Backup Documents 06/11/2024 Item #16D 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 fl 2
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.
**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 Attomey Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Joshua Thomas, Grants Coordinator Community & Human T 06/11/24
Services
2. Carly J. Sanseverino County Attorney Office
‘haltv
3. Board of County Commissioners BCC Office
4. Minutes and Records Clerk of Court's Office T/1- �� Pi?-4 '0.Sp Mt
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 Joshua Thomas/CHS Operations Grants Phone Number 239-252-8995
Contact/ Department Coordinator
Agenda Date Item was June 11,2024 Agenda Item Number 16 D2
Approved by the BCC
Type of Document EHEAP Weatherization MOU Number of Original 1
Attached 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
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? JT
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 JT
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 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 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 JT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JT
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 06/11/24 and all changes made during J I A is not an
the meeting have been incorporated in the attached document. The County §$lion .
Attorney's Office has reviewed the changes,if applicable. • s•
9. Initials of attorney verifying that the attached document is the version approved by the /A I
BCC,all changes directed by the BCC have been made,and the document is ready for the s0itat
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
Co Ver County i e D 2
Public Services Department
Community & Human Services Division
June 11,2024
TO: BCC Minutes and Records
FROM: Joshua Thomas, Grants Coordinator I
RE: Routing Instructions for Agenda Item 16.D.2 EHEAP Weatherization MOU
Please have the Chairman sign the attached EHEAP Weatherization MOU and once signed, please return
a scanned copy to me via email at Joshua.Thomas a,colliercountyfl.gov
Please let me know if you have any questions.
Thank you!
c��4LIp�
Community&Human Services Division•3339 Tamiami Trail East,Suite 213• Naples,FL 34112-5361•239-252-CARE(2273)
239-252-CAFE(2233)•239-252-5713(RSVP)•www.colliercountyfl.gov
16 02
MEMORANDUM OF UNDERSTANDING
WEATHERIZATION ASSISTANCE PROGRAM
This Memorandum of Understanding(MOU) is to document the mutually beneficial relationship between
the Emergency Home Energy Assistance for the Elderly Program (EHEAP) Provider, Collier County
Board of County Commissioners and the Weatherization Assistance Program (WAP) Provider, Centro-
Campesino Farmworker Center,Inc., for Collier,DeSoto,Glades & Hendry Counties.
This MOU shall take effect on July 1,2024 and expire on June 30,2029.
It is understood that the EHEAP Provider will refer all Energy Assistance homeowner clients who have
received more than three (3) benefits in the last eighteen (18) months to the WAP Provider for
Weatherization Services before they can be eligible to receive additional EHEAP Assistance. The intent
of this MOU is that coordination between agencies will allow exchange of information to increase access
and the quality of services to the elderly.
The parties hereby agree to the terms listed above and will work to ensure that all involved staff members
understand and comply with these conditions.
ATTEST: BOARD OF NTY COMMISSIONERS OF
CRYSTAL K. KINZEL,CLERK COLLIER C , FLO IDA
K�+
C671.4.4)±
By:, DEPUTY CLERK CHR A L, CHAIRMAN
Attest as to Chairman's
signature only • / `
#r Date: G/11/Z624/
Dated: eVi Z ?'d By: gC� d
(S ;A1) JO E BARRIOS, DIRECTOR
." Centro-Campesino Farmworker Center, Inc
Date: 05/01/2024
L 1'
Approve for and legality:
Carl anne Sanseverino L-S t! 1 11-4
Assistant County Attorney
EHEAP 2024-Centro-Campesino WAP Page 1