Backup Documents 06/08/2010 Item #16D 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP16 D
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
_.
_ . . . . ,___. _ ,:__ . _ .._ .....�. r ;. ao .n. ,, h ea —1,t, thr nherkl,,t and Forward to Sue Filson (line #5).
exception or we t rauman s st nano,,, oa.. a,,,,,,,,,,,,,, „..,..,,..
Route to Addressee(s)
List in routing order
...._,, ........._ ...., __.. .__ __ _ -
Office
Initials
Date
1. Terri Daniels
Housing and Human Services
Dept.
(Initial )
6/8/2010
2. Ian Mitchell, Manager BCC
Board of County Commissioners
Agenda Item Number
4�9 to
3. Minutes and Records
Clerk of Court's Office
4.
Reports for Choose Life License Plate Funds
Number of Original
(5) 1 copy of each
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
Name of Primary Staff
Terri Daniels
Phone Number
252 -2689
Contact
appropriate.
(Initial )
A licable
Agenda Date Item was
June 8, 2010
Agenda Item Number
16D2
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Reports for Choose Life License Plate Funds
Number of Original
(5) 1 copy of each
Attached
ReTiorts for 2005, 2006, 2007, 2008, 2009
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
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial )
A licable
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.)
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 Sue Filson 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 4wAre of your deadlines!
6.
The document was approved by the BCC on k I K I V (enter date) and all changes
made during the meeting have been incorporat U 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
16D 2
MEMORANDUM
Date: June 9, 2010
To: Terri Daniels, Grants Supervisor
Human Services Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Contract: Reports for Choose Life License Plate
Funds
(Reports for 2005, 2006, 2007, 2008, and 2009)
Attached, please find five originals as referenced above (Agenda
Item #16D2), approved by the Board of County Commissioners on
Tuesday, June 8, 2010.
Please return a fully executed copy once all signatures
have been obtained for the Board's permanent records.
If you should have any questions, please call 252 -7240.
Thank you.
160
ANNUAL CHOOSE LIFE SPECIALTY LICENSE PLATE AFFIDAVIT TO DHSMV BY COUNTY
County COLLIER
2005
Fiscal Year Ending
County Prior Year Ending Balance
Annual Plate Fees Received From State
Interest Earned on Fees
Total Available for Distribution by the County
Annual Plate Fees Distributed to Agencies
Amount Retained by Agency from Previous Year
Total Available for Agency Expenditures
Annual Plate Fee Fxoenditures by Agencies
$ 61,007.00
$ 21,329.00
$ 980.00
83,316.00
m 50,007.00
$ 0.00
50,007.00
Secnndarv:
Women
Infants
Total
Counseling
1,964.00
1,964.00
Training
15,445.00
15,445.00
e
",501.00
14,687.00
14,687.00
Adoption
3,797.00
3,797.00
Total Secondary Expenditures
1,063.00
1,063.00
n
501.00
501.00
Other Material Needs
0.00
Total Primary Expenditures
$ 37,457.00
$ 61,007.00
$ 21,329.00
$ 980.00
83,316.00
m 50,007.00
$ 0.00
50,007.00
Secnndarv:
Women
Infants
Total
Counseling
2,081.00
2,081.00
Training
0.00
Advertising
0.00
Adoption
6,572,00
6,572.00
Total Secondary Expenditures
$ 8,653.00
Total Primary and Secondary Expenditures $ 46,110.00
Primary expenses as a % of total Expenditures 812 %
Secondary expenses as a % of total Expenditures 18.8 %
Percentage of Distributed Fees Utilized sz.z %
Amount Returned By Agency (if any) to County $ 0.00
3,897.00
Amount Retained by Agency (if any) $
37,206.00
County Fiscal Year Ending Balance $
We certify that all recipient agencies and the County have complied with Florida Statutes, 320.08056 and
320.08058(30).
U) CA A�� June 8, 2010
Fred Coyle, Chair, Board of County C6 issioners Date
ATTE/±S�Trr:
Approv d as oform and le al sufficiency DW�Vr7f E. bCt
Revised January 2010 1
Colleen 6r ene,
Assistant County Attorney nan dv 01a
" to c mfnwM •
livatwi 011 i +•
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