Backup Documents 05/26/2015 Item #10A ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO I 0 A
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. County Attorney Office County Attorney Office JAK
U - i
4. BCC Office Board of County —C N
Commissioners / c4:3\7_1,0\kc
5. Minutes and Records Clerk of Court's Office 71.Y\ 2,665 6i
ctta
PRIMARY CONTACT INFORMATION I
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 add'ional or missing information.
Name of Primary Staff Mike Sheffie ,Communication and Phone Number 252--8383
Contact/ Department Customer R ations Division
Agenda Date Item was 5/26/15 Agenda Item Number 10-A
Approved by the BCC
Type of Document Resolution—Value Adjustment Board Number of Original One
Attached 2-015—110 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 colum . .- •- -r is Yes N/A(Not
appropriate. ,) (Initial) Applicable)
1. Does the document require the chairman's original si. e STAMP OK JAK
2. Does the document need to be sent to another agency for as el .5 . gnatures? 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 5/26/15 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.
9. Initials of attorney verifying that the attached document is the version approved by e'
BCC,all changes directed by the BCC have been made,and the document is read or v' t Q"
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
IOA
RESOLUTION NO.2015 - 110
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING MEMBERS AND
ALTERNATE MEMBERS TO THE VALUE ADJUSTMENT BOARD.
WHEREAS, Section 194.015, Florida Statutes, created a Value Adjustment Board for
each county; and
WHEREAS, Section 194.015, Florida Statutes, provides that the Board of County
Commissioners shall appoint two of its members to the Value Adjustment Board.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that County Commissioners Tom
Henning and Tim Nance are hereby appointed to the Value Adjustment Board.
BE IT FURTHER RESOLVED that County Commissioners Penny Taylor, Donna Fiala,
and Georgia Hiller shall serve as alternate members.
THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 26th
day of May, 2015.
LpO N
ATTEST-
,�+� �' R��'' BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BRO ;;Cerk COLLIER COUNTY, FLORIDA
• Z •
By: k Lt 'LJ�. %!!p'1 .,.o By: �.
Attest as to Charman Cl - TIM NANCE, CHAIRMAN
signature only.
Approved as to 'orin and lggality:
Jeffrey A. Klatzkow
County Attorney