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Backup Documents 07/24/2012 Item #16A 6ORIGINAL DOCUMENTS C�ECKLIST & ROUTING SL4 6 A U TO ACCOMPANY ALL ORI THE BOARD OF COUNTY COMMI ROUT: Complete routing lines #I through #4 as appropriate for additional signatures, d exception of the Chairman's signature, draw a line through routing lines #I thro INAL DOCUMENTS SENT TO SIONERS OFFICE FOR SIGNATURE vG SLIP es, and/or information needed. If the document is already complete with the th #4, complete the checklist. and forward to Sue Filson (line #5). Route to Addressee(s) Office column, whichever is Initials Date (List in routing order) appropriate. (Initial) Applicable) 1. July 24, 2012 (All documents to be Agenda Item Number 16A -6 2. signed by the Chairman, with the exception of most letters must be reviewed and signed 3. Adopt -A -Road Agreement (1) pages from ordinances, Number of Original 1 4. I d signature pages from Documents Attached 5. Sue Filson, Executive Manager Board of Co ty Commissioners js Chairman and Clerk to the Board and possibly State Offici ils.) 6. Minutes and Records Clerk of Co 's Office Office and all other parties except the BCC Chairman and he Clerk to the Board N/A PRIMARY CONTACT INFORMATION (The primary contact is the holder of the original document pending BCC appro al. 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, including Sue Filson, need to contact staff for additional or missing information. All original documents needing the BCC Chairman's signature are I o be delivered to the BCC office only after the BCC has acted to approve the item.) Name of Primary Staff Margaret Ramos column, whichever is Phone Number 252 -8924 Contact appropriate. (Initial) Applicable) Agenda Date Item was July 24, 2012 (All documents to be Agenda Item Number 16A -6 Approved by the BCC signed by the Chairman, with the exception of most letters must be reviewed and signed Type of Document Adopt -A -Road Agreement (1) pages from ordinances, Number of Original 1 Attached I d signature pages from Documents Attached I INSTRUCTIONS & CHECKLIST 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS riginal 9.03.04, Revised 1.26.05, Revised 2.24.05 Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is Yes N/A (Not appropriate. (Initial) Applicable) 1. Original document has been signed/initialed for legal sufficiency. (All documents to be 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 ar d signature pages from contracts, agreements, etc. that have been fully executed by all parties except the BCC js Chairman and Clerk to the Board and possibly State Offici ils.) 2. All handwritten strike - through and revisions have been inil 'aled by the County Attorney's Office and all other parties except the BCC Chairman and he Clerk to the Board N/A 3. The Chairman's signature line date has been entered as the date of BCC approval of the document or the final negotiated contract date whichever iq applicable. f 4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's �-- sip-mature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. N/ A 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 (enter date) and all changes NIA 1''s,ttgt made during the meeting have been incorporated in the attached document. The an option for County Attorney's Office has reviewed the change , if applicable. line 46. 1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS riginal 9.03.04, Revised 1.26.05, Revised 2.24.05 16A6 COLLIER COUNTY ADOPT -A -ROAD PROGRAM AGREEMENT Terms and Conditions 1HIS COLLIER COUNTY ADOPT -A -ROAD AGREEMENT entered into th},.S;� day r, of , 20,�, by and between Collier County (hereinafter the "COUNTY "), and t volunteer group, North Naples Country Club, whose address is, 10095 Tamiami Trail N., Naples, FL 34108. WITNESSETH: WHEREAS, the COUNTY and the GROUP recognize the need and desire for litter -free roads, and enter this Agreement to permit the GROUP to contribute toward the effort of safely maintaining a litter -free Collier County; and WHEREAS, by signature below, the GROUP agrees to adopt the segment of roadway known as, Weber Boulevard South from Golden Gate Blvd. to White Blvd., and acknowledges the hazardous nature of picking up litter, and agrees to the following terms and conditions: A. THE GROUP SHALL: 1. Obey and abide by all laws and regulations relating to safety on the Adopted Roadway. 2. Perform litter removal on the Adopted Roadway in accordance with the Florida Department of Transportation's Accident Prevention Manual, Safe Field Practices, the Florida Manual on Uniform Traffic Control Devices (MUTCD), and the Florida Department of Transportation Design Roadway and Standard Index 601 and 602 (610 for interstate), all of which by this reference are incorporated herein. 3. Only allow such persons to participate as are determined by the GROUP to be responsible enough to safely participate in litter removal activities. Participants must be at least 14 years of age and the GROUP shall provide at least one adult supervisor for every 5 minors participating in the litter removal. There shall at all times be at least one person 18 years of age or older who is on site and responsible for supervising all litter removal activities, with no one at the site under the age of 14 for any reason. 