Backup Documents 03/23/2021 Item #16K3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATUR K 3
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 routingzlines#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.
3. County Attorney Office County Attorney Office JAK 3/23/21
4. BCC Office Board of County ‘ITb 10- 1
Commissioners J -J 3
5. Minutes and Records Clerk of Court's Office `TC-- 3/01-k9-1 �'
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 Wanda Rodriguez,ACP Phone Number 252-8123
Contact/ Department Office of the County Attorney
Agenda Date Item was 3/23/21 Agenda Item Number 16-K-7
Approved by the BCC
Type of Document Resolution appointing 3 members to the Number of Original one
Attached Health Facilities Authority Documents Attached
PO number or account N/A � '
I
I
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?STAMP Ok N/A
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 N/A
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 JAK
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 JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
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 3/23/21 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's JAK
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
1: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
1 6 K 3
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Monday, March 29, 2021 8:59 AM
To: RodriguezWanda
Subject: Resolutions 2021-61 thru 2021-64
Attachments: Resolution 2021-061.pdf; Resolution 2021-062.pdf; Resolution 2021-063.pdf; Resolution
2021-064.pdf
Good Morning Wanda,
Copies of Resolutions 2021-61 thru 2021-64,
adopted by the 13CC on March 23, 2021,
(Items # 16K3-16K6) are attached for your
records.
Thank you!
Ann Jenne,jolin
13MR Senior Deputy Clerk II
,„, Clerk to the Value Adjustment Board
Office: 239-252-8406
Fax: 239-252-8408 (if applicable)
Ann.Jennejohn@Co((ierClerk.cow.
d *~T Office of the Clerk of the Circuit Court
& Comptroller of Collier County
3299 Tawtiawti Trail, Suite 4401
Naples, FL 34112-5324
www.CollierClerk.con •
1
l6K3
RESOLUTION NO. 2021 - 61
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REAPPOINTING ROBERT
CHALHOUB AND GEORGE RUSSELL WEYER AND APPOINTING
REBECCA ANN GATIAN TO THE COLLIER COUNTY HEALTH
FACILITIES AUTHORITY.
WHEREAS, in accordance with Chapter 154, Florida Statutes, Collier County Ordinance
No. 79-95 established the Collier County Health Facilities Authority to assist health facilities in
the acquisition, construction, financing and refinancing of projects within unincorporated Collier
County; and
WHEREAS, Ordinance No. 79-95 provides that the Health Facilities Authority shall
consist of five members who are residents of Collier County; and
WHEREAS, there is one vacant seat on the Health Facilities Authority, and two seats
which will expire on May 15, 2021; and
WHEREAS, the Board of County Commissioners previously provided public notice
seeking applications from interested parties; and
WHEREAS, staff has provided the Board of County Commissioners with its
recommendation for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that ROBERT CHALHOUB and
GEORGE RUSSELL WEYER are hereby reappointed to the Health Facilities Authority, and
REBECCA ANN GATIAN is hereby appointed to the Health Facilities Authority, each to serve
four-year terms expiring on May 15, 2025.
THIS RESOLUTION ADOPTED upon majority vote this 23`d day of March, 2021.
ATTEST: BOARD 0 COUNTY COMMISSIONERS
CRYSTAL,, .•KE L, Clerk COLLIE' Clip TY, FLORID
By: %`}':‘` ,, ' l.c_.J1... By:
Mitt' 4r2,1y Clerk Penny Taylor, hair
i". Item# 3
A ro i. . (V.""-;'and le ali
pp�g 4r/ g ty. Agenda . ,,a.'3'a' i
Date
l�,�;, Date
Jeffrey Al 1.1• ow, County Attorney Redd i�-a
Deputy Clerk
0.A.AA4-44,,ecy".