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Backup Documents 02/08/2022 Item #16K1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 K 1 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. ** 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 2/8/22 4. BCC Office Board of County Commissioners Wi'1 by l//S f . aq/2 - 5. Minutes and Records Clerk of Court's Office S iiao01n1 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 2/8/22 V Agenda Item Number 16-K- / Approved by the BCC Type of Document(s) Resolution reappointing a member to the Number of Original one Attached Health Facilities Authority Documents Attached PO number or account N/A number if document is � ^�� to be recorded `_rQ 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(instead of stamp)? 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 legality. (All documents to be signed by the Chairman,with the exception of most letters,must be reviewed and signed by the 5A1(//le Office of the County Attorney.) 4. All handwritten strike-through and revisions have been initialed by the County Attorney 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 uploaded to the agenda. 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 2/8/22 and all changes made during the JAK meeting have been incorporated in the attached document. The County Attorney Office has reviewed the changes,if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the J n K BCC,all changes directed by the BCC have been made,and the document is ready for the Chairman's signature. I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04;Revised 1.26.05;2.24.05;11/30/12;4/22/16;9/10/21 I 6K 1 ro RESOLUTION NO. 2022 - 26 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, REAPPOINTING DAVID WOLFF 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 seat on the Health Facilities Authority which will expire on March 13, 2022; 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 reappointment. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that DAVID WOLFF is hereby reappointed to the Health Facilities Authority, to serve a four-year term expiring on March 13, 2026. THIS RESOLUTION ADOPTED upon majority vote this 8th day of February, 2022. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYVAr. R ZEL, Clerk COLLIER CO - •RIDA B y:rcUAA.E4 4 O . By: ��► �. ��: gut Clerk Willi. L. McDaniel, Jr., Chairman t�� ,fit "off •rmiai Approved . i rm . ity: •11ii! r� Jeffrey A. I at. ow, County Attorney