Backup Documents 11/09/2021 Item #16J 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 J
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 routin&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. Risk Management Risk Management
3. County Attorney Office County Attorney Office *l ) 1,/, ))/
4. BCC Office Board of County
Commissioners I
5. Minutes and Records Clerk of Court's Office
ntk) ;='13FR-
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 Melissa Blazier,Supervisor of Elections Phone 239-252-8333
Contact/ Department
Agenda Date Item was 11/9/2021 Agenda Item Number 16J1
Approved by the BCC _
Type of Document Facility Use Agreement Number of Original
Attached Documents Attached
PO number or account
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? 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
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
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 2021 and all changes N/A is not
made during the meeting have been incorporat t the tached document. The 311,
an option for
Count Attorne 's Office has reviewed the chap es,if a licable. •'s line.
9. Initials of attorney verifying that the attached document is the version approved by the not
BCC,all changes directed by the BCC have been made,and the document is ready f e Tdedrial.lrin:,ion for
Chairman's signature. is line.
1 6 J 1
MEMORANDUM
Date: November 18, 2021
Cc: Melissa Blazier, Chief Deputy SOE
Supervisor of Elections
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Facility Use Agreement for Elections Day
Attached is one (1) scanned original of the agreement as referenced above, (Item
#16J1) approved by the Board of County Commissioners on Tuesday, November 9,
2021.
The original has been kept by the Board's Minutes and Records
Department as part of the Board's Official Records.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
FACILITY USE AGREEMENT FOR ELECTION DAY 16 J 1
This agreement is between, Jennifer J. Edwards, as Supervisor of Elections for Collier County, Florida,
(the "SOE"), and the Collier County Board of County Commissioners, Collier County, Florida, a political
subdivision of the State of Florida, described hereafter("Owner") (collectively, the "Parties").
The Parties agree that the facilities referenced in the Attached Exhibit A may be used as polling places for
conducting elections. The use of the facilities includes the use of the polling room, any areas necessary to access
the polling room, the use of the parking lot, sidewalks, bathrooms, and for election workers, tables, chairs, and
kitchen facilities.
Precinct 155 South Regional Library 8065 Lely Cultural Pkwy Naples FL 34113
Precinct 156 Eagle Lakes Community Center 11565 Tamiami TrI E Naples FL 34112
Precinct 203 North Collier Regional Park 15000 Livingston Rd Naples FL 34109
Precinct 251 Library Headquarters 2385 Orange Blossom Dr Naples FL 34109
Precinct 258 Veterans Community Park 1895 Veterans Park Dr Naples FL 34109
Precinct 317 Vineyards Community Park 6231 Arbor Blvd W Naples FL 34119
Precinct 323 Golden Gate Community Center 4701 Golden Gate Pkwy Naples FL 34116
Precinct 434 East Naples Community Park 3500 Thomasson Dr Naples FL 34112
Precinct 552 Max A. Hasse Jr. Community Park 3390 Golden Gate Blvd W Naples FL 34120
Precinct 590 Collier County University Extension 14700 Immokalee Rd Naples FL 34120
Precinct 594 Immokalee Community Park 321 N 1st St Immokalee FL 34142
The above listing of polling place locations provided by the Owner can be modified by an Amendment executed
between the SOE and the Owner's County Manager to add or remove locations to be utilized for future elections.
Additionally, the Parties agree:
1. The Owner agrees to notify the SOE prior to any construction/remodel that will impact the polling room and
any areas necessary to access the polling room.
2. The Owner agrees to allow voting equipment to be delivered and set up the day prior to Election Day and
removed the day after the election.
3. The Owner agrees to provide access to the voting room no later than 6:00 a.m. on Election Day and until
ALL voting procedures are complete on election night.
4. The Owner agrees that the polling room will be used only by voters and election workers during voting hours
in accordance with Florida Statute 102.031(3)(a).
5. The Owner recognizes the solicitation restrictions in accordance with Florida Statute 102.031. Owner
delegates to the Supervisor of Elections the power to act on his, her, or its behalf in enforcing the above.
Further, Owner agrees that it shall not directly or indirectly place any material prohibited under the above
statute within the area described nor authorize or attempt to authorize any person to do anything which
contravenes the intent of the above statutes.
Indemnification Statement: Each Party shall be liable for its own actions and negligence and, to the extent
permitted by law, the SOE shall indemnify, defend, and hold harmless the Owner against any actions, claims or
damages arising out of negligent acts caused by any officials or employees of the SOE in connection with this
Agreement, and the Owner shall indemnify, defend and hold harmless the SOE against any actions, claims, or
damages arising out of the Owner's negligence in connection with this Agreement. The foregoing indemnification
shall not constitute a waiver of sovereign immunity beyond the limits set forth in Florida Statutes, Section 768.28,
nor shall the same be construed to constitute agreement by either Party to indemnify for the other Party's
negligent, willful, or intentional acts or omissions.
16J 1
FACILITY USE AGREEMENT FOR ELECTION DAY
IN WITNESS WHEREOF, the Parties hereto authorize this Agreement and affix their hand and seal this
1--day of tctJQ r(tQr , 2021 by the Collier County Board of County Commissioners and the Supervisor
of Elections of Collier County, Florida.
ATTEST:
Crystal K. Kinzel, Clerk of the Circuit Court
And Comptroller Colli C y Board of C y Co missioners
•
"" , D uty Clerk P nny Taylor, hair
S ure 01y.
App o d as to for an lelity for the County: Collier County Supervisor of Elections
Scott . Teach, Deputy ounty Attorney n rJ: "(Gard S rviso of Elections
FACILITY USE AGREEMENT FOR ELECTION DAY 1 6 J 1
EXHIBIT A
Precinct 155 South Regional Library 8065 Lely Cultural Pkwy Naples FL 34113
Precinct 156 Eagle Lakes Community Center 11565 Tamiami Trl E Naples FL 34112
Precinct 203 North Collier Regional Park 15000 Livingston Rd Naples FL 34109
Precinct 251 Library Headquarters 2385 Orange Blossom Dr Naples FL 34109
Precinct 258 Veterans Community Park 1895 Veterans Park Dr Naples FL 34109
Precinct 317 Vineyards Community Park 6231 Arbor Blvd W Naples FL 34119
Precinct 323 Golden Gate Community Center 4701 Golden Gate Pkwy Naples FL 34116
Precinct 434 East Naples Community Park 3500 Thomasson Dr Naples FL 34112
Precinct 552 Max A. Hasse Jr. Community Park 3390 Golden Gate Blvd W Naples FL 34120
Precinct 590 Collier County University Extension 14700 Immokalee Rd Naples FL 34120
Precinct 594 Immokalee Community Park 321 N 1st St Immokalee FL 34142