Backup Documents 09/10/2019 Item #16D14 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 1 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
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 routinglines#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. Lisa N. Carr Community and Human LNC 9/12/19
Services
2. County Attorney Office County Attorney Office
` ` g
3. BCC Office Board of County
Commissioners \ /1; \`3`l°l
4. Minutes and Records Clerk of Court's Office1)6)1°7 218f1-ilL
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 missing information.
Name of Primary Staff Lisa N.Carr, Sr.Grant Coordinator, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was September 10, 2019 Agenda Item Number 16.D 14
Approved by the BCC
Type of Document SHIP Program Annual Report and Local Number of Original 2
Attached Housing Incentives Certification Documents Attached
PO number or account
number if document is N/A
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. nitial) Applicable)
1. Does the document require the chairman's original signat S.� / 4o
2. Does the document need to be sent to another agency .r additional signatures. If yes, LNC
provide the Contact Information(Name; Agency; Add -ss; Phone)on an attached shee
3. Original document has been signed/initialed for legal su c . (All docu .-• o be LNC
signed by the Chairman,with the exception of most letters, must be reviewed and signedc, (�
by the Office of the County Attorney. �•(��
4. All handwritten strike-through and revisions have been initialed by the County Attorney's LNC
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 LNC
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 LNC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip LNC
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 q l 1fi�/9lnd all changes made during
the meeting have been incorporated in the attached . cument. The County option for
Attorney's Office has reviewed the changes,if applicable. (s line.
9. Initials of attorney verifying that the attached document is the version approved by the • is not
BCC,all changes directed by the BCC have been made,and the document is ready for the '•� A ..fOtl
Chairman's signature.
.;
L.)S \.k
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WW Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16014
MEMORANDUM
Date: September 13, 2019
To: Lisa Carr, Grant Coordinator
Community and Human Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: SHIP Program Annual Report and Local Housing Incentives
Certification
Attached is one original of the document referenced above,
(Item #16D14) approved by the Board of County Commissioners on
Tuesday, September 10, 2019.
An original has been kept by the Minutes and Record's Department for the
Board's Official Record.
If you have any questions, please feel free to contact me at 252-8411.
Thank you
Attachment
16014
State Housing Initiatives Partnership (SHIP) Program
Annual Report and Local Housing Incentives Certification
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout years 2015-2016,2016-2017 and interim years 2017-2018 and
2018-2019.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164(15)and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations,and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated
to be$0.00.
4. The cumulative cost per rehabilitated housing per housing unit, from these actions is estimated to be
Staff MembOer responsible for submitting annual report to FHFC: Lisa N. Carr of
N/AC./� 01. �
Witness Signature Date Willia� L. McDaniel,Jr. 9/10/2019
Chairman
N/A N/A
Witness Printed Name Chief Elected Official or Designee Printed Name
_ N/A
Witness Signature Date
Approved as to form and Icgality
N/A \ _ , � _
Witness Printed Name Assistant County A,jirney
or
ATTEST(Seal) ,
ATTEST: s ....
Signature Date C-Y A,L. K. KI •
Ly1C�.ER
•
• �! Cip1k36.
Attest k„;,
3J
Signature only. 0
420.9075(10) Each county or eligible municipality shall submit to the corporation by September 15 of eachj� ; po ,
its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifies
that the local housing incentive strategies,or, if applicable,the local housing incentive plan,have been implemented or are in
the process of being implemented pursuant to the adopted schedule for implementation.