Backup Documents 01/26/2016 Item #16D11 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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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 Attgrney Office no later
than Monday preceding the Board meeting. [ J II,
**NEW** ROUTING SLIP V K'k; (-`-
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is air ady 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. Cormac Giblin Community and Human
Services
2. County Attorney Office County Attorney Office I� I 1
3. BCC Office Board of County
Commissioners NA47 / '42.1`C-t -�
4. Minutes and Records Clerk of Court's Office
28(17 3:240fo,
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 Cormac Giblin/CHS Phone Number 252-2399
Contact/ Department
Agenda Date Item was �} ( ` Agenda Item Number 16.D.11
Approved by the BCC 1-19` — "` �
Type of Document Termination of Affordable Housing Density Number of Original 1
Attached Bonus Agreement Documents Attached
PO number or account
number if document is 116-138711-649030-50137.1
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? CG
2. Does the document need to be sent to another agency for additional signatures? If yes, NA
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 CG
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 NA
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 CG
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 CG
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_1/26/16 and all changes made CG
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
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
16011
INSTR 5373652 OR 5367 PG 3807
RECORDED 3/2/2017 4:12 PM PAGES 5
Prepared by and after DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
recording return to: COLLIER COUNTY FLORIDA
Jeff Wright REC$44.Q0
Goede,Adamczyk,DeBoest,&Cross,PLLC
8950 Fontana Del Sol Way,First Floor
Naples,FL 34109
TERMINATION OF AFFORDABLE HOUSING
DENSITY BONUS AGREEMENT
This Termination of Affordable Housing Density Bonus Agreement is executed as of
'Qr. ,q Z. , 20 Uo by the Board of County Commissioners of Collier County,
Florida (the " mmission") and Saddlebrook Seven LLC, Rach Saddlebrook LLC, and DAFR
Saddlebrook LLC, each a Florida limited liability company, (collectively the "Current Owner").
WHEREAS, the Current Owner is the assignee of that certain Affordable Housing
Density Bonus Agreement dated as of December 9, 1997 as recorded in Official Records Book
2374, Page 2544, as subsequently assigned in Official Records Book 4894, Page 1193, and as
subsequently assigned in Official Records Book 5032, Page 273, all of the Public Records of
Collier County, Florida(the "Affordable Housing Density Bonus Agreement"); and
WHEREAS, the Current Owner, by its execution hereof certifies, represents and
warrants to the Commission that:
a. The term of the Affordable Housing Density Bonus Agreement as defined therein
ended on March 24, 2015 and all conditions precedent to the Termination of the Affordable
Housing Density Bonus Agreement have been fulfilled.
b. All payments of any amounts due under the Affordable Housing Density Bonus
Agreement are fully paid and all obligations thereunder have been met. There is currently no
default under the Affordable Housing Density Bonus Agreement.
WHEREAS, the Commission has authorized the execution and delivery of this
Termination of Affordable Housing Density Bonus Agreement; and
WHEREAS, by execution of this Termination of Affordable Housing Density Bonus
Agreement by both parties, the Affordable Housing Density Bonus Agreement will be
terminated as of the date of its recording in the Official Records of Collier County, Florida
IN WITNESS WHEREOF, Commission and the Current Owner hereby agree to
terminate the Affordable Housin ens'ty Bonus Agreement.
Page 1 of 5
6
COUNTERPART SIGNATURE PAGE FOR THE COMMISSION
TERMINATION OF AFFORDABLE HOUSING DENSITY BONUS AGREEMENT
(Saddlebrook Apartments Project)
[SEAL]
ATTEST: BOARD OF COUNTY COMMISSIONERS OF
DWIGHT E. BROCK, CLERK COLL r NTY, FLORIDA
�Cll. L>
$ "' ' B .
Deputy Clerk Penn aylor, Ch ' n
Printed Name: 1'4\a,` 6'4 , eAo Vo—
v
Attest as to Chairma s
signatureonly.
