Backup Documents 12/11-12/2012 Item #16E 4 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO E4
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNA
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 he 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) Office Initials Date
(List in routing order)
1.
2.
3.
4. Jeff Klatzkow County Attorney's Office CB /12
5 BCC Office Board of County Commissioners 1 ( fib'2 )9112,
6. Minutes and Records Clerk of Court's Office T'm izIta(tZ-
i
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,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 apirove the item.)
Name of Primary Staff Christine Boni Phone Number 252-3600
Contact
Agenda Date Item was 12/11/12 Agenda Item Number 16E4
Approved by the BCC
Type of Document COPCN renewal and certificate Number of Original 1 each-Need originals
Attached Documents Attached back
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. Original document has been signed/initialed for legal sufficiency.(All documents to be CB
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 CB
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 CB
document or the fmal negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's CB
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip CB
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. The document was approved by the BCC on 12/11/12 (enter date)and all changes CB
made during the meeting have been incorporated in the attached document.The
County Attorney's Office has reviewed the changes,if applicable.
I:Forms/County Forms!BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05,Revised 9.18.09
16E4
MEMORANDUM
Date: December 19, 2012
To: Christine Boni, Senior Admin. Assistant
Bureau of Emergency Services
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: North Naples Fire Control and Rescue District
COPCN Renewal & Certificate
Attached are the original document(s) referenced above, (Item #16E4) approved
by the Board of County Commissioners on Tuesday, December 11, 2012.
A copy will be held in the Minutes and Records Department for the Board's
Official Record.
If you have any questions, please call 252-8406.
Thank you.
Attachment
16E4
COLLIER COUNTY FLORIDA
Renewal of Class 3 COPCN
This Permit Expires December 31, 2013
Name of Service: North Naples Fire Control and Rescue District
Name of Owner: North Naples Fire Control and Rescue District
Principle Address of Service: 1885 Veterans Park Drive,Naples,FL 34109
Business Telephone: 239-597-3222
Description of Service: Non-Transport Advanced Life Support
Number of Vehicles: 15 Ground Units available.
See Application for description of vehicles.
This permit, as provided by Ordinance No. 2004-12, as amended, shall allow the above
named Non-transport ALS Service to operate within the North Naples Fire Control
response boundary and pursuant to a mutual-aid agreement until the expiration date
hereon, except that that this permit may be revoked by the Board of County
Commissioners of Collier County at any time the service named herein shall fail to
comply with any local, state or federal laws or regulation applicable to North Naples Fire
Control and Rescue District.
Issued and approved this /1141 day of .L ec rnbe y ,2012
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
I `` _ . . C
Fred W. Cole Chairman` _
# , ri
Approv ,,,,.# ,-:.;and legal sufficiency:
.tfi��� ''5� Item# 1�-�
Jeff Kl.J', 1w,' ounty Attorney
Date 1 ' ---i
d
t law
Depu *'
/? ; s : V /./ , ti�n \\ // I� N\ /I '--; ,`I I \ / i \\. /� ^ � �;' � `
.,�� ,, V i 1N7 ,l ( ti.-NA,, 1 ] IL )j CL .__ s
f'7,,,
„ .,,,t• i'l I 4,:::::....._ '''''
ti f��ewh r,
-'.!.A
/. (t.
,..� 0 A _
L
G � a.+ O C C(,) • U \ii..;',.
O U O
f
~ 9
t i V O aN Y G •'�t } A W - vi
U M al
ZU a c OV O Q fl 0 •,, .-
cA f U hd d w ›"i a O N ("1 ,
■ ' A V Q N a >
3(1 Z V n y V a N
+ C a O n Y >
• >I � _ = v _ '1 > Li ° 5 E E g 0 : �
. { Z U o � w U a N a, E . O i j V
0 Q 3 0 O Q „,,I' U o, 0 >, o p O
!4r Vyv Y' CO V� N •4d O .� YJ-i ' •y II'r.rrfy r'G,'OS fa. 1 9 a y O a3 cC �”' = ,, V sue. 'e.
id
.., , ^] V ti j N CO Li A GU EL) 1 k
!",.,71.41 W ,� V LO, L V v U y .D 2. :::*:,,,,„%ss. v_'et 74 t Z ,— ,._ o V a, 0 V c cd
�� } Fx., W v) a ,5 E •- o = o ,
1-.- : (6 g & g — ,,,, ,..., ....„ t f .v,
a,
( y L V 2 0 U
-' � fl. ' cC 0 .0 c/ O > U L ( z r;
` ,C
d a F j j aV d C i
N 0 N 0 b 0 G O y "3
1 3 E b g E u. U Z .; i 4Ii, =
s _
i" ^� ,._ �.., Li sir` %
U.1 ek
y�i/ , tfir 4.)
: N;;;;;.:,,,;. I
+[�... e MCI rlK -
�' k6 = �`d
iv,
, ..------Ati
3 3 3 ¢ o ¢ u ,, \
, , ./ /,! \ C s IP/ Nv i/ // � F ,IF/ A ,,
Y V
16E4 .
John 0.McGowan,Chairman i j Ss
Margaret Hanson,Vice Chairman � � �'
1885 eterans Park Drive
Paul J.Moriarty Sr.,Treasurer 46,, * " N pies,FL 34109
J.Christopher Lombardo,Commissioner 239)597-3222
James Burke,Commissioner Fa (239)597-7082
North Naples Fire Control and Rescue District
Attachment "A"
(Revised 10/8/2012)
> 2007 Ford F250 VIN # 1 FTSW21 P67EA47402
> 2005 Ford F250 VIN # 1 FTSW21 P05EC07402
> 2006 Ford Expedition VIN # 1 FMPU16516LA64031
➢ 2005 Ford F250 VIN # 1 FTSW21 P25EC07403
r 2006 Ford Expedition VIN # 1 FMPU16506LA97618
> 1998 Pierce Quantum VIN # 4P1 CTO2S4WA000600
> 2000 Pierce Quantum VIN # 4P1 CTO2S6YA000780
> 1998 Pierce Quantum VIN # 4PICT02S9WA000592
> 1998 Pierce Quantum VIN # 4P1 CTO2S1 WA000604
2002 Pierce Quantum VIN # 4P1 CT02S02A002256
> 2004 Pierce Quantum VIN # 4P1 CT02S93A003679
> 1998 Pierce Quantum VIN # 4P1CTO2S5WA000816
> 2006 Pierce Quantum VIN # 4P1 CU01 S36A006032
> 2005 Ford F450 VIN # 1 FDAF56P95ED24543
➢ 2012 Ford F350 VIN # 1FT8W3BT6CEC56211