Backup Documents 06/27/2023 Item #16D 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D I
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 routine lines # I thrmieh #0 rmmlrre thr A—L--list and f r,v-1 f. tl,A r nn,,, A—— nFR .o
Route to Addressees (List in routing order)
Office
Initials
Date
1.
2. Public Services Department
Public Services Department
3. County Attorney Office
County Attorney Office
GIM (5
DZ1 Z3
4. BCC Office
Board of County
Commissioners
C Z?
5. Minutes and Records
Clerk of Court's OfficejW
r
/
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
Catherine Cowser, Library Director
Phone Number
X7378
Contact / De artment
Agenda Date Item was
6/13/2023
Agenda Item Number
16D1
Approved by the BCC
Type of Document(s)
Certification of Credentials — Single Library
Number of Original
1
Attached
Administrative Head
Documents Attached
PO number or account
N/A
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
annromiate.
Initial
A licable
l .
Does the document require the chairman's signature? (stamped unless otherwise stated)
CC
2.
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.
3.
Original document has been signed/initialed for legality. (All documents to be signed by
CC
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
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
CC
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
CC
si nature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
CC
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 6/13/2023 and all changes made during
N'A is not
the meeting have been incorporated in the attached document. The County Attorneyaw
an option for
Office has reviewed the changes, if applicable.
1aisline:
9.
Initials of attorney verifying that the attached document is the version approved by the
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,
l: 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
;lDd�1
16D 1
MEMORANDUM
Date: June 28, 2023
To: Catherine Cowser, Library Director
Collier County Public Library
From: Yani Fernandez, Deputy Clerk
Minutes & Records Department
Re: Certification of Credentials
Single Libray Administrative Head
Attached, for your records, please find one (1) scanned copy of the document
as referenced above, (Item #16D1) adopted by the Board of County
Commissioners on Tuesday, June 13, 2023
The Minutes & Records Department has retained an original as part of the
Board's Official Records.
If you have any questions, please contact me at 252-1029.
Thank you.
Enclosures
16D 1
FLORIDA DEPARTMENT OF STATE
DIVISION OF LIBRARY AND INFORMATION SERVICES
STATE AID TO LIBRARIES GRANT APPLICATION
Certification of Credentials — Single Library Administrative Head
The Collier County Board of County Commissioners
(Name of library governing body)
governing body for the
Collier County Public Library
(Name of library)
hereby certifies that the incumbent single library administrative head,
Catherine Cowser
(Name of incumbent)
• Has completed a library education program accredited by the American Library
Association;
• Has at least two years full-time paid professional experience, after completing the
library education program, in a public library open to the public for a minimum of 40
hours per week;
• Is employed full time by the library's governing body;
• Is responsible for the overall management or coordination of the library within the
framework established by interlocal or other agreements, plans, policies and
budgets;
• Is responsible for developing a single long-range plan for all library outlets, a single
annual plan of service and a budget; and
• Is responsible for implementing the long-range plan, annual plan of service and
budget as well as preparing reports on behalf of the library.
Signature
"22_'7 '13
Chair, Library Governing Body Date
Ap (01gpad4nd it—plity,
1 V e i ica ion of Credentials (Form DUS/SA01)
( rida Administrative Code, Effective 0712017
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