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Backup Documents 05/14/2013 Item #16E 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO L6 E I THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT 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 routine lines #I through #2, complete the checklist, and forward to the County Attorney Office. Route to Addressees (List in routing order) Office Initials Date 1. appropriate (Initial) Applicable) 2. 5/14/13 Agenda Item Number 16E1 3. County Attorney Office County Attorney Office g LA) 1 4. BCC Office Board of County Commissioners GH 1 5. Minutes and Records Clerk of Court's Office -TM 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 Judy Scribner Phone Number 252 -3600 Contact / Department appropriate (Initial) Applicable) Agenda Date Item was 5/14/13 Agenda Item Number 16E1 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, Type of Document MOU Number of Original 1 Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or account signed by the Chairman, with the exception of most letters, must be reviewed and signed jb- number if document is by the Office of the County Attorney. to be recorded All handwritten strike - through and revisions have been initialed by the County Attorney's Nl� INSTRUCTIONS & CHECKLIST 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 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? 2. Does the document need to be sent to another agency for additional signatures? If yes, 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 jb- by the Office of the County Attorney. 4. All handwritten strike - through and revisions have been initialed by the County Attorney's Nl� 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. JAI 6. "Sign here" tabs are placed on the appropriate pages indicating where the Chairman's sip-nature and initials are required. Cb 7. In most cases (some contracts are an exception), the original document and this routing slip 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 2111 1 enter date) and all changes made during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. 9. Initials of attorney verifying that the attached document is the version approved by the BCC, all changes directed by the BCC have been made, and the document is ready for the Chairman's signature. aff 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 16E1 MEMORANDUM Date: May 20, 2013 To: Judy Scribner, Human Services Program Mgr. Emergency Management Department From: Ann Jennejohn, Deputy Clerk Minutes & Records Department Re: Memorandum of Understanding between Collier County and Amateur Radio Association of SWFL Attached for your records is a copy of the document referenced above, (Item #16E1) approved by the Board of County Commissioners on Tuesday May 14, 2013. The original has been held in the Minutes & Records Department for the Board's Official Record. If you have any questions, please feel free to contact me at 252 -8406. Thank you. Attachment 16E1 Memorandum of Understanding Between Collier County Board of Commissioners And Amateur Radio Association of Southwest Florida 1L• Purpose: The purpose of this Memorandum of Understanding (MOU) is to set forth, define and establish mutual agreements, understandings, and obligations by and between the Collier County Board of County Commissioners, through its Emergency Management Department, and Amateur Radio Association of Southwest Florida dba ARASWF. II: Statement of Basic Responsibilities: A. Collier County Board of County Commissioners, through its Emergency Management Department, provides coordination of emergency services with Collier County, including incorporated areas. This includes the selection and utilization of various resources and organizations capable of rendering assistance. Under Chapter 252, Florida Statutes, the Board of County Commissioners, through its Emergency Management Department, also coordinates the administration of relief activities of both public and private relief or disaster assistance organizations which agree to volunteer their services under the direction or guidance of Collier County authorities. In addition, Collier County may utilize personnel and facilities of relief or disaster assistance organizations, churches, temples and synagogues in the distribution of food, relief supplies, medicines or other items and temporary sheltering as part of the restoration, rehabilitation or reconstruction of community services and essential facilities whenever Collier County authorities deem it necessary and the Organization signed below is in agreement. B. Recognizing the increased demand for churches, temples, and synagogues to supplement assistance and recovery to victims of both Presidentially declared or undeclared disasters and the need to work in harmony with local governments and private relief agencies, the ARASWF wishes to assist in rendering the most efficient service with a minimum of duplication to the citizens and guests of Collier County. III: Coordination of Effort: Cooperation and coordination between Collier County Government, through its Emergency Management Department and ARASWF at a time of major disaster and during the post- disaster recovery period should be maintained at efficient levels and is part of the purpose of this Agreement. ARASWF will make a continuing effort to acquaint its members of this Agreement to assist Collier County government in carrying out mutual responsibilities for disaster relief. IV: Responsibilities: A. Collier County Emergency Management Department agrees to the following: 1. Notify ARASWF of the potential need to assist in activities following a disaster; and 2. Participate in and develop training in disaster response for the members of ARASWF; and 3. Assist in the development plans for ARASWF; and 4. Schedule periodic meetings and /or exercises to familiarize members of disaster preparedness or recovery initiatives; and 16E1 5. Utilize, when and as appropriate, the services of ARASWF for disaster relief and recovery projects; and 6. Whenever members of ARASWF are rendering aid to Collier County Government under this Agreement, they shall have the same powers, duties, rights, privileges and immunities as if they were performing their duties for Collier County, and Collier County shall be liable for their acts and actions as if they were performing their duties for Collier County; and 7. Collier County shall be liable for any loss or damages to any facility or equipment utilized pursuant to this Agreement and shall pay any expenses in the repair thereof; and 8. Collier County agrees to be responsible, to the extent provided under Florida Statues 768.28, for its negligent acts, however, this responsibility shall not serve as a waiver of Collier County's Sovereign Immunity limits. B. ARASWF agrees to: Provide facilities and/or staff to Collier County at no charge during the disaster recovery period; and Provide a 24 hour contact person and alternates; and Provide a representative to attend periodic meetings of any Collier Emergency Response Working Group; and Participate in exercises developed by the Emergency Management Department; and Provide the Emergency Management Department with an update of facility and manpower capabilities at least annually prior to June of each year. C. Both of the above named parties agreed to the following: 1. No modifications or changes will be made to the facility /property by the Collier County Representative without the express written approval of the owner /operator. 2. Prior to occupancy, representatives of both parties will inspect the facility /property and will note any discrepancies on the inspection form, and /or this agreement. 3. Prior to occupancy, representatives of both parties will again inspect the facility /property to note any discrepancies on the release form. Normal wear and tear is considered to the responsibility of the organization /owner /operator. 4. The facility /property will be returned to the organization /owner /operator in the same condition as it was when occupied /acquired. 5. Other provisions as follow: None V. Effective Date, Automatic Renewal, and Modification: This Agreement presents the general and some specific guidelines by which Collier County, through its Emergency Management Department and ARASWF will cooperate to aid victims at the time of disaster. In witness thereof, the parties have executed this agreement on the date indicated. The provisions of the Agreement will be effective from the date approved by the Board of County Commissioners for a period of three (3) years. At the end of the three year (3) period, this Agreement will automatically renew for an additional term of one year unless terminated as provided in Paragraph VI of this Agreement. At the end of the one (1) year renewal period, this Agreement will renew for an additional term of one (1) year unless terminated as provided in Paragraph VI. of this Agreement. This Agreement may only be automatically renewed two times. Both parties have the authority to amend provisions of this Memorandum of Understanding upon mutual consent and by written instrument executed by the Parties. FA 16E1 VI. Termination: Either party may terminate this Agreement by providing the other party with notice of its intent to terminate with 30 days written notice. The Agreement may be immediately and automatically terminated by the County without providing such notice, should the County reasonably believe that the spirit or intent of Chapter 252, Florida Statutes is not being effectuated by this Agreement. AS TO COUNTY: Attest: �% . ; ,F BOARD OF %NTY C MISSIONERS DWIGHT. BROKClerk COLLIE TY, F RIDA, By: By: r3e man's � 6C�V- gib l ES� , Chairwoman signatlra Ty WITNF,$SES:... • .� '~ ' Print Name: /T1� i�T. /� //G�6�j _ ennet J. hills ARAS F ecretary Print Name: 56ndr4 STATE OF FLORIDA COUNTY OF COLLIER The foregoing instrument was acknowledged before me this 261h day of March, 2013, by Kenneth J. Bills, as the Secretary of the Amateur Radio Association of Southwest Florida, Inc. (ARASWF), a not for profit service club. He is personally known to me, and has produced Florida Driver's License, number B420- 510 -51 -361 -0 as identification. OTARY y 1 Name: tar7vp�� a �. �A (mu Y � My Commission Expires: C)9- 1 '� -C20 � Approved as to form and legal sufficiency: 9 � PAMELA J. CANNON NOTARY PUBLIC I(D I _STATE OF FLORIDA a Comm# EE095912 jt El Expires 9/18/2015 Je fer White Assistant County Attorney Date - Date � "� � Redd