Backup Documents 05/08/2012 Item #16F 3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL46F 3N
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
excention of the Chairman's siamture_ draw a line throueh routine lines #I throueh #4. comnlete the checklist and forward to Sue Filson (line #5).
Route to Addressee(s)
(List in routing order)
Office
Initials
Date
1.
-----------------------------------
a ro ri ate.
(Initial)
A licable)
2.
----- ------------------------------
5/8/12
Agenda Item Number
16F3
3.
-----------------------------------
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4.
MOU
Number of Original
1
5. Ian Mitchell, BCC 04€iee-
Board of County Commissioners
Documents Attached
�V /Zi
6. Minutes and Records
Clerk of Court's Office
Z
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 needine the BCC Chairman's sienature 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 -3600
Contact
a ro ri ate.
(Initial)
A licable)
Agenda Date Item was
5/8/12
Agenda Item Number
16F3
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
1
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
a ro ri ate.
(Initial)
A licable)
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_5 /8 /12_(enter date) and all changes
CB
made during the meeting have been incorporated in the attached document. The
E
County Attorney's Office has reviewed the changes, if applicable.
I
-
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
1 b F 3 1
MEMORANDUM
Date: May 11, 2012
To: Judy Scribner, Human Services Program Mgr.
Emergency Management Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Memorandum of Understanding between
Collier County and Shepherd of the Glades Lutheran Church
Attached for your records is a copy of the document referenced above, (Item
#16F3) approved by the Board of County Commissioners on Tuesday, May 8, 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 -7240.
Thank you.
Attachment
16F 3!
Memorandum of Understanding
Between
Collier County Board of Commissioners
And
Shepherd of the Glades Lutheran Church
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
Shepherd of the Glades Lutheran Church.
H: 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,
not - for - profit 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 not - for - profit organizations, 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, SHEPHERD OF THE
GLADES LUTHERAN CHURCH 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 SHEPHERD OF THE
GLADES LUTHERAN CHURCH 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. SHEPHERD OF THE GLADES LUTHERAN CHURCH 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 SHEPHERD OF THE GLADES LUTHERAN CHURCH of the
potential need to
16F 3/
assist in activities following a disaster, and
2. Participate in and develop training in disaster response for the members of
SHEPHERD OF THE GLADES LUTHERAN CHURCH and
3. Assist in the development plans for SHEPHERD OF THE GLADES
LUTHERAN CHURCH 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 SHEPHERD OF THE
GLADES LUTHERAN CHURCH for disaster relief and recovery projects;
and
6. Whenever members of SHEPHERD OF THE GLADES LUTHERAN
CHURCH are
rendering aid to Collier County Government under this Agreement,
they shall have the same powers, duties, rights, privileges and
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. SHEPHERD OF THE GLADES LUTHERAN CHURCH agrees to:
1. Provide facilities and/or staff as available 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 any Collier
Emergency Response 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.
0a
16F 31
4. The facility /property will be returned to the organizationlowner /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 nF ��11 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.
VL 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.
AS TQ;C(3lffr'v ,
Attest
D~1 'Bi C �berk
L-0
STATE OF FLORIDA
COUNTY OF COLLIER
BOARD OF COUNTY COMMISSIONERS
COLLIER O Y, FLORIDA, By: 7L4
��g[1Fi`ea kq � ' I I e_ , C an J a
" /Le-ry
a r—
The foregoing instrument was acknowledged before me this day of
0144,e4- 2012, by L&5uf- C✓ as f /b¢, e, JT of
S►16P�1fRDQF (� S (?�u,J�,t� , a P-e'+ _ H his [✓rpersonally known to me, or
[ ] has produced driver's license no. as identification.
Appmed as to form & legal Suff itfty
1--- 2 �– � v'- � 3
Ass ta.nt County Attorney
�5-:F N ry I f- F R 0. L \-\A �
16F 3
LYNN C. DOW"
WCOMMM" N EE 032728
EXPIRES: November 12, 2014
Boeded Thu Notary Pw* Ue ww Mara
(SEAL'
Approved as to form and legal sufficiency:
7ennif . White
Assistant County Attorney
64"-,rt-�
NOT PUBLIC h , , I Name: ",,w 0-,, I *e `�'�'
(Type or Print) /
My Commission Expires: r�o J, 0.1
4