Backup Documents 06/09/2015 Item #16A 6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A6 '
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.
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 / 711)7.1_
4. BCC Office Board of County le
Commissioners W(3/ �) u_``c
5. Minutes and Records Clerk of Court's Office
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 John Houldswort Phone Number x-5757
Contact/ Department
Agenda Date Item was June 9,2015 Agenda Item Number 16-A6
Approved by the BCC
Type of Document Plat—Corsica at Talis Park Replat Number of Original One
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? JH
2. Does the document need to be sent to another agency for additional signatures? If yes, JH
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 JH
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 JH
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 SIC
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 June 9,2015 and all changes made / ,
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes, if applicable. tip
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the
Chairman's signature.
I: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
MEMORANDUM6 A
Date: June 22, 2015
To: John Houldsworth, Senior Engineer
Engineering Services Department
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Plat— Corsica at Tallis Park Replat
Attached is the Final Plat as referenced above,(Item #16A6) approved by Board
of County Commissioners on June 9, 2015.
If you need anything further, please feel free to contact me at 252-8411.
Thank you.
Attachment
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO A
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATJR
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.
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
1t/s
4. BCC Office Board of County
Commissioners / btZZ`tS
5. Minutes and Records Clerk of Court's Office
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 John Houldsworth Phone Number x-5757
Contact/ Department
Agenda Date Item was June 9,2015 Agenda Item Number 16-A6
Approved by the BCC
Type of Document C ,ruction& Maintenance Agreement Number of Original One
Attached C :sfca at Talis Park Replat 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? JH
2. Does the document need to be sent to another agency for additional signatures? If yes, JH
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 JH
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 JH
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
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 June 9,2015 and all changes made / 1
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the I�I
BCC,all changes directed by the BCC have been made,and the document is ready for the •
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised .05;Revised 11/30/12
16A6
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION
IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
entered into this 10th day of June / / , 20 15 between
KETasPakPoPe^es, « hereinafter referred to as "Developer," and the Board of County Commissioners of Collier
County, Florida, hereinafter referred to as the "Board.
RECITALS:
A. Developer has, simultaneously with the delivery of this Agreement, applied for the approval by the
Board of certain plat of a subdivision to be known as: Corsica at Tails Park
B. Chapter 4 and 10 of the Collier County Land Development Code required the Developer to post
appropriate guarantees for the construction of the improvements required by said subdivision
regulations, said guarantees to be incorporated in a bonded agreement for the construction of the
required improvements.
NOW, THEREFORE, in consideration of the foregoing premises and mutual covenants hereinafter set
forth, Developer and the Board do hereby covenant and agree as follows:
1. Developer will cause to be constructed: Roadway, drainage, water&sewer Improvements
within 12 months from the date of approval said subdivision plat, said improvements
hereinafter referred to as the required improvements.
2. Developer herewith tenders its subdivision performance security (attached hereto as Exhibit "A" and
by reference made a part hereof) in the amount of$38,321.95 -which amount represents 10% of
the total contract cost to complete the construction plus 100% of the estimated cost of to complete
the required improvements at the date of this Agreement.
3. In the event of default by the Developer or failure of the Developer to complete such improvements
within the time required by the Land Development Code, Collier may call upon the subdivision
performance security to insure satisfactory completion of the required improvements.
4. The required improvements shall not be considered complete until a statement of substantial
completion by Developer's engineer along with the final project records have been furnished to be
reviewed and approved by the County Manager or his designee for compliance with the Collier
County Land Development Code.
5. The County Manager or his designee shall, within sixty (60) days of receipt of the statement of
substantial completion, either: a) notify the Developer in writing of his preliminary approval of the
improvements; or b) notify the Developer in writing of his refusal to approve improvements,
therewith specifying those conditions which the Developer must fulfill in order to obtain the County
Manager's approval of the improvements. However, in no event shall the County Manager or his
designee refuse preliminary approval of the improvements if they are in fact constructed and
submitted for approval in accordance with the requirements of this Agreement.
6. The Developer shall maintain all required improvements for a minimum period of one year after
preliminary approval by the County Manager or his designee. After the one year maintenance period
by the Developer has terminated, the Developer shall petition the County Manager or his designee to
inspect the required improvements. The County Manager or his designee shall inspect the
improvements and, if found to be still in compliance with the Land Development Code as reflected by
final approval by the Board, the Board shall release the remaining 10% of the subdivision
performance security. The Developer's responsibility for maintenance of the required improvements
shall continue unless or until the Board accepts maintenance responsibility for and by the County.
