Backup Documents 07/13/2021 Item #16K 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 K
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office JAK 7/13/21
4. BCC Office Board of County
IS' �'d1`��
Commissioners
5. Minutes and Records Clerk of Court's Office
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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 7/13/21 Agenda Item Number 16-K-
Approved by the BCC
Type of Document Resolution appointing a member to the Number of Original one
Attached Ochopee Fire District Advisory Board Documents Attached
PO number or account N/A
number if document is ���
to be recorded O
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 7/13/21 and all changes made during the
meeting have been incorporated in the attached document. The County Attorney's JA e 1 ,+.:
Office has reviewed the changes,if applicable. ILA
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 Mm
Chairman's signature. litta.10
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
1 6 K 1
MEMORANDUM
Date: July 28, 2021
To: Wanda Rodriguez
Office of the County Attorney
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Resolution 2021-152: Appointment to the Ochopee
Fire District Advisory Board
Enclosed please find a scanned copy of the resolution (Agenda Item
#16K1) referenced above, approved by Board of County
Commissioners on Tuesday, July 13, 2021.
If you should have any questions, please contact me at 252-8411.
Thank you.
Enclosure
1 6 K 1
RESOLUTION NO. 2021 - 1 5 2
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING LARRY HOLLOWAY TO
THE OCHOPEE FIRE DISTRICT ADVISORY BOARD.
WHEREAS, Collier County Ordinance No. 89-98 created the Ochopee Fire District
Advisory Board to advise the Board of County Commissioners (Board) on the budget and
operation of the Ochopee Fire Control District; and
WHEREAS, Ordinance No. 89-98, as amended, states that this Advisory Board shall be
composed of five members and provides guidelines the Board may consider relating to its
composition; and
WHEREAS, there is a vacant seat on this Advisory Board, and public notice has been
provided soliciting applications from interested parties; and
WHEREAS, the Ochopee Fire District Advisory Board 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 LARRY HOLLOWAY, as
resident of the taxing district, is hereby appointed to the Ochopee Fire District Advisory Board,
to serve the remainder of a vacant term expiring on December 31, 2022.
THIS RESOLUTION ADOPTED upon majority vote the 13`" day of July, 2021.
ATTEST. ''•.i4-+ BOARD O COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIE C TY, FLORIDA
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8,,,,,,,,,,,, By:
ut Clerk PennyTaylo hair
Attest a t0 clli11R11p Y Y
signatu a nl
Approv d and legality:
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Jeffrey „ eru:�
County tto Date 3�c�-'
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