Backup Documents 01/27/2009 Item #16D10
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 docum~nt. Original docurnenls should ho: hand deliv...-red 10 the Board Oftke. The completed routing slip and original
documenls are to be I\)f"warrled to the BoardOftkc only aftel,the Hoard has lakell a(.1ioo 011 the item.)
16D10
ROUTING SLIP
Complete routing lines #1 through #4 as appropriate for additional signatures, dales, and/or infonnation needed. lfthe document is already complete with the
exceotion of the Chairman's si~ture, draw a line throull:h routinJ!.lines # 1 through #4, complete the checklist, and forward to Sue Filson line #5).
Route to Addressee(s) Office Initials Date
(List in routinll order)
I.Frank Ramsey Housing and Human Services -rL- JIZrftq
2.Chairman, Donna Fiala BCC
3.
4.
5. Sue Filson, Executive Manager Board of County Commissioners
6. Minutes and Records Clerk of Court's Office
PRIMARY CONTACT INFORMATION
(The primary contact is the holder ufthe original document pending Bee approval. Normally the primary contact is the person who created/prepared the executive
summary. Primal)' contact information is needed in the event one of the addressees above, including Sue Filson, need to contact statffor additional or missing
information. All original documents needing the Bee Chairman's signature are to be delivered to the Bee office only after the BeC has acted to approve the
item.)
Name of Primary Staff Lisa Oien Phone Num ber 252-6141
Contact Grants Support Specialist
Agenda Date Item was January 27, 2009 Agenda Item Number 160-10
Approved by the BCC
Type of Document Declaration of Authority Number of Original I
Attached Documents Attached
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column. whichever is Yes N/A (Not
appropriate. (Initial) Applicable)
L Original document has been signed/initialed for legal sufficiency, (All documents to be
signed by the Chairman, with the exception of most letters, must be reviewed and signed ~
by the Office ofthe 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 #--
Office and all other parties except the BCC Chairman and the Clerk to the Board
], The Chairman's signature line date has been entered as the date ofBCC approval of the 'fl--
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 W
sil>;nature and initials are required. ; .
5, In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval. 1iL
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCe's actions are nullified. Be aware of your deadlines!
6. The document was approved by the BeC on 1/27/2009 and all changes made during 1of/ N/A is not
the meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the chanees, if applicable. line 6.
I: Forms! County Forms! Bee Forms! Original Documents Routing Slip WWS Origina19.03.04, Revised 1.26.05, Revised 2.24.05
MEMORANDUM
Date:
January 28,2009
To:
Lisa Oien,
Housing and Human Services
From:
Teresa Polaski, Deputy Clerk
Minutes & Records Department
Re:
Declaration of Authority
Attached you will find a copy, as referenced above (Agenda Item #16DI0)
and approved by the Board of County Commissioners on Tuesday, January
27, 2009.
The Minutes and Records Department has retained the original where it will be
held as part of the Board's permanent record.
If you should have any questions, please call me at 252-841 L
Thank you.
Attachment (I)
16DIO
16D10
Delegation of Authority to Act as Certifying Officer
I, the Chief Elected Officer of Collier County, do hereby delegate to Marcy Krumbine, Director of Housing and
Human Services, an official of Collier County, all authority necessary to act as Certifying Officer for Collier
County under Section 104(g) of the Housing and Community Development Act of 1974, as amended (42 U.s.e.
5304 (g) ) (HUD Act), in connection with the receipt of assistance from the U.S. Department of Housing and
Urban Development (HUD) under Title I ofthe HUD Act. Such authority hereby delegated includes, but is not
limited to, the authority to execute the certification required under Section 104(g) of the HUD Act; the
authority to specify when appropriate that the jurisdiction has fully carried out its responsibilities for
environmental review, decision making and action under Section 104(g)(1) of the HUD Act; the authority to
consent to assume the status of a responsible Federal Official under the National Environmental Policy Act of
1969 and other provisions of law specified in the regulations of HUD in 24 CFR Part 58; and the authority to
consent on behalf of Collier County and herself to acceptance of the jurisdiction of the Federal courts for the
purpose of enforcement of her responsibilities as responsible Federal Official.
ATTEST:
Dwight E'~H:\*~~r~ of Courts
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Attht ... .to I.;..ij~qerk
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Illii(,t.tn 0Ii(~
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Approved as to'fOr~ and
legal sufficiency:
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
By ~ dd. iln/u'l
FIAIA , Ch1irm~n
COLLIER COUNTY DEPARTMENT OF
HOUSING AND HUMAN SERVICES
,
!
By: C 0MMfnjfkQe~CL
Colleen M. Greene
Assistant County Attorney
By:
-1
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Item # {bOto
Agenda \ 1.0 '11 Lr..n .
Date ~9