Backup Documents 02/27/2024 Item #16A 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 3
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
1' paper. Attach to original document. the conpl_tred routio't n imaginal docti Tr ._r are th he. t- ._
the time the item is placed on the Benda. .."III completed rooting slips and oluzinal documents o1n t be recei,-ed a thr:Conn.-, ;I •
r:n\➢o u'•a} rreced ag the P'jard mmeeGrig,.
**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
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 n ( 717(2
4. BCC Office Board of County
Commissioners � �1 3) 7
5. Minutes and Records Clerk of Court's Office
3/ /2 Ifr ?,
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 Martin—Development Review / Phone Number X 2279
Contact/ Department ✓✓✓
Agenda Date Item was 02/27/2024 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 & 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? LM
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by 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 fmal 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 02/27/2024 and all changes made N/A is not
c during the meeting have been incorporated in the attached document. The County �} or
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 n ( N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the V D 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