Backup Documents 11/13/2012 Item #16J 6ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP, 16J 6
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TCj
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURM
ROUTING SLIM
Complete routing lines #I through #4 as appropriate for additional signatures, dates, and/or information needed. If the document is already complete with the
exceotion of the Chairman's signature. draw a line through routine lines #I through #4. oomnlcte the checklist, and forward to Ian Mitchell (line #!
Route to Addressee(4
List in routing M-W
Offief
Initiall
0
Agenda Date Item waj
approptiatei
Agenda Item Num
Applicable)
Approved by the BC
\ 1
(C
Type of Documeul(
Number of Originill
Attached
by the Office of the County Attorney. This includes signature pages from ordinance
Documents Attached
5. Ian Mitche . Executive Managdl
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to *K
Bpa�d,of County Commissioner)
V-143
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6. Minutes `and Itec4
Clem of C6 urt's6f a
PRIMARY CONTACT INFORMATIO
(The primary contact is the holder of the original document pending BCC approval. Normally the primary contact to 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 tbp KC has acted to approve thlt
item:) /
Name of Primary Sta Phone Numb
Contact
1 (� Y 1
Y .
v�
Agenda Date Item waj
approptiatei
Agenda Item Num
Applicable)
Approved by the BC
\ 1
(C
Type of Documeul(
Number of Originill
Attached
by the Office of the County Attorney. This includes signature pages from ordinance
Documents Attached
INSTRUCTIONS & CHECKLISI
1. Forms/ County Forms/ BCC Forms / Original Documents Routing Slip, Revised 6-15-2011
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever io
Y .
N/A (Nol
approptiatei
Initi
Applicable)
If
Original document has been signed/initialed for legal sufficiency. (All documents to bo
signed by the Chairman, with the exception of most letters, must be reviewed and signeA
by the Office of the County Attorney. This includes signature pages from ordinance
resolutions, etc. signed by the County Attorney's Office and signature pages froth
", >
contracts, agreements, etc. that have been fully executed by all parties except the BCQ
Chairman and Clerk to the Board and possibly State Officials.)
Is the Chairman's original signature re uiredl
3j
All handwritten strike- throughs and revisions have been initialed by the County Attomey'j
L
Office and all other parties except the BCC Chairman and the Clerk to the Boardl
1
,4
The Chairman's signature line date has been entered as the date of BCC approval
document or the final negotiated contract date, whichever is applicabld
)
5j
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman'$
signature and initials are r uire(Il ►
6i
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Ian Mithchell in the BCC office within 24 hours of BCC approvag
Some documents are time sensitive and require forwarding to Tallahassee within a certai4
time frame or the BCC's actions are nullified. Be awWe of your deadlines(
All
The document was approved by the BCC on 3' (enter date) and all ehangeO
r' -
N/A is not
made during the meeting have been incorporated is the attached document. TlW
an option
County Attorney's Office has reviewed the changes, if applicablo
for line 6+
1. Forms/ County Forms/ BCC Forms / Original Documents Routing Slip, Revised 6-15-2011
MEMORANDUM
Date:
November 19, 2012
To:
Andrea Marsh, Finance Director
Collier County Sheriffs Office
Cc:
Lori Sams, Finance
Collier County Sheriffs Office
From:
Martha Vergara, Deputy Clerk
Minutes & Records Department
Re:
Equitable Sharing Agreement and Certification
Attached for further processing are one (1) original document referenced above
(Agenda Item #16J6) approved by the Board of County Commissioners on
Tuesday, November 19, 2012.
A copy has been kept by the Minutes & Records Department as part of the Boards
Official Records.
If you have any questions, please call me at 252 -7240.
Thank you
Equitable Sharing
4 Agreement and
Certification
16J 6A
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Expires 9-30-2014
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\i 17 } y PF
Q Police Department * Sheriff's Office Q Task Force (Complete Table A)
Q Prosecutor's Office Q National Guard Counterdrug Unit 0 Other
*Please rill each required field. Hover mouse over any fellable field for pop-up instructions.
