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Agenda 09/11/2012 Item #16B49!.1 112012 Ite7 16. E .4 Recommendation that the Collier County Cornmunity Redevelopment Agency (CRA) approve the application and recipient agreement for the Immokalee CRA Commercial Facade Improvement Grant Program for r' imbursement of $20,000 for facade improvements to Paralegal & Notary Multi Si rviq es, Inc. located at 1007 North 15th Street (SR 29), Immokalee, Florida 34142. OBJECTIVE: To approve the attached Commerceil Facade Grant Application and Agreement between the Collier County CRA and Paralegal & Notary Multi Services, Inc. in the amount of $20,000 for facade improvements to this company's owned commercial property located at 1007 North 15th Street (SR 29), Immokalee Florida 34142. CONSIDERATIONS: On July 22, 2008, Agenda, Item 8G, at Public Hearing, the Board of County Commissioners approved Ordinance No. 0-40 amending Ordinance No. 2002 -38 in order to create a Commercial Facade Improvement Grant Program within the geographical limits of the Immokalee Community Redevelopment Agency. The purpose of the Facade Improvement Grant Program is to increase commercial occupancy rates and property values within the CRA while revitalizing the overall appearance of the Immokalee Urban Designated Area. Eligible applicants can receive grant funding up to $120,000 as reimbursement, using a one -half (' /z) -to -1 match with equal applicant funding for facade improvements to commercial structures. Paralegal & Notary Multi Services, Inc. has met all the application process approved by the CRA commercial property located at 1007 North 15th Exhibit A represents the Application submitted f Agreement. Back up documentation attached to t: Commitment of Resources Form (Exhibit C), Prc Payment Verification (Exhibit E), Proof of Prop (Exhibit G), Conceptual Rendering (Exhibit H), Bt; Existing Conditions (Exhibit J). criteria for reimbursement as required by oard for facade improvements to their reet (SR 29), Immokalee Florida 34142. approval and Exhibit B is the Recipient Executive Summary includes: Applicant of Ownership (Exhibit D), Property Tax i Insurance (Exhibit F), Contractor Bids .ess Tax Receipt (Exhibit I) and Photos of FISCAL IMPACT: Sufficient budget exists within the FY2013 Immokalee CRA Fund (186) to satisfy this grant application. This facade grant project total is $40,800 and the grant request is $20,000. CONSISTENCY WITH GROWTH MANAGEMgNT PLAN: The Immokalee Commercial Facade Grant Program furthers the programs and (projects within the budgetary and policy guidance and directives of the Community Redevelopment Agency and the Board of County Commissioners in furtherance of Policy 4.2 of the Future Land Use Element of the Growth Management Plan which reads as follows: Packet Page -2$29 - 9111,2012 Item 10. -S,4 " * * * *Tne Immokalee Area Master Plan addresses conservation, future land use, population, recreation, transportation, housing, and the local economy. Major purposes of the Master Plan are coordination of land uses and transportation planning, redevelopment or renewal of blighted areas, and the promotion of economic development." LEGAL CONSIDERATIONS: This item was reviewed by the County Attorney, is legally sufficient, and requires majority support for approval. -JAK ADVISORY BOARD RECOMMENDATION: During the regular January 26, 2009 meeting, the Immokalee Community Redevelopment Agency Advisory Board approved a motion to allow the CRA Executive Director to approve applications for the Commercial Facade Grant Program to be submitted to the CRA Board for final approval, and that upon approval by CRA Executive Director, the applications will be ratified by the Immokalee Community Redevelopment Agency Advisory Board. RECOMMENDATION: Recommend that the Collier County Redevelopment Agency approve the application and recipient agreement for the Immokalee Community Redevelopment Agency (CRA) Commercial Facade Improvement Grant Program for reimbursement of $20,000 to Paralegal & Notary Multi Services, Inc. for improvements to their owned commercial property located at 1007 North 15th Street (SR 29), Immokalee Florida 34142. Prepared by: Bradley Muckel, Principal Project Manager Collier County Community Redevelopment Agency (CRA) — Immokalee Attachments: Exhibit A - Application Exhibit B - Recipient Agreement Exhibit C - Applicant Commitment of Resources Form Exhibit D - Proof of Ownership Exhibit E - Property Tax Payment Verification Exhibit F - Proof of Property Insurance Exhibit G - Contractor Bids Exhibit H - Conceptual Rendering Exhibit I - Business Tax Receipt Exhibit J - Photo of Existing