Backup Documents 10/22/2024 Item #16K 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 K h
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. (Enter your Dept here)
3. County Attorney Office County Attorney Office /94 ki,s,; tofrzt-
4. BCC Office Board of County CH by MB
Commissioners [s] [p/Z cf
5. Minutes and Records Clerk of Court's Office 4-04
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 Madison Bird Phone Number 2939
Contact/Department
Agenda Date Item was 10/22/24 Agenda Item Number
Approved by the BCC l�'k>S
Type of Document(s) Resolution Number of Original
Attached Documents Attached
PO number or account
number if document is t Z0
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 signature?(stamped unless otherwise stated) MB
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 MB
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 MB
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 MB
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 MB
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_10/22/24 and all changes made , is not
during the meeting have been incorporated in the attached document. The County 9kI bh .n option for
Attorney Office has reviewed the changes, if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the I N/A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the {�kI/7� option fog
Chairman's signature. >' gline.
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
I6K6
RESOLUTION NO. 2024 - 203
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING LLOYD WIRSHBA TO
THE COLLIER COUNTY INFRASTRUCTURE SURTAX CITIZEN
OVERSIGHT COMMITTEE.
WHEREAS, on April 24, 2018, the Board of County Commissioners (Board) adopted
Ordinance No. 2018-21, which established the Collier County Infrastructure Surtax Citizen
Oversight Committee (Committee) as an ad hoc advisory and reporting body to the Board to
provide citizen review of the expenditure of the Surtax proceeds against the ballot referendum
approved by the voters and the Ordinance; and
WHEREAS, Ordinance No. 2018-21, as amended, provides for membership to be
composed of seven regular members (including one member from each of the five Commission
Districts and two at-large members) and two alternate members; and
WHEREAS, there is one vacant seat on the committee; and
WHEREAS, the Board has provided public notice soliciting applications from interested
parties.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that LLOYD WIRSHBA, as a
representative for District 4, is hereby appointed to the Collier County Infrastructure Surtax Citizen
Oversight Committee to serve a two-year term expiring on January 12, 2026.
THIS RESOLUTION ADOPTED upon majority vote on the 22nd day of October, 2024.
ATTEST: BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA
By (,:bC By:
°11Att6sil �r�i.
is all, Chairman
e ins
signature only
Approv:. s to orm and jcgahty:
i ,
111, IA
Jeffrey 21 latz, .w, County Attorney