1 0 A 6
7. Six (6) months after the execution of this Agreement and once within every six (6) months thereafter
the Developer may request the County Manager or his designee to reduce the dollar amount of the
subdivision performance security on the basis of work complete, Each request for a reduction in the
dollar amount of the subdivision performance security shall be accompanied by a statement of
substantial completion by the Developer's engineer together with the project records necessary for
review by the County Manager or his designee. The County Manager or his designee may grant the
request for a reduction in the amount of the subdivision performance security for the improvements
completed as of the date of the request.
8. In the event the Developer shall fail or neglect to fulfill its obligations under this Agreement, upon
certification of such failure, the County Manager or his designee may call upon the subdivision
performance security to secure satisfactory completion, repair and maintenance of the required
improvements. The Board shall have the right to construct and maintain, or cause to be constructed
or maintained, pursuant to public advertisement and receipt and acceptance of bids, the
improvements required herein. The Developer, as principal under the subdivision performance
security, shall be liable to pay and to indemnify the Board, upon completion of such construction, the
final total cost to the Board thereof, including, but not limited to, engineering, legal and contingent
costs, together with any damages, either direct or consequential, which the Board may sustain on
account of the failure of the Developer to fulfill all of the provisions of this Agreement.
9. All of the terms, covenants and conditions herein contained are and shall be binding upon the
Developer and the respective successors and assigns of the Developer.
IN WITNESS WHEREOF, the Board and the Developer have caused is'Agreement to be executed by
their duly authorized representatives this 10th day of June / , / , 2015 .
SIGNED IN THE PRESENCE OF: (Name of Enti y)
�/� By:KE Tails Par 1roprt .LLC
Printed Name rK A v/B ( f
(KA
� Q.) ` V Pr
1/
Printed Name/ 'itle Milton Flinn, President
(President,VP, or CEO)
1 (C( /�. C 'e fc_h/ (Provide Proper Evidence of Authority)
Printed Name /"'
ATTEST:
DWIGHT E. BROCK, CLERK BOARD OF COUNTY COMMISSIONERS
/ 2 O COLL •J.TY, ORIDA
B �"-
y• f By: 4 _-
Deputy Clerk a -
Appr vied as t form and t ality:
TIM NANCE, CHAIRMAN
Assistant County Attorney
Scott A. Stone
Collier County
Growth Management Division
2800 Horseshoe Drive N.
Naples, FL 34104
239-252-2400
RECEIPT OF PAYMENT . !1
0
Receipt Number: 2015251587
Transaction Number: 2015-032055
Date Paid: 06/15/2015
Amount Due: $38,321.95
Payment Details: Payment Method Amount Paid Check Number
Check $38,321.95 74503604
Amount Paid: $38,321.95
Change / Overage: $0.00
Contact: KE TAUS PARK PROPERTIES LLC
4500 PGA BLVD STE 400
, 33418
FEE DETAILS:
Fee Description Reference Number Oriainat Amount GL Account
Leg Paid
Refundable Bonds PL20150000146 $38,321.95 $38,321.95 670-000000-220113
Cashier Name: AmandaBayoumi
Batch Number: 4532
Entered By: melissaalvarez
1646
CORSICA WAY - PPLA
OPINION OF PROBABLE COST - PPLA PLAT BOND
Waldrop Engineering File No. :244-34-02
SUMMARY
Construction Construction Work
Cost Completed Remaining
Demolition $14,240.00 $14,240.00 $0.00
Earthwork $18,581.50 $18,581.50 $0.00
Drainage $150,398.00 $150,398.00 $0.00
Code Minimum Landscaping $80,000.00 $68,000.00 $12,000.00
Sub-Total $263,219.50 $251,219.50 $12,000.00
10%0&M $26,321.95 $26,321.95
Total $289,541.45 Bond Amount $38,321.95
Bond Amount= 10%O&M+Work Remaining=$38,321.95
16
DEMOLITION
Estimated Quantity Amount Amount
Description Unit Unit Price Amount