Agency Name: Collier County Sheriffs Office
NCIC /ORI/Tracking Number. F I L 10 1 11 110 10 10 10
Mailing Address: 3319 E. Tamiami Trail
City: Naples State: FL
Finance Contact: First: Lori Last: Sams
Preparer:
®Same as
Finance Contact
Phone: 239-252-0842
First: Lori
Phone: 239 -252 -0842
Independent Public Accountant:
E -mail: Lori.Sams@colliersheriff.org
Last: Sams
E -mail: Lori.Sams@colliersheriff.org
E -mail: Sam.Chan @ey.com
Zip: 34112
Last FY End Date: 09/30/2012 Agency Current FY Budget: $131,973,300.00
Q New Participant: Read the Equitable Sharing Agreement and sign the Affidavit
O Existing Participant: Complete the Annual Certification Report, read the Equitable Sharing Agreement, and sign
the Affidavit.
Q Amended Form: Revise the Annual Certification Report, read the Equitable Sharing Agreement, and sign
the Affidavit.
Annual Certification Report
Summary of Equitable Sharina Activitv Justice F'uruis Tro2eaorw F..nde2
1
Beginning Equitable Sharing Fund Balance (must match
Ending Equitable Sharing Fund Balance from prior FY)
$507,122.12
$266,160.53
2
Federal Sharing Funds Received
$143,753.07
$95,627.80
3
Federal Sharing Funds Received from Other Law Enforcement
Agencies and Task Forces (To populate, complete Table B)
4
Other Income
5
Interest Income Accrued Non - Interest Bearing O
Interest Bearing
$1,360.84
$765.37
6
Total Equitable Sharing Funds (total of lines 1 - 5)
$652,236.03
$362,553.70
7
Federal Sharing Funds Spent (total of lines a - m below)
$32,907.60
$0.00
8
Ending Balance (difference between line 7 and line 6)
$619,328.43
$362,553.70
Justice Agencies are: FBI, DEA, ATF, USPIS, USDA, DCIS, DSS, and FDA.
2 Treasury Agencies are: IRS, ICE, CBP, TTB, USSS, and USCG.
Page 1 of 5
October 2012
vervon 2.1
Summary of Sharad Fm.n.k Crwmnt
16J
a
Total spent on salaries under permitted salary exceptions
b
Total spent on overtime
c
Total spent on informants, 'buy money ", and rewards
d
Total spent on travel and training
e
Total spent on communications and computers
$32,907.60
f
Total spent on weapons and protective gear
g
Total spent on electronic surveillance equipment
h
Total spent on buildings and improvements
Total transfers to other participating state and local law
enforcement agencies (To populate, complete Table C)
Total spent on other law enforcement expenses (To populate,
complete Table D)
k
Total Expenditures in Support of Community -Based Programs
(To populate, complete Table E)
I
Total Windfall Transfers (To populate, complete Table F)
m
Total spent on matching grants (To populate, complete
Table G)
n
Total
$32,907.60
$0.00
o
Did your agency receive non -cash assets? O Yes Q No If yes, complete Table H.
Please fill out the following tables, if applicable.
Table A. Members of Task Force
Name
Table B: Equitable Sharing Funds Received from other Agencies
Number
Transferring Agency Name, City, and State Justice Funds Treasury Funds
4gency Name:
VCIC /ORI/Tracking Number:
Table C: Equitable Sharing Funds Transferred to Other Agencies
Receiving Agency Name, City, and State
Agency Name:
NCIC /ORI/Tracking Number:
Page 2 of 5
Justice Funds Treasury Funds
October 2012
Version 2.1
Table D: Other Law Enforcement Expenses
Description of Expense
Table E: Expenditures in Support of Community -Based Programs
Table F: Windfall Transfers
Table G: Matching Grants
Matching Grant Name
Table H: Other Non -Cash Assets Received
Source Description of Asset
F stice Q
asury 0
Table 1: Civil Rights Cases
Name of Case
16J 6
Justice Funds
Justice Funds
Justice Funds
Justice Funds
Funds
Funds
Funds
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information
unless it displays a valid OMB control number. We try to create accurate and easily understood forms
that impose the least possible burden on you to complete. The estimated average time to complete this
form is 30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, please write to the Asset Forfeiture and Money Laundering Section,
