Backup Documents 04/12/2022 Item #16D3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 03
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document, The coinplcicd routing slip and original documents arc to be forwarded to the County Attorney Office
at the time the item is placed on the agenda. MI completed routing slips and original documents must be received in the County Attorney Oilier no later
than Monday preceding the Board alerting.
**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,drawn line through routinglincs#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. Lisa N. Carr Community and Human LNC 4/18/2022
Services
2. County Attorney Office County Attorney Office �O 4/20/2022
3. BCC Office Board of County
Commissioners l l b IrJ y/20/27.
4. Minutes and Records Clerk of Court's Office nik ar,,4 if 4712" C(‘41°
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,Sr.Grant Coordinator, Phone Number 239-252-2339
Contact/ Department Community and Human Services
Agenda Date Item was April 12, 2022 Agenda Item Number 16.D
Approved by the BCC
Type of Document Recommendation to approve the SHIP Number of Original 1
Attached Annual Report and Authorize the Chairman Documents Attached
to sing the Local Housing Incentive
Certification for Closeout Fiscal Year
2018/2019 to ensure compliance with
program requirements.
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? No
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 4/12/2022 and all changes made during *r t ►tirAy�i
the meeting have been incorporated in the attached document. The County z7z7/6) tar ct71 lire toil
Attorneys Office has reviewed the changes,if applicable. 4ht i'tar<'
9. Initials of attorney verifying that the attached document is the version approved by the a ar t
BCC,all changes directed by the BCC have been made,and the document is ready for the DDP
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
� 603
Instructions
1) Return a signed copy 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
State Housing Initiatives Partnership (SHIP) Program
Annual Report and Local Housing Incentives 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 2018/2019 and interim years 2019/2020 and 2020/2021.
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:
N/A 4/12/2022
Witness Signature Date C f Elected Official or Designee Signature Date
N/A Willliam L. McDaniel,Jr., Chairman
Witness Printed Name Chief Elected Official or Designee Printed Name
N/A
Witness Signature Date Approved as to form and legality
N/A �7—
Assi �l
an s t
County A\ ey 4\
Witness Printed Name
or
ATTEST(Seal) �►
. �!^ice 9 •,
Signature Date 8 ){,
. .Depu_ Lfil
AttesfirWhai \
420.9075(10) Each county or eligible municipality shall submit to the corporation"6�"S`ep�em e� 15 of each 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.