Backup Documents 09/26/2017 Item #16K13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 6K 3
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 94247-
(57 .2..1\A-1
f-1 -7-al2..1U-1
4. BCC Office Board of County
Commissioners Y sj/ / •*-63\\"v
5. Minutes and Records Clerk of Court's Office
.y Ia$/,
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 P one Number 252-8123
Contact/ Department Office of the County Attorney
Agenda Date Item was 9/12/17 Agenda Item Number 4-6-14-9---
Approved
6- e-9-'Approved by the BCC r � A -
Type of Document Resolution appointing 3 members to the Number of Original one
Attached Black Affairs Advisory Board Documents Attached
PO number or account N/A
number if document is i I ��
to be recorded �`V I
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark"N/A" in the Not Applicable column whichever is Yes N/A(Not
appropriate. l (Initial) Applicable)
1. Does the document require the chairman's original signa are? STAMP 4' N/A
2. Does the document need to be sent to another agency for .: ' '••• :"gnatures? 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
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 91 dd all changes made during the
meeting have been incorporated in the attachedoc mitt. The County Attorney's JA
Office has reviewed the chances, if a• •licable. 1111111101
—�'
9. Initials of attorney verifying that the attached document is the version ap. ov-a sy thec —
BCC,all changes directed by the BCC have been made,and the docu -nt is ready for the
Chairman's signature. \JJ •V— -
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
1 6 K 1 3
RESOLUTION NO. 2017 - 1 62
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA APPOINTING MICHELLE D'ANNIBALLE
AND JOHN PAUL, AND REAPPOINTING DEBRA JOHNSON HUBBARD, 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 three 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 MICHELLE D'ANNIBALLE is hereby
appointed to the Black Affairs Advisory Board to fill the remainder of a vacant term expiring on June
25, 2019, and that JOHN PAUL is hereby appointed to the Black Affairs Advisory Board to fill the
remainder of a vacant term expiring on June 25, 2018, and
BE IT FURTHER RESOLVED that DEBRA JOHNSON HUBBARD is hereby reappointed to
her seat on the Black Affairs Advisory Board to a four-year term expiring on June 25, 2021.
THIS RESOLUTION ADOPTED after majority vote on the2-,.,day of September, 2017.
ATTEST. BOARD I ii‘! . TY COMMISSIONERS
DWIGHT E..BROCK, Cel COLLIE' • ► Y, FLORIDA
B �. 1 i .. By: /fridA .d
e ag i'.'4 11;77,-, Clerk PENNY TAY, ', CHAIR? AN
App ov�e� . ( �,fo °' .nd legality: ______
item# _
11 �
V -1,0-:1'1
Jeffrey A.'f'' 7'kow
County A o ey Date iOntja
Rec'd
41d4:4414,,...„