Backup Documents 10/13/2009 Item #16K 316K 3
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
excentinn of the Chnirmnn'c cionnti— .1— a Ii— thrn h ti I;— >4 I 0--k YA —...,.h— rh.. ....A r ...,,..A — e..., ca..,,., n: -- W CX
Route to Addressee(s)
List in routing order
Office
initials
Date
1.
a ro riate.
(Initial)
Applicable)
2.
10 -13 -09
Agenda Item Number
_1S_ .
3.
signed by the Chairman, with the exception of most letters, must be reviewed and signed
4. Jeffrey A. Klatzkow, County Attorney
County Attorney
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10 -14 -09
5. Ian Mitchell, Supervisor -- BCC Office
Operations
Board of County Commissioners
Documents Attached
to 14 l Dy
6. Minutes and Records
Clerk of Court's Office
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
Jeffrey A. Klatzkow, County Attorney
Phone Number
252 -8400
Contact
a ro riate.
(Initial)
Applicable)
Agenda Date Item was
10 -13 -09
Agenda Item Number
_1S_ .
Approved b the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Resolution (Amending Res. No 2009 -37)
Number of Original
One
Attached
/
Documents Attached
t�0
INSTRUCTIONS & CHECKLIST
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 126.05, Revised 2.24.05
04- COA -01 190/1245
Initial the Yes column or mark "N /A" in the Not Applicable column, whichever is
Yes
N/A (Not
a ro riate.
(Initial)
Applicable)
1.
Original document has been signed /initialed 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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signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
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should be provided to Sue Filson 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 10 -13 -09 and all changes made during
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the meeting have been incorporated in the attached document. The County Attorney's
1W
Office has reviewed the changes, if applicable.
1: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 126.05, Revised 2.24.05
04- COA -01 190/1245
16K 3
RESOLUTION NO. 2009 - 2 3 9
A RESOLUTION OF THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA,
AMENDING RESOLUTION NO. 2009 -37, WHICH
APPOINTED MEMBERS TO THE COLLIER COUNTY
EMERGENCY MEDICAL SERVICES POLICY ADVISORY
BOARD, IN ORDER TO RE- ESTABLISH THE TERMS OF
THE BOARD MEMBERS.
WHEREAS, on January 13, 2009, the Board of County Commissioners adopted
Ordinance No. 2009 -01, as subsequently amended, creating the Collier County Emergency
Medical Services Policy Advisory Board; and
WHEREAS, pursuant to Ordinance No. 2009 -01, the Board of County Commissioners
approved Resolution 2009 -37, appointing five members to this advisory board for staggered
terms with two members serving two -year initial terms and the three remaining members serving
four -year initial terms; and
WHEREAS, at its September 25, 2009 meeting, the Collier County Emergency Medical
Services Policy Advisory Board requested that the initial terms set forth in Resolution No. 2009-
37 be modified as set forth below.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that the initial terms of the Collier
County Emergency Medical Services Policy Advisory Board members appointed pursuant to
Resolution No. 2009 -37 are revised as follows:
NAME
OCCUPATION
TERM EXPIRES
Walter Kopka
EMS
Ap il1 7 ( r September
25,
2013
Robert Metzger
Fire Chief
17, 2 September
25,
2013
Vii'
Linda Mitchell
RN
April 17, 2 September
25,
2011
James V. Talano
MD
April 17, 2 September
25,
2013
Steve Shafor
Pharmacist
^ pfil 17, 2 September
25,
2011
Page 1 of 2
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THIS RESOLUTION ADOPTED after motion, second and majority vote favoring same,
this day of , 2009.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK, CLERK COLLIER COUNTY, FLORIDA
B By:
sjg"tjj�* 00�1 DONNA A ALA, CHAIRMAN
Approved s to form
and kga4stfAciency:
C
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