Backup Documents 07/09/2019 Item #16B 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 b B 2 Y
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURI
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 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#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2. County Attorney Office County Attorney Office W, (Z
3. BCC Office Board of County .1C)F
Commissioners `k'
4. Minutes and Records Clerk of Court's Office ,? /q 2 j
5. DEP - Fed Ex envelope attached Fed Ex _/
Debrah Forester Bayshore CRA
PRIMARY CONTACT INFORMATION
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,may need to contact staff for additional or missin information.
Name of Primary Staff Shirley Garcia Phone Number (239)643-1115
Contact/ Department I
Agenda Date Item was July 9,2019 Agenda Item Number 16.B.2
Approved by the BCC
Type of Document Sale and Transfer of VCTC certificate#348 Number of Original 3
Attached Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A"in the Not Applicable column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? Sis4Jw� c,� N
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet.
3. 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.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's SMG
Office and all other parties except the BCC Chairman and the Clerk to the Board
5. The Chairman's signature line date has been entered as the date of BCC approval of the SMG
document or the final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SMG
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SMG
should be provided to the County Attorney Office at the time the item is input into SIRE.
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!
8. The document was approved by the BCC on 07/09/2019 and all changes made during SMG t
the meeting have been incorporated in the attached document. The County i,option for
Attorney's Office has reviewed the changes,if applicable. �`m
9. Initials of attorney verifying that the attached document is the version approved by the I ? a e262t
BCC,all changes directed by the BCC have been made,and the document is ready for the dor
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16B2
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Tuesday,July 9, 2019 4:04 PM
To: GarciaShirley
Subject: Agenda Item#16B2 (7-9-19 BCC Meeting)
Attachments: Backup Documents 07_09_2019 Item#16B 2.pdf
Hi Shirley,
Ala executed copy of Itewt #16132, from today's
13CC Meetivtg is attached for your records.
Thavtk you!
Ann Jennejohn
BMR Senior Deputy Clerk
a Clerk to the Value Adjustment Board
Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
Ann.Jennejohn@CollierClerk.com
Office of the Clerk of the Circuit Court
&Comptroller of Collier County
3299 Tamiami Trail,Suite#401
Naples, FL 34112-5324
www.CollierClerk.com
1
1692
VCTC Certificate Transfer Request
July 10, 2019
Mr. Scott Sweeney
VCTC Program Manager
Department of Environmental Protection
Division of Waste Cleanup
2600 Blair Stone Road MS #4505
Tallahassee, Florida 32399-2400
Scott.L.Sweeney@dep.state.fl.us
Re: Collier County Community Redevelopment Agency
Voluntary Cleanup Tax Credit Certificate # 348,
Dated July 9, 2013
Dear Mr. Sweeney:
Collier County CRA has received Voluntary Cleanup Tax Credit Certificates issued from
the State of Florida pursuant to Section 376.30781 of the Florida Statutes. We are
requesting, pursuant to Section 220.1845(2)(g), the transfer of the Certificates described
below:
Certificate Number FDEP Facility ID# VCTC Application # Amount
348 110901001 #348 $ 26,979.38
A copy of the certificate is enclosed for your reference.
Collier County CRA herein authorizes that the Voluntary Cleanup Tax Credit
Certificate(s) be transferred in its/their entirety (100%) as follows to:
Transferee Company
Name: Valley National Bank
Address: 1455 Valley Road
Wayne, NJ 07470
Contact Name: Dan McCarty
Phone Number: 973-686-5017
Transferee FEIN No: 22-1186387
Email: dmccartyCa�valleynationalbank.corn
Upon transfer in accordance with the terms hereof, please deliver the new original
tax credit certificate bearing an issue date to the Valley National Bank at the
delivery contact information listed above.
Please notify the Collier County Community Redevelopment Agency(seller) when
the transfer is complete and a copy of the new certificate transfer. :
1682
Seller Name: Collier County Community Redevelopment Agency
Address:3570 Bayshore Dr Unit 102
Contact Name: Debrah Forester
Phone Number: 239-643-1115
Seller Email: Debrah.Forester@colliercountyfl.gov
The undersigned is a duly authorized person for the purposes of authorizing transfer of
this Tax Credit Certificate.
ATTEST' COLLIER COUNTY COMMUNITY
CRYS1AL .K.:KINZEL,tCLERK REDEVELL
AGENCY
tt.�5 "2 tQC T CLERK By:
DONNA FIALA, CHAIRMAN
Afilighter8krm and legality:
.la
Jen e A. Belpedio
Assistant County Attorneycr: CtfiCA\°\
Itam# 1 B7.1
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