Backup Documents 06/22/2021 Item #16D13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 0 1 3
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 routing lines#1 through#2,complete the checklist,and forward to the County Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Lisa N. Carr Community and Human LNC 6/22/21
Services
2. Jennifer Belpedio County Attorney Office 1224 k
3. BCC Office Board of County
Commissioners
4.
erc lQ-ab a t to-61
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, Senior Grants Coordinator, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was June 22, 2021 Agenda Item Number 16D 13
Approved by the BCC
Type of Document State Housing Initiatives Partnership Number of Original 2
Attached Program Annual Report and Local Housing Documents Attached
Incentives Certification (Check)
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. (Initial) Applicable)
1. Does the document require the chairman's original signature? 3\q•----fl O'< LNC
2. Does the document need to be sent to another agency for additional signatures? If yes, LNC
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 LNC
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 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 6/22/2021 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the t ---"" N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the option for
Chairman's signature. 's 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
Instructions 1 6 Ii 1 3
1) Please return one Chairman signed originals (stamped) of each to:
Lisa N. Car
Sr. Grants, Coordinator
Collier County Government I Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
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
i6D13
MEMORANDUM
Date: June 28, 2021
To: Lisa Carr, Grants Coordinator
Community Human Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Local Housing Incentive Certification
Attached is an original copy of the document referenced above, (Item #16D13) approved
by the Board of County Commissioners on Tuesday, June 22, 2021.
The second original will be held in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
State Housing Ini i tives Partnership 1P) Proyam 1 6 0 1 3
Annual Report n€d Local HousingIncentives 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 year 2017-2018 and interim years-2018-2019 and 2019-2020.
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
$0.00.
Staff Member responsible for submitting annual report to FHFC: Lis N.
N/A I ;4A
Witness Signature L)e'te i f.xnny Taylor ..nairperson Date:
N/A N/A
Witness Printed Name Chief Elected Official or Designee Printed Name
N/A
Witness Signature Date
Approved as to form and legality
N/A
Witness Printed Name gssis ant County Atturnk. (..x\
or (i2\
ATTEST(Seal) �
.C• •
. a, ,• .fir,,
Signature Date ATTEST: :
CRYS L K. Kag4
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420.9075(10) Each county or eligible municipality shall submit to the corporation by September 15 of ekh.year a report of
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. �_