Backup Documents 10/08/2019 Item #16E 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 16 E 5
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 JAK -972=7-
4. BCC Office Board of County LZ 4-v*-\
Commissioners / \&Ac\lc,:�
5. Minutes and Records Clerk of Court's Office
tO- t 41 e•:
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 Tabatha Butcher,Chief,Emergency Phone Number 252-3780
Contact/Department Medical Service
Agenda Date Item was 10/8/19 Agenda Item Number 16-E-5 I
Approved by the BCC ?Oil 85
Type of Document Resolution—Ambulance—Uncollectible Number of Original 1
Attached Accounts Documents Attached
PO number or account n/a
number if document is
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 JAK
2. Does the document need to be sent to another agency for additional signatures? If yes, JAK
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 JAK
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 JAK
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 JAK
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 JAK
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip JAK
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 10/8/19 and all changes made during the JAK N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. --,
9. Initials of attorney verifying that the attached document is the version approved by th /A is of
BCC,all changes directed by the BCC have been made,and the document is ready for a option for
Chairman's signature. . this line.
(04-COA-01081/1344830/I11:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;
Revised 11/30/12
16E5
Ann P. Jennejohn
From: Ann P.Jennejohn
Sent: Thursday, October 10, 2019 4:48 PM
To: ButcherTabatha
Subject: Resolution 2019-185 (Item#16E5 10-8-2019 BCC Meeting)
Attachments: Resolution 2019-185.pdf
Hi Tabatha,
A copy of Resolution 2019-185, adopted
by the 13oard this past Tuesday (Item #16E5),
is attached for your records.
Thank you.
Ann Jennejohn
BMR Senior Deputy Clerk
4�``n (wk.,. Clerk to the Value Adjustment Board
` Office: 239-252-8406
Fax: 239-252-8408(if applicable)
s - Ann.Jennejohn@CollierClerk.com
7,1
Office of the Clerk of the Circuit Court
&Comptroller of Collier County
1'4.(04-S0. 3299 Tamiami Trail,Suite#401
Naples, FL 34112-5324
www.CollierClerk.com
1
16E5
RESOLUTION NO.2019- 18 5
RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, TO AUTHORIZE THE REMOVAL
FROM THE BOOKS AND RECORDS OF COLLIER COUNTY CERTAIN
ACCOUNTS AND THEIR RESPECTIVE BALANCES WHICH HAVE
BEEN IDENTIFIED AS UNCOLLECTIBLE.
WHEREAS, Collier County provides emergency ambulance transportation services
throughout Collier County; and
WHEREAS,emergency ambulance transportation service fees are received by the County
after the services have been rendered due to the County's responsibility to protect the public health,
safety and welfare; and
WHEREAS,the County is unable to collect some debts,and others the Board is statutorily
prohibited from collecting or due to contractual arrangements cannot be collected; and
WHEREAS, the County's generally accepted and practiced accounting method to
recognize an allowance for bad debts is a periodic or annual bad debt expense in the books and
records for accounts that have been identified by the Department as un-collectible; and
WHEREAS, Rule 691-71, Florida Administrative Code, allows the Board to adjust
accounts receivable for less than the full amount if the accounts have not been reported to the
Department of Financial Services, Division of Accounting and Auditing for disposition; and
WHEREAS, the subject accounts have not been reported to the Department of Financial
Services, Division of Accounting and Auditing; and
WHEREAS, County Resolution No. 08-27, Section 2. H and I, provides for removing
these accounts from the Board's Emergency Medical Services Fund Accounts Receivable; and
WHEREAS, the Board of County Commissioners hereby finds that diligent efforts at
collection have proven unsuccessful and circumstances warrant the adjustment.
NOW THEREFORE, IT IS RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that:
1. The following chart sets forth the charges billed,the portion uncollectible due to
statutory prohibitions and Board contractual arrangements, the amount collected and the balance
of accounts receivable to be written off:
1
16E5
Gross Charges Contractual& Net Billed Amount Net Write-Off Write Total
Billed other Collected Collection% Amount Off% Accounts
Adjustments
24,853,622.75 7,489,657.58 17,363,965.17 11,932,177.01 69% 41,381.00 31% 7820
2. The Board authorizes staff to remove individual accounts and their respective
balances for a total of$41,381.00 from the Board's Emergency Medical Services Fund. Same
amount will be removed from the Accounts Receivable General Ledger control account, and the
Allowance for Doubtful Accounts General Ledger control account in the Board's Emergency
Medical Services Fund.
THIS RESOLUTION ADOPTED on this'S day of October 2019 after motion, second
and majority vote favoring adoption.
,.;,-,,‘*,440,,,,
ATTEST: .'` „n 04 „ BOARD OF COUNTY COMMISSIONERS
Crystal
L€erk,�of courts COLLIER CO. ORIDA
a J
• t+ r ' •:' (..e-) , 440
By: e: , .-_ _ •.7 •'0C— By: _._.'
rk
Attest as-tq�Chat �' �G� ili W',/iam L. McDaniel Jr., Cha rman
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sig ure o ;,. .
Appro v a t, • '•- .. • egality:
tEatv
4ittrif
ivy_ A
Jeffrey •'1 f Kla��, ow
County • o
11
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Item# Eq-ti
Agenda io Cts ' s>
Date
Date
Recd ,� _Au.1,
loeputy Clerk ,•
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