Backup Documents 10/22/2019 Item #16E 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 E 5
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 10/22/19
4. BCC Office Board of County
Commissioners ����/ ko Vck
5. Minutes and Records Clerk of Court's Office C-1-0_ (DO Jje 11:291v-
PRIMARY
:i , _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,Emergency Medical Phone Number 252-3780
Contact/Department Services
Agenda Date Item was 10/22/19 Agenda Item Number 16-E-5
Approved by the BCC
Type of Document Resolution—Ambula a Do tion Number of Original
Attached 6/Q iR . )41 / 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 10/22/19 and all changes made during JAK N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes,if applicable. ''s line.
9. Initials of attorney verifying that the attached document is the version approved by t .ZR not
BCC,all changes directed by the BCC have been made,and the document is ready or the ( �i an opti a n for
Chairman's signature. \rs�` 'C this!' e.
[04-COA-01081/1344830/111: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
MEMORANDUM
Date: October 24, 2019
To: Tabatha Butcher, EMS Chief
Emergency Services
From: Teresa Cannon, Sr. Deputy Clerk
Minutes & Records Department
Re: Resolution 2019-199: Ambulance Donation
Attached is one (1) copy of the document as referenced above, (Item #16E5) as
approved by the Board of County Commissioners on Tuesday, October 22, 2019.
The Board's Minutes & Records Department has kept the original as part of the
Board's Official Records.
If you have any questions, please contact me at 239-252-8411.
Thank you.
Attachment
1 6 E 5
RESOLUTION NO. 2019-19 9
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS,
COLLIER COUNTY, FLORIDA, AUTHORIZING THE COLLIER
COUNTY EMERGENCY MEDICAL SERVICES (EMS) DIVISION TO
DONATE SURPLUS PROPERTY.
WHEREAS, the Collier County EMS Division has acquired, used, and maintained two
ambulances ("Property") that are scheduled for auction with an estimated value of$12,000; and
WHEREAS, Florida Statute §125.38, sets forth the process by certain entities may apply
to the Board of County Commissioners(Board)for real or personal property owned by the County;
and
WHEREAS,Florida Southwestern State College and Hodges University,who both qualify
under Florida Statute §125.38 to receive donations from Collier County,have applied to the Collier
County EMS Division for surplus ambulances for use in their Paramedic Training Programs; and
WHEREAS, these ambulances will be used to provide students with real ambulance
environment experience in various procedures that are difficult to replicate in a laboratory setting,
such as stretcher loading and unloading, patient care in the confines of an ambulance, and
emergency scene staging; and
WHEREAS, Florida Southwestern State College and Hodges University are the only two
facilities in Collier County that provide training to EMTs and Paramedics, and Collier County
EMS utilizes both institutions to train future Collier County EMTs as paramedics; and
WHEREAS, the requested ambulances were recommended for replacement by the Fleet
Management Division due to age, mileage, and cost of maintenance and were scheduled for
auction; and
WHEREAS, the Board is satisfied that such Property is required for such use and is not
needed for County purposes and authorizes the EMS to donate two ambulances as described in
Exhibit A.
NOW THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA that this Board, for the reasons set
forth above, hereby authorizes the Collier County EMS Division to donate the two ambulances,
one to Florida Southwestern State College and one to Hodges University, as set forth in Exhibit A
to this Resolution,
16E5
THIS RESOLUTION ADOPTED after motion, second and majority vote favoring same,
this 2— day of O� ,,— , 2019.
NMI'. �V , BOARD OF ' 6 _1, COMMISSIONERS
8failCinzi1;, rk of Courts CO ._,I R Oil 'ID l
, tii....,,,,t;'? -.i., ' ,, ' , #I ta4 A
H t� _Detail. Clerk /illiam L. McDaniel Jr., C airman
*4. 11 tinly.
Approved :. th'f a af d legality:
Jeffrey A. 4Ttzks t , County Attorney
Agenda i0/ V]
Date
J "l
Date. !T) 23. 0
lam AP
Deputy C!src
EXHIBIT A
2005 INTERNATIONAL 4300 AMBULANCE (To be donated to Florida Southwestern State
College)
Asset Number: 30015109
Inventory Number: 20050715
VIN: 1 HTMNAAM85H689274
Title: 93329331
Fleet reported Mileage: 217,200
2003 INTERNATIONAL 4400 AMBULANCE (To be donated to Hodges University)
Asset Number: 30015110
Inventory Number: 20050714
VIN: 1HTMRAAMX3H573348
Title: 93329202
Fleet reported Mileage: 186,600