Backup Documents 04/10/2012 Item #16A1416A 14
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Office only after the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through #4 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 #4. complete the checklist, and forward to Sue Filson (line #5).
Route to Addressee(s)
List in routing order
Office
Initials
Date
1.
Initial
Applicable)
2.
April 10, 2012
Agenda Item Number
16A 14
3.
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
4. Scott R. Teach, Deputy County Attorney
County Attorney
/J
05/09/12
5 Ian Mitchell, BCC Executive Manager
Board of County Commissioners
Documents Attached
; l 1'O 2
6. Minutes and Records
Clerk of Court's Office
Z
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval. 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, including Sue Filson, need to contact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the
item_)
Name of Primary Staff
Scott R. Teach
Phone Number
(239) 252 -8400
Contact
Initial
Applicable)
Agenda Date Item was
April 10, 2012
Agenda Item Number
16A 14
Approved by the BCC
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
Type of Document
Designation of Designee
Number of Original
1
Attached
004#000
Documents Attached
INSTRUCTIONS & CHECKLIST
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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
a matter _number» /<<document_ number»
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is appropriate.
Yes
N/A (Not
Initial
Applicable)
1.
Original document has been signed /initialed for legal sufficiency. (All documents to be signed by the
SRT
Chairman, with the exception of most letters, must be reviewed and signed by the Office of the
County Attorney. This includes signature pages from ordinances, resolutions, etc. signed by the
County Attorney's Office and signature pages from contracts, agreements, etc. that have been fully
executed by all parties except the BCC Chairman and Clerk to the Board and possibly State
Officials.
2.
All handwritten strike- through and revisions have been initialed by the County Attorney's Office and
N/A
all other parties except the BCC Chairman and the Clerk to the Board
3.
The Chairman's signature line date has been entered as the date of BCC approval of the document or
SRT
the final ne otiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's signature and
SRT
initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip should be
SRT
provided to Ian Mitchell in the BCC office within 24 hours of BCC approval. 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!
6.
The document was approved by the BCC on 04/10/12 and all changes made during the meeting
SRT
have been incorporated in the attached document. The County Attorney's Office has reviewed
the changes, if applicable.
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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
a matter _number» /<<document_ number»
16 A 14
MEMORANDUM
Date: May 17, 2012
To: Scott Teach, Deputy County Attorney
County Attorney's Office
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Designation of Signature Authority — Nick Casalanguida
Attached for your records is one (1) certified copy of the document referenced
above, (Agenda Item #16A14) approved by the Board of County Commissioners on
Tuesday, April 10, 2012.
Please forward a fully executed original to the Minutes and Records Department upon
return, so it can be kept as part of the Board's Official Records.
If you have any questions feel free to contact me at 252 -7240.
Thank you.
16A 141
MEMORANDUM
Date: May 17, 2012
To: Scott Teach, Deputy County Attorney
County Attorney's Office
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Designation of Signature Authority — Nick Casalanguida
Attached for your records is one (1) original of the document referenced above,
(Agenda Item #16A14) approved by the Board of County Commissioners on
Tuesday, April 10, 2012.
Please forward a fully executed original to the Minutes and Records Department upon
return, so it can be kept as part of the Board's Official Records.
If you have any questions feel free to contact me at 252 -7240.
Thank you.
16A 14�i
Designation of Signature Authority for the
Transportation Electronic Award & Management
( "TEAM") Process Designee
The Collier County Board of County Commissioners, Collier County, Florida, at its May 8, 2012
meeting under Agenda Item 16A 14, authorized the County's Administrator for the Growth
Management Division, Nick Casalanguida, to be assigned and use a Personal Identification
Number (PIN) for the ministerial function pertaining to the execution of annual certifications and
Assurances issued by the Federal Transit Administration ( "FTA "), relating to the submission of
all FTA grant applications and FTA grant awards and agreements approved by the Board of
County Commissioners, for the FTA's Transportation Electronic Award and Management
System ( "TEAM ").
ATTEST:
Dwight E. Brock, Clerk
"Print Name ' L J
Atf.�s -t •s t�f�ia 1t�t 'st
Approved as to form and
legal sufficien
Scott R. Teach
Deputy County Attorney
Board of County Commissioners for
Collier County, Florida
Fred W. Coyle, Chairm
Dated: May 8, 2012
16A 14+1
Transportation Electronic Award Management System (TEAM)
Grantee / Recipient User Access Request
Check Applicable Box:
HNew
New User With Pin
Modify User 11.1sername
User Without Pin
Delete User Name Change Request
Warning: The information contained in this form is protected under Public Law 93 -579, Privacy Act.
Gender (Optional) M e F
Nick Casalanguida
239- 252 -6064
_
First Name' Mill Last Name' Once Phone'
Division Administrator - GMD
Title Collier County FL 1032 FAX Number
Nickcasalanguida @colliergov.net
Organization Name' Recipient ID Email Address'
Mailing Address(Street Number, City, State and ZIP Code)'
Y
2800 Horseshoe Drive North User's Authorizing Signature (see instructions)
Naples FL, 34104 Fred W. Coyle U.1
_J
Printed Name of above Date
this Is information Is required o establish or modify your user account y completing Is rm, you expressly attest a information prow is rue a complete o e s o, /RED
knowledge. Invalid information will be grounds for refusal to establish anew user account or the basis for deletion or an existing TEAM account
a r,.
" y
Database Recipient PIN Functions Designated Recipient ID(s) (Indicate Below)
roduction Submit Application #1032 -
uality Assurance Vir Execute Awards '
Is-
oth Production and QA —Certify as Lawyer •, (/�
Recipient Access Type v/ Certify as Official
anquiry Only ertify as Both Lawyer and Official
odify /Update Provide Supplemental Agreement
Civil Rights (No PIN Needed)
E]DBE
Reporting Metropolitan Planning Organization (MPO) ID
(PIN Functions require Designation of Signature Authority on Organization /Agency Letterhead. See ins tr tions).
