Loading...
Backup Documents 02/08/2011 Item #16G2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 G 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 signature, draw a line through muting lines #1 through #4. complete the checklist and forward to Ian Mitchell dine #51 Route to Addressee(s) (List in routing order Office Initials Date 1. approDriate. (Initial) Applicable) 2. February 8, 2011 Agenda Item Number 16.G.2 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed I 4. FAA User Access Authorization Form Number of Original 3 5. Ian Mitchell, BCC Office Supervisor Board of County Commissioners I Documents Attached Z 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, including Sue Filson, 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 Debbie Brueggeman Phone Number (239) 642 -7878 Ext. 34 Contact approDriate. (Initial) Applicable) Agenda Date Item was February 8, 2011 Agenda Item Number 16.G.2 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed I Type of Document FAA User Access Authorization Form Number of Original 3 Attached resolutions, etc. signed by the County Attorney's Office and signature pages from I Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS 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 approDriate. (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 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.) n 2. All handwritten strike - through and revisions have been initialed by the County Attorney's N/A 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 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 signature and initials are required. 5. In most cases (some contracts are an exception), the original document and this routing slip N/A should be provided to Ian Mithchell 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 02/08/11 (enter date) and all changes 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 W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 16GZ MEMORANDUM Date: February 15, 2011 To: Debbie Brueggeman, Operations Coordinator Collier County Airport Authority From: Teresa Polaski, Deputy Clerk Minutes and Records Department Re: FAA User Access Authorization Form Attached are two (2) originals of the document referenced above, (Agenda Item #16G2) approved by the Board of County Commissioners on Tuesday, February 8, 2011. The Minutes & Records Department has retained the third original to be kept as part of the Board's Official Records. If you have any questions, you may contact me at 252 -8411. Thank you. 1100 *5► co vo 0 G COLLIER COUNTYAIRPORTAUTHORITY y 2005 Mainsail Drive Ste. 1 Naples, FL 34114 -8955 (239) 642 -7878 Fax (239) 394 -3515 ECHO -Web USER ACCESS AUTHORIZATION and CERTIFICATION (Signature of Authoriz' g Official) This is to certify that Ikb above is the signature of: Chris Curry (Type Name) Collier County Airport Authority (Name of Recipient Organization) I Executive Director (Title) z www.collieraviation.com 69AA7251 (ECHO Control Number) Who is duly authorized to approve payment requests submitted to the Federal Transit Administration on the behalf of Collier County Airport Authority (name of organization). There has been a change in the signatory authorizing official for this ECHO Control Number 69AA7251 (enterEClV). In addition, Chris Curry (Name of Contact Person) is authorized to receive an ECHO User -ID for View only access (performs inquiries only). (Signature of Recipient Organ�ation Official) Fred W. Coyle, Chairman Approved as to form and legal sufficiency: cka&LA__� Colleen Greene, Assistant County Attorney F-1 Marco island Executive Airport Immokalee Regional Airpoirt 2005 Mainsail Drive Ste.1 165 Airpark Boulevard Naples, FL 34114.8955 Immokalee, FL 34142 (239)394 -3355 (239)657 -9003 (239) 642 -5427 Fax (239) 657 -9191 Fax Date ATTEST: DWI "T E 'BR,( fK; ; By �" Everglade ;Au d�Atrpark pcad Everglatles`Ciry, FL 34139 (239)695.2778 (239) 695 -3558 Fax 16G2 ECHO Web User Form Organization Name: l&,y'r�' yzri' I ECN: ly4AA��S/ Authorizing Official signature: Name of User to Remove: Name of User to Remove. Name of User to Remove: Name of User to Add. Type of Access: Inquiry: ❑ Update: ❑ Name of User to Add: I Type of Access: Inquiry: ❑ Update: ❑ Name of User to Add. I m v III/ Type of Ac Tniir ITUM. A GUMPSeM u:e aoove jorm, eaner type or nanawrite the information. Iftyping the information, the check boxes cat: be shaded instead of checked. Instructions for ECHO -Web Registration Chanee/Modifv Forms This form should be used to change or modify users who currently have access to the system, add new users to the system and delete existing users from the system. It should also be used for modification of the Authorizing Official. Please note that if a contact person is being added, the limit of three users (one with view only access and two with update