Backup Documents 04/12/2022 Item #16A1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO r1 b A
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE, +�
Print on pink paper. :Vlach to original (IMA""rnL I he completed routing slip and original doeunu•nts arc t al to be fnr'warded Ut the Cuunh ;Vutr'nt y Olik r
he time the item ix placed on the agenda. :VI completed rouling slip% and original docuntculs musl be received in the ('oanty :111orney
g (1t17rr nu fitter
than Monday precedinthe Board meeting.
**NEW** ROUTING SLIP
Complete routing lines # 1 through #2 as appropriate for additional signatures, dates• and/or infixmation needed If the document is already complete with the
exception of the Chairman's si nature, draw a line Ihrou h routing lines # 1 through I12, complete the checklist, and forward to the ( Alt
'uunt umc (WI
••
Route to Addressees) (List in
1.
2.
3. County Attorney Office
4. BCC Office
5. Minutes and Records
Office I Initials Date
County Attorney Office n
Board of County
Commissioners -- ZZ
Clerk of Court's OfficeZ'
PRIMARY CONTACT INFORMATION Ld J
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 informati
on
Name of Primary Staff
Contact / De artment
Melissa Nute
Phone Number
Agenda Date Item was
4/12/22
Agenda Item Number
A roved b the BCC
Type of Document
Plat
Number of Original
Attached
Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
appropriate.
Yes
Initial
N/A (Not
Applicable
1.
Does the document require the chairman's original signature?
MN
2.
3.
4.
Does the document need to be sent to another agency for additional signatures? If yes,
provide the Contact Information Name; Agency; Address' Phone on an attached sheet.
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.
All handwritten strike -through and revisions have been initialed by the County Attorney's
Office and all other parties except the BCC Chairman and the Clerk to the Board
N/A
MN
N/A
5.
The Chairman's signature line date has been entered as the date of BCC approval of the
document or the final negotiated contract date whichever is applicable.
MN
6.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
signature and initials are required.
MN
7.
In most cases (some contracts are an exception), the original document and this routing slip
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 4/12/22 and all changes made during
the meeting have been incorporated in the attached document. The County
Attorne 's 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 theChairman's si nature.
00P
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12