Attachment_A_-_Exempt_Documents_Distribution_Form.pdf

BREVARD COUNTY BOARD OF COUNTY COMMISSIONERS

EXEMPT DOCUMENTS / PLAN DISTRIBUTION

FORM

Exempt Documents/Plans being requested or received are considered to be protected as provided by Section 119.071(3)(b), Florida Statutes. The Exempt Documents relate to work being performed for or required by the Brevard County Board of County Commissioners, or work related to the County’s structures. As a result, such information is confidential and/or exempt from public disclosure. The following information is being provided as a record of this request or receipt, and distribution of the Exempt Documents or Plans.

Completion of this form and a signature is required before information will be released:

A. Entity Requesting/Receiving Documents: (Check All That Apply and Provide Full Name of Entity.)

State Agency:

Federal Agency:

Governmental:

Architect:

Engineer:

Contractor:

Other:

B. Entity Name:

Address:

Phone:

C. Exempt Documents / Plans requested or provided: (Be specific on what is requested or to be provided, and include description, project numbers, FIN, contract numbers, etc.)

D. Reason for Request/Intended Use:

E. RECIPIENT CERTIFICATION: I, personally, and/or as representative of the above entity, fully understand the exempt nature of the Exempt Documents/Plans I am receiving and agree to maintain the exempt and/or confidential status of this information in accordance with Florida law.

F. Name of person receiving Exempt Documents / Plans: (Printed):

Signature: Date:

Email:

G. Driver license or photo identification number of recipient:

(Recipient must provide verification of employment with the above entity and verify identity with photo ID)

H. BOCC Employee Providing Exempt Documents or Security Plans:

Purchasing Services Office: Employee Name:

Name and Office Address of Employer:

I. Exempt Documents / Plans provided if different than requested: (Be specific on what is provided, and include description, project numbers, FIN, contract numbers, etc.)

J. Signature of Person Authorizing Distribution: Date:

Provider’s Signature (if different than person authorizing distribution):

K. Method of delivery: Pick-up by requestor other (specify other method of delivery)

Date Provided:

This can be done by providing either an employer issued photo ID OR by providing a copy of your Driver's License and Business Card

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BREVARD COUNTY BOARD OF COUNTY COMMISSIONERS

EXEMPT DOCUMENTS / PLAN DISTRIBUTION

FORM

EXEMPT DOCUMENTS - Section 119.071(3)(b), Florida Statutes, provides:

Building plans, blueprints, schematic drawings, and diagrams, including draft, preliminary, and final formats, which depict the internal layout and structural elements of a building, arena, stadium, water treatment facility, or other structure owned or operated by [the County] are exempt from s. 119.07(1) and s.24(a), Art. I of the State Constitution. This exemption applies to building plans, blueprints, schematic drawings, and diagrams, including draft, preliminary, and final formats, which depict the internal layout and structural elements of a building, arena, stadium, water treatment facility, or other structure owned or operated by [the County] before, on, or after the effective date of this act. Information made exempt by this paragraph may be disclosed: a. to another governmental entity if disclosure is necessary for the receiving entity to perform its duties and responsibilities; b. to a licensed architect, engineer, or contractor who is performing work on or related to the building, arena, stadium, water treatment facility, or other structure owned or operated by [the County]; or c. upon a showing of good cause before a court of competent jurisdiction. The entities or persons receiving such information shall maintain the exempt status of the information.

SECURITY SYSTEM PLAN - Section 119.071(3)(a), Florida Statutes, provides:

As used in this paragraph, the term “security system plan” includes all: a . records, information, photographs, audio and visual presentations, schematic diagrams, surveys, recommendations, or consultations or portions thereof relating directly to the physical security of the facility or revealing security systems; b. threat assessments conducted by any agency or any private entity; c. threat response plans; d . emergency evacuation plans; e.

sheltering arrangements; or f. manuals for security personnel, emergency equipment, or security training. A security system plan or portion thereof for: any property owned by or leased to the state or any of its political subdivisions; or any privately owned or leased property, held by [the County or its contractor(s)] is confidential and exempt from s. 119.07(1) and s. 24(a), Art. I of the State Constitution. This exemption is remedial in nature and it is the intent of the Legislature that this exemption apply to security system plans held by [the County] before, on, or after the effective date of this paragraph.

Information made confidential and exempt by this paragraph may be disclosed to: a. the property owner or leaseholder;

b. in furtherance of the official duties and responsibilities of the agency holding the information; c. another state or federal agency in furtherance of that agency’s official duties and responsibilities; or, d. upon a showing of good cause before a court of competent jurisdiction.