Approved as to form and legality:
Jennifer Belpedio
Assistant County Att ney
Page 2 of 5
16011
COUNTERPART SIGNATURE PAGE FOR SADDLEBROOK SEVEN LLC
TERMINATION OF AFFORDABLE HOUSING DENSITY BONUS AGREEMENT
(Saddlebrook Apartments Project)
Signed, sealed and delivered SADDLEBROOK SEVEN LLC, a Florida limited
in our presence as witnesses: liability company
034
Print Name: ' c-, A m k.1 B
y�
Name: Soleiman Rabanipour
����'�� Title: Manager
Print Name: E . Snit
STATE OF I�r ic-\._.
COUNTY OF (`
The foregoing instrument was acknowledged before me this 10Aday of
eve- , 2017, by Soleiman Rabanipour, as Manager of SADDLEBROOK
SEVEN LLC, a Florida limited liability company, on behalf of the company, who (.X) is
personally known to me or ( ) has produced as identification.
Note: If a form of identification is not inserted in the foregoing blank, then the person is
personally known to me. 441' JUSTIN WILLIAM WALLACE
.�iS:"�.? Commission#FF 241123
i .
, My Commission Expires
-'J e June 16, 2019
T
NOTARY PUBLIC —STATE OF FLORIDA
Print Name: t�;� , \i‘.4.11\c, ..
My Commission Expires16436)i6(
Page 3 of 5
16011
COUNTERPART SIGNATURE PAGE FOR RACH SADDLEBROOK LLC
TERMINATION OF AFFORDABLE HOUSING DENSITY BONUS AGREEMENT
(Saddlebrook Apartments Project)
Signed, sealed and delivered RACH SADDLEBROOK LLC, a Florida limited
in our presence as witnesses: liability company
Print Name: Lxsa,'M‘ 4e he (.\ By: �4ti . e
. ,
Name: David Shwek� `�
V , . Title: Manager
Prin ,304, -(<,
ame: E.. S 111t-HA
STATE OF to f i G'L
COUNTY OF Ofe
The foregoing instrument was acknowledged before me this `D r1' day of
ZI-Tori>„ke,r vk , 2017, by David Shweky, as Manager of RACH SADDLEBROOK LLC,
a Florida limited liability company, on behalf of the company, who (.is personally known to
me or ( ) has produced as identification. Note: If a form of
identification is not inserted in the foregoing blank,then - -.---:---;i:-:-;,-1 .i me.
Ariel Commission# FF 241123
14-;.s, ;jo i� My Commission Expires
41 ;,,`� June 16, 2019
NOTARY PUBTTQC_-STATE OF FLORIDA
Print Name:. �54.;`c, Wo I lc(t _—
My Commission Expires: 'S-.1 r e li.2_t_ di 7
Page 4 of 5
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COUNTERPART SIGNATURE PAGE FOR DAFR SADDLEBROOK LLC
TERMINATION OF AFFORDABLE HOUSING DENSITY BONUS AGREEMENT
(Saddlebrook Apartments Project)
Signed, sealed and delivered DAFR SADDLEBROOK LLC, a Florida limited
in our presence as witnesses: liability company
Print Name:Loz, \ \t•t� ' By: rciAizAL
31/1&:?/1
Name: David Shweky
Title: Manager
Print Name: L.- Sm)-fin
STATE OF.ho
COUNTY OF 0 rex.—-e --�
The foregoing instrument was acknowledged before me this <i 'day of
, 2017, by David Shweky, as Manager of DAFR SADDLEBROOK LLC,
a Florida limited liability company, on behalf of the company, who ( .. is personally known to
me or ( ) has produced as identification. Note: If a form of
identification is not inserted in the foregoing blank, then the person is_persoi &1 ]rnnwnio me.
'4";:%, JUSTIN WILLIAM WALLACE
E."I's Commission#FF 241123
My Commission Expires
G+t‹, June 16, 2019
NOTARY PUBLIC— STA E OF FLORIDA
Print Name: S 1
My Commission Expires:"'�L r L /6 aUi 9
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