Backup Documents 09/11/2018 Item #16D10 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 01 U
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 a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s)(List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAB 9/11/18
4. BCC Office Board of County �s ,r
Commissioners �f� / c\VZ\\%
5. Minutes and Records Clerk of Court's Office96 R(172-4
_`cr'Ai
fwh
PRIMARY CONTACT INFORMATION t
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 Lisa Carr,Community&Human Services Phone Number 252-2339
Contact/Department
Agenda Date Item was 9/11/18 Agenda Item Number 16-D-10
Approved by the BCC
Type of Document Annual Report and Local Housing Number of Original One
Attached Incentives Certification Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
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 JAB
2. Does the document need to be sent to another agency for additional signatures? If yes, JAB
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 JAB
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 JAB
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 JAB
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 JAB
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this JAB
routing slip should be provided to the County Attorney Office at the time the item is RUSH
input into MinuteTraq. 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!
8. T ocument was approved by the BCC on 9/11/18 and all changes made during the JAB N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the t\/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for th- option
Chairman's signature. ,.'+, :line.
PLEASE CONTACT LISA CARR(2339)WHEN READY ._c �� \
`'LT
[04-C0A-01081/1344830/1]I: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
16010
MEMORANDUM
Date: September 12, 2018
To: Lisa Carr, Grants Coordinator
Housing, Human & Veteran Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: State Housing Initiatives Partnership (SHIP) Annual Reports
and Local Housing Incentive Certification
Attached for further processing please find a copy of the document referenced above,
(Item #16D10) approved by the Board of County Commissioners September 11, 2018.
The original has been held for the Board's records in in the Minutes & Records
Department.
If you have any questions please call me at 252-8406.
Thank you
Attachment
16010
State Housing Initiatives Partnership(SHIP)Program
Annual Report and Local Housing Incentives Certification
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2014-2015 and interim years 2015-2016,2016-2017,2017-2018.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including,at a minimum:
a. Permits as defined in s.163.3164(15)and(16) for affordable housing projects are
expedited to a greater degree than other projects;and
b. There is an ongoing process for review of local policies,ordinances,regulations,and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated to
be$1,000,000.00.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
$1,877,668.20.
Staff Member responsible for submitting annual report to FHFC: Lisa N. rr
N/A
Witness Signature Date A y olis,Chairman 9/11/18
N/A N/A
Witness Printed Name Chief Elected Official or Designee Printed Name
N/A Approved as to form and legality
Witness Signature Date I!�
sistant County tt ley 9°1)41°N/A Item# L"--..)1
Witness Printed Name A nda(7' _1 IO S\?
Date
` O
orDa _ --�
e
RetNTEAs01l) --I
�
Signature A est:
Date ( . ...
Deputy 'YSTAL •
By: 0J, f_Attest as to a�i's
420.9075(10) Each county or eligible municipality shall submit to the corporation bySeptember a � p
yvr�� report of
its affordable housing programs and accomplishments through June 30 immediatelyprecedingsu i a o the r ort.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifies
that the local housing incentive strategies,or,if applicable,the local housing incentive plan,have been implemented or are in
the process of being implemented pursuant to the adopted schedule for implementation.
State Housing Initiatives Partnership(SHIP) Program 1 y
Annual Report and Local Housing Incentives Certification 6Q t 0
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2015-2016 and interim years 2016-2017, 2017-2018.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164(15) and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit, from these actions is estimated to
be $1,000,000.00.
4. The cumulative cost per rehabilitated housing per housing unit, from these actions is estimated to be
$1,877,668.20.
Staff Member responsible for submitting annual report to FHFC: Lisa N. r j
ili
N/A
Witness Signature Date A y Solis, Chairman 9/11/18
N/A N/A
Witness Printed Name Chief Elected Official or Designee Printed Name
N/A Approved as to form and legality
Witness Signature Date
Assistant Count ttorncy
N/A \
Witness Printed Name ��
or
ATTEST(Seal)
Attest: .
Signature Date CRYSTAL K. KINZEL, CLERK
b .C_
Deputyrk
Atc4
Attest as to Chairman s
420.9075(10) Each county or eligible municipality shall submit to the corp. "°atUr&®n1yber 15 of each year a report of
its affordable housing programs and accomplishments through June 30 imme.iately preceding submittal of the report.The lak
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifies
that the local housing incentive strategies,or,if applicable,the local housing incentive plan, have been implemented or are in
the process of being implemented pursuant to the adopted schedule for implementation.
State Housing Initiatives Partnership (SHIP) Program
16010
Annual Report and Local Housing Incentives Certification
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2014-2015 and interim years n/a
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164(15) and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit, from these actions is estimated to
be N/A.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
N/A.
Staff Member responsible for submitting annual report to FHFC: Lisa N. Car
N/A
Witness Signature Date And o is, Chairman 9/11/18
N/A N/A
Witness Printed Name Chief Elected Official or Designee Printed,Name
N/A Approved as to fo d legality
Witness Signature Date ghl _
Assistant County ley
4
N/A 12\\
Witness Printed Name
or
ATTEST(Seal) ` ,
Attest: ` '
CRYSTAL K
Signature Date
K. KINZEL, CLERK
'446r4-1 4
A • as Wen' 111
420.9075 (10) Each county or eligible municipality shall submit to the Sonooranior September 15 of each year a report of
its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifies ,y
that the local housing incentive strategies,or, if applicable,the local housing incentive plan, have been implemented or are in
the process of being implemented pursuant to the adopted schedule for implementation.