Backup Documents 06/09/2015 Item #11I 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 stip and.original documents are to he torn arded to the(ounty 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. County Attorney Office County Attorney Office -
1;a4/S/ LAr
2. BCC Office Board of County
Commissioners y14 to\k-Z-Vc
3. Minutes and Records Clerk of Court's Office — a2b5 5116r,
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 Kevin Hendricks Phone Number 252-5844
Contact/ Department
Agenda Date Item was =Mt il� Agenda Item Number 6a `-
Approved by the BCC ` \
Type of Document Easement Agreement . Number of Original 1
Attached Documents Attached
PO number or account Please return original Quitclaim Deed to
number if document is Sonja Stephenson x5880 for recording
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? KH
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 KH
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 KH
document or the fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's KH
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 6-9-15 and all changes made during the KH N/A is not
meeting have been incorporated in the attached document. The County Attorney's an option for
Office has reviewed the changes,if applicable. !,,:s line.
9. Initials of attorney verifying that the attached document is the version approved by the ", 4 C b7is not
BCC,all changes directed by the BCC have been made,and the document is ready for e a, option for
Chairman's signature.
*Please scan under Misc. No. 99999 in the BMR Real Property Folder. Think yo
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
I1 !
MEMORANDUM
Date: June 12, 2015
To: Sonja Stephenson, Property Acquisition Specialist
Transportation Eng. & Const. Mgmt.
From: Teresa Cannon, Deputy Clerk
Minutes & Records Department
Re: Quitclaim Deed — Project #99999
Parcel: 331
Folio #00165402006
Attached is the original of the agreement referenced above, (Agenda Item #111)
approved by the Board of County Commissioners on Tuesday, June 9, 2015.
If you have any questions, please feel free to contact me at 252-8411.
Thank you.
Attachment
111
PROJECT: # 99999 (MISCELLANEOUS)
PARCEL: 331
FOLIO: 00165402006
QUITCLAIM DEED
THIS QUITCLAIM DEED executed this--\ day of , 2015, by
COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing
address is 3299 Tamiami Trail East, do the Office of the County Attorney, Suite 800,
Naples, Florida 34112 (hereinafter referred as "Grantor"), to JEFF DAMI, as to a 50%
interest, and CALIXTO MONTENEGRO and WORLD STRATEGIC ALLIANCES
(WSA), LLC, a Florida limited liability company, as to a 50% interest, whose mailing
address is 175 Wickliffe Drive, Naples, FL 34110 (hereinafter referred as "Grantees"):
(Wherever used herein the terms "Grantor" and "Grantees" include all the parties
to this instrument and their respective heirs, legal representatives, successors and
assigns.
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten
Dollars ($10.00) in hand paid by the said Grantees, the receipt whereof is hereby
acknowledged, does hereby remise, release, and quitclaim unto said Grantees forever,
all the right, title, interest, claim and demand which was conveyed to Grantor via
quitclaim deed on April 7, 1984, in Official Records Book 1076, Page 636, of the Public
Records of Collier County, in and to the following described lot, piece or parcel of land
situate, lying and being in Collier County, Florida, to wit (the "PROPERTY"):
THE WESTERLY 30 FEET OF A PARCEL OF LAND HEREINAFTER DESCRIBED AS
THE WEST ONE HALF (W 1/2) OF THE NORTH ONE HALF (N 1/2) OF THE
SOUTHWEST QUARTER (SW 1/4) OF THE SOUTHEAST QUARTER (SE 1/4) OF
THE NORTHWEST QUARTER (NW 1/4) OF THE NORTHEAST QUARTER (NE 1/4)
OF SECTION 24, TOWNSHIP 48 SOUTH, RANGE 25 EAST, COLLIER COUNTY,
FLORIDA.
THIS IS NOT THE HOMESTEAD PROPERTY OF THE GRANTOR
TO HAVE AND TO HOLD the same together with all appurtenances thereunto
belonging or in anywise appertaining, and all the estate, right, title, interest, lien, equity
and claim whatsoever of the said Grantor. Subject to easements, restrictions and
reservations of record.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed
the day and year first above written.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. 'BROCK, Clerk COLLIER COUNTY, FLORIDA
QBY: /
`fit as to Chairman's
D-puty Clerk , TIM NANCE, CHAIRMAN
signature only.
Approved"as to form and
legal sufficiency:
•
CA) 1 ,
Assistant County Attorney
*** INSTR 5135400 OR 5163 PG 1157 RECORDED 6/15/2015 9:01 AM PAGES 1 ***
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT, COLLIER COUNTY FLORIDA
DOC9.70 50.70 REC 510.00
lii
PROJECT: #99999(MISCELLANEOUS)
PARCEL: 331
FOLIO: 00165402006
QUITCLAIM DEED
THIS QUITCLAIM DEED executed this'44,day of .2-0 Rw.-.. ,2015,by
COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing
address is 3299 Tamiami Trail East, do the Office of the County Attorney, Suite 800,
Naples, Florida 34112 (hereinafter referred as "Grantor"), to JEFF DAMI, as to a 50%
interest, and CALIXTO MONTENEGRO and WORLD STRATEGIC ALLIANCES
(WSA), LLC, a Florida limited liability company, as to a 50% interest, whose mailing
address is 175 Wickliffe Drive,Naples,FL 34110(hereinafter referred as"Grantees"):
(Wherever used herein the terms"Grantor"and"Grantees"include all the parties
to this instrument and their respective heirs, legal representatives, successors and
assigns.
WITNESSETH: That the Grantor, for and in consideration of the sum of Ten
Dollars ($10.00) in hand paid by the said Grantees, the receipt whereof is hereby
acknowledged, does hereby remise, release, and quitclaim unto said Grantees forever,
all the right, title, interest, claim '- hich was conveyed to Grantor via
quitclaim deed on April 7, 1984 ' [ ,'.=. =•ok 1076,Page 636,of the Public
�,'�i e followin :_, 'ed lot, piece or parcel of land
Records of Collier County, in � _ �� P
situate,lying and being in C. oun,F Florida,to - "PROPERTY"):
THE WESTERLY 30 FE- •• : P - H' 0 H - AFTER DESCRIBED AS
THE WEST ONE HALF ill Olit ',a V' (N 1/2)OF THE
SOUTHWEST QUARTE' ' 1/' I •UARTER(SE 1/4)OF
RTHWEST QUA" ' ' •'� •' •' ?'ST QUARTER(NE 1/4)
THE NORTHWEST � �w
OF SECTION 24,TOWN - •' 48 SOUTH,RA ,COLLIER COUNTY,
FLORIDA. 'A., - • GO
THIS IS NOT THE e t; 1 ,• •D P;•`-- o OF THE GRANTOR
TO HAVE AND TO HOLD the aE- •!- er with all appurtenances thereunto
belonging or in anywise appertaining, and all the estate, right,title, interest, lien, equity
and claim whatsoever of the said Grantor. Subject to easements, restrictions and
reservations of record.
IN WITNESS WHEREOF,the Grantor has caused these presents to be executed
the day and year first above written.
ATTEST BOARD OF COUNTY COMMISSIONERS
DWIGtIT;0,`'BROCK,Clerk COLLIER COUNTY, FLORIDA
,,?>. °•^ .rte(/
s .'''.' .�•.• BY / ¢-
Eas•toU TIM NANCE,CHAIRMAN
D puty,Cle �.gn re only.
. .Via;..•....,- ,...• -
Approve as.to form and
legal sufficiency:
it—C�h �F'c',
A?Lt
stant County Attorney `\
•
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