1400 New York Avenue, N.W., Washington, DC 20005.
Page 3 of 5 October 2012
Ve ;on zi
4
❑ Race
❑ Color
—nc two
❑ National
Origin
cap
❑ Gender
❑ Disability
❑ Age
❑ Other
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information
unless it displays a valid OMB control number. We try to create accurate and easily understood forms
that impose the least possible burden on you to complete. The estimated average time to complete this
form is 30 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for
making this form simpler, please write to the Asset Forfeiture and Money Laundering Section,
1400 New York Avenue, N.W., Washington, DC 20005.
Page 3 of 5 October 2012
Ve ;on zi
4
16J 6
Equitable Sharing Agreement
This Federal Equitable Sharing Agreement, entered into among (1) the Federal Government, (2) the above - stated law
enforcement agency ( "Agency'), and (3) the governing body, sets forth the requirements for participation in the
federal Equitable Sharing Program and the restrictions upon the use of federally forfeited cash, property, proceeds,
and any interest earned thereon, which are equitably shared with participating law enforcement agencies.
By its signatures, the Agency agrees that it will be bound by the statutes and guidelines that regulate shared assets
and the following requirements for participation in the federal Equitable Sharing Program. Receipt of the signed
Equitable Sharing Agreement and Certification (this "Document'l is a prerequisite to receiving any equitably shared
cash, property, or proceeds.
1. Submission. This Document must be submitted to aca.submitC&usdoj.gov within 60 days of the end of the
Agency's fiscal year. This Document must be submitted electronically with the Affidavit/Signature submitted by fax.
This will constitute submission to the Department of Justice and the Department of the Treasury.
2. Signatories. This agreement must be signed by the head of the Agency and the head of the governing body.
Examples of Agency heads include police chief, sheriff, director, commissioner, superintendent, administrator,
chairperson, secretary, city attorney, county attorney, district attorney, prosecuting attorney, state attorney,
commonwealth attorney, and attorney general. The governing body's head is the person who allocates funds or
approves the budget for the Agency. Examples of governing body heads include city manager, mayor, city council
chairperson, county executive, county council chairperson, director, secretary, administrator, commissioner, and
governor.
3. Uses. Any shared asset shall be used for law enforcement purposes in accordance with the statutes and guidelines
that govern the federal Equitable Sharing Program as set forth in the current edition of the Department of Justice's
Guide to Equitable Sharing for State and Local Law Enforcement (Justice Guide), and the Department of the Treasury's
Guide to Equitable Sharing for Foreign Countries and Federal, State, and Local Law Enforcement Agencies (Treasury
Guide).
4. Transfers. Before the Agency transfers cash, property, or proceeds to other state or local law enforcement
agencies, it must first verify with the Department of Justice or the Department of the Treasury, depending on the
source of the funds, that the receiving agency is a current and compliant Equitable Sharing Program participant
5. Internal Controls. The Agency agrees to account separately for federal equitable sharing funds received from the
Department of Justice and the Department of the Treasury. Funds from state and local forfeitures and other sources
must not be commingled with federal equitable sharing funds. The Agency shall establish a separate revenue
account or accounting code for state, local, Department of Justice, and Department of the Treasury forfeiture funds.
