Backup Documents 09/15/2009 Item #16D15
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 15
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 OUice. The completed routing slip and original
documents are to be forwarded to the Board OUice 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
exce tion of the Chairman's si ature, draw a line throu h routin lines #1 throu h #4, co lete the checklist, and forward to Sue Filson (line #5).
Office Initials Date
l. Public Services
Kathy Carpenter
2. &'f....e~ #)[;
(JOILr:EV f1'rr tJ (.'1)6'.
3. ------
4. -----,~-------
------~---
5. Ian Mitchell, BCC Office Board of County Commissioners '(!<f
Su ervisor 0.9
6. Minutes and Records Clerk of Court's Office
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
item.)
Name of Primary Staff Marilyn Matthes Phone Number 593 3511
Contact
Agenda Date Item was September 15, 2009 Agenda Item Number #16.D.15
Approved by the BCC
Type of Document Condition of Transfer Letter Number of Original 2
Attached Documents Attached
..J. INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is N/A (Not
a fO riate. 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 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 MM
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 MM
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 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 our deadlines!
6. The document was approved by the BCC on_9-15-2009_(enter date) and all MM
changes made during the meeting have been incorporated in the attached document.
The Count Attorne 's Office has reviewed the chan es, if a Iicable.
l; Forms/ County Forms/ BCC Fomls/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09
16D15
MEMORANDUM
Date: September 25, 2009
To: Marilyn Matthes, Director
Collier County Public Library
From: Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re: Condition of Transfer Letter
Attached please find a copy of the Resolution and an original lease
agreement as referenced above, (Item #16DI5) adopted/approved by the
Board of County Commissioners on Tuesday, September 15, 2009.
The Minutes and Records Department has kept the original document for
the official records of the Board of County Commissioners.
If you should have any questions, please feel free to contact me at
252-8411.
Thank you.
Attachment (1)
- - .'.-. - -- _._~ - - 16D15
.,-
'" 'orco Islond
:ndation
'~;:' for,the
'~'rrts
.. ~.. _ m
P.O. Box 1091, Marco Island FL 34146 _ www.marcoarts.org _ emall: info@marmarts.org
July 7, 2009
Collier County Oerk of the CIrcuit Court
Court Plaza m
2671 Airport Rd South
Naples FL 34112
Attn: Ms Karen Oberrath, Capital Assets, Rnance
Dear Ms Oberrath:
this Is an advance notice that after 3 years In our portfolio, ownership of the sculpture refer-
enced below Is being transferred from the Marco Island Foundation for the Arts to Collier
County. this transfer Will take place on August 1st, 2009: ~llow Whistle" by Jo saylors
valued at $18,000 by Ray Nugent, Appraiser (attached). As a condition of transfer, please sign
the statement below and rebJm with proof of Insurance:
Condition of Transfer
We the unde.rslgned recognize that the above art piece now belongs to us and that we are at-
taching proOf of. ihSurance (evidence"Of Property) effective the date of transfer with the de-
scriptIon and at lecist the minimum value as listed above. In the event the sOJlpture suffers
disrepair: or~s stolen, MIFA requests being contacted to work with us and/or our insurance
company to arrange for a suitable replacement. We also recognize that this piece Is being
given to us-~ condIUon that It remain ,in its aJrrent location, viewable by the public. Any
change 1n..Iocation must: have the a I of the Z'nd -- for the Ar1s (MIFA),
and we will so advise' MIFA and elr concurrence nor 19 moving.
,<< ~ ~on:CMt\,a."'~J ~c..L
Date: ' .5~ :2.ocll, Name:
(Alter . ., please send this to MlFA with proof of Insurance so we may delete Insurance
aJVf!I11ge ~ cpJTe/)tJy have on this Item.)
Please call,lf y~ have any questions on this transfer: 239-642-0015. MIFA ~Q\.!r best
wishes and.hopes that the Marco Island community can enjoy this piece for:~~:tD
come. ,":;< .'" . ....)~'};. "
-','5'
I
I
k
Cc: Mr Deane Knox & Ms. Jo Saylors (j)~Oxm~
Attachmerns: Appraisal, bronze care Information
CoI~eene,
Assistant County Attorney
16D15
The Marco Island Foundation for the Arts
is pleased to present
"Willow Whistle" by Jo S.aylors
To the Marco Island Branch Library
February 13, 2007
1'Jur MaU4 IslamJ PomuJc.tionforlhe Arts >JllekSlo promotn
tilt in publuplaz:u thro. lilerttl)', performing ami visUAl arts,. The
exhibition is nuuhl possible throllgh thegelwr(Jsi~r o/sculplor Jo Sllylors
ami the tusUJam:tl of gallflry owner 1)oon KmlX.
Colli~r CQlUIly Pllblk Librll.ry is th.p~~ approcimil>e flf the
oPJMrtllnn.r 10 <<"pIny this bmlllifuJ $fUlplnr/! alUw ,~larr41 Islaml
lltlmeh l,ibtary tmd to pur,4ttr 11lith it!! J?A in tlXpa:luJilltl, tlu: Cllllllrttl
t!x~ellCIltl of flur Wfnmunily.
ACORD.
THIS IS EVIDENCE THAT INSURANCE AS IDENTIFIED BELOW HAS BEEN ISSUED, IS IN FORCE, AND CONVEYS ALL THE
RIGHTS AND PRIVILEGES AFFORDED UNDER THE POLICY.
PRODUCER ~':''=::'l' 2 3 9 - 6 4 9 - 14 44 ,239-649-7933 COMPANY
Insurance and Risk Management Landmark American Insurance
Services, Inc. c/o Westrope & Associates
8950 Fontana Del Sol Way #200 801 West 47th Street, #500
Naples FL 34109-4374 Kansas City MO 64112
William H. Kuhlman CPCU ARM
CODE: SUB COOE:
AGENCY COLLI-2
CUSTOMER ID.:
INSURED LOAN NUMB ER POLICY NUMBER
Collier County Government LHD36l862
Risk Management Department EFFECTIVE DATE EXPIRATION DATE
CONTINUED UHT Il
3301 Tamiami Trail Bast, #D 04/01/09 04/01/10 TERMINATED IF CHECKED
Naples FL 34112 THIS REPLACES PRIOR EVIDENCE DATED:
f! ,~ ..: .:"J' JI.1ii~I;i;"
LOCATlONIDESCRlPTION
001
Willow Whistle Sculpture Valued at
Various $18,000
Naples FL 34112
COVERAGEJPERlL8IFORMS AMOUNT OF IN8URANC E DEDUCTIBLE
Blanket Fine Arts $1,000,000 $50,000*
*AOP Deductible: $50,000 per occurrence
Named Storm: 5% of reported values at time of
loss subject to $250,000 minimum per occurrence
and $5,000,000 maximum per occurrence.
~,
Marco Island Foundation lOAN'
for the Arts
AUTHORIZED REPRESENTATIVE
~