerk BOARD OF Cr, . TY COMMI ONERS
COLLIER P• ' , FLOR i • /er --, .
I
By: _ BY L
Attest as to Chairman's,Du ,`Cl-r NDY SOUS, CHAIRMAN
signatur: only.
I
A rov-.f' and legality:
Pp .11v.firy ;
Jeffrey A. 1 lat.' .-I‘, ounty Attorney
Page 1 of 1—Property Usage Authorization