Backup Documents 09/10/2013 Item #10G ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP r,
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU
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** 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 9/11/13
4. BCC Office Board of County (h{ by
Commissioners 7/ _ 9113//3
5. Minutes and Records Clerk of Court's Office
1/11/3
PRIMARY CONTACT INFORMATIO
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 Jeffrey A. Klatzkow,County Attorney Phone Number 252-8400
Contact/ Department
Agenda Date Item was 9/10/13 ., Agenda Item Number 10-G
Approved by the BCC
Type of Document Resolution—Appointment to Black Affairs Number of Original One
Attached Advisory Board Z1>I3- /q4- 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 ti a the item is input into SIRE.
Some documents are time sensitive and require forwardi to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aw of your deadlines!
8. The document was approved by the BCC on 9/10/1 and all changes made during the JAK
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 JAK
BCC,all changes directed by the BCC have been made,and the document is ready f the , ,
Chairman's signature. �1N
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
lOG
MEMORANDUM
Date: September 17, 2013
To: Virginia Neet, Paralegal Assistant
County Attorney's Office
From: Martha Vergara, Deputy Clerk
Board Minutes & Records Department
Re: Resolution 2013-194
Appointment to the Black Affairs Advisory Board
Attached for your records, are copies of the documents referenced above
(Item #10G) adopted by the Board of County Commissioners on Tuesday,
September 10, 2013.
The original resolutions will be held in the Minutes & Records Department for
the Board's Official Record.
If you have any questions, please call me at 252-7240.
Thank you.
Attachment
lOG
RESOLUTION NO. 2013 -1 9 4
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REAPPOINTING DEBRA JOHNSON
AND APPOINTING DIANN DELISSER-KEEYS TO THE BLACK
AFFAIRS ADVISORY BOARD.
WHEREAS, Collier County Ordinance No. 91-38 established the Black Affairs Advisory
Board to provide periodic reports to the Board of County Commissioners that identify and
evaluate problems unique to the Black community and recommend ways to ensure open
communication between minorities and Collier County Government; and
WHEREAS, Ordinance No. 91-38, as amended, provides that the Advisory Board shall
consist of nine members; and
WHEREAS, there are currently vacancies on this Advisory Board; and
WHEREAS, the Board of County Commissioners previously provided public notice
soliciting applications from interested parties; and
WHEREAS, the Black Affairs Advisory Board has provided the Board of County
Commissioners with its recommendations for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that DEBRA JOHNSON is hereby
reappointed to the Black Affairs Advisory Board to serve a four-year term, said term to expire on
June 25, 2017, and DIANN DELISSER-KEEYS is hereby appointed to fulfill the remainder of an
unexpired term, said term to expire on June 25, 2014.
THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 10th
day of September2013.
,\-•;,-, ..; a 6'
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ATT 'ST � ', BOARD F COUNTY COMMISSIONERS
D174GI1T E. BRO:GK,CIerk coLLIEg C HUNT i, FLORIDA
i
A toil-- ' -
Attest as 0 C12S ;deputy :r A" ' - A A. HILLER, ESQ.
signature only CHAIRWOMAN
Approve 4. ''ii • and le. ity:
l
Jeffrey . ,h :�1 .
Y
County Att■ ,