Backup Documents 05/25/2021 Item #16D2 16D2
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. 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. Judith Sizensky Community and Human 05/21/2021
Services
2. County Attorney Office County Attorney Office 5 n ,—mil, 4/0 I
3. BCC Office Board of County ?
Commissioners 5 ) 5'atQ-'M
4. Minutes and Records Clerk of Court's Office SlAc)- (v; j
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 Judith Sizensky/CHS Phone Number 252-2590
Contact/Department
Agenda Date Item was 5.25.2021 Agenda Item 16.D.2
Approved by the BCC Number
Type of Document Designation of Daniel Rodriguez Number of Original 1
Attached in TrAMS Documents Attached
PO number or account Document to be sent via email TO: Judith.Sizensky@Colliercountyfl.gov
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 chairperson'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 JS
signed by the Chairperson,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 NA
Office and all other parties except the BCC Chairperson and the Clerk to the Board
5. The Chairperson's signature line date has been entered as the date of BCC approval of the JS
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairperson's JS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip NA
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 05/25/2021 and all changes made during JS 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. this line.
9. Initials of attorney verifying that the attached document is the version approved by the N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the � A an option for
Chairperson's signature. this line.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 4. ;Revised 11/30/12
MEMORANDUM 1 6 0 2
Date: May 27, 2021
To: Judith Sizensky, Grants Coordinator
Community & Human Services
From: Teresa Cannon, Sr. Deputy Clerk
Minutes and Records Department
Re: Designation of Daniel Rodriquez in TrAMS
Attached you will find a scanned copy of the document as referenced above (Item
#16D2), approved by the Collier County Board of County Commissioners on Tuesday,
May 25, 2021.
The original will be held in the Board's Minutes and Records Department to be kept
as part of the Board's Official Records.
If you have any questions, please contact me at 252-8411.
Thank you.
Attachment
i6D2
Co ler County
Public Services Department
DESIGNATION OF SIGNATURE AUTHORITY
RE: DESIGNATION OF SIGNATURE AUTHORITY FOR FTA ASSISTANCE AWARDS
The Collier County Board of County Commissioners hereby designates (Daniel
Rodriguez, Public Services Department Head) as authorized to access the Federal
Transit Administration's (FTA) Electronic Application/Award Management
System, also referred to as the Transit Award Management System (TrAMS), and
use a Personal Identification Numbers (PIN) to execute the annual Certifications
and Assurances issued by the Federal Transit Administration(FTA),to transmit and
submit all applications to FTA for Federal assistance (or amendments thereafter),
and to execute all awards of FTA assistance on behalf of the officials named below,
thus binding the Applicant/Recipient's compliance with FTA's requirements.
ATTEST: , - BOARD TY COMMI SIONERS
Cryst Iccitilizeli.clerkof Courts COLLIE TY,FLORI A
By:
Print I me r` y .h.�on Penny Taylor, Chairperson
Dated: �'114ftk � J�JJ27�-4
.ate .as€oCfiaides
<:Jnzture only.
ove as to F an Legality:
. Teach
Deputy County Attorney
• :i>' . es
Riblic Services Department•3339 Tamiami Trail East,Suite 217•Naples,Florida 34112 •239-252-8468 •FAX 239-252-3958