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Backup Documents 02/28/2017 Item #16K 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16K I 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** ROUTINGSLIP 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 2/28/17 4. BCC Office Board of County Z\Zi\I- k Commissioners VS! 5. Minutes and Records Clerk of Court's Office 212e C I 31481S4n1 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 2/28/17 Agenda Item Number 16-K-1 Approved by the BCC >2t/) _ .7 Type of Document Resolution appointing a member to the Black Number of Original one Attached Affairs Advisory 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 co i'r �'chever is Yes N/A(Not appropriate. (Initial) Applicable) 1. Does the document require the chairman's original signa e? STAMP Ok N/A 2. Does the document need to be sent to another agency for add''':...1 sign. es? 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 bythe BCC on 2/28/17 and all changes made duringthe pp 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 approv.: by t - - BCC, all changes directed by the BCC have been made, and the document is '-ady fpr t,.� Chairman's signature. .,V-ky* I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Rev. s 2.24.05;Revised /30/12 16K 1 Martha S. Vergara From: Martha S.Vergara Sent: Thursday, March 02, 2017 2:56 PM To: Rodriguez, Wanda (WandaRodriguez@colliergov.net) Subject: Resolution 2017-27 (16K1) Attachments: Resolution 2017-027.pdf Hi Wanda, Attached for your records is a scanned copy of your resolution. Thanks, Martha Vergara, BMR Senior Clerk Minutes and Records Dept. Clerk of the Circuit Court & Value Adjustment Board Office: (239) 252-7240 Fax: (239) 252-8408 E-mail: martha.vergara@collierclerk.com 1 1 6K 1 RESOLUTION NO. 2017 - 27 A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA APPOINTING EILEEN PRAY TO THE BLACK AFFAIRS ADVISORY BOARD. WHEREAS, Collier County Ordinance No. 91-38 established the Black Affairs Advisory Board to provide periodic reports to the Board of County Commissioners that identify and evaluate problems unique to the black community and recommend ways to ensure open communication between minorities and Collier County Government; and WHEREAS, Ordinance No. 91-38, as amended, provides that the Advisory Board shall consist of nine members; and WHEREAS, there are currently five vacancies on this Advisory Board; and WHEREAS, the Board of County Commissioners previously provided public notice soliciting applications from interested parties; and WHEREAS, staff 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 EILEEN PRAY is hereby appointed to the Black Affairs Advisory Board to fill the remainder of a vacant term expiring on June 25, 2019. THIS RESOLUTION ADOPTED after majority vote on the 28th day of February, 2017. . TTES. .. 0 .` BOARD OF OUNTY COMMISSIONERS ,. Iil 'E;°DOCK, Clerk COLLI' ' 0 . TY, FLORIDA � .moi�, ,..�� A /a414f,c B + .�- BAttestaas tq.Charman's, Dep le k PENNY TOR, CH OMAN signare 0 __... ,,,i,App ov=d .s to form and legality: " \ Jeffrey A. atzkew County Attory