Backup Documents 10/27/2009 Item #16D10
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 1 0
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
excention of the Chairman's si~ature, draw a line through routino lines #1 through #4, complete the checklist, and forward to Sue Filson line #5).
Route to Addressee(s) Office Initials Date
(List in rautinp orderl
1. Terri Daniels Housing and Human Services ~ 10/27/09
Dept.
2.
3.
4.
5. Ian Mitchell, Manager BCC Office Board of County
Commissioners
6. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending Bee 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 Bee Chairman's signature are to be delivered to the Bee office only after the Bee has acted to approve the
item.)
Name of Primary Staff Terri Daniels Phone Number 252-2689
Contact
Agenda Date Item was October 27, 2009 Agenda Item Number 16DIO
Approved bv the BCC
Type of Document Grant Acceptance Document Number of Original I
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
a ro date.
\. 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 ossibl State Officials.
2. All handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other arties exce t the BCC Chairman and the Clerk to the Board
3. The Chairman's signature line date has been entered as the date ofBCC approval of the
document or the final ne otiated contract date whichever is a licable.
4. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
si nature and initials are re uired.
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 ofBCC approval.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be w e of our deadlines!
6. The document was approved hy the BCC on (enter date) and all changes
made during the meeting have been incorporat i t e attached document. The
Count Attorne 's Office has reviewed the chan es, if a licahle.
I: Forms! County Forms! Bee Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
16010
MEMORANDUM
Date:
October 28, 2009
To:
Terri Daniels, Grants Supervisor
Human Services Department
From:
Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re:
Safe Havens (Supervised Visitation and Safe
Exchange) Grant Acceptance Agreement between
Collier County & the United States Department
of Justice Office on Violence Against Women
Attached is your original grant acceptance, referenced above
(Agenda Item #16DIO), approved by the Board of County
Commissioners on Tuesday, October 27, 2009.
Please return the fully executed original to the Minutes and Records
Department once all signatures have been acquired, so it may be kept
in the Board's official records.
If you should have any questions, please call 252-8406
Thank you.
Attachments (1)
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OVWpul_.._UlY........_...at_...~byOVW, To"",...t'l'l""'ll.
___.QnoI~'Nodoo(QANl_lIIcooPlboa.-"-", .Sy.....toOVW_
10fJ91 orlbo 0YCDt'a brocInn, cuniGulum 1IJAJrI...... adelcrlpdoa oelhl boall or nDCll, ancllD atimaIDcl
bnlIkdowII of COllI. The ClAN RlCl-.... be ~ to OVW 1l1lu&20 day. bIlbrs nal.1ntlaD fbr Ibo...t is
_~to_-'JVW~.......wIUboat-....-1Ij --,
L_.........-willbe.......___-ond..--or-byUMl
__III_lnvoI...._._cblld........-al_"'~In_w1lh
4 use 10420.1be..... mq na& 1M..... ft1ndI to qpDItbMUvlcb1-..-II.,. fIIDi)y COUR......I"&....
_....__or~__".._...1............_to_-at-
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9. s-wtholpull\&D4awUl...bo.......povIdc- atovamJabl_"''''-O- vlIIlalioo Iocl-,
WII. IIIIII&cd to. lIlY tDDDboNd viall ~ &cblldlDlS &~ putal tbatoc:wn oauide lba prcm1MI ot
....__. OWnlI&blvlll_IIIoIudoo....Ia...UmI....... UlY_vlai1_.cbIld.....noa-
WIIodIaI pua.IbltOCCUl'loutaidl oflblllClClD&1...... boun arlM viaI&atioa cater.
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SPECIAL CONDmONS
21. STATIlMI!NTOP RIlCI7lIlNTIU!SI'ONSlBlLI11:BS.-
10. DovcIop __,.;Ib~....,.;uboo_"pcovido_""""""""lolbe
...... ill........ with chiJdIIIIIlDlI punta. AccontIDaIJ', JI'IftIiOCIIllUltOltabUlb a counlalDJ cammiIteD that
IDdu4IIIlqIOIII ill tho ro1IowiDa 11I111I: cld1d.... ucl aeaJec&........ beakb, .....~. .. law
_cbild..-._....odvO*7ror.-.r_-.clatiaavlolcooc,-"'"
-........
II. Dow!op""'bopIoIIIca&......IOC1IrIlJ__........IlmlIo4..._ftoIIl1loo,procoduroI.
............. copoIlIo .r...-.._ tIwdul~olouporWo4v1a11011..__oroal'o vIaI_
.........
12. "-....lrllloo... obocpI ror... .r_ or-.IIItf'" obocpI_.boo bued..1IIo _.rObe
1adIvfdooIa.....IIIo,........or_ .....-powfdodby..........
13. ..................prqjoctlodewlopod....lalp_io...-....1o _wilb Iba Guidina
_!plea ollllo SojIor'<lood VIIlladca........ 1bo GIlIdIq PrIaoIpaIa IIIlbody tba _ Rll'"'- aod
_.rtba~V__'"'""..._...,.;cIo........rorOVW_'I1u:..........
......- Iooludad wllbIa Iba GIlIdIq PrlaoIpIal... _4.. boo aoolI........ _................... or
_aod__ ~__dul.--VIII_..._................,..s....
_ tba.............._.... (luIdIq1'riDdplol.
OJ' I'OlN <IClOCn (UV. 4-U)