Backup Documents 06/11/2013 Item #10BORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 0 B
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 *# OUTING 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 aline through routine lines #1 thrnnoh #2 the eheelrliat ..A f r..,9rA t. rh.. A*r,....o., r%49 --
Route to Addressees (List in routing order)
Office
Initials
Date
1.
appropriate.
(Initial)
Applicable)
2.
6/11/13 Ij
Agenda Item Number
10 -B
3. County Attorney Office
County Attorney Office
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6/11/13
4. BCC Office
Board of County
Commissioners
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S
One
5. Minutes and Records
Clerk of Court's Office
Documents Attached
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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
Jeffrey A. latzkow, County Attorney
Phone Number
252 -840
Contact / Department
appropriate.
(Initial)
Applicable)
Agenda Date Item was
6/11/13 Ij
Agenda Item Number
10 -B
Approved by the BCC
Does the document need to be sent to another agency for additional signatures? If yes,
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Type of Document
Resolution — appointments to Value
Number of Original
One
Attached
Adjustment Board E013—
Documents Attached
PO number or account
n/a
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
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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)
I.
Does the document require the chairman's original signature?
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2.
Does the document need to be sent to another agency for additional signatures? If yes,
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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
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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
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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
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document or the final negotiated contract date whichever is applicable.
6. ~
"Sign here" tabs areplaced on the appropriate pages indicating where the Chairman's
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signature and initials are required.
7.
In most cases (some contracts are an exception), the original document and this routing slip
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should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwar ' g to Tallahassee within a certain
time frame or the BCC's actions are nullified. Bea a of your deadlines!
8.
The document was approved by the BCC on 6/1143 and all changes made during the
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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
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BCC, all changes directed by the BCC have been made, and the document is ready for
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Chairman's signature.
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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
108. 4
RESOLUTION NO. 2013 -12 6
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, APPOINTING MEMBERS AND
ALTERNATE MEMBERS TO THE VALUE ADJUSTMENT BOARD.
WHEREAS, Section 194.015, Florida Statutes, created a Value Adjustment Board for
each county; and
WHEREAS, Section 194.015, Florida Statutes, provides that the Board of County
Commissioners shall appoint two of its members to the Value Adjustment Board.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that County Commissioners Tom
Henning and Tim Nance are hereby appointed to the Value Adjustment Board.
BE IT FURTHER RESOLVED that County Commissioners Fred Coyle, Donna Fiala,
and Georgia Hiller shall serve as alternate members.
THIS RESOLUTION ADOPTED after motion, second and majority vote on this the 1 lth
day of June, 2013.
D Clerk
BOARD W COUNTY COMMISSIONERS
COLLIFIR QQUNTY, FLORIDA
By:
GEO,ROIX A. HILLER, ESQ.
CHAIRWOMAN
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Item #
Agenda
4 `� 3
Date
Date
14 3
Recd
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