access) still applies. If adding a contact person or Authorizing Official with "Inquiry Access ", then a User Access Request form and a Rules of Conduct form must be provided with this form. If adding an Authorizing Official with "No Access ", then a new Authorization and Certification letter is required with this form. If deleting an Authorizing Official, then the new Authorizing Official must sign this form. NOTE: Forms may be faxed to the attention of ECHO -Web Registration Change Request at 202-493- 2935 or emailed to echo_web @fta.dot.gov and the originals sent through the mail to: Federal Transit Administration (TBP 40) ATTN: ECHO Web Registration 1200 New Jersey Ave, SE 50' Floor —E54 East Building Washington, DC 20590 ECHO User Change/Modify Rev 2.0 (08APR 2008) 41 16G2 ECHO -WEB System Rules of Conduct I understand that the ECHO -Web system is an official U.S. Federal Government web - based application, and that my signature below expressly gives assurance that I will comply with all U.S. Federal Government and Department of Transportation (DOT) regulations, policies, and procedures governing the protection, handling, processing, transmission, distribution, and destruction of sensitive unclassified information utilized by the ECHO -Web system. I understand that the Department of Transportation monitors the ECHO -Web site to ensure that all users comply with U.S. Federal Government information system security guidelines for the protection of the Federal computer resources. I also understand that by using the ECHO -Web, I expressly consent to such monitoring activities. I understand that I must not knowingly introduce malicious code into the ECHO -Web system or the secure network on which it resides. I understand that doing so may subject me to criminal prosecution under the Computer Fraud and Abuse Act of 1984, as amended codified at section 1030 of Title 18 of the United States Code, or other applicable criminal laws. I understand that attempts to defeat or circumvent the ECHO -Web system or its secure network, use either for other than the intended purposes for which I have been granted access rights, deny service to authorized users, obtain, alter, damage, or destroy information, or otherwise interfere with the ECHO -Web system or its operation is prohibited. I also understand that evidence of such acts will be disclosed to law enforcement authorities and may result in criminal prosecution under the Computer Fraud and Abuse Act of 1984, as amended codified at section 1030 of Title 18 of the United States Code, or other applicable criminal laws. I understand that I am required to protect all initial passwords issued to me, and those, later created by me for the purpose of accessing the ECHO -Web system. I understand that the sharing and disclosure of passwords, or the use of another user's ID is prohibited. I also understand that I am required to change my password whenever prompted by the system, and whenever I suspect that my password may have been compromised. In addition, I understand that I am prohibited from embedding my password in log -on scripts. That is, I must respond "no" when asked by the system whether I wish to save my password in the login screen. I understand that I am required to immediately report all security incidents, including any breach of appropriate system use by another ECHO -Web user, discovery of computer viruses or errors in ECHO -Web system to the Federal Transit Administration promptly. I understand that I am required to immediately notify the Federal Transmit Administration when I no longer require access to the ECHO -Web system. I understand that failure to comply with any of the above security requirements could result in the loss of system privileges and(or criminal penalties under law. &4� / / /;) / CPO /I Signature Date > Gi?7�� &1-1 �' ri 9,-9x 7�S/ Printed Name ECHO Control No. M 16G2 USER ACCESS REOUEST USER INFORMATION Gender' M / F (Optional) First Name* M/I &U Last Name` Office Phone No.' SSN (last6 digits)* �X�u� l�' i pro ,��q�a �• �oy���. � ".� �� -3uo� Title• Supervisor Name FAX No. &,gAA)?SE. jAWWR ` Organization /Location' ECHO Job (See Access Type below) L/ �� / ✓c�lt�Qf''�C:'c��L/�,�G-r�i�. ��J �f�1�7' %07.3 Em ail Address ECHO Control No. * This In3a4m,kian is b, iA cmdisai�d -ta satdtip araitses In £cH�1%ilvabr Mailing Address (Street Num ber, City, State and ZIP Code)' en, .° _ea (_ ,�KP,, #, ;ion EXPLANATION OF ECHO JOBS (ACCESS TYPE): If you will perform draw -down functions, your ECHO Job is "Grantee Update" (Add /Modify). If you will perform inquiries, your ECHO Job is "Grantee Inquiry" (View). DO NOT COM-PLETE BOTTOM -- T'.Q.,C 3MPLETItD. BY FTA-SYSTE3WS O;Ff1,CE. STAFF�_% Date: ECHO -Web System Administrator Date: FTA Security Administrator Requestor Notified by Date: User ID Initial Password 39