Backup Documents 11/12/2019 Item #16K 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP K
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 11/12/19
4. BCC Office Board of County (L)7)1+i
� I (t
Commissioners ^5. Minutes and Records Clerk of Court's Office �` ,
i ilCr "11..1156*
PRIMARY CONTACT INFORMATIOI-
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 Wanda Rodriguez, ACP Phone Number 252-8123
Contact/ Department Office of the County Attorney
Agenda Date Item was 11/12/19 Agenda Item Number 16-K-
Approved by the BCC
Type of Document Resolution reappointing a member to the Number of Original one
Attached Health Facilities Authority Documents Attached
PO number or account N/A �01q- e 3O
number if document is 4�
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)
I. 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
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 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 N/A
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 11/12/19 and all changes made during ,'ot
the meeting have been incorporated in the attached document. The County JAK option for
Attorney's Office has reviewed the changes, if applicable. is line.
9. Initials of attorney verifying that the attached document is the version approved by the /A is not
BCC, all changes directed by the BCC have been made, and the document is ready for they ii option for
Chairman's signature. I'`is line.
1: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
161( 5
RESOLUTION NO. 2019 -23°
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, REAPPOINTING EDWARD MORTON
TO THE COLLIER COUNTY HEALTH FACILITIES AUTHORITY.
WHEREAS, in accordance with Chapter 154, Florida Statutes, Collier County Ordinance
No. 79-95 established the Collier County Health Facilities Authority to assist health facilities in
the acquisition, construction, financing and refinancing of projects within unincorporated Collier
County; and
WHEREAS, Ordinance No. 79-95 provides that the Health Facilities Authority shall
consist of five members who are residents of Collier County; and
WHEREAS, there is one seat on the Health Facilities Authority which expired on
October 9, 2019; and
WHEREAS, the Board of County Commissioners previously provided public notice
seeking applications from interested parties; and
WHEREAS, staff has provided the Board of County Commissioners with its
recommendation for reappointment.
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, that EDWARD MORTON is hereby
reappointed to the Health Facilities Authority to serve a four-year term expiring on October 9,
2023.
THIS RESOLUTION ADOPTED upon majority vote this 12th day of November, 2019.
ATTEST:_,, t7,0 BOARD OF CO TY COMMISSIONERS
CRYSTAL K. KINZEL;Clerk COLLIER OA , FL• ' A
By: V- IW/ - �- By:
Attest as to ' mho , Deputy Cle - Will . L. McDaniel, Jr., CHAIRMAN
signature an
Appro and legality:
110/111
Jeffrey at ow
County • ,1 orn,