Backup Documents 09/27/2016 Item #16E 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
16
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 9
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 41 through#2,complete the checklist,and forward to the County Attorney Office.
Routed by Procurement Services to the
Following Addressee(s) (In routing order) Office Initials Date
1.
2. County Attorney Office County Attorney Office
10. 1 •1(0
3. BCC Office Board of County
Commissioners ‘4"f"- SV ktAxA`b
4. Minutes and Records " Clerk of Court's Office -�lij k01+1'l 1 3 i CU
5. Return to Procurement Services Procurement Services J�'
Division Contact: Viviana Giarimoustas
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 Camille Shim-Marinos for Sandra Herrera, Phone Number 239-252-4270
Procurement Staff 10/01/2016
Contact and Date
Agenda Date Item was 09/27/2016 ✓ Agenda Item Number 16 r
t�
Approved by the BCC
Type of Document Contract ✓ Number of Original 2 ,/
Attached Documents Attached y
PO number or account N/A Solicitation/Contract Florida Gulf
number if document is Number/Company Coast University
to be recorded Name
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? - Cervi N 1
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 C
signed by the Chairman,with the exception of most letters,must be reviewed and signed q
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 N/A
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 CJSM
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip .ElS101- ��
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 the date above and all changes made CJSM
during the meeting have been incorporated in the attached document. The County ► • s x
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the / ,
,,,AA44ufl*
BCC,all changes directed by the BCC have been made,and the document is ready for the 4 , r
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
16E9
MEMORANDUM
Date: October 11, 2016
To: Camille Shim-Marinos
Procurement Services
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Contract for Workshop w/Florida Gulf Coast University
Attached is an original of the document referenced above, (Item #16E9) approved by
the Board of County Commissioners on Tuesday, September 27, 2016.
The second original has been held by the Minutes and Records Department as part of
the Board's Official Record.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
9
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the John lout Dain
FLORIDAFLORIDA
GULF COASTINSTITUTE OF
UNIVERSITY ,9 GOVERNMENT
Honda Golf Coon Unbemry
Send invoice and payment to:
AGREEMENT FOR WORKSHOP Florida Institute of Government
Florida Gulf Coast University
8695 College Parkway,Suite 1181
Ft.Myers,FL 33919-5831
PROVIDED BY Attention: Mary Louise Mondello
FLORIDA INSTITUTE OF GOVERNMENT mlmondello@fgcu.edu
(239)425-3278
This Agreement for Workshop ("Agreement"), is made this 27th day of September, 2016, between
Florida Gulf Coast University Board of Trustees on behalf of the Florida Institute of Government,
a public body corporate of the State of Florida ("FGCU") and Collier County Board of County
Commissioners ("Client"), whereby FGCU agrees to provide the Workshop identified below under the
terms and conditions stated herein:
The Florida Institute of Government will provide up to 22 half-day(4 hour)workshops for Collier County
Government—including 2 optional half-day workshops in February 2017,as needed.
Title: Collier County Employee Training and Development Plan
FGCU Client: Collier County Government
Trainer(s): Jacquelyn Ferguson,Libby Anderson,Dr. David Kelley,Anne Schroeder,Lorna Kibbey,
Dr.Ava Fluty
Contact: Joanne Hartke,239.822.3282;ihartke@fgcu.edu
Location: Collier County training room(s)
Dates: October 2016—March 2017(min.20,max 22 half day workshops)
Times: 8:30am— 12:30pm each date
Fee: Not-to-exceed$20,900 for up to 22 half clay workshops
($950 per 4 hour workshop)
MISC: FGCU will provide the trainer, electronic copies of blank sign-in sheet, evaluation form
and course materials/handouts. Certificates are available upon request
Client will provide, the training room for the above mentioned workshop(s), AN
equipment needs as requested by trainer(s), as well as the reproduction of original
evaluation form and handouts/materials for each participant. Upon completion of the
program, client will return all evaluation forms and the sign-in sheet indicating the names
of the participants that attended the program. Electronic certificates, if requested,will be
issued for each participant on the sign-in sheet.
Audio or video taping of workshop sessions is not permitted without the advance written consent of the
Institute of Government. Client must provide a minimum of two weeks(14 days)advance notice in order
to terminate this Agreement unless agreed to by the provider of the service. FGCU will invoice the Client
upon completion of the Workshop. Payment is due in accordance with Chap. 218, Florida Statutes, also
known as the"Local Government Prompt Payment Act".
(3)
16E9
I agree to the terms as stated above.
---V4.1
Florida Gulfoast niversity Board of Trustees Client Signature
Paul Snyder,Ph.D.
Senior Associate Provost& Associate Vice President
(Print Name and Title) (Print Name and Title)
()4i, /1G
Date Date
i
Collie unty Board County Commissioners:
(,,r,f �`Z--t\kms DONNA FIALA,CHAIRMAN
ATTEST:
Dwi Brock, Clerk of Court
, 0a—NUTil
Attest as to Chairman's
signature only. proved as to Form and Legality:
NOejA117),61Wi -
Assistant
CouAttorney
I
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COLLIER COUNTY GOVERNMENT Date -`y 1 1(31
Professional Development Series
October 2016—March 2017 Rec
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