Backup Documents 03/22/2011 Item #16K2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 2
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper, Attach to original document. Original document, should he hand delivered to the Board Office. 'fhe completed routing slip and original
documents one to be forwarded to the Board Office only after the Board has utkco action on the Item.)
ROUTING SLIP
Complete routing lines N l through H4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
excentionol the Chain,an'c clonaniro i-- "ilnan.., ..... a ...... ;.,.. r.— aI a....._u u. .......... A I I I .. .... _. _.
Route to Addressee(s)
(List in routin order)
Office
Initials
one n, .
Date
1.
_
(Initial)
A licable
2.
March 22, 2011
Agenda Item Number
16 -K -2
3.
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
4. Colleen M. Greene, ACA
County Attorney
Number of Original
03/23/11
5. Ian Mitchell, BCC Office Supervisor
Board of County Commissioners
Documents Attached
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 oliice only after the BCC has acted to approve the
item .)
Name of Primary Staff
Colleen M. Greene, ACA
Phone Number
252 -8400
Contact
_
(Initial)
A licable
Agenda Date Item was
March 22, 2011
Agenda Item Number
16 -K -2
Approved by the BCC
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
Type of Document
Release (Laboratory Corporation)
Number of Original
3
Attached
County Attorney's Office and signature pages from contracts, agreements, ctc. that have been fully
Documents Attached
INCTRIIf TIONS R. it-uGr -vr IcT
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1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
amatter numbeow /«document number»
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
_
(Initial)
A licable
L
Original document has been signed initialed for legal sufficiency. (All documents to be signed by the
CMG
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
County Attorney. ']'his includes signature pages from ordinances, resolutions, etc. signed by the
County Attorney's Office and signature pages from contracts, agreements, ctc. that have been fully
executed by all parties except the BCC. Chairman and Clerk to the hoard and possibly Slate
-2—
Officials.
handwritten strike- through and revisions have been initialed by the County Attorney's Office and
N/A
all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered us the date of BCC approval of the document or
CMG
the final negotiated contract date whichever is ae2licable.
4.
"Sign here" tahs are placed on the appropriate pages indicating where the Chairman's signature and
CMG
initials are required,
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
N/A
provided to lan Mitchell in the BCC office within 24 hours of 13CC. approval. Sonre documents are
tune sensitive and require forwarding to Tallahassee within a certain time frame or the BCC's actions
are nullified. 13o aware of our deadlines!
6.
The document was approved by the BCC on 03/22/11 and all changes made during the meeting
CMG
have been incorporated in the attached document. The County Attorney's Office has reviewed
the changes, if applicable.
- 11
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1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
amatter numbeow /«document number»
16K2
MEMORANDUM
Date: March 28, 2011
To: Colleen Greene
County Attorney's Office
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: General Release — Laboratory Corporation of America
Enclosed please find two originals referenced above (Agenda Item #16K2),
which was approved by the Board of County Commissioners on Tuesday,
March 22, 2011.
The Minutes & Records Department has retained an original for the
Board's Official Records.
If you have any questions, please call me at 252 -8411.
Thank you.
16K2
General Release
KNOW ALL MEN BY THESE PRESENTS that BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, their heirs, assigns, legal representatives,
successors and personal representatives, hereinafter referred to as the Releasing
Parties for and in consideration of the total sum of THREE THOUSAND FIVE
HUNDRED SIXTY DOLLARS AND NINETY -THREE CENTS, ($3,560.93), which sum
includes $350.00 in court costs incurred by the County, receipt of which is hereby
acknowledged, have released, acquitted, and discharged, and by these presents do
hereby release, acquit, and forever discharge LABORATORY CORPORATION OF
AMERICA, and their insurers, all of their parent corporations, subsidiaries, and affiliates,
including all officers, directors, and employees, past and present, any reinsurer or
insured thereof, and employees, their respective administrators, successors, assigns,
employees, agents, attorneys, officers, directors, and representatives, hereinafter
referred to as the Released Parties, of and from any and all claims, actions, causes of
action, damages or demands, both compensatory and punitive, in whatever name or
nature, in tort, in contract or by statute, in any manner arisen, arising, or growing out of
any and all damages, expenses, or losses sought or claimed, of whatever name or
nature, past, present, or future, which in any way arise out of or were the result of an
accident occurring on or about June 10, 2009 at or near 1660 Medical Blvd. in Naples,
Collier County, Florida.
This release covers and any all claims of the Releasing Parties for property
damages, and all other claims of consequential damages and expenses which have
arisen, arise, or which may hereafter arise out of the incidents or matters which were
alleged in, or could have been alleged in Case No 10 -1074 CC in the County Court in
and for Collier County, Florida. Further, the Releasing Parties hereby agreed to
indemnify, to save, defend, and hold harmless the Released Parties from any and all
claims, subrogated interests, or liens of any third parties including, but not limited to the
United States, the State of Florida, any governmental entity lien, attorney's fee, charging
liens, any local county, city, state or federal government liens, Internal Revenue Service
liens, and any and all other subrogated interests or liens, regardless of their source.
16K2
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The Releasing Parties acknowledge that it is their responsibility to satisfy any of the
foregoing liens or subrogated interests from the proceeds of this settlement.
The Releasing Parties further agree to release, acquit and forever discharge the
Released Parties for any claim or claims for bad faith or extra - contractual damage
claims of any nature arising out of the investigation, claims handling and /or adjustment
of claims arising from the June 10, 2009 accident. The Releasing Parties specifically
acknowledge and agree that this release shall operate to release all such claims,
whether or not the same were specifically litigated in Case No. 10 -1074 CC The
Releasing and Released Parties further agreed that the terms of this Release and any
amount paid shall remain that the terms of this Release and any amount paid shall
remain CONFIDENTIAL, including the names of the Released Parties.
ALL PARTIES TO THIS GENERAL RELEASE ARE TO BEAR THEIR
OWN RESPECTIVE ATTORNEY'S FEES AND COSTS OR AS
OTHERWISE STATED HEREIN.
It is understood and agreed that the payment made herein is not to be construed
as an admission of any liability by or on behalf of the Released Parties; but, instead, the
monies being paid hereunder as consideration for this release are being given in order
to avoid litigation, the uncertainties stemming from litigation, as well as to protect and
secure the good name and good will of the Released Parties.
To secure this settlement and the payment of the aforesaid sum, the undersigned
hereby declare that they are of the legal age and that they relied wholly upon their own
judgment, belief, and knowledge of the nature, extent, and duration of his injuries,
disabilities and damages and that no representations or statements about any such
claims, past, present, or future, made by any physician, agent, adjuster, attorney, or
employee of the Released Parties, or their insurers, have influenced the undersigned in
making or induced the undersigned to make this settlement.
It is further acknowledged that there is no agreement or compromise on the part
of the Released Parties to do or forego any act or thing not herein mentioned and that
the within consideration is in full and complete settlement of any and all claims,
damages, or demands of the undersigned against the Released Parties arising from or
out of any and all matters referenced in this release.
DATED this c9a day of MGLYUk— 2011
D
HT, E,; BRO §K,`•ILLER
A r
Attest 'im. to' Cha jr P4ty Clerk
ttgnature oV+•:"
Approved as to form and legal
sufficiency:
Colleen M. Greene
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA
By: `- k L") . C
FRED W.COYLE,CHA AN
16K2
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