Quantity Completed Completed Remaining
Removal of Existing Storm Pipe LF 1,244 $10.00 $12,440.00 $1,244.00 $12,440.00 $0.00
Removal of Existing Storm Structure EA 3 $600.00 $1,800.00 $3.00 $1,800.00 $0.00
SUBTOTAL= $14,240.00 $14,240.00 $0.00
16A6 6
EARTHWORK
Estimated Quantity Amount Amount
Description Unit Unit Price Amount
Quantity Completed Completed Remaining
Sod(Lake Bank) SY 5,299 $3.00 $15,897.00 5,299 $15,897.00 $0.00
Silt Fence(Single Row) LF 1,534 $1.75 $2,684.50 1,534 $2,684.50 $0.00
SUBTOTAL= $18,581.50 $18,581.50 $0.00
16 A 6
DRAINAGE
Estimated Quantity Amount Amount
Description Unit Unit Price Amount
Quantity Completed Completed Remaining
15"HDPE LF 132 $32.00 $4,224.00 132 $4,224.00 $0.00
24"RCP LF 946 $54.00 $51,084.00 946 $51,084.00 $0.00
30"RCP LF 398 $65.00 $25,870.00 398 $25,870.00 $0.00
36"RCP LF 98 $90.00 $8,820.00 98 $8,820.00 $0.00
15"Mitered End Section EA 3 $1,500.00 $4,500.00 3 $4,500.00 $0.00
15"Endwall EA 1 $2,100.00 $2,100.00 1 $2,100.00 $0.00
24"Endwall EA 2 $2,500.00 $5,000.00 2 $5,000.00 $0.00
30"Endwall EA 2 $2,800.00 $5,600.00 2 $5,600.00 $0.00
36"Endwall EA 1 $3,200.00 $3,200.00 1 $3,200.00 $0.00
Junction Box EA 8 $5,000.00 $40,000.00 8 $40,000.00 $0.00
SUBTOTAL= $150,398.00 $150,398.00 $0.00
16A6 6
LANDSCAPING
Estimated Quantity Amount Amount
Description Unit Unit Price Amount
Quantity Completed Completed Remaining
Landscaping
Code Minimum Landscaping LS 1 $80,000.00 $80,000.00 1 $68,000.00 $12,000.00
SUBTOTAL= $80,000.00 $68,000.00 $12,000.00
Corsica at Talis Park—PL20150000146
Plat Recording Application o A6
Evidence of Authority
1 copy
i6A6 ,6
2014 FOREIGN LIMITED LIABILITY COMPANY ANNUAL REPORT FILED
DOCUMENT#M11000000316 Apr 25, 2014
Entity Name: KE TALIS PARK PROPERTIES, LLC Secretary of State
CC9687609126
Current Principal Place of Business:
4500 PGA BLVD.,SUITE 400
PALM BEACH GARDENS, FL 33418
Current Mailing Address:
4500 PGA BLVD., SUITE400
PALM BEACH GARDENS, FL 33418
FEI Number:27-4577581 Certificate of Status Desired: No
Name and Address of Current Registered Agent:
SPEER,GEORGE
4500 PGA BLVD.,SUITE 400
PALM BEACH GARDENS,FL 33418 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Authorized Person(s) Detail :
Title AUTHORIZED MEMBER Title CEO
Name KE TALIS PARK HOLDINGS,LLC Name KITSON,SYDNEY W
Address 4500 PGA BLVD.,SUITE 400 Address 4500 PGA BLVD.,SUITE 400
City-State-Zip: PALM BEACH GARDENS FL 33418 City-State-Zip: PALM BEACH GARDENS FL 33418
Title P Title EVP
Name FLINN,MILTON Name HOBAN,THOMAS M
Address 4500 PGA BLVD.,SUITE 400 Address 4500 PGA BLVD.,SUITE 400
City-State-Zip: PALM BEACH GARDENS FL 33418 City-State-Zip: PALM BEACH GARDENS FL 33418
Title ST Title AS
Name SPEER,GEORGE G Name WOODS,ERICA S.
Address 4500 PGA BLVD.,SUITE 400 Address 4500 PGA BLVD.,SUITE 400
City-State-Zip: PALM BEACH GARDENS FL 33418 City-State-Zip: PALM BEACH GARDENS FL 33418
Title ASST.TREASURER Title VP
Name DISTEFANO,PAUL Name VANDER MAY,WILLIAM R.
Address 4500 PGA BLVD.,SUITE 400 Address 4500 PGA BLVD.,SUITE 400
City-State-Zip: PALM BEACH GARDENS FL 33418 City-State-Zip: PALM BEACH GARDENS FL 33418
Continues on page 2
I hereby certify that the Information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am a managing member or manager of the limited liability company or the receiver or trustee empowered to execute this report as required by Chapter 6O5 Florida Statutes;and
that my name appears above,or on an attachment with all other like empowered.
SIGNATURE:SYDNEY W. KITSON CHIEF EXECUTIVE 04/25/2014
OFFICER
Electronic Signature of Signing Authorized Person(s)Detail Date
16 A6
Authorized Person(s) Detail Continued :
Title VP
Name DOUGHERTY,ALFRED
Address 4500 PGA BLVD.,SUITE 400
City-State-Zip: PALM BEACH GARDENS FL 33418 •