Backup Documents 09/08/2015 Item #16H2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 b H
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.
2.
3. County Attorney Office County Attorney Office JAK 9/8/15
4. BCC Office Board of County k
Commissioners /$ / k,�
5. Minutes and Records Clerk of Court's Office
9k1, c 3=371)01
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 Wanda Ro riguez,ACP Phone Number 252-8123
Contact/ Department Office of t e County Attorney
Agenda Date Item was 9/8/15 Agenda Item Number 16-H-2
Approved by the BCC
Type of Document Resolution appointing member to the Number of Original one
c
Attached Public Safety Authority O1c p- I 1 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 column,whichever is Yes N/A(Not
appropriate. (Initial) Applicable)
1. Does the document require the chairman's original signature? N/A
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 legal sufficiency. (All documents to be
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 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 N/A
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 9/8/15 and all changes made during the \\
meeting have been incorporated in the attached document. The County Attorney's JAK
Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved thee =
BCC, all changes directed by the BCC have been made,and the document is rea y for th b*--k,
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2-7475;Revised 11/30/12
1 6 H2
MEMORANDUM
Date: September 10, 2015
To: Wanda Rodriguez
Office of the County Attorney
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Resolution 2015-169: Appointment to the Public
Safety Authority
Enclosed please find one (1) copy of the document (Agenda Item
#16H2) as referenced above, approved by Board of County
Commissioners on Tuesday, September 8, 2015.
If you should have any questions, please contact me at 252-8411.
Thank you.
Enclosure
16H2
RESOLUTION NO. 2015 - 16 9
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING MAURICE R.
RAKESTRAW 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 (Authority) to
address issues affecting pre-hospital emergency medical services in Collier County; and
WHEREAS, on October 14, 2014, the Board adopted Ordinance No. 2014-37 which
reduced the membership of the Authority to a five member citizens committee; and
WHEREAS, there is a vacancy on this Advisory Committee; and
WHEREAS, the Board of County Commissioners has provided public notice soliciting
applications from interested parties; and
WHEREAS, the Authority has provided the Board of County Commissioners with its
recommendation for appointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that MAURICE R. RAKESTRAW is
hereby appointed to the Collier County Public Safety Authority to a four-year term to expire on
December 31, 2019.
THIS RESOLUTION ADOPTED upon majority vote on the 8th day of September, 2015.
ATTEST: a `A 7
(1''' BOARD OF COUNTY COMMISSIONERS
DWIGHTE.BROCK- erk COLLIER COUNTY, FLORIDA
ik • , ' 2 ' :t:':' cl_. / ee,a.,,.
•
• . tBy:
Attest as 10 ., i. Clerk TIM NANCE, CHAIRMAN
Si! 'A • • ,ty,;
Approv-;�� 4 ,orm and legality: 1 Item# 2
1L' �
Agenda
tp A Date 9, (8/ic
Jeffrey
A. r z ow ' 1
County A'io y / Rte. Cldd q •0
Deputy Cleric