Backup Documents 09/13-14/2011 Item #16K516K 5
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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', signature draw a line through routine lines #1 through #4, complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
(Li routin order)
Office
Initials
Date
1.
1 �3 ao I
Agenda Item Number
16 K13
2.
Original document has been signed/initialed for legal sufficiency. (All documents to be
3.
I OeAOr X1'0') d C�,004 �LfWIS
Number of Original
Documents Attached
4.
by the Office of the County Attorney. This includes signature pages from ordinances,
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5. Ian Mitchell, BCC Office
Supervisor
Board of County Commissioners
( o
Z 1
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
Contact
CJI leeo Greene F,�S� . (1; Aft
Phone Number
� ,
. 6c/ O
Agenda Date Item was
1 �3 ao I
Agenda Item Number
16 K13
Approved by the BCC
Original document has been signed/initialed for legal sufficiency. (All documents to be
Type of Document
Attached
I OeAOr X1'0') d C�,004 �LfWIS
Number of Original
Documents Attached
INSTRUCTIONS & CHECKLIST
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS 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
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,
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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
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
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 I o I (enter date) and all changes
[�
made during the meeting have been incorporated in the attached document. The
County Attorne 's Office has reviewed the changes, if applicable.
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09
16K 5
MEMORANDUM
Date: October 13, 2011
To: Colleen Greene
County Attorney's Office
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Declaration of Continued Use Form — Trademarks
"Naples Marco Island Everglades Paradise Coast"
Enclosed please find one (1) original referenced above (Agenda Item #16K5), which
was approved by the Board of County Commissioners on Tuesday, September 13,
2011.
The Minutes & Records Department has retained a copy of the original, which
will be kept as part of the Board's Official Records.
If you have any questions, please call me at 252 -7240.
Thank you
16K 5
DECLARATION OF USE OF MARK IN COMMERCE UNDER § 8 (15 U.S.C. § 1058)—
-To the Commissioner for Trademarks-
<I'RADEMARK/SERVICE MARK INFORMATION>
<Mark> N- ?.ples Marco Island Everglades Paradise Coast
<Registration Number> 3,056,948
<Registration Date> 02/07/2006
<OWNER INFORMATION>
<Name> Collier County
<Street> 3299 Tamiami Trail East., Suite 800
<City> Naples
<State> FL
<Country> US
<Zip/Postal Code> 34112-5749
<DOMESTIC REPRESENTATIVE > -Re uired ONLY if the owner's address is outside the United States.-
<Name> -is hereby appointed the owner's representative
upon whom notice or process in the proceedings affecting the mark may be served.- -
<Street>
<City>
<State>
Code>
<GOODS AND /OR SERVICES INFORMATION>
<All Goods and/or Services in Existing Registration> -The owner is using the mark in commerce on or in connection with
all goods and/or services listed in the existing registration. If not, list in the next section the goods and/or services to be deleted
< Goods and/or Services Not in Use to be Deleted > --In the following space, list only those goods and/or services (or entire
class(es)) appearing in the registration for which the owner is no longer using the mark in commerce. LEAVE THIS SPACE
BLANK IF THE OWNER IS USING THE MARK ON OR IN CONNECTION WITHALL COODSAND /OR SERVICES
LISTED IN THE REGISTRATION.-
<FEE INFORMATION>
~Section 8 Filing Fee -
$100.00 x < Number of Classes> 1 = <Filing Fee Due> $100.00
~Grace Period Fee: If filing during the six -month grace period, enter § 8 Grace Period Fee -
$100.00 x < Number of Classes> = < Grace Period Fee Due>
-Filing Fee Due + Grace Period Fee Due- = <1'otal Fees Paid> $100-00
PTO Form 1583 (REV 01!05)
OMB Control No 0(,51 -0009 (E,p. 8!312001) U S. DEPARTMENT OF COMMERCE/Pamr and Tradmvk Olrrce
That K no rMuff"Mm to rapord to this collection of mfom adm
urdas a currmrh- iald OMB non ba 6 displayed.
16K 5
<SPECIlVIEN AND SIGNATURE INFORMATION>
—The owner is using the mark in commerce on or in connection with the goodslservices identified above, as evidenced by the
attached specimen(s) showing the mark as currently used in commerce.
(You MUST ATTACH A SPECIMEN showing the mark as currently used in commerce for at least one product or service
in each international class covered.)
The undersigned, being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both,
under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of this document, dedares_ ,
that he /she is properly authorized to execute this document on behalf of the Owner, and all statements made of his/her ovn,C''`
knowledge are true and that all tatements made on information and belief are believed to be true. l
ATTEST. a . ',,w•,
— Signature (A}_ OMI'W t. , At
<Date Signed> 91131 ao
<Name> Fred W. Coyle -71 ti, QiV UY "i° MiA
<I'itle> Chairman, Board of County Commissioners, Collier County,, ,�
<CONTACT INFORMATION>
<Name> Colleen M. Greene, Asst. County Attorney
<Company/FinnName> Collier County Office of the County Attorney
<Street> 3299 Tamiami Trail East, Suite 800
<City> Naples
< State> Fli
<Country> US
<Zip/Postal Code>
Telephone Number>
<Fax Number>
34112 -5749
(239) 252 -8400
(239) 252 -6300
<e- Mail Address> colleengreene @colliergov.net
<CERTIFICATE OF MAILING > - Recommended to avoid lateness due to mail delay.—
—I certify that the foregoing is being deposited with the United States Postal Service as first class mail, postage prepaid, in an
envelope addressed to the Commissioner for Trademarks, P.O. Box 1451, Alexandria, VA 22313 -1451, on—
<Date of Deposit>
— Signature—
<Name> Colleen M. Greene, Asst. County Attorney
to tom a 10981 sufficiency
wsslstant County Attorney
The information C011mted on this form allows the PTO to determine whether a n a,j for which a registration was issued is still in use in comtrierce "connection with some or all of the goods identified in the registration
Responses to the request for information are regwred in order to retain the benefit of a registration on the prineipal or Stippknrntal Register. IS e c §§ 10io n seq aril or all f t Pan 2. id information reg wa wtll
be made public Gathering and providing the information will require an estimated eleven moues. Pk.ue died cormsrnss on the time needed to compkte dirt form an&w suggestions for redwing burden to the
Chief Inlmmation ORicer. U.S. Patem and Trademark Olrice, U.S Department of Commerce• Washington D.0 20231 Plcase note that the PTO rtia,- riot conductor sponsor a collection of information rising a form that
does ria dspim a s alid OMB control number. (Sat bonom a side of this form).
Visitor Map
www.ParadiseCoast.com
1- 800 -2- escape
-w-F
Naples Marco Island
Immokalee Everglades City
16K 5
MEMORANDUM
Date: October 13, 2011
To: Colleen Greene
County Attorney's Office
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Declaration of Continued Use Form — Trademarks
"Florida's Last Paradise"
Enclosed please find one (1) original referenced above (Agenda Item #16K5), which
was approved by the Board of County Commissioners on Tuesday, September 13,
2011.
The Minutes & Records Department has retained a copy of the original, which
will be kept as part of the Board's Official Records.
If you have any questions, please call me at 252 -7240.
Thank you
16K
DECLARATION OF USE OF MARK IN COMMERCE UNDER § 8 (15 U.S.C. § 1058) -
-To the Commissioner for Trademarks —
<TRADEMARK/SERVICE MARK INFORMATION>
<Mark> Florida's Last Paradise
<Registration Number> 3,064,880
<Registration Date> 03/07/2006
<OWNER INFORMATION>
<Name> Collier County-
<Street> 3299 Tamiami Trail East., Suite 800
<City> Naples
< State> FL
<Country> US
<Zip/Postal Code> 34112-5749
<DOMESTIC REPRESENTATIVE > - Required ONLY if the owner's address is outside the United States.- -
<Name> -is hereby appointed the owner's representative
upon whom notice or process in the proceedings affecting the mark may be served. -
<Street>
<City>
< State>
<Zip Code>
<GOODS AND /OR SERVICES INFORMATION>
<All Goods and /Or Services in Existing Registration> -The owner is using the mark in commerce on or in connection with
all goods and/or services listed in the existing registration. If not, list in the next section the goods and/or services to be deleted --
< Goods and/or Services Not in Use to be Deleted > --In the following space, list only those goods and/or services (or entire
class(es)) appearing in the registration for which the owner is no longer using the mark in commerce. LEAVE THIS SPACE
BLANK IF THE OWNER IS USING THE MARX ON OR IN CONNECTION WITH ALL GOODS AND /OR SERVICES
LISTED IN THE REGISTRATION.-
<FEE INFORMATION>
~Section 8 Filing Fee -
$100.00 x < Number of Classes> 1 = <Filing Fee Due> $100.00
-Grace Period Fee: If filing during the six -month grace period, enter § 8 Grace Period Fee -
$100.00 x <Number of Classes> = <Grace Period Fee Due>
- Filing Fee Due + Grace Period Fee Due- = Total Fees Paid> $100-00
PTO Form 15s3 (REv UM5)
OMB Control No (Y.5I4 X)()9 (E,p. 8131/2001) U.s. DEPARTMENT OF COMMERCE/Pamt and T,Ac k O(rtc
There is no requirement to rapond to this collation of informatgn
urJess a cmrmik c ,ilid OMB n iba is displaced.
5
16K
<SPECIMEN AND SIGNATURE INFORMATION>
—The owner is using the mark in commerce on or in connection with the goods/services identified above, as evidenced by the
attached specimen(s) showing the mark as currently used in commerce.
(You MUST ATTACH A SPECIMEN showing the mark as currently used in commerce for at least one product or service
in each international class covered.)
The undersigned, being hereby warned that willful false statements and the like are punishable by fine or imprisonment, or both,
under 18 U.S.C. § 1001, and that such willful false statements and the like may jeopardize the validity of this document, declares
that he/she is properly authorized to execute this document on behalf of the Owner, and all statements made of hVfE#wPt? .
knowledge are true and t al tatements made on informal and belief are believed to be true e . • �'' /y y'
ATTY:> ; r
�Signature� t' Q�r'o'l �+`.�
V
I ,
<Date Signed> CJ�
<Name> Fred W. Coyle'
<ritle> Chairman, Board of County Commissioners, Collier•.
<CONTACT INFORMATION>
<Name> Colleen M. Greene, Asst. County Attorney
<Company.Zrm Name> Collier County Office of the County Attorney
<Street> 3299 Tamiami Trail East, Suite 800
<City> Naples
< State> FL
<Country> US
<Zip/Postal Code>
<Telephone Number>
<Fax Number>
<e -Mail Address>
34112 -5749
(239) 252 -8400
(239) 252 -6300
colleengreene @colliergov.net
<CERTIFICATE OF MAILING > -- Recommended to avoid lateness due to mail delay. ^•
--I certify that the foregoing is being deposited with the United States Postal Service as first class mail, postage prepaid, in an
envelope addressed to the Commissioner for Trademarks, P.O. Box 1451, Alexandria, VA 223 13 -1 45 1, on--
<Date of Deposit>
-Signature-
<Name> Colleen M. Greene, Asst. County Attorney
The m(orrrvtton collected on this form allows the PTO to dnermne whether a mark for xhich a rgis,alion was issued is still in use in commerce in conneetion h nh some or all of the goods identified in the registration.
Responses w the request for m(ormatgn are regwred in mdv to retain the benef I of a regeslrali on the Pnm,pal or SuppletrKrual Register. 15 U S C §§ 1051 el seq. and 37 C. F. R. Pan 2. All mfofrtt)t,olt collected mll
. made public Gathering and poridmg the information wd1 require an estimated el ten nunlom Please direct c nr a its on the time needed to complete this form and/or suggestion for fcducing this burden b the
Chief Information Ofrrcer. u s- Psern and Trademark Office. U.S. Deparinr eni o(Cornrnerce- Washington D C. 2U231 Please note dim the PTO rtes Mn coMtxl or sponsor a collection of tn(OlnLog lh s b a form tern
does not drsplas 2 t 3166 OMB oornrol number. (See bonom left side of this form).
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16K 5
FLORIDA S L9S' PAP4D!SF
This is Florida's Last Paradise,
The Paradise Coast infused with local traditions.
offers so much more Immerse within a whirl of
than being a premiere shopping excitement. Plunge
Fa y r/orlcl-class cultt.rral into a water filled world
arts center. that offers Florida's best
Swaying" fishing. Tee off on some
coconut palm � of the finest golf courses
and sweeping ��°: �' in the nation. All of this
va h t e- s n d along ,,,,,ith a hreathtaking
beaches only begin to tell the story. Here you I uncover array of art and culture and
a gentle pace and a tropical ambience amid xcite�ment, YOU have the one d,,stination that offers the idyllic Florida
exploration and disco,yery. Thrill to the outdoor adv. nture experien�e, ilonq viith excitement and adventure found
of tf-1N Everglades Discover one of a kind culinary delights ne herre e' e or, earth.
Discover Florida's Last Paradise— www.ParadiseCoast.com