Backup Documents 04/12/2022 Item #16A3ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP Q3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO i i
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Allach to original tlocumenl. The completed routing; .slip and original documents arc to be forwarded to the County Allorney OfTcc
Of the time the item is placed on lire agenda. All completed routing slips and original docuntenls must be received in lilt• Counly Allorney Uflice no later
than Monday preceding the Huard 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
excention ofthe Chairman's sionatnre draw a Ilse ih�,.0 h Boutin- r..,o,. a7 -....... 1, N,
--------• ---.. -. ...._ ....�� .. .•••� - ••����
Route to Addressees (List in routing order)
^, ..��.n. �� ^�, will ncic uic G7rCUMISr, allot rorward
Office
to the Count
Initials
ttonicy Office.
Date
1.
2.
3. County Attorney Office
County Attorney Office
n
lJ
5 t I
4. BCC Office
Board of County
Commissioners
//�Ab&�2
5. Minutes and Records
Clerk of Court's Office
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
Lucia S. Martin
Phone Number
x-2279
Contact / De artment
Agenda Date Item was
02/22/22
Agenda Item Number
16.A.3
Approved by the BCC
Type of Document
Plat
Number of Original
1
Attached
Documents Attached
PO number or account
number if document is
to be recorded
INSTRUCTIONS & C'HF,C 1C1,TCT
Initial the Yes column or [nark "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?
LM
2.
Does the document need to be sent to another agency for additional signatures? If yes,
N/A
rovide 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
bv the Office of the County Attorney.
LM
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
LM
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
LM
signature and initials are required.
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 02/22/22 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, directed
all changes by the BCC have been made, and the document is ready for the
r
Chairman's signature.
0
1: 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