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Backup Documents 11/13/2012 Item #10AORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 10A 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 # 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 sianature. draw a line throuah routine lines #I throueh #4_ complete the checklist_ and fnrward to ian Mitchell (line tlS) Route to Addressee(s) List in routing order) Office Initials Date 1. appropriate. (Initial) Applicable) 2. 11/13/12 Agenda Item Number 10 -A 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed 4. Jeffrey A. Klatzkow, County Attorney County Attorney JAK 11/19/12 5. Board of County Commissioners] Documents Attached I Z.ol t 2 6. Minutes and Records Clerk of Court's Office (w /t2 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, including Ian Mitchell needs 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 Jeffrey A. Klatzkow, County Attorney Phone Number 252 -8400 Contact appropriate. (Initial) Applicable) Agenda Date Item was 11/13/12 Agenda Item Number 10 -A Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document Resolution — Public Safety Authority Number of Original One Attached Appointments aq Documents Attached INSTRUCTIONS & CHECKLIST " DQJLGC I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 08- MGR - 00132/33 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 JAK 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 JAK 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 JAK 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 JAK signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip JAK 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 11/13/12 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. " DQJLGC I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05 08- MGR - 00132/33 10A RESOLUTION NO. 2012 - 231 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, APPOINTING REG. A. BUXTON, EDWARD MORTON, AND JANET VASEY TO THE COLLIER COUNTY PUBLIC SAFETY AUTHORITY AS CITIZEN REPRESENTATIVES. WHEREAS, on June 26, 2012, the Board of County Commissioner (Board) adopted Ordinance No. 2012 -23 establishing the Collier County Public Safety Authority to assume the duties and responsibilities of the former Collier County Emergency Medical Services Policy Advisory Board; and WHEREAS, Ordinance No. 2012 -23 sets forth the appointment process for the Public Safety Authority and the categories of professional expertise required of its membership; and WHEREAS, Ordinance No. 2012 -23 also provides that Public Safety Authority shall include three citizen representatives; and WHEREAS, the Board of County Commissioners previously provided public notice soliciting applications from interested parties; and WHEREAS, the Public Safety 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 REG. A. BUXTON, EDWARD MORTON, and JANET VASEY are hereby appointed to the Collier County Public Safety Authority as citizen representatives to serve four -year terms, said terms to expire on July 2, 2016. THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 13th day of November, 201.2 ATTEST {'' ``,.r. BOARD OF COUNTY COMMISSIO ERS DWIGHT E.,BROCK',Clvr.k:. COLLIER COUNTY, FLORIDA By: By: A ttst 44 to. i O" ` ,, Deputy Cl' FRED W. COYLE, Chairman 9190 p Approve as tp form and legal suf cir' " 1 f� Jeffrey A. County A