Backup Documents 03/26/2024 Item #16D 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY C22MMISSIONERS 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.
**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 41 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Lisa N. Carr Community and Human LNC 03/21/2024
Services
2. County Attorney Office County Attorney Office Q
3/2-$I2 ci
3. BCC Office Board of County
Commissioners of 4 R5/5/ ,3/21/z y
4. Minutes and Records Clerk of Court's Office q'5744
it/1
PRIMARY CONTACT INFORMATIO `
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 Lisa N. Carr, Grants Coordinator II, Phone Number 239-252-2339
Contact/Department Community and Human Services Division
Agenda Date Item was March 26, 2024 Agenda Item Number 16.D. t.
Approved by the BCC
Type of Document SHIP Certification Number of Original 2
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? YES
2. Does the document need to be sent to another agency for additional signatures? If yes, LNC
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 LNC
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 LNC
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 LNC
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 LNC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip LNC
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 03/26/2024 and all changes made during s t4
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes, if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the on(l/
Chairman's signature.
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
1 6 D 4
Instructions
1) Return a signed recorded copy to:
Lisa N. Car
Supervisor-Grants
Collier County Government Community and Human Services
3339 E. Tamiami Trail, Bldg. H, Suite 211
Naples, FL 34112
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
16D 4
State Housing Initiatives Partnership (SHIP) Program
Annual Report and Local Housing Incentives Certification
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2020/2021 and interim years N/A.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164(15) and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated
to be$0.00.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
$0.00.
Staff Member responsible for submitting annual report to FHFC: Lisa N. r
Y1
Attest: =.: March 26, 2024
CRYSTAt K. KINZEL,.-GLER'K
Chie ected Official or Designe Signature Date
Attest asto Chait7 a►lls. 3 D Clerk Chris Hall, Chairman
..� , signattire�rly, Chief Elected Official or Designee Printed Name
Ap rov d as to Form d Legality:
Derek D. Perry 4/'
Assistant County Attorney
420.9075(10) Each county or eligible municipality shall submit to the corporation by September 15 of each year a report of
its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee,certifie 0
that the local housing incentive strategies,or, if applicable,the local housing incentive plan, have been implemented or ar: �P
the process of being implemented pursuant to the adopted schedule for implementation.
16D 4
State Housing Initiatives Partnership (SHIP) Program
Annual Report and Local Housing Incentives Certification
On Behalf of Collier County Board of County Commissioners (Local Government), I hereby certify that:
1. The Annual Report information submitted electronically to Florida Housing Finance Corporation is true
and accurate for the closeout year 2020/2021 and interim years N/A.
2. The local housing incentives or local housing incentive plan have been implemented or are in the
process of being implemented. Including, at a minimum:
a. Permits as defined in s.163.3164 (15) and (16) for affordable housing projects are
expedited to a greater degree than other projects; and
b. There is an ongoing process for review of local policies, ordinances, regulations, and plan
provisions that increase the cost of housing prior to their adoption.
3. The cumulative cost per newly constructed housing per housing unit,from these actions is estimated
to be$0.00.
4. The cumulative cost per rehabilitated housing per housing unit,from these actions is estimated to be
$0.00.
Staff Member responsible for submitting annual report to FHFC: Lisa . a r
Attest: March 26, 2024
CRYSTAL K. KINZELFCLERK
Chief Elected Official or Designee Signature Date
Attest as to'CheirtrlWn'9 De u rk Chris Hall, Chairman
f sigrtiature Only Chief Elected Official or Designee Printed Name
A pro ed as to Form Legality:
O
Derek D. Perry 4V
Assistant County Attorney
420.9075 (10) Each county or eligible municipality shall submit to the corporation by September 15 of each year a report of
its affordable housing programs and accomplishments through June 30 immediately preceding submittal of the report.The
report shall be certified as accurate and complete by the local government's chief elected official or his or her designee.
Transmittal of the annual report by a county's or eligible municipality's chief elected official,or his or her designee, certifie 0
that the local housing incentive strategies,or, if applicable,the local housing incentive plan, have been implemented or ar; P
the process of being implemented pursuant to the adopted schedule for implementation.