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Backup Documents 03/11/2014 Item #16D1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 61 1 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. ' 2. 3. Colleen Greene County Attorney Office C/146" 33i 1L 4. BCC Office Board of County . Commissioners \1 / A\ \ 5. Minutes and Records Clerk of Court's Office uic (14 3.52Pm 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 addition or missing information. Name of Primary Staff Natali Betancur °�c,� — C:s Phone Number 239-252-4059 Contact/ Department Agenda Date Item wa( 3/l l/14 Agenda Item Number 16D1_--/ i Approved by the BCC Type of Document Agreement Number of Original 3 Attached \--vie-L._ _ Documents Attached PO number or account number if document is to be recorded fir, - �1 <a =��s� - \t,;—_,,c' 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? NB 2. Does the document need to be sent to another agency for additional signatures? If yes, 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 NB {`_ t � 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 NB 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 NB signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip -NB-- { should be provided to the County Attorney Office at the time the item is input into SIRE. N IA, 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 and all changes made during NB the meeting have been incorporated in the attached doe ent. The County Attorney's Office has reviewed the changes,if applicable. .3 /// 9. Initials of attorney verifying that the attached document is the version approved by the NB BCC,all changes directed by the BCC have been made,and the document is ready for Chairman's signature. 4 I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised L26.05,Revised 2.24.05;Revised 11/30/12 1613 1 MEMORANDUM Date: April 2, 2014 To: Natali Betancur, Operations Analyst Park & Rec's Beach From: Teresa Cannon, Deputy Clerk Minutes & Records Department Re: Agreement to Furnish Food Service for the Summer Food Service Program Attached are three (3) originals of the document referenced above, (Item #16D1) approved by the Board of County Commissioners on March 11, 2014. Please forward for additional signatures and return a fully executed original back to the Minutes and Records Department to he kept in the Board's Official Records. If you have any questions, please contact me at 252-8411. Thank you. Attachments (3) 1 6D 1 Contract 14- - Florida Department of Agriculture and Consumer Services , Division of Food, Nutrition and Wellness AGREEMENT TO FURNISH FOOD SERVICE ADAM H. PUTNAM FOR THE SUMMER FOOD SERVICE PROGRAM COMMISSIONER THIS AGREEMENT is made and entered into between the District School Board of Collier School County and Collier County Sponsor WHEREAS the the District School Board Collier County agrees to supply unitized meals School (inclusive/exclusive) of milk and juice to Collier County Sponsor location sites listed on the attached form with and for the rates herein listed: Breakfast $ 1.95 each Lunch $ 3.38 each Snacks $ each Supper $ each It is further agreed that the District School Board Collier County pursuant to the provisions of School The Summer Food Service Program regulations, attached copy of which is part of this agreement, will assure that said meals meet the minimum meal pattern requirements as to components and portion sizes, and will maintain full and accurate records that the Collier County will need to meet its responsibility including menu Sponsor records containing the amount of food prepared and daily number of meals delivered by type. These records must be reported to the Collier County promptly Sponsor at the end of the month. The District School Board Collier County agrees also to retain records School required under the preceding clause for a period of 3 years from the date of receipt of final payment under this agreement (or longer, if an audit is in progress); and upon request, to make all accounts and records pertaining to the Program available to representatives of the U.S. Department of Agriculture and the General Accounting Office for audit or administrative review at a reasonable time and place. This agreement shall be effective as of June 9, 2014 . It may be terminated by notice in Date writing given by either party hereto to the other, at least 30 days prior to the date of termination. IN WITN SS WHEREOF, the parties hereto have execute this _reement as of the dates indicated ,elow: T 762 School Official Sponsor TOM Ii v,, ING School Board Chair CHAIRMAN, BOARD OF COUNTY COMMISSIONERS Title D pproved as to form apiltinality Date 3/11/14 Reviewed:A VuLimstATTEST: AssistantCounty Attorney DWI T-E. SRO s Clerk DACS-01772 01/12 i�tlr5 d0 iJ 0111,i li sinnntllrP.Only.