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Backup Documents 01/24/2023 Item #16E 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 E s 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 JAh1/, 11 I/2 3 4. BCC Office Board of County Commissioners (L 13 2/I/23 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 Kathy Heinrichsberg Phone Number 252-3622 Contact/Department Agenda Date Item was September 10,2019 Agenda Item Number 16E5; Resl9-154 Approved by the BCC Type of Document(s) MOU—Collier County and Collier Disaster Number of Original 1 Attached Alliance 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(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 KH 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 KH 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 N/A 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 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 9/10/2019 and all changes made during KH N/A is not the meeting have been incorporated in the attached document. The County Attorney an option for 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. Return to K. Heinrichsberg, Emergency Services 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 "Exhibit A" Memorandum of Understanding Between Collier County, a Political Subdivision of the State of Florida and Collier Disaster Alliance I: Purpose: The purpose of the Memorandum of Understanding (MOU) is to set forth, define and establish mutual agreements, understandings, and obligations by and between Collier County, a political subdivision of the State of Florida, through its Emergency Management Division ("the County" or"Collier County Government"), and Collier Disaster Alliance. II. Statement of Basic Responsibilities: A. Collier County Government, through its Emergency Management Division, provides coordination of emergency services with Collier County, including incorporated areas. This includes the selection and utilization of various resources and organizations capable of rendering assistance. Under Chapter 252, Florida Statutes, Collier County Government, through its Emergency Management Division, also coordinates the administration of relief activities of both public and private relief or disaster assistance organizations which agree to volunteer their services under the direction or guidance of Collier County authorities. In addition, Collier County Government may utilize personnel and facilities of relief or disaster assistance organizations, churches, temples, and synagogues in the distribution of food, relief supplies, medicines or other items and temporary sheltering as part of the restoration, rehabilitation or reconstruction of community services and essential facilities whenever Collier County Government authorities deem it necessary. B. Recognizing the increased demand for churches, temples, synagogues, large capacity spaces, and public-private partnership facilities to supplement assistance and recovery to victims of both Presidentially declared or undeclared disasters, and the need to work in harmony with local governments and private relief agencies, the Collier Disaster Affiance wishes to assist in rendering the most efficient service with a minimum oftiuplication to the citizens and guests of Collier County. III: Coordination of Effort: Cooperation and coordination between Collier County Government, through its Emergency Management Division, and Collier Disaster Affiance, at a time of major disaster and during the post-disaster recovery period should be maintained at efficient levels and is part of the purpose of this Memorandum of Understanding. Collier Disaster Affiance works on a voluntary basis as a member of the Voluntary Agencies Working Group, a working group reporting to the Collier County Citizen Corps, established by Ordinance No. 02-56, as amended, and will make a continuing effort to acquaint its members of this Memorandum of Understanding to assist Collier County Government in carrying out mutual responsibilities for disaster relief. 1 IV: Responsibilities: A. Collier County Emergency Management Division will make efforts to achieve the following: 1. Notify Collier Disaster Alliance of the potential need to assist in activities following a disaster; and 2. Participate in and develop training in disaster response for the members of Collier Disaster Alliance; and 3. Schedule periodic meetings and/or exercises to familiarize members of disaster preparedness or recovery initiatives; and 4. Utilize, when and as appropriate, the services of Collier Disaster Alliance for disaster relief and recovery projects; and 5. Collier County agrees to be responsible, to the extent provided under Florida Statute 768.28, for its negligent acts, however, this responsibility shall not serve as a waiver of Collier County's Sovereign Immunity limits. B. COLLIER DISASTER ALLIANCE will make efforts to: I. Provide facilities and/or staff to Collier County at no charge during the disaster or local emergency relief and recovery periods; and 2. Provide a 24-hour contact person and alternates; and 3. Provide a representative to attend periodic meetings of the Voluntary Agencies Working Group; and 4. Participate in exercises, drills, planning sessions, webinars and conference calls developed by the Emergency Management Division; and 5. Provide the Emergency Management Division with an update of the facility and staffing capabilities at least annually prior to June of each year. C. Both of the above-named parties agree to the following: 1. No modifications or changes will be made to the facility/property by the Collier County Representative without the express written approval of the owner/operator, or designee; and 2. Prior to occupancy, representatives of both parties may inspect the facility/property and will note any discrepancies on the inspection form, and/or this Memorandum of Understanding; and The facility/property will be returned to the Collier Disaster Alliance in the same condition as it was when occupied/acquired. V.Effective Date,Automatic Renewal,and Modification: This Memorandum of Understanding presents general, and some specific, guidelines by which Collier County, through its Emergency Management Division, and Collier Disaster Alliance, will cooperate to aid victims at the time of disaster. In witness thereof, the parties have executed this Memorandum of Understanding on the date indicated. The provisions of this Memorandum of Understanding will be effective from the date approved by the Board of County Commissioners for a period of three 2 1 Ec (3) years. At the end of the three-year (3) period, this Memorandum of Understanding will automatically renew for an additional term of one year, unless terminated as provided in Paragraph VI of this Memorandum of Understanding. Both Parties have the authority to amend provisions of this Memorandum of Understanding upon the mutual consent and by written instrument executed by the Parties. VI.Termination: Either party may terminate this Memorandum of Understanding by providing the other party with notice of its intent to terminate with 30 days written notice. The Memorandum of Understanding may be immediately and automatically terminated by the County without providing such notice, should the County reasonably believe that the spirit or intent of Chapter 252, Florida Statutes, is not being effectuated by this Memorandum of Understanding. AS TO COUNTY: ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, CLERK COLLIER COUNTY, FLORIDA 0/7..- By: By: Attest as to Chairman's , Deputy Clerk Rick LoCastro, Chairman signature onl Approv; .• to o an. -: lity: Cie 1 County ��•rn-. AS TO COLLIER DISASTER ALLIANCE: WITNESSES: COLL R DISASTER ALLIANCE: Q Prin Name: (�4 �� g*1 r l ' 6I Print Name: RE UtL);A Title: CAk Print Name: (,tA r4 L...0.-44— Date: t I 2:31 I Z 3