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Backup Documents 01/14/2014 Item #16H2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIT L 11 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO V H 2 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. 2. 3. County Attorney Office County Attorney Office JAK '•-)\ 1/14/2014 4. BCC Office Board of County / Commissioners 1 ` 5. Minutes and Records Clerk of Court's Office l 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 Jeffrey A. Klatzkow,County Attorney Phone Number 252-8400 Contact/ Department Agenda Date Item was 1/14/14 Agenda Item Number 16-H-2 Approved by the BCC Type of Document Appointments to ublic Safety Authority Number of Original One Attached D�Z7�9—(` _ 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) I. Does the document require the chairman's original signature? JAK 2. Does the document need to be sent to another agency for additional signatures? If yes, JAK 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 JAK 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 JAK 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 JAK 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 JAK signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip JAK 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 1/14/14 and all changes made during the JAK meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. 1� 9. Initials of attorney verifying that the attached document is the version approved by the JAK BCC, all changes directed by the BCC have been made, and the document is ready fort•e 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 16H 21 Martha S. Vergara From: Martha S.Vergara Sent: Wednesday, January 22, 2014 9:16 AM To: Neet, Virginia Subject: Resolutions Attachments: Dinny.pdf Morning Dinny, Attached are the following resolutions: Resolution 2014-10—Appointment to CAC Resolution 2014-11—Appointment to PSA Resolution 2014-15 —Appointment to Regional Planning Council Resolution 2014-16—Appointment to the Board of Adjustments & Appeals For your records. Martha Vergara, BMR Senior Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail: martha.vergara@collierclerk.com collierclerk.com 1 16H 2 RESOLUTION NO. 2014 -1 1 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, APPOINTING LUCAS KARTH AND JOHN BECKMAN TO THE COLLIER COUNTY PUBLIC SAFETY AUTHORITY. WHEREAS, on June 26, 2012, the Board of County Commissioner (Board) adopted Ordinance No. 2012-23 establishing the Collier County Public Safety Authority to assume the duties and responsibilities of the former Collier County Emergency Medical Services Policy Advisory Board; and WHEREAS, Ordinance No. 2012-23 sets forth the appointment process for the Public Safety Authority and the categories of professional expertise required of its membership; and WHEREAS, Ordinance No. 2012-23 also provides that Public Safety Authority shall include three citizen representatives; and WHEREAS, there are currently vacant, unexpired terms on the Public Safety Authority in the categories of Emergency Medical Technician (EMT) and Paramedic; and WHEREAS, Collier County Emergency Medical Services has provided the Board of County Commissioners with its recommendations for appointment. NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that EMT LUCAS KARTH and Paramedic JOHN BECKMAN are hereby appointed to the Collier County Public Safety Authority to fulfill the remainder of the unexpired terms, said terms to expire on July 2, 2016. THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 14th day of January, 2014. ATTEST: BOARD OF COUNTY COMMISSIONERS DWIGHT E. BROCK, Clerk COLLIER PUNT,/i, FLORIDA ,.�,ktfAf) • Attest as t• an r ep y er,410r TOM HENNING, Ill AIRMAN signature lv. �A rove . 1 ; 'orm and legality: LAI �p r►� Item# Agenda 1114I Jeffrey `II Jeffrey A ,� z ow County A t ey Dzte L1 l` Re � � Redd •. Deputy Clerk