IL
As a TEAM user, I understand that I am personally responsible for the use and misuse of my TEAM login ID and password. I understand that by requesti TEAM
access and accepting /using such access that I must comply with the following:
1. When downloading sensitive information, I will ensure that the information has the same level of protection as FTA applications.
2. 1 will not permit anyone to use my TEAM access information (i.e. user ID, password or other authentication). My password (or other authentication) wi a ke
private, not stored in a place that is accessible by anyone other than the myself (i.e. family members, friends, etc.). If stored, the password will not be in to f at.
3. 1 will follow standard password procedures and change my password every sixty (60) days. My passwords will be at least twelve (12) alphanumeric chi c rs
and contain at least three of the following: one (1) capital letter, one (1) lower case letter, one (1) number and one (1) special character.
0
4. 1 will report any security problems and anomalies in system performance to the appropriate FTA Office. ,.
5. 1 will notify the appropriate FTA Office to eliminate my TEAM access in the event of job transfer, termination, or if TEAM access is no longer required.
6. 1 understand that if I am not using FTA - supplied equipment and FTA suffers a security breach or compromise that is my fault, I may be required to allover s
to my equipment by the Federal Government
authorized representatives of to determine the causes and to take corrective action(s).
I agree to and will comply with all of these conditions and understand that failure to do so will result in permanent removal of my TEAM access, and may rlt i
other disciplinary or legal action. By signing my name in the space below, I hereby acknowledge this agreement, and certify that I understand the precedi arms
and prov ions and that 1 accept t e responsibilit of adhering to the same.
A,11,tk Cass
Igna ure Date Printed Name
FTA Functional Approval
FTA Operational Approval
Signature of Authorizing FTA Official Date
Signature of Authorizing FTA Official
Printed Name
Printed Name
Title / Office
Title / Office
Date Processed UserlD
I EAM RECIPIENT User Access Request Forth
Revised 616p011
r
;r
16A 14 A
Transportation Electronic Award Management System (TEAM)
Grantee / Recipient User Access Request
Check Applicable Box: New User WO Pin IModify User lusernarno
New User Without Pin Me Delete User Name Change Request
Ylfereing: The Information contained in this form. is protected under Pubec Law 93.579, Privacy Act.
Gender (Optional) M (9 F
Norman E. Feder
First Name' Mil Last Name` Office Phone*
Former Division Administrator 239 - 252 -8192
Tine Collier County 1 032 FAX Number
Organization Nam* Recipient ID Email Address'
Mailing Addreas(Strest Number, City, Stab and ZIP Code)*
2885 South Horseshoe Drive Users Authorizing Signature (see instructions)
Naples FL 34104 Fred W. Coyle
Printed Name of above Date
a irmtvinsWun Is mQwAad to osbbftb or nxxNJY your [EAUU99faccount By ccirnpra5v Him ASK you ex a fto wwomplaft your
10v URrmstlon wtr be grounds for refuse/ b esf bk&ft anew UW aocouru orfhs beefs br dDiabW oran aysft TEAM sewunt.
Mr-
Detalsase Recipient PIN Functions Designated Recipleat ID(s) (indicate Below)
roduction Submit Application #1032
uality Assurance xeane Awards
oth Production and GA ertiify as Lawyer
[Inquiry Reecip Access Type artily as Of icial
Only artily as Both Lawyer and O/firid '� 111iii
odify/Update rovide Supplemental Agreement
Civil Rights (No PIN heeded)
EIBE Reportirq Metropolitan Planning Organization (MPO)l 10
Lul
w
(PIN Functions require Designation of Signature Aufhorfty on OrgonizadoWAgency Letterheid. See ).
1111111111mr, 7, 7"INEFF. 7, 7_. *. .�
As a TEAM user, I understand that I am personally responsible for the use and misuse of my TEAM login ID and password. I understand that by requesting
access and acceptinglusing such access that I must comply with the following:
1. When downloading sensitive information, I will ensure that the Information has the some level of protection as FTA applications.
2. 1 will j& permit anyone to use my TEAM access information (i.e. user ID, password or other authentication). My password (or other authentication) will e
private, not stored in a place that is accessible by anyone other than the myself (i.e. family members, friends, etc.). If stored, the password will not be in text a
3. 1 will follow standard password procedures and change my password every sixty (80) days. My passwords will be at least twelve (12) alphanumeric cha ate
and contain at least three of the following: one (1) capital letter, one (1) lower case letter, one (1) number and one (1) special character.
4. 1 wig report any security problems and anomalies in system performance to the appropriate FTA Office.
5. 1 will notify the appropriate FTA Office b eliminate my TEAM access in the event of job transfer, termination, or if TEAM access is no longer required.
6. 1 understand that If 1 am not using FTA- supplied equipment and FTA suffers a security breach or compromise that is my 1". l may be required to allow a%ess
to my equipment by authorized representatives of the Federal Goverment to determine the causes and to take corrective action(s). �O1
i agree to and will comply with all of these conditions and understand that failure to do so will result in permanent removal of my TEAM access, and may resell in
other disciplinary or legal action. By signing my name in the space below, I hereby acknowledge this agreement and certify that I understand the precednn
and provisions and that I accept the responsibility of adhering to the same.
signswre DeAs Printed Name
FTA Functional Approval FTA Operational Approval
Signature of Authorizing FTA Official Dale Signature of Authorizing FTA Official
Printed Name Printed Name
Title / office rive / Office
Date Processed UseriD
TEAM RECIPIENT UwrAC ss Rpwtl Fom1
RwiwA 6/6201 I