Backup Documents 01/08/2019 Item #16D1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 D 1
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
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
4. BCC Office Board of County QS�v
Commissioners /S/ Z\mak\c\
5. Minutes and Records Clerk of Court's Office ( 11) 19
a.�3 M
PRIMARY CONTACT INFORMATION
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 Matthew Cat e-Parks Contact Information 239-252-4059
Contact/ Department
Agenda Date Item was 1/8/2019 Agenda Item Number —14-.43.(7458)
Approved by the BCC \,lo
Type of Document MOU Number of Original 1
Attached Documents Attached
PO number or account
number if document isG'—.
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 STAMP OK / N/A
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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 MC
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's N/A
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 N/A
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 MC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip MC
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
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 10/23/2018 and all changes made during 2y .'
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable. �"11`."-�
9. Initials of attorney verifying that the attached document is the version approved by the =►e--
BCC, all changes directed by the BCC have been made,and the document is ready for he, (
Chairman's signature. V .`IJ ,
16D1
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday,January 10, 2019 12:26 PM
To: CatoeMatthew
Subject: Item #16D1 (1-8-2019 BCC Meeting)
Attachments: Backup Documents 01_08_2019 Item#16D 1.pdf
Hi Matt,
A copy of the Memoranda of Understanding (MOU)
between the Couvtty and Lutheran Services Florida,
is attached for your records.
Thank you!
Ann Jennejohn, Sr. Deputy Clerk
Board Minutes & Records Department
Collier Couvtty Value Adjustment Board
2.39-252-8406
1
1 6 U
Safe Place
Memorandum of Understanding
By and Between
Lutheran Services Florida and Collier County
This Memorandum of Understanding ("MOU") is entered into by Lutheran Services
Florida, Inc. ("LSF"), a Florida Not for Profit Corporation and sponsor of Safe Place, and
Collier County, collectively the Parties. This MOU is entered into on this day of January
2019.
I. Purpose
The purpose of this MOU is to allow the Parties to provide interagency collaboration and
integration of programs and services with respect to the Safe Place at Oasis Youth Shelter("Safe
Place")that provides shelter for the well-being of children in crisis that seek the safety of children
and families being served by Oasis Youth Shelter and Lutheran Services Florida.
The parties have engaged in a variety of informal communication to expand relations and
build collaborative efforts between Safe Place as part of Oasis Youth Shelter in Fort Myers and
Collier County. By formalizing this relationship through this MOU, the parties hope to establish
a basis for these contacts.
II. Statement of Agreement
A. LSF will to perform the following activities:
1. Support collaboration and communication by hosting meetings between the above
noted agencies for the purpose of making ongoing improvements to Safe Place
carried out through the agreement, as well as addressing any other concerns
regarding delivery of services to the targeted population.
2. Ensure consistent data collection across systems and sharing that information with
the above agency should they request it.
3. Provide access to free training for the partnering agency on topics that LSF may
have some expertise in, such as Safe Place.
4. Provide the targeted population with transportation to Oasis Youth Shelter
centralized intake, assessment, counseling, case management, discharge planning,
referrals and follow-up.
5. Promote the partnership to residents, community stakeholders, and media outlets.
B. Collier County will:
1. Observe the confidentiality of all client information in accordance with state and
federal law.
2. Share program and case information to ensure efficient and quality client services.
3. Collaborate with LSF staff on youth referrals and outreach activities.
1601„
4. Identify to the extent that resources are available opportunities at the local level to
provide coordinated services and follow up services.
5. Support the objectives of the Safe Place program.
6. Provide a contact person to serve as liaison to LSF and Safe Place.
7. Provide LSF with requested information.
C. Implementation & Renewal
1. Unless otherwise terminated, this MOU will automatically be renewed each year
after its commencement.
2. This MOU may be reviewed at any time mutually agreed upon by the parties to
ensure that it is fulfilling its purpose and to make any necessary revisions.
3. Amendments may be made at any time with the agreement of both parties.
4. Either party may immediately terminate or cancel this MOU at any time without
cause upon written notice to the other.
5. This MOU does not constitute a fiscal or funds obligation document. Each party
will direct and fund its own participation under this MOU.
IN WITNESS WHEREOF,the Parties hereto have caused this MOU to be executed by
their appropriate officials, as of the date first above written.
LUTHERAN SERVICESFLORIDA INC.
O-se�� . ��♦a� Sct___ Q- \-q_ce– .s e_cl..
Share eninno
Executi irector
Lutheran Services Florida, Inc.
ATTEST: .f ,, BOARD OF % I TY COMMI ONERS
CRYSTAL K. KINZEL, Clerk COLLIER 0 " , FLOR % .
,
By: Cr
. J "�IQ_ -C • By: A ''
.�,, rnu ' :. \tie Clerk Ad co 45 , CHAIRMAN
Attest aS t al f.;i `�
signature only.' - ISI I
;tem#
Appro {-• to orm and legality: p} pnda0
...lik
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Jeffrey L . 4+1 ow, County Attorney
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