Backup Documents 04/10/2012 Item #16F 1ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL4
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 f� the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for addi fond signatures, dates, andlor information needed. If the document is already complete with the
exception of the Chairman's sisnstum draw a line throuzb mutiaz limes #1 through #4. compete the cheddist. and forward to Sue Filson (line #51.
Route to Addressees)
M OWN
Office
Initials
Date
1.
4/10/12
Agenda Item Number
16F1
2.
Original document has been signed/mitialed for legal sufficiency. (All documents to be
CB
3.
MOU
Number of Original
1
4.
by the Office of the County Attorney. This includes signature pages from ordinances,
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4/10/12
5. Ian Mitchell, BCC Office
Supervi sor
Board of County Commissioners
Q
r
6. Minutes and Records
Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary conW is the holder of the original &Mmeut pending BCC approval. Normally the primary contact is the person. who creded/preperod the executive
sum. Primary contact information is needed in the event one of the addressees above, need to coutm staff for sdditiood or missing information. All original
documents needim the BCC Chairman's sionatu a are to be ddivaed to the BCC office only after the BCC has acted to nwrove the ieem -)
Name of Primary Staff
Contact
Christine Boni
Phone Number
252 -3617
Agenda Date Item was
4/10/12
Agenda Item Number
16F1
veal by the BCC
Original document has been signed/mitialed for legal sufficiency. (All documents to be
CB
Type of Document
MOU
Number of Original
1
Attached I
by the Office of the County Attorney. This includes signature pages from ordinances,
I Documents Attached
INSTRUCTIONS & CHECKLIST
2
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Ongin d 9.03.04, Revised 1.26.05, Revised .24.05, Revised 9.18.09
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
appropriate.
(Initial)
Applicable)
1.
Original document has been signed/mitialed 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. 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
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Office and 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
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document or the final negotiated contract date whichever is applicable.
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
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s' and initials are
5.
In most cases (some contracts are an exception), the original document and this routing slip
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should be 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.
document was approved by the BCC on 4/10/12 (enter date) and all changes
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1The
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes, if applicable.
2
I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Ongin d 9.03.04, Revised 1.26.05, Revised .24.05, Revised 9.18.09
16f1
MEMORANDUM
Date: April 12, 2012
To: Christine Boni, Senior Admin. Assistant
Bureau of Emergency Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Memorandum of Understanding between Collier County
and Emmanuel Lutheran Church supporting emergency
management response activities
Attached for your records, is a copy of the document referenced above, (Item #16F1)
approved by the Board of County Commissioners on Tuesday, April 10, 2012.
The original agreement will be held on file in the Minutes and Record's Department
for the Board's Official Record.
If you have any questions, please call 252 -8406.
Thank you.
Attachment
16F1
Memorandum of Understanding
Between
Collier County Board of Commissioners
And
Emmanuel Lutheran Church
J
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
Emmanuel Lutheran 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 Emmanuel Lutheran 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 Emmanuel Lutheran 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. Emmanuel Lutheran 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:
16F1
1. Notify Emmanuel Lutheran 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
Emmanuel Lutheran Church and
3. Assist in the development plans for Emmanuel Lutheran Church2 and
4. Schedule periodic meetings and/or exercises to familiarize members of
disaster preparedness or recovery initiatives; and
5. Utilize, when and as appropriate, the services of Emmanuel Lutheran Church
for disaster relief and recovery projects; and
6. Whenever members of Emmanuel Lutheran 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. Emmanuel Lutheran 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.
2
16F1
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 Emmanuel Lutheran 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 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 COUNTY:
DWIGHTf,BJZOCK, Clerk
j Vl ITNES SK$ ='
Print ��(e:
Print Name:
STATE OF FLORIDA
COUNTY OF COLLIER
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA,
By: ._� LA) CJ,
Fred Coyle, Chairman I o! x'31;
Emmanuel Lutheran Church
Name: 4 15 .c
Title: 7"�� _=i>r �
The foregom- g instrument was ackn wled ed before e this P7. da of
2012, by as of
^� a i i He /She is N per ally known to me, or
] has pro d iver's license no. as identification.
Apptoved as to form & legal Sufficiency
Assistant County Attorney
NOffARTIPUBLIC
3
(SEAL)
Approved as to form and legal sufficiency:
Jennifer White
Assistant County Attorney
... AURMSILANo F 1
ys. MY COMMISSION # DD 951302
EXPIRES: February 22, 2014
Bonded Thru Notary Pubk Underwdbars
Name:
(Type or Print)
My Commission Expires:
il