Interest income generated must be accounted for in the appropriate federal equitable sharing account
The Agency agrees that such accounting will be subject to the standard accounting requirements and practices
employed for other public funds as supplemented by requirements set forth in the current edition of the Justice Guide
and the Treasury Guide, including the requirement in the Justice Guide to maintain relevant documents and records for
five years.
The misuse or misapplication of shared resources or the supplantation of existing resources with shared assets is
prohibited. Failure to comply with any provision of this agreement shall subject the recipient agency to the sanctions
stipulated in the current edition of the Justice or Treasury Guides, depending on the source of the funds /property.
6. Audit Report. Audits will be conducted as provided by the Single Audit Act Amendments of 1996 and OMB
Circular A -133. The Department of Justice and Department of the Treasury reserve the right to conduct periodic
random audits.
Page 4 of 5 October 2012
Version 2.1
16J 6'14
Affidavit - Existing Participant
Under penalty of perjury, the undersigned officials certify that they have read and understand their obligations under
the Equitable Sharing Agreement and that the information submitted in conjunction with this Document is an accurate
accounting of funds received and spent by the Agency under the Justice and /or Treasury Guides during the reporting
period and that the recipient Agency is in compliance with the National Code of Professional Conduct for Asset Forfeiture.
The undersigned certify that the recipient Agency is in compliance with the nondiscrimination requirements of the
following laws and their Department of Justice implementing regulations: Title VI of the Civil Rights Act of 1964 (42 U.S.C.
§ 2000d et seq.), Title IX of the Education Amendments of 1972 (20 U.S.C. § 1681 et seq.), Section 504 of the Rehabilitation
Act of 1973 (29 U.S.C. § 794), and the Age Discrimination Act of 1975 (42 U.S.C. § 6101 et seq.), which prohibit
discrimination on the basis of race, color, national origin, disability, or age in any federally assisted program or activity, or
on the basis of sex in any federally assisted education program or activity. The Agency agrees that it will comply with all
federal statutes and regulations permitting federal investigators access to records and any other sources of information as
may be necessary to determine compliance with civil rights and other applicable statutes and regulations.
During the past fiscal year (1) has any court or administrative agency issued any finding,
judgment, or determination that the Agency discriminated against any person or group in
violation of any of the federal civil rights statutes listed above; Qrr (2) has the Agency entered
into any settlement agreement with respect to any complaint filed with a court or
administrative agency alleging that the Agency discriminated against any person or group in
violation of any of the federal civil rights statutes listed above? O Yes O No
If you answered yes to the above question, complete Table I
Agency Head
Signature:
Name: Kevin J. Rambosk
Title: Sheriff
Date: /P—.? f_ 4;1
Governing Body Head
Signature:
Name: Fred Coyle
Title: Chairman, Board of Cty Comm
Date: _ k'',
E -mail: hq@colliersheriff.net E -mail: FredCoyle@colliergov.net
Subscribe to Equitable Sharing Wire: Lori.Sams @colliersheriff.org
The Equitable Sharing Wire is an electronic newsletter that Andrea.Marsh@colliersheriff.org
you important, substantive, information regarding g
Equitable Sharing policies, practices, and procedures.
Final Instructions:
Step 1: Click to save for your records Step 3: E -mail the XML file to aca.submitC&usdoj.gov
Step 2: Click to save in XML format Step 4: Fax THIS 1 NE PAGE ONLY to (202) 616 -1344
FOR AGENCY USE ONLY
Entered by
Entered on
o FY End: 09/30/2012
@ NCIC: FL0110000
M
I 1111111111111111111111111111111111111 1 11111111111
Date Printed: October 12, 2012 08:08
Agency: Collier County Sheriff's Office f'_ -'•." l'horte:�7�9- 252 -0842
State: FL Finance Contact: Lori Sams E- null: Lori.Samstscollir1rsheriff,org
Ap ov d as to folm and legal sufficiency: Page 5 of 5
D kIT E: 8ROCk .CLERK, October 2012
e r Klatzko%% version 2.7
Cou ttorney
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