Backup Documents 09/23/2014 Item #16H1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO u
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 11 1
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 9/23/14
4. BCC Office Board of County - \
Commissioners ` J cAl\ c\tzk
5. Minutes and Records Clerk of Court's Office ci. (
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 Rodriguez,ACP Phone Number 252-8123
Contact/ Department Office of the ounty Attorney
Agenda Date Item was 9/23/14 Agenda Item Number 16-H-1
Approved by the BCC
Type of Document Resolution appointing members to Pelican Number of Original one
Attached Bay Services Division Board 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? 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
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 9/23/14 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 •' th'
BCC,all changes directed by the BCC have been made,and the document is re.•y for the
Chairman's signature. '.. J 4
1:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revi -. . , •evised 11/30/12
16 H 1
RESOLUTION NO. 2014—19 7
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, DECLARING TWO VACANCIES ON
THE PELICAN BAY SERVICES DIVISION BOARD, AND APPOINTING
HENRY BACHMAN AND KEN DAWSON TO FILL SAID VACANCIES.
WHEREAS, Collier County Ordinance No. 2002-27 created the Pelican Bay Municipal
Service Taxing and Benefit Unit (Unit) and established the Pelican Bay Municipal Service
Taxing and Benefit Unit Advisory Committee (known as the Pelican Bay Services Division
Board); and
WHEREAS, Ordinance No. 2002-27, as amended, provides that the Pelican Bay Services
Division Board shall consist of nine members representing the residential interests within the
Unit and two members representing the commercial and business interests within the Unit; and
WHEREAS, member Frank Dickson, representing residential interests, died while in
office, and member Johan "John" Domenie, representing residential interests, resigned his seat;
and
WHEREAS, no recent election has been held, which resulted in there being no recent
unsuccessful candidates who might be appointed to fill these vacancies, and therefore the Pelican
Bay Services Division Board has requested that the vacancies be filled pursuant to the
procedures of Ordinance No. 2001-55, as amended; and
WHEREAS, the Board of County Commissioners has provided public notice soliciting
applications from interested parties; and
WHEREAS, the Pelican Bay Services Division Board has provided the Board of County
Commissioners with its recommendations for appointment.
161i1
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that the above-referenced seats for
residential interest representatives are hereby declared to be vacant on the Pelican Bay Services
Division Board, and
BE IT FURTHER RESOLVED that HENRY BACHMAN is hereby appointed to the
Pelican Bay Services Division Board to serve the remainder of the vacant term representing
residential interests which expires on March 31, 2018, and that KEN DAWSON is hereby
appointed to the Pelican Bay Services Division Board to serve the remainder of the vacant term
representing residential interests expiring on March 31, 2017.
THIS RESOLUTION ADOPTED after majority vote this 23`d day of September, 2014.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E BROCK, CLERK COLLIER CO TY, FLORIDA
414,110._ . B y: Z51-.,....-
Attest a$t0 Chdrdt' Clerk TOM HENNING, CHAIRM
Approved o and legality:
Jeffrey A. Klati ow`
�
County Attorne
Item# R...2_4-1_
Agenda 3 1 J
Date J
Date 6)( Zb cf
Rec'd
1'
Deputy Clerk
2