16A6 4. Conduct at least two safety procedure meetings per year for its participating members. Participants must sign the hold harmless agreement provided by the COUNTY, and attend a safety meeting conducted by the GROUP before participating in a cleanup activity pursuant to this Agreement. 5. Call the Collier County Adopt -A -Road contact and set up dates and times for their safety meetings. 6. Remove litter during daylight hours only, in good weather conditions only. 7. Pick up litter on one side of the road at a time. 8. Not pick up litter at construction sites, in tunnels, on bridges or over - passes, and on medians, or where otherwise hazardous to do so. 9. Park all vehicles well clear of the Adopted Roadway, at least 20 feet from the edge of the pavement. 10. Remove litter a minimum of once monthly, and whenever the appearance of the Adopted Roadway is objectionable. 11. Obtain required supplies and material from the COUNTY. 12 Place traffic control signs supplied by the COUNTY during trash pickup. 13. Ensure that all participants wear COUNTY supplied or approved safety vests at all times during the litter removal activity. The local maintenance office should be contacted to obtain safety vests, traffic control signs and litter collection bags at least five (5) days prior to litter removal activity and return the same when activity is complete. 14. Not wear clothing that will hinder the sight of participants. 15. Coordinate pickup details with the County's project coordinator at least one week prior to a pickup. 16. Place filled trash bags at the site for pickup and disposal by the COUNTY. 17. After each pickup, the adopting GROUP coordinator will file a report detailing the number of people involved, number of bags of litter collected, composition and estimate of recyclable materials, and hours spent. Pre - printed forms will be furnished by the COUNTY for making the reports, and filed with the COUNTY project coordinator. 18. The GROUP is encouraged to separate recyclable materials. All proceeds from redemption of recyclable materials shall become the property of the Group. 2 s� 19. Unused materials and supplies furnished by the COUNTY shall be returned to the COUNTY within two workdays following cleanup or, with COUNTY coordinator's permission, be retained by the GROUP during the term of this Agreement. B. THE COUNTY SHALL: 1. Provide safety vests, trash bags, pickup sticks, and traffic control signs. 2. Provide GROUP with an outline pertaining to safety regulations. 3. Remove the filled trash bags as soon as possible after the pickup. 4. Remove litter from the Adopted Roadways only under unusual circumstances, i.e., to remove large, heavy or hazardous items. 5. Construct and place a roadside sign stating that the GROUP is responsible for keeping the area free of litter. C. TERM OF AGREEMENT: This is a month -to- month, at -will agreement, terminable by either party, with or without cause, on 30 days written notice to the other party. This Agreement creates no rights or interest. If, in the sole judgment of the County Project Coordinator, it is found that the GROUP is not meeting the terms and conditions of this Agreement, the COUNTY may terminate this Agreement effective immediately. The COUNTY reserves the right to modify or cancel the program at any time. Upon the termination of this Agreement by either party, the GROUP will immediately return all County -owned materials to the County project coordinator. D. HOLD HARMLESS CLAUSE: The GROUP covenants and agrees that it will indemnify and hold harmless Collier County and its officers, agents and employees from any claim, loss, damage, cost, charge or expense arising out of any act, action, neglect or omission by the Group or by any person performing litter removal as part of the GROUP during the performance of the Agreement, whether direct or indirect, and whether to any person or property to which Collier County or said parties may be subject, except that neither GROUP nor any of its members shall be liable under this provision for damages arising out of injury or damage to persons or property directly caused or resulting from the sole negligence of Collier County, and its officers, employees or agents. 3 i E. NO ASSIGNMENT: This Agreement is non - transferable and non - assignable in whole or in part without the prior written consent of Collier County. F. MISCELLANEOUS PROVISIONS: This Agreement is the full and complete agreement between the parties, and may not be modified except by a writing signed by both parties. Any and all prior understandings between the parties, either oral or written, with respect to the matters set forth above, have been incorporated and merged into this Agreement, and are otherwise of no further force or effect. This Agreement is for litter removal activities only. No beautification activities are authorized by this Agreement. IN WITNESS WHEREOF, the Parties have caused this Agreement to be executed as of the date written above. ATTEST: DWIGHT E. BROCK, Clerk t.4 ujlj' Ar . u�y. 1 .yh t.a ApproYed as to form and legal stfticiencv: BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA 4 it Fred W. Coyle, Chairman GROUP: North Naples Country Club Name (print)-,, Title (print): Phone # (day); _4?-- /_ - Phone # (night12,;�9— 27 0 —4 4J0' Item # Agenda 11 Date Date Recd.