Backup Documents 11/10/2025 Item #16D 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 D 9
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 Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Parker Smith Community and Human PS 11/5/2025
Services
2. County Attorney Office County Attorney Office ,
)Ak/m ///k zs
3. BCC Office Board of County
Commissioners 667 l ,'D(( a/05
4. Minutes and Records Clerk of Court's Office r
11 /
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 Parker Smith.Grants Coordinator I, Phone Number 239-252-6141
Contact/ Department Community and Human Services
Agenda Date Item was November 10, 2025 Agenda Item Number 16.D.9
Approved by the BCC
Type of Document Recommendation to update the previously approved Number of Original 2 cop�'t S
Attached FY2025-2026 State Aid to Libraries Grant Application Documents Attached 1
and 1)approve the Certification of Credentials—Single
Library Administrative Head and 2)approve the 2025-
2026 Library Annual Plan of Service.
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? PS
2. Does the document need to be sent to another agency for additional signatures? If yes, PS
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 PS
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 PS
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 PS
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 PS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip PS
should be provided to the County Attorney Office at the time the item is input into
MinuteTraq. 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 9/2672023 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County J an option for
Attorney's Office has reviewed the changes,if applicable. l lr 10(2 S )� In this line.
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. A9 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
16D
FLORIDA DEPARTMENT OF STATE;
DIVISION OF LIBRARY AND INFORMATION SFRVICES
STATE AID TO LIBRARIES GRANT APPLICATION
Certification of Credentials-Single I Ibrary Administrative Head
The Collier County Board of('aunty Connissioncrs
(Name of library gnarling body)
governing body for the Collier County Public I Jbrary _.
(Nally oflbrary)
hereby certifies that the in:trn bent single library admnitraiivc head,
Tanya R Williams
(Name of srctanbert)
• Has conpleted a library education program accredited by the American library Association
• Has at least two years full-tine paid professional experience,after conpietng the library education program,in a pubic library open
to the public for a nininmu of40 hours per week.
• Is employed full time by the library's governing body.
• Is responsible for the overall manag Trent or coordination of the 18xary within the franu•work established by irterbcal or other
agreerrnen ts,plants,policies and btxiixts.
• Is responsible for developing a sine king-rang plan for all library outlets,a single annual plan of service and a budget
• Is responsible for nplenrrtng the bng.ran plan,annual plan ofse rvicx;and budget as welll as preparing reports on behalfofthe
library.
Signature
rf
Chair,Library Governing Body Date
Burt L. Saunders, Chairman
T: Iit1t
ATTE
ST: r Approved, and legality
RYSTaINZ , CLERK
e ty C rk-i Jeffrey A. anty Attorney
Attest s to Chairtrtaais
signature only
CertifiCAfion of 01redentrrts- i is Lb ary Administrative I lead(Form DLIS/SAO I) Page 1 o I
Chapter t} 2�Q.j 1(2)(a)(.fai•ida Administrative Code,Efiective 09-2025