Backup Documents 06/22/2010 Item #16E 2ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI1 6 E 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 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 aver the Board has taken action on the item.)
ROUTING SLIP
Complete rowing lines # I through #4 as appropriate for additional signatures, dates, and/or intbnnan0a needed. If the document is already complete with the
exception of the Chairman's signature, draw a line through routine lines # I through #4, complete the checklist_ and forward to Sue Filson (line #5).
Route to Addressee(s)
(I ist in routing order) -
Office
Initials
Date
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Contact
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Agenda Item Number
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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
5. ` Ian Mitchell, BCC Office
Supervisor
Board of Cogn y Commissions
I
N umber of Original
Documents Attached
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original docurent 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
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
Phone Number
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Contact
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Agenda Date Item was
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Agenda Item Number
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Approved by the BCC
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
Type of Document
Attached
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N umber of Original
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INSTRUCTIONS & CHECKLIST
i. FOnnS/ County Forms'/ BCC Forms/ Original Docmnunts Routing Slip W WS Original 9.01 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)
_
I .
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.)
All handwritten strike- through and revisions have been initialed by the County Attomey's
'
Office and all other parties except p the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of 13CC 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
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si nature 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 I allahassee within a certain
6__
time frame or the BCC's actions are nullified. Be aware of your deadlines!
nges
during meeting have been in f attached document. The
County the v the changes, if
i. FOnnS/ County Forms'/ BCC Forms/ Original Docmnunts Routing Slip W WS Original 9.01 04, Revised 1 .26 05, Revised 2.24.05, Revised 9 -18.09
16E2 '
MEMORANDUM
Date: July 2, 2010
To: Melissa Hennig, Environmental Specialist
Facilities Management Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Pepper Ranch Preserve Hunt (Program) Agreement
Attached is an original copy of the agreement referenced above (Item #16E2)
approved by the Board of County Commissioners on June 22, 2010.
The Minutes and Records Department will hold the second original agreement
for the Board's Official Record.
If you have any questions please call me at 252 -8406.
Thank you.
Attachment
STATE OF FLORIDA
COUNTY OF COLLIER
YOUTH HUNT AGREEMENT
16E2
This agreement is made and entered into by and between Board of County Commissioners of Collier
County o /b /o Collier County ( "Landowner "), and the Florida Fish and Wildlife Conservation Commission
( "Association ").
WHEREAS, Landowner and Association have mutual goals of introducing youngsters to the outdoors,
furthering the objectives of Hunter Safety by providing affordable, hands -on experiences, and providing
families the opportunities and privileges associated with hunting.
NOW, THEREFORE, in consideration of the performance of the following conditions, Landowner
hereby grants to Association the right to use the premises known as Pepper Ranch Preserve ( "Premises ") to
conduct youth outdoor recreation programs, including sponsorship of supervised hunting. This grant is subject
to the following conditions, which are expressly agreed to by Association and Landowner.
Landowner agrees to provide an Association - sponsored activity on the Premises as described at
Attachment A. (YHPF Youth Hunt Announcement Form)
2. Landowner will allow representatives of the Association to enter onto the property to plan, improve and
otherwise make provisions for use under the terms of this Agreement, as long as Landowner is notified in
advance of such activities and gives consent.
3. It is expressly understood by Landowner and the Association that the activities described in Attachment
A are regulated by the Florida Fish and Wildlife Conservation Commission, and that violations of these laws
governing such activities must be brought to the immediate attention of Landowner and Association for review
and action.
4. Association will make no alterations to buildings nor construct any improvements without first having
obtained the consent of the Landowner. Association will not carry away from the Premises any wood, plants,
rocks or other material. Association will promptly report to Landowner any unauthorized use of the Premises.
5. Association agrees to indemnify and hold Landowner, its agents, employees and representatives
harmless against any claims of any character of all persons whomsoever which result directly or indirectly from
the activities described in Attachment A. All participants involved in activities described at Attachment A must
sign a waiver and agree to indemnify and hold Association and Landowner, their agents, employees, and
representatives harmless against any claims of any character of all persons whomsoever which result directly or
indirectly from the activities described in Attachment A.
6. Landowner, and anyone authorized by Landowner, may enter and use the premises at any time for any
purpose. Landowner agrees not to conflict or interfere with the activities described in Attachment A and
Association agrees that its activities will not interfere with Landowner's use of the Premises, except as set out in
16E2
Attachment A. Landowner agrees to notify Association in advance of any other hunting or other activities
taking place on the premises that may present a danger to human life or health, or that may affect or interfere
with the activities described in Attachment A.
This Agreement, together with Attachment A, constitutes the only agreement between Landowner and
the Association, and supersedes any prior understandings or agreements. No amendment of this Agreement will
be binding unless it is in writing and signed by the Landowner and the Association. Either party may terminate
this Agreement at any time by written notice delivered to the other at the address set out below.
In witness hereof, the undersigned Landowner, and Association, through its representative, execute this
Agreement on the date of the last signature.
FLORIDA FISH AND WILDLIFE CONSERVATION COMMISSION
Diane Roth Eggeman, Director
Division of Hunting and Game Management
(Prt ted name nd itle of representative)
Cat
(Signature)
620 S. Meridian Street
(Address)
Tallahassee, FL 32399 -1600
(City, State, Zip)
850- 488 -3831
(Telephone)
ATTEST:. ....... e�
DWIGHT E. BROCK CLER>,� '
�.:.
G =C.
Approval for form and legal Sufficiency:
Jenni r B. White
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
OF COLLIER, COUNTY, FLORIDA
By: _W_ 1 /ID
FRED W. COYLE, CHANMAN
Item # .I(l�
Agenda'
Date
Date .l -
Recd
16E 2
LANDOWNER RISK ASSESSMENT PLAN - Attachment 1
1. General Categories
A. Hunting Safety, Compliance, and Policies
1. Follow all rules and regulations outlined in the Florida Hunter Safety course.
2. Follow all local, state, and federal game laws.
3. Require blaze /hunter orange for all youth hunters except for turkey,
waterfowl. dove and bow hunts.
4. Inform YHPF of any special rules or regulations youth hunters, accompanying
adults and volunteers must follow.
5. No alcohol or drugs permitted. Violation will mean immediate dismissal of
youth hunter and accompanying adult or volunteer from youth hunt.
6. Sign YHPF Youth Hunt Agreement.
B. Transportation Safety
1. Automobile liability insurance
2. Vehicle condition - make sure vehicles are in good working condition; an
automotive checklist has been included for your convenience.
a. Transportation to and from youth hunts if provided by landowner
b. Transportation to and from hunt locations if provided by landowner
3. Current weather and road conditions relayed to Huntmaster
C. Known Defects or Dangerous Conditions (make aware of)
1. Ranch/farm equipment - marked or roped off, warning signs posted
2. Structures - marked or roped off
a. Blinds
1) Prefer ground blinds.
2) Check to make sure the blind is structurally sound.
3) Check blinds for wasps & animals.
4) If the blind is a tower blind, brief youth hunter and accompanying adult
on climbing safety & to be aware of the hauling line.
5) In a tree stand, a safety belt is required for all youth hunters.
3. Landowner livestock
4. Any wildlife management practices
5. Epizootic /rabies epidemics
6. Firearm equipment inspection
D. Reporting/Log
1. Arrival /departures of youth hunters and accompanying adults
2. Notify neighboring landowners
- knowledge of hunting operations
- trespassing
- agreement with neighbors if animal wounded and wanders onto their
property
3. Land boundaries (description and map of property)
16E2
E. Emergency Preparedness
1. Appropriate emergency phone numbers by phone
- EMS / police / fire department / poison control / hospital
F. Facilities (See Appendix I A)
1. Lodging and meals
a) Meals provided by landowner
- equipment safety and anything associated with a kitchen
- Safety Act — see Appendix B for additional information
2. Storage