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Backup Document 06/28/2022 Item #16F 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO RE1 6 F THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATU 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 SLIM 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 /�/Z 4. BCC Office Board of County �`O Commissioners I141(� /,, `5/ ‘4/2 2 5. Minutes and Records Clerk of Court's Office / / gJ 11 I-Lz. it - ii/,--t 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 Kathy Heinrichsberg Phone Number 252-3622 Contact/ Department Agenda Date Item was June 28,2022 Agenda Item Number 16F4 Approved by the BCC Type of Document Contract Number of Original 1 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 Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signature? KH 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 KH 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 NA 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 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 KH/MB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip NA 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 6/28/2022 and all changes made during KH N/A is not the meeting have been incorporated in the attached document. The County an option for Attorney's Office has reviewed the changes,if applicable. this line. 9. Initials of attorney verifying that the attached document is the version approved by the JAK N/A is not BCC,all changes directed by the BCC have been made,and the document is ready for the an option for Chairman's signature. this line. 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 16F' 4 Cotter County Administrative Services Department Bureau of Emergency Services Division MEMO TO: Board Minutes and Records FROM: Kathy Heinrichsberg DATE: August 11, 2022 SUBJECT: Routing Documents Ann and team, Once you get this document recorded, please let both Dan and me know and I will come and pick up a copy. It does not need to be certified. Thank you, Kathy X 3622 Pie c'Enmyn.y 5erc. B Es Bureau of Emergency Services Division•8075 Lely Cultural Parkway•Naples,Florida 34113.239-252-3600•FAX 239-252-3700•www.coliierem.org 1 6 F 4 Ann P. Jennejohn From: Ann P. Jennejohn Sent: Thursday, August 11, 2022 11:35 AM To: HeinrichsbergKathy Subject: Item #16F4 (6-28-22 BCC Meeting) Attachments: Item #16F4 (6-28-22) Contract Amendment W_FFS.pdf Hi Kathy, The attached has been processed. I'll have a copy ready for you to pick up, or I can place it ivt inter-office mail; whatever you prefer,just let me kvtow. Thavtk you! Ann Jenne,jotin 13MR Senior Deputy Clerk II 00.11' eKkr Clerk to the Value Adjustment Board �rry. Office: 23 9-252-8406 Fax: 239-252-8408 (if applicable) Avtrt.Jevtvtejohvt@CollierClerk.com 1.1'k v- Office of the Clerk of the Circuit Court r`K,c�.t`� & Comptroller of Collier County 3299 Tamiami Trail, Suite #401 Naples, FL 34112-5324 www.CollierClerk.com i 16F4 MEMORANDUM Date: August 11, 2022 To: Kathy Heinrichsberg, Executive Secretary Bureau of Emergency Services From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Amendment to Contract No. 1904 between the Board and the Florida Department of Agriculture and Consumer Services, Division of Forestry Attached is a copy of the document referenced above, (Item #16F4) approved by the Board of County Commissioners on June 28, 2022. The original will be held in the Minutes and Records Department for the Board's Official Record. If you have any questions, please call me at 252-8406. Thank you. Attachment r,___ �.Y-_E _ _--'vulture and Consumer Services Page 1 of 2 DocuSign Envelope ID: B856ED62-EC48- Or-860E-290C5E20B24A Division of Administration 41W' *SUMEN SE NICOLE"NIKKI" FRIED CONTRACT AMENDMENT COMMISSIONER Please Respond To. Florida Forest Service Forest Protection Bureau 3125 Conner Blvd., Room 290 Tallahassee,FL 32399-1650 May 12, 2022 Collier County BOCC Collier County Government Center 3299 Tamiami Trail East Naples, FL 34112 RE: Amendment of Contract# 1904 dated 07/01/88. This letter, upon execution by both parties and attachment to the original contract shall serve to amend said contract. The contract shall be amended as follows: This letter, upon execution by both parties and attachment to the original contract shall serve to amend said contract. The contract shall be amended as follows: Paragraphs I & 2, are amended as follows: FROM I. The Department shall provide fire protection for 392,538 acres of forest and wildlands within County. 2. The County shall, under the terms of this agreement; pay to the Department annually as its share of the cost of providing such fire protection, $27,477.66, said receipts to be deposited as prescribed by Florida Statute. TO 1. The Department shall provide fire protection for 299,330 acres of forest and wildlands within County. 2. The County shall, under the terms of this agreement; pay to the Department annually as its share of the cost of providing such fire protection, $20,953.10, said receipts to be deposited as prescribed by Florida Statute. NO OTHER PROVISIONS OF THIS CONTRACT ARE AMENDED OR OTHERWISE ALTERED BY THIS AMENDMENT. 1-800-HFLPFLA www.FDACS.gov DACS-01086 Rev. 11/16 Fr��li Fl a. DocuSign Envelope ID'D856ED62-EC4B-4FF9-ABnF-74nC5F2nB94A .ulture and Consumer Services Page � . °y Division of Administration , F 4 Ncesior NICOLE "NIKKI"FRIED CONTRACT AMENDMENT COMMISSIONER Joey B. Hicks (Si ature) Director of Administration Department of Agriculture and Consumer Services William L. McDaniel, Jr., Chairman 5/16/2022 6 - zE - 2oZZ (Date) (Date) AT 1'1:ST:,-, CRYSTALK:KINZEL, CLERK _ B}t�IG • � • • :, ; . .�lay Clerk Attst as to . signaturG'Q0)( 1: t ,.)\ Appro d ;,. t V *411 County A e 1- 800-HELPFLA 1-800-HELPFLA 410 DACS-01086 Rev. 11/16 www.FDACS.gov atda.