Backup Documents 07/11/2017 Item #16C 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16k) j, 9
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 7
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. _ ��
**NEW** ROUTING SLIP t
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 7113\r)
2. BCC Office Board of County .\c,..,\
` c
Commissioners V\/�1 7\\2✓\l' .
3. Minutes and Records Clerk of Court's Office1111
i( f 3= O
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 Cindy M. Erb Phone Number 239-252-8917
Contact/ Department
Agenda Date Item was Agenda Item Number J / n
Approved by the BCC `1\ t\ Z0 1 1 (p C�
ch/ ,
Type of Document - Number of Original
�
Attached i 7\ \\ S Documents Attached I
PO number or account Account: Fund , Cost Center ,
number if document is Object Code 649030, Project
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)
I. Does the document require the chairman's original signature? 5ke d Cw't1'L
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 �L
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 N/A
document or the final negotiated contract date whichever is applicable. Wi
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman'sr ,,�p --
signature and initials are required. 01,'°l.)
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 -1\ t ihC 17 ,and all changes
made during the meeting have been incorporated in t'he attached document. The 64
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 Cc
Chairman's signature. "
„,
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
16C 9
Memorandum
TO: Minutes & Records
FROM: Cindy Erb, Property Acquisition Specialist, Sr., Real Property Management
DATE: July 11, 2017
RE: Las Brisas — Bill of Sale
This item was accepted by the BCC on July 11, 2017, Agenda Item 16C9.
Please attest to Commissioner Taylor's signature as Chairman on the Bill of Sale.
Also, please forward the Bill of Sale to the Recording Department for recordation. A
recording form is attached.
Please contact me if you have any questions or comments at Extension 8917.
Thank you!
PR T1 rP nP 16C9
OJEC O Wate ODS Easeme t rosea
PARCEL.LAS BRISAS
BILL OF SALE OF IRRIGATION QUALITY FACILITIES
This Bill of Sale is executed this 1 1 day of W , 2017, on behalf
of the BOARD OF COUNTY COMMISISIONERS OF COLLIER COCU, TY,FLORIDA,AS THE
GOVERNING BODY OF COLLIER COUNTY AND AS EX-OFF IO THE GOVERNING
BOARD OF THE COLLIER COUNTY WATER-SEWER DISTRICT, ("Grantor") to LAS
BRISAS NEIGHBORHOOD ASSOCIATION, INC., a Florida not-for-profit corporation, its
successors and assigns, ("GRANTEE").
GRANTOR, for and in consideration of Ten Dollars ($10.00) and other good and
valuable consideration from GRANTEE to GRANTOR, receipt of which is hereby
acknowledged, GRANTOR herby CONVEYS to GRANTEE, its successors and assigns
forever, ownership in and to any and all pipe, fittings, the 4-inch gate valve, and any other
infrastructure or improvements appurtenant thereto or thereunder, associated therewith and/or
connected thereto, located downstream of the customer point of delivery, which is the 4-inch
gate valve, for GRANTEE'S operation, replacement, repairs, maintenance, and/or relocation,
lying and being in Collier County, Florida, as follows:
(Exhibit"A"attached hereto is a sketch or other graphic representation that
depicts the physical location of items being conveyed by this Bill of Sale.)
IN WITNESS WHEREOF, Grantor has caused this Bill of Sale to be executed the date
and year first above written as authorized by the Board of County Commissioners as the
governing body of Collier County and as ex-officio the governing board of the Collier County
Water-Sewer District.
BOARD OF COUNTY COMMISSIONERS OF COLLIER
COUNTY, FLORIDA, AS THE GOVERNING BODY OF
COLLIER COUNTY AND AS THE EX-OFFICIO
GOVERNING BOARD OF COLLIER COUNTY THE
ATTEST: WATER-S E TRICT
DWIGHT E.BROCK,Clerk
r&•, 1 BY:
1 eputy Cle PENNY T •R, Chair I''
Att:• as to Chairman)
X 17"Approvedras to form and I alit -
By oA
Jenurrer A. Belpedio.Ass slant County Attorney \���
Accepted by GRANTEE: LAS E RI AS N. I BOHO9D ASSOCIA • , IN
a Flor da not-for-pr. it cgrfiol'@tion
By:
MIKE SHEPHERD, President
41 STATE OF FLORIDA
COUNTY OF COLLIER
r C The foregoing Bill of Sale is acknowledged before me this L'5 day of ,LA.,,--3—"" 2017.
by Mike Shepherd, as President on behalf of LAS BRISAS NEIGHBORHOOD ASS CIATION, INC., a
+ �I Florida not-for-profit corporation, who is personally known to me or who has produced
>0 c c as identification. p ,
>27.0 3
C)m`_w0 c o�rA:.°"� WILLIAM HAUBRICH IA \Wl
E ��., , ,< MY COMMISSION 1 FF 076975 Notary Public
* "�n�'" * EXPIRES:April 15,2018 My Commission Expires' i-1
t�a'o �'4,„'M10 '~ Bondsd Thai Budget Notary Services
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