Backup Documents 09/10/2013 Item #16E12 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 E 1 2
E
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 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 `∎0\ 3
4. BCC Office Board of County � .
Commissioners /S/ a\\'s\tom
5. Minutes and Records Clerk of Court's Office
44/ 1/13/13
PRIMARY CONTACT INFORMATIO
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 252-3608
Contact/ Department
Agenda Date Item was 9/10/13 Agenda Item Number 16E12 V
Approved by the BCC
Type of Document MOU Number of Original 1
Attached Documents Attached
PO number or account c �
number if document is
to be recorded
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? C�
2. Does the document need to be sent to another agency for additional signatures? If yes, 14 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 C'
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N Lpt
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 C�
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 CB
signature and initials are required.
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 c%)
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on ablaenter date)and all changes made ��
during the meeting have been incorporated in the attached document. The County C
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the C,�-j
BCC,all changes directed by the BCC have been made,and the document is ready for the
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
16E12
MEMORANDUM
Date: September 17, 2013
To: Judy Scribner, Human Services Program Mgr.
Emergency Management Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Memorandum of Understanding between
Collier County and Lely Presbyterian Church
Attached for your records is a scanned copy of the document referenced above, (Item
#16E1) approved by the Board of County Commissioners on Tuesday September
10, 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
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Memorandum of Understanding
Between
Collier County Board of Commissioners
And
Lely Presbyterian Church
I: 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 Lely Presbyterian Church.
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
LELY PRESBYTERIAN CHURCH 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 LELY PRESBYTERIAN CHURCH 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. LELY PRESBYTERIAN CHURCH 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 LELY PRESBYTERIAN CHURCH 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 LELY
PRESBYTERIAN CHURCH; and
3. Assist in the development plans for LELY PRESBYTERIAN CHURCH and
4. Schedule periodic meetings and/or exercises to familiarize members of
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16Et ?
disaster preparedness or recovery initiatives; and
5. Utilize, when and as appropriate,the services of LELY PRESBYTERIAN CHURCH
for disaster relief and recovery projects; and
6. Whenever members of LELY PRESBYTERIAN CHURCH 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. LELY PRESBYTERIAN CHURCH agrees to:
1. Provide facilities and/or staff to Collier County at no charge during
the disaster recovery period; and
2. Provide a 24 hour contact person and alternates; and
3. Provide a representative to attend periodic meetings of any Collier Emergency
Response Working Group; and
4. Participate in exercises developed by the Emergency Management Department; and
5. 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 LELY PRESBYTERIAN CHURCH 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
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16E12
amend provisions of this Memorandum of Understanding upon mutual consent and by written
instrument executed by the Parties.
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 COTJ IX.:
Asst: BOA' P OF UNTY COMMISSIONERS
DWIGHT E BfROCJ , Clerk COLL I R it T ,FLORIDA,
-Y: l`■' By
Attest
• t '' Geo .A'. der,Esq, Chairwoman 9 j 0/13
SI SS S LELY RESBYTE IAN CHURCH
Print.Nme: _ ` / e--
Name:
• �,,�
Prin ame: 0„6/yfF.' Ki u r Z Title: [kith 94
CtC/
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me this`?-- day of J■ Ht,
2013, by '' te►r Ct'ht as C_� rkc S�S�`,�a,�of �� Ytt.¢,5bv°I.Qa:,PrJ , a
. H:ir - ;s�] personally known to me, or [ ] has produce driver's license no.
as identification.
N TARN PUBLIC
(SEAL) Name: MRt h--{ t. Cs-n.ft".o
(Type or Print)
My Commission Expires:
Approved as to form and legal9u
�����„�Y p��, MARYBETH DEGARM0
,,,, B'
`, Nary Public-State of Florida
_. • 4 My Comm.Expires Apr 27,2015
;1/r *EE
Bonded Through Commission National Notary 60905 Assn.
Jennifer Se-le o
Assistant County Attorney
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