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Backup Documents 04/24/2012 Item #16F 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16F THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on the item.) ROUTING SLIP Complete routing lines #1 through #4 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 #4, complete the checklist, and forward to Sue Filson (line #5). Route to Addressee(s) (List in routing order) Office Initials Date 1. ----------------------------------- appropriat e. (Initial) Applicable) 2. ----------------------------------- 4/24/12 Agenda Item Number 16F1 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed 4. MOU CB 4/24/12 5. Ian Mitchell, BCC Office Supervisor Board of County Commissioners Documents Attached 6. Minutes and Records Clerk of Court's Office PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC approval. 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, need to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Judy Scribner Phone Number 252 -3608 Contact appropriat e. (Initial) Applicable) Agenda Date Item was 4/24/12 Agenda Item Number 16F1 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document MOU Number of Original One Attached resolutions, etc. signed by the County Attorney's Office and signature pages from Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriat e. (Initial) Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be CB signed by the Chairman, with the exception of most letters, must be reviewed and signed by the Office of the County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully executed by all parties except the BCC Chairman and Clerk to the Board and possibly State Officials.) 2. All handwritten strike - through and revisions have been initialed by the County Attorney's CB Office and all other parties except the BCC Chairman and the Clerk to the Board 3. The Chairman's signature line date has been entered as the date of BCC approval of the CB document or the final negotiated contract date whichever is applicable. 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's CB signature and initials are required. — 5. In most cases (some contracts are an exception), the original document and this routing slip CB should be provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. 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! 6. The document was approved by the BCC on_4 /24 /12_(enter date) and all changes CB made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 16F1 MEMORANDUM Date: April 30, 2012 To: Judy Scribner, Human Services Program Mgr. Emergency Management Department From: Teresa Polaski, Deputy Clerk Minutes & Records Department Re: Memorandum of Understanding between Collier County and IHOPE, Inc. Attached for your records is a copy of the document referenced above, (Item #16F1) approved by the Board of County Commissioners on April 24, 2012. The original will be held in the Minutes & Records Department for the Board's Official Record. If you have any questions please call me at 252 -8411. Thank you. Attachment 16F1 Memorandum of Understanding Between Collier County Board of Commissioners And Immokalee Helping Our People in Emergencies, Inc. (d.b.a. I HOPE, Inc.). I: Purpose: The purpose of this Memorandum of Understanding (MOU) is to set forth, define and establish mutual agreements, understandings, and obligations by and between the Collier County Board of County Commissioners, through its Emergency Management Department, and I HOPE Inc. II: Statement of Basic Responsibilities: A. Collier County Board of County Commissioners, through its Emergency Management Department, provides coordination of emergency services with Collier County, including incorporated areas. This includes the selection and utilization of various resources and organizations capable of rendering assistance. Under Chapter 252, Florida Statutes, the Board of County Commissioners, through its Emergency Management Department, also coordinates the administration of relief activities of both public and private relief or disaster assistance organizations which agree to volunteer their services under the direction or guidance of Collier County authorities. In addition, Collier County may utilize personnel and facilities of relief or disaster assistance organizations, churches, temples and synagogues in the distribution of food, relief supplies, medicines or other items and temporary sheltering as part of the restoration, rehabilitation or reconstruction of community services and essential facilities whenever Collier County authorities deem it necessary and the Organization signed below is in agreement. B. Recognizing the increased demand for churches, temples, and synagogues to supplement assistance and recovery to victims of both Presidentially declared or undeclared disasters and the need to work in harmony with local governments and private relief agencies, I HOPE Inc. wishes to assist in rendering the most efficient service with a minimum of duplication to the citizens and guests of Collier County. III: Coordination of Effort: Cooperation and coordination between Collier County Government, through its Emergency Management Department and I HOPE Inc. at a time of major disaster and during the post- disaster recovery period should be maintained at efficient levels and is part of the purpose of this Agreement. I HOPE Inc. works on a voluntary basis as a member of the Collier Emergency Response Volunteer (CERV) Working Group, and will make a continuing effort to acquaint its members of this Agreement to assist Collier County government in carrying out mutual responsibilities for disaster relief. IV: Responsibilities: A. Collier County Emergency Management Department agrees to the following: 1. Notify I HOPE, Inc. of the potential need to assist in activities following a disaster, and 2. Participate in and develop training in disaster response for the members of _ I HOPE, Inc._ and 3. Assist in the development plans for I HOPE Inc. ; and 4. Schedule periodic meetings and /or exercises to familiarize members of disaster preparedness or recovery initiatives; and 5. Utilize, when and as appropriate, the services of I HOPE, Inc. for disaster relief and recovery projects; and 6. Whenever members of I HOPE, Inc. are rendering aid to Collier County Government under this Agreement,�� they shall have the same powers, duties, rights, privileges and 16F I immunities as if they were performing their duties for Collier County, and Collier County shall be liable for their acts and actions as if they were performing their duties for Collier County; and 7. Collier County shall be liable for any loss or damages to any facility or equipment utilized pursuant to this Agreement and shall pay any expenses in the repair thereof; and 8. Collier County agrees to be responsible, to the extent provided under Florida Statues 768.28, for its negligent acts, however, this responsibility shall not serve as a waiver of Collier County's Sovereign Immunity limits. B. I HOPE. Inc. agrees to: 1. Provide facilities and /or staff to Collier County at no charge during the disaster recovery period; and 2. Provide a 24 hour contact person and alternates; and 3. Provide a representative to attend periodic meetings of the Collier Emergency Response Volunteer (CERV) Working Group, and 4. Participate in exercises developed by the Emergency Management Department; and 5. Provide the Emergency Management Department with an update of facility and manpower capabilities at least annually prior to June of each year. C. Both of the above named parties agreed to the following: 1. No modifications or changes will be made to the facility /property by the Collier County Representative without the express written approval of the owner /operator. 2. Prior to occupancy, representatives of both parties will inspect the facility /property and will note any discrepancies on the inspection form, and/or this agreement. 3. Prior to occupancy, representatives of both parties will again inspect the facility /property to note any discrepancies on the release form. Normal wear and tear is considered to the responsibility of the organization/owner /operator. 4. The facility /property will be returned to the organization /owner /operator in the same condition as it was when occupied /acquired. 5. Other provisions as follow: none V. Effective Date, Automatic Renewal, and Modification: This Agreement presents the general and some specific guidelines by which Collier County, through its Emergency Management Department and I HOPE, Inc. will cooperate to aid victims at the time of disaster. In witness thereof, the parties have executed this agreement on the date indicated. The provisions of the Agreement will be effective from the date approved by the Board of County Commissioners for a period of three (3) years. At the end of the three year (3) period, this Agreement will automatically renew for an additional term of one year unless terminated as provided in Paragraph VI of this Agreement. At the end of the one (1) year renewal period, this Agreement will renew for an additional term of one (1) year unless terminated as provided in Paragraph VI. of this Agreement. This Agreement may only be automatically renewed two times. Both parties have the authority to amend provisions of this Memorandum of Understanding upon mutual consent and by written instrument executed by the Parties. VI. Termination: Either party may terminate this Agreement by providing the other party with notice of its intent to terminate with 30 days written notice. The Agreement may be immediately and automatically terminated by the County without providing such notice, should the County reasonably believe that the spirit or intent of Chapter 252, Florida Statutes is not being effectuated by this Agreement. ;�j//�2 Attest: DWI QH T. E: IBR'OCK Clerk _ `Uep»it��� _. 1 %l1i 1t'!IM W ITNES Print e: !Ti v A Print Name: 75 oh, as 0, Stree, f STATE OF FLORIDA COUNTY OF COLLIER BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA, By: W. -j M tred W Coy (E irman `/, ;q/tD_ Orgamz 'on name: I HO E. bic. By: Title: Executive Director Print Name: Richard L. Heers 16F1 The foregoing instrument was acknowledged before me this 8 -"day of F e 6,r uo, �, , 2012, b k;c�lct�cl L. Nee {�, as E pc� }iae Nrec -6rof L a He he is [Kpersonally known tome, or[ ] has produced driver's license no. as i entification. ,�+ seREw►ROeisoN `' MY COMMISSION N EE 036892 (SEAL/SEAL ' EXPIRES: November 13, 2014 ) Banded Tnru Notary Public Unde,writen Approved as to form and legal sufficiency: Jennifer B. White Assistant County Attorney I NOTARY PUBLIC Name: S e✓er�r—�b�Svr\ (Type or Print) My Commission Expires: ��,�, t3� )-o( Ll 3