Backup Documents 04/11/2017 Item #16A 5 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A
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 Hoard meeting.
**NEW** ROUTING SLIP Pfit040(4/1C
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the documentQ%already complete with the
exception of the Chairman's signature,draw a line through routinglines#1 through#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
2.
4
3 County Attorney Office County Attorney Office
"i/
1 I/1 )
4. BCC Office Board of County
Commissioners �r�� / 4\14l1-\
5. Minutes and Records Clerk of Court's Office 1+(\ �!
IZ• 1[
pip
PRIMARY CONTACT INFORMATION l `
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 M.A nilssci f2 ('� Phone Number 27219
Contact/ Department �Ct !(�1�1� t/ 1
Agenda Date Item was --I Agenda Item Number
Approved by the BCC 2� I 5—
Type of Document (A41 txe4 Number of Original 1}
Attached Documents Attached
PO number or account p,
number if document is 13(— 13%371 UJ�t— -1 O 6U
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?
2. Does the document need to be sent to another agency for additional signatures? If yes, ►V'(I
provide the Contact Information(Name;Agency;Address; Phone)on an attached sheet. 1'(
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 Ma
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's
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 ry
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. iM
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 111
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on l\ l I 1'7 and all changes made
during the meeting have been incorporated in the attached document. The County
9. Attorney's Office has reviewed the changes,if applicable.
Initials of attorney verifying that the attached document is the version approved by the p •
BCC,all changes directed by the BCC have been made,and the document is ready forth ,xa°K
Chairman's signature, tats a
1.Forms/County Forms/HCC Forms/Original Documents Routing Slip wWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
16A 5
INSTR 5393197 OR 5384 PG 1161
RECORDED 4/19/2017 9:01 AM PAGES 5
DWIGHT E.BROCK,CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
DOC@.70$0.70 REC$44.00
This instrument was prepared by:
Charles Mann,Esquire
PAVESE LAW FIRM
1833 Hendry Street
Post Ofitee Drawer 1507
Fort Myers,Florida 33902
UTILITY FACILITIES QUIT-CLAIM DEED AND BILL OF SALE
THIS INDENTURE made this I i— day of e r . I , 2017, between the Board of County
Commissioners of Collier County, Florida, as governing body of Collier County and as the Ex-
Officio Governing Board of the Collier County Water-Sewer District (hereinafter referred to as
"Grantor"),and Lennar Homes,LLC,a Florida limited liability company,whose post office address is
10481 Six Mile Cypress Pkwy, Fort Myers, Florida 33966 (hereinafter referred to as "Grantee").
(Wherever used herein the terms "Grantor" and"Grantee" include all the parties to this
instrument and their respective heirs, successors and assigns.)
WITNESSETH:
That Grantor, for and in consideration of the sum of Ten Dollars($10.00)and other good and valuable
consideration to said Grantor in hand paid by said Grantee,the receipt whereof is hereby acknowledged,
does hereby remise, release,and quitclaim unto said Grantee forever, all sewer utility facilities and/or
system(s)or portion(s)thereof lying in,on,over and under the following described land, all situate and
lying and being in Collier County, Florida, to wit:
(See Exhibit"A"and"A-1"attached hereto and incorporated by reference herein.)
(Exhibit"B"attached hereto is a sketch or other graphic representation that depicts the
physical location of the utility systems being conveyed)
and said Grantor does hereby remise, release, and quitclaim unto Grantee all the right, title, claim
and demand which Grantor has in and to the said sewer utility facilities and/or system(s) or
portion(s)thereof. Grantor and Grantee are used for singular or plural, as the context allows.
The purpose of this quit-claim deed and bill of sale is to convey back to Grantee all irrigation utility
facilities contained in Official Records Book 5133, at Page 2906, Public Records of Collier County,
Florida.
(This conveyance is being made for title purposes only;
therefore,only minimum documentary stamp taxes are affixed hereto.)
2)
16 A 5
In Witness Whereof,the said Grantor has caused these presents to be executed in its name by its
Board of County Commissioners acting by the Chairman or Vice of said Board,the day and year
aforesaid.
k, ' 1.9 i ': , BOARD OF COUNTY COMMISSIONERS
ATTES4.
T' i. : ., COLLIER COUNTY,FLORIDA
Dwight E Brock?Clerk
By: ► 1 '�-- A ►�i i•► By:
Lac? !�
Attest as to Chairman Pe..,..t Tttr,Chairman
signature only, , .......,',, ,
App ved as to form and legality:
,14 4/(1/7
Scott A. Stone
Assistant County Attorney
0
16 A 5
EXHIBIT"A"
(Reference: Giaveno SDP PL 2013-1215 Utility Dedication)
Lipari-Ponziane,Tract FD-2 Replat
(Sewer Facilities located within Tract"FD-2")
Collier County Utility Easement(C.U.E.)(Labeled C.U.E."A")and proposed Collier County Utility
Easement (C.U.E.) (Labeled C.U.E. "B") as described on the attached Exhibit "A-1", and all as
depicted on attached Exhibit"B", in Tract"FD-2", according to the plat of Lipari-Ponziane,Tract
FD-2 Replat, as recorded in Plat Book 54, Pages 68-69, of the Public Records of Collier County,
Florida.
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1 6A 5
FORM 88 MEMORANDUM OF VOTING CONFLICT FOR
COUNTY, MUNICIPAL, AND OTHER LOCAL PUBLIC OFFICERS
LAST NAME—FIRST NAME—MIDDLE NAME NAME OF BOARD,COUNCIL,COMMISSION.AUTHORITY,OR COMMITTEE
Solis, Andrew I. Collier County Board of County Commissioners
MAILING ADDRESS THE BOARD,COUNCIL,COMMISSION,AUTHORITY OR COMMITTEE ON
.3299 Tamiami Trail East, Suite 300 WHICH I SERVE IS AUNIT OF:
CITY COUNTY L CITY d COUNTY CJ OTHER LOCAL AGENCY
Naples Collier NAME OF POLITICAL SUBDIVISION:
Collier County
I DATE ON WHICH VOTE OCCURRED MY POSITION IS:
l April 11, 2017 d ELECTIVE iJ APPOINTIVE
WHO MUST FILE FORM 8B
This form is for use by any person serving at the county, city, or other local level of government on an appointed or elected board, council,
commission, authority, or committee. It applies to members of advisory and non-advisory bodies who are presented with a voting conflict of
interest under Section 112.3143, Florida Statutes.
Your responsibilities under the law when faced with voting on a measure in which you have a conflict of interest will vary greatly depending
on whether you hold an elective or appointive position. For this reason, please pay close attention to the instructions on this form before
completing and filing the form.
INSTRUCTIONS FOR COMPLIANCE WITH SECTION 112.3143, FLORIDA STATUTES
A person holding elective or appointive county, municipal, or other local public office MUST ABSTAIN from voting on a measure which
would inure to his or her special private gain or loss. Each elected or appointed local officer also MUST ABSTAIN from knowingly voting on
a measure which would inure to the special gain or loss of a principal (other than a government agency) by whom he or she is retained
(including the parent, subsidiary, or sibling organization of a principal by which he or she is retained);to the special private gain or loss of a
relative:: or to the special private gain or loss of a business associate. Commissioners of community redevelopment agencies(CRAs)under
Sec. 163.356 or 163.357, F.S., and officers of independent special tax districts elected on a one-acre, one-vote basis are not prohibited
from voting in that capacity.
For purposes of this law. a "relative' includes only the officer's father, mother, son, daughter, husband, wife, brother, sister, father-in-law,
mother-in-law: son-in-law, and daughter-in-law. A"business associate" means any person or entity engaged in or carrying on a business
enterprise with the officer as a partner; joint venturer, coowner of property; or corporate shareholder (where the shares of the corporation
are not listed on any national or regional stock exchange).
ELECTED OFFICERS:
In addition to abstaining from voting in the situations described above,you must disclose the conflict:
PRIOR TO THE VOTE BEING TAKEN by publicly stating to the assembly the nature of your interest in the measure on which you are
abstaining from voting: and
WITHIN 15 DAYS AFTER THE VOTE OCCURS by completing and filing this form with the person responsible for recording the
minutes of the meeting,who should incorporate the form in the minutes.
f x * * * x * + x x * * • * * * '
APPOINTED OFFICERS:
• Although you must abstain from voting in the situations described above, you are not prohibited by Section 112.3143 from otherwise
participating in these matters. However, you must disclose the nature of the conflict before making any attempt to influence the decision,
whether orally or in writing and whether made by you or at your direction.
IF YOU INTEND TO MAKE ANY ATTEMPT TO INFLUENCE THE DECISION PRIOR TO THE MEETING AT WHICH THE VOTE WILL BE
TAKEN:
• You must complete and file this form(before making any attempt to influence the decision)with the person responsible for recording the
minutes of the meeting,who will incorporate the form in the minutes. (Continued on page 2)
CE FORM 8B-EFF. 11/2013 PAGE t
Adopted by reference in Rule 34-7 010(1)(f),F.A.C.
16A5
APPOINTED OFFICERS (continued)
• A copy of the form must be provided immediately to the other members of the agency.
• The form must be read publicly at the next meeting after the form is filed.
IF YOU MAKE NO ATTEMPT TO INFLUENCE THE DECISION EXCEPT BY DISCUSSION AT THE MEETING:
• You must disclose orally the nature of your conflict in the measure before participating.
• You must complete the form and file it within 15 days after the vote occurs with the person responsible for recording the minutes of the
meeting,who must incorporate the form in the minutes.A copy of the form must be provided immediately to the other members of the
agency, and the form must be read publicly at the next meeting after the form is filed.
DISCLOSURE OF LOCAL OFFICER'S INTEREST
Andrew I. Solishereby disclose that on April 11 20 17
(a)A measure came or will come before my agency which(check one or more)
inured to my special private gain or loss;
inured to the special gain or loss of my business associate,
inured to the special gain or loss of my relative,
inured to the special gain or loss of a client of my law firm, Lennar Homes, LLC , by
whom I am retained; or
inured to the special gain or loss of ,which
is the parent subsidiary, or sibling organization or subsidiary of a principal which has retained me.
(b)The measure before my agency and the nature of my conflicting interest in the measure is as follows:
On April 11, 2017, BCC Agenda Item 16A5, the Board will consider a recommendation to approve a quit-claim
deed and bill of sale between Collier County and Lennar Homes, LLC in order to re-convey sewer utility facilities
which were previously erroneously conveyed to the County.
The developer, Lennar Homes, LLC, is a client of my law firm, and in an abundance of caution, I will abstain from
voting pursuant to Section 286.012, Fla. Stat. to avoid any perceived prejudice or bias.
If disclosure of specific information would violate confidentiality or privilege pursuant to law or rules governing attorneys, a public officer,
who is also an attorney, may comply with the disclosure requirements of this section by disclosing the nature of the interest in such a way
as to provide the public with notice of the conflict.
/
April 11, 2017 ' - ^
Date Filed
NOTICE: UNDER PROVISIONS OF FLORIDA STATUTES §112.317, A FAILURE TO MAKE ANY REQUIRED DISCLOSURE
• CONSTITUTES GROUNDS FOR AND MAY BE PUNISHED BY ONE OR MORE OF THE FOLLOWING: IMPEACHMENT,
REMOVAL OR SUSPENSION FROM OFFICE OR EMPLOYMENT, DEMOTION, REDUCTION IN SALARY, REPRIMAND, OR A
CIVIL PENALTY NOT TO EXCEED$10,000.
PAGE 2
CE FORM 85-EFF 1112013
Adopted by reference in Rule 34-7 010(1)(f),F.A.C.