Backup Documents 05/26/2020 Item #16D 8ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1608
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. attach to original document. I he completed routing slip and original documents are to he lor%%arded to the ( ounIN 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. Ifthe document is already complete with the
exce tion of the Chairman's si ature draw a line throuah routin lines # 1 through #2 com lete the checklist and forward to the County ttomey Office.
Route to Addressees List in routing order
Office
Initials
Date
I.
2.
3. County Attorney Office
County Attorney Office
4. BCC Office
Board of County Commissioners
5 b
5. Minutes and Records
Clerk of Court's Office
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 missive information.
Name of Primary Staff
Omar DeLeon / Tessie Sillery
Phone Number
2524996 or 252-5840
Contact / Department
PTNE Division old ATM Dept)
Agenda Date Item was
05-26-20
Agenda Item Number
ID # 12329 (16D3
Approved by the BCC
Type of Documents
David Lawrence Agreement & Termination
Number of Original
(1) Original Agreement
Attached
Agreement
Documents Attached
and (1) Termination
Agreement
PO number or account
number if document is to
be recorded
Special instructions:
• Chair Signature — Stamp Is acceptable.
• Please email a copy to: Omar.Deleon & Tessie.Sillery@colliercountyfl.noy
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
Initial
Applicable)
1.
Does the document require the chairman's original signature?
OD
2.
Does the document need to be sent to another agency for additional signatures? If yes, provide
OD
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
OD
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 Office
OD
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 document
OD
or the final negotiated contract date whichever is applicable.
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature
OD
and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
OD
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 05/26/20 and all changes made during the
AVOCA
is not an
meeting have been incorporated in the attached document. The County Attorney's Office
option for
has reviewed the changes, if applicable.
this line.
9.
Initials of attorney verifying that the attached document is the version approved by the BCC, all
N/A is not an
changes directed by the BCC have been made, and the document is ready for the Chairman's
option for
signature.
this line.
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
Ann P. Jennejohn 16 Q
From: Ann P. Jennejohn
Sent: Wednesday, June 3, 2020 11:06 AM
To: DeleonOmar; sillery_t
Subject: David Lawrence Termination Agreement
Attachments: Item #16D8 (5-26-20 BCC Meeting).pdf
Good MorvtiKg,
A copy of tine documeKt referenced above,
is attached for your records.
TkaKk you!
Ann Jennejohn
BMR Senior Deputy Clerk
Clerk to the Value Adjustment Board
Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
Ann.Jenneiohn(@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
1608
TERMINATION OF COORDINATION AGREEMENT
BY AND BETWEEN
COLLIER COUNTY, as COMMUNITY TRANSPORTATION COORDINATOR,
AND
DAVID LAWRENCE MENTAL HEALTH CENTER, INC.
THIS TERMINATION, is made and entered into on this a.'�Qbdate), by
and between Collier County, as the Community Transportation C ordinator (the "CTC")
and David Lawrence Mental Health Center, Inc.(the "Agency").
WHEREAS, on February 22, 2005, the Board of County Commissioners approved a
Coordination Agreement supporting Agency's submittal of an application to the State of Florida
Department of Transportation for a Section 5310 Program Grant ("Grant Application") to purchase
vehicles for the purpose of transporting individuals who have been determined to be disabled; and
WHEREAS, the Grant was approved, and two vehicles funded by the grant have been
used by Agency for over the past 10 years; and
WHEREAS, the vehicles can no longer be used in the manner set forth in the Grant
Application and Agency has notified CTC in accordance with Paragraph 13 of the Agreement
which provides for termination upon Agency's notice to CTC.
NOW, THEREFORE, in consideration of the mutual promises and covenants herein
contained, it is agreed by the parties as follows:
1. The above Whereas clauses are incorporated into and made a part of this Termination.
2. The Coordination Agreement is hereby terminated immediately.
3. As expressly stated in Coordination Agreement, the indemnification provision set forth in
Paragraph shall survive the termination of the Coordination Agreement.
IN WITNESS WHEREOF, the parties have executed this Termination on the date and
year first written above.
ATTEST:
CRYSTAL C. KIN�EL, CLERK
By: _
SCLERK
signature only.
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By:
BURT L. SAUNDERS, CHAIRMAN
Itern # -v
Agenda C
Date �.1..�
Date
Rec d�—y
e
1608
DAVID LAWRENCE MENTAL HEALTH
CENTER, INC.
Y' — -
SC T•1 BURGES
CHIEF EXECUTIVE OFFICER
Approved as to form and legality:
Jenni 4
A. Belpe io
Assistant County Attorne