Backup Documents 12/13-14/2011 Item #16F6ORIGINAL DOCUMENTS CHECKLIST &ROUTING SLIP
16F 6
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 #I 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 routing lines #1 through #4, oomplete the checklist, and forward to Sue Filson (line #5).
Route to Addressees)
(Lot in muting order
Office
Initials
Date
1.
12/13/11
Agenda Item Number
16FO
2.
Original document has been signed/indialed for legal sufficiency. (All documents to be
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3.
MOU
Number of Original
1
4.
I
CB
12/13/11
5. Ian Mitchell, BCC Office
Supervisor
Board of County Commissioners
ZL
z l b l l
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(T6e primary contact is the holder of the anginal doahmew 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, need to contact staff for additional or missing information. All original
docammeats needing the 13CC Chairman's si nWm are to be delivered to the BCC office only after the BCC has acted to approve the item.)
Name of Primary Staff
Contact
Judy Scribner
Phone Number
252 -3600
Agenda Date Item was
12/13/11
Agenda Item Number
16FO
Approved by the BCC
Original document has been signed/indialed for legal sufficiency. (All documents to be
CB
Type of Document
MOU
Number of Original
1
Attached
I
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
tial
Applicable)
1.
Original document has been signed/indialed for legal sufficiency. (All documents to be
CB
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 strl'ke- through and revisions have been initialed by the County Attorney's
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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
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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
CB
signattwe and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
CB
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 12/13/11 (enter date) and all
CB
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
16F 6
MEMORANDUM
Date: December 19, 2011
To: Judy Scribner, Human Services Program Mgr.
Emergency Management Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Memorandum of Understanding between
Collier County and First Baptist Church of Immokalee, Inc.
Attached for your records is a copy of the document referenced above, (Item
#16F6) approved by the Board of County Commissioners on December 13, 2011.
The original will be held in the Minutes & Records Department for the Board's
Official Record.
If you have any questions please call me at 252 -7240.
Thank you.
Attachment
16F 6
Memorandum of Understanding
Between
Collier County Board of Commissioners
And
First United Methodist Church of Immokalee
I: Purpose: The purpose of this Memorandum of Understanding (MOU) is to set forth, define
and establish mutual agreements, understandings, and obligations by and between the Collier
County Board of County Commissioners, through its Emergency Management Department, and
First United Methodist Church of Immokalee.
II: Statement of Basic Responsibilities:
A. Collier County Board of County Commissioners, through its Emergency
Management Department, provides coordination of emergency services with
Collier County, including incorporated areas. This includes the selection and
utilization of various resources and organizations capable of rendering assistance.
Under Chapter 252, Florida Statutes, the Board of County Commissioners,
through its Emergency Management Department, also coordinates the
administration of relief activities of both public and private relief or disaster
assistance organizations which agree to volunteer their services under the
direction or guidance of Collier County authorities. In addition, Collier County
may utilize personnel and facilities of relief or disaster assistance organizations,
churches, temples and synagogues in the distribution of food, relief supplies,
medicines or other items, rehabilitation or reconstruction of community services
and essential facilities whenever Collier County authorities deem it necessary and
the Organization signed below is in agreement.
B. Recognizing the increased demand for churches, temples, and synagogues to
supplement assistance and recovery to victims of both Presidentially declared or
undeclared disasters and the need to work in harmony with local governments and
private relief agencies, the First United Methodist Church of Immokalee wishes to
assist in rendering the most efficient service with a minimum of duplication to the
citizens and guests of Collier County.
III: Coordination of Effort: Cooperation and coordination between Collier county
Government, through its Emergency Management Department and First United Methodist
Church of Immokalee at a time of major disaster and during the post- disaster recovery period
should be maintained at efficient levels and is part of the purpose of this Agreement. First United
Methodist Church of Immokalee works on a voluntary basis as a member of the Collier
Emergency Response Volunteer (CERV) Working Group, and will make a continuing effort to
acquaint its members of this Agreement to assist Collier County government in carrying out
mutual responsibilities for disaster relief.
16F 6
IV: Responsibilities:
A. Collier County Emergency Management Department agrees to the following:
1. Notify First United Methodist Church of Immokalee of the potential need to
assist in activities following a disaster, and
2. Participate in and develop training in disaster response for the members of
First United Methodist Church of Immokalee; and
3. Assist in the development plans for First United Methodist Church of
Immokalee; and
4. Schedule periodic meetings and/or exercises to familiarize members of
disaster preparedness or recovery initiatives; and
5. Utilize, when and as appropriate, the services of First United Methodist Church of
Immokalee for disaster relief and recovery projects; and
6. Whenever members of First United Methodist Church of Immokalee are
rendering aid to Collier County Government under this Agreement,
they shall have the same powers, duties, rights, privileges and
immunities as if they were performing their duties for Collier County,
and Collier County shall be liable for their acts and actions as if they
were performing their duties for Collier County; and
7. Collier County shall be liable for any loss or damages to any facility or
equipment utilized pursuant to this Agreement and shall pay any expenses in
the repair thereof; and
8. Collier County agrees to be responsible, to the extent provided under Florida
Statues 768.28, for its negligent acts, however, this responsibility shall not
serve as a waiver of Collier County's Sovereign Immunity limits.
B. First United Methodist Church of Immokalee agrees to:
1. Provide facilities and /or staff to Collier County at no charge during
the disaster recovery period; and
2. Provide a 24 hour contact person and alternates; and
3. Provide a representative to attend periodic meetings of the Collier
Emergency Response Volunteer (CERV) Working Group; and
4. Participate in exercises developed by the Emergency Management
Department; and
5. Provide the Emergency Management Department with an update of facility
and manpower capabilities at least annually prior to June of each year.
C. Both of the above named parties agreed to the following:
I . No modifications or changes will be made to the facility /property by
the Collier County Representative without the express written
approval of the owner /operator.
2. Prior to occupancy, representatives of both parties will inspect the
facility /property and will note any discrepancies on the inspection form,
and /or this agreement.
2
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3. Prior to occupancy, representatives of both parties will again inspect the
facility /property to note any discrepancies on the release form. Normal
wear and tear is considered to the responsibility of the
organization/owner /operator.
4. The facility /property will be returned to the organization/owner /operator in
the same condition as it was when occupied/acquired.
5. Other provisions as follow:—none
V. Effective Date, Automatic Renewal. and Modification: This Agreement presents the
general and some specific guidelines by which Collier County, through its Emergency
Management Department and First United Methodist Church of Immokalee will cooperate to
aid victims at the time of disaster. In witness thereof, the parties have executed this
agreement on the date indicated. The provisions of the Agreement will be effective from the
date approved by the Board of County Commissioners for a period of three (3) years. At the
end of the three year (3) period, this Agreement will automatically renew for an additional
term of one year unless terminated as provided in Paragraph VI of this Agreement. At the
end of the one (1) year renewal period, this Agreement will renew for an additional term of
one (1) year unless terminated as provided in Paragraph VI. of this Agreement. This
Agreement may only be automatically renewed two times. Both parties have the authority to
amend provisions of this Memorandum of Understanding upon mutual consent and by
written instrument executed by the Parties.
VI. Termination: Either party may terminate this Agreement by providing the other party with
notice of its intent to terminate with 30 days written notice. The Agreement may be
immediately and automatically terminated by the County without providing such notice,
should the County reasonably believe that the spirit or intent of Chapter 252, Florida Statutes
is not being effectuated by this Agreement.
AS TO COUNTY;,
Attest �� P " ^ BOARD OF COUNTY COMMISSIONERS
DWI '2` E $IYOi,Clerk COLLIER COUNTY, FLORIDA,
By ` By: 1z . 13. 1 l
pu t
Cler 1=2ED COYLC C rman
AWoved as to form & legal Sufflolency
ASST nt County Attorney
�9
Organization name: First United Methodist Church of Immokalee
Print Name: Michael Caruthers
STATE OF FLORIDA
COUNTY OF COLLIER
Title: Church Council Chairman
16F 6
The foregoing instrument was acknowledged before me this Q "' day of of e w► f r
2011, by 00ri AhPrS as C�n�rch 000n.c1 I C�hv c
,_,.....��� of I-�r.rl UnikPd i'YtP-1h4cltS4
He / She is [.4- personally known to me, or [ ] has produced driver's
license no. as identification.
bra• Pue�., MARIELA PENA
:r° • o-
_ Notar y Public -State of Florida
(SEAL) My Comm. Expires Apr 2, 2013
:;�F °���;A' Commission # DD 877162
Approved as to form and legal sufficiency:
Jennifer ff White
Assistant County Attorney
l�a Ae7e,
NOTARY PUBLIC n
Name: {�/1 wje 10 per)a
(Type or Print)
My Commission Expires: � P r - ;, , - -1013
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