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Backup Documents 10/22/2013 Item #10CORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 0 C 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 aline through routine lines # 1 through #2. complete the checklist_ and forward to the County Attorney Office Route to Addressees (List in routing order) Office Initials Date 1. appropriate. (Initial) Applicable) 2. 10/22/13 Agenda Item Number 3. County Attorney Office County Attorney Office JAK lob 10/22/1 4. BCC Office Board of County Commissioners Nc> One 5. Minutes and Records Clerk of Court's Office Documents Attached 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 Jeffrey A. Klatzkow, County Attorney Phone Number 252 -8400 Contact / Department appropriate. (Initial) Applicable) Agenda Date Item was 10/22/13 Agenda Item Number Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, I E) - C. Type of Document Board Appointment Resolution - Health Number Number of Original One Attached Facilities Authority Zf?l3 -Z�( -1 Documents Attached PO number or account signed by the Chairman, with the exception of most letters, must be reviewed and signed number if document is N/A to be recorded All handwritten strike - through and revisions have been initialed by the County Attorney's JAK INSTRUCTIONS & CHECKLIST 1: 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 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 si nature 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 the item is input into SIRE. Some documents are time sensitive and require forwardin to Tallahassee within a certain time frame or the BCC's actions are nullified. Be awar f your deadlines! 8. The document was approved by the BCC on 10/22/13 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 JAK It- BCC, all changes directed by the BCC have been made, and the document is ready or the Chairman's signature. , 1: 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 I Uc RESOLUTION NO. 2013 -2 4 9 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, REAPPPOINTING N. REX ASHLEY AND TIMOTHY J. REIDY TO THE COLLIER COUNTY HEALTH FACILITIES AUTHORITY. WHEREAS, in accordance with Chapter 154, Florida Statutes, Collier County Ordinance No. 79 -95 established the Collier County Health Facilities Authority to assist health facilities in the acquisition, construction, financing and refinancing of projects within unincorporated Collier County; and WHEREAS, Ordinance No. 79 -95 provides that the Health Facilities Authority shall consist of five members who are residents of Collier County; and WHEREAS, there are currently vacancies on the Health Facilities Authority; and WHEREAS, the Board of County Commissioners previously provided public notice soliciting applications from interested parties; and WHEREAS, the Collier County Health Facilities Authority 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 N. REX ASHLEY is hereby reappointed to the Health Facilities Authority to serve a four -year term, said term to expire on May 15, 2017, and TIMOTHY J. REIDY is hereby reappointed to the Health Facilities Authority to serve a four -year term, said term to expire on July 28, 2017. THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 22nd day of October, 2013. ATTEST: =' ' DWIGHT E.'-B. CK, Clerk By: AbSt a$ to Chaim 1011?e ut Cl r signatjre o+41 �r and legality: Jeffrey County BOARD OF qOUNTY COMMISSIONERS COLVMRWU`N,TYJ FLORIDA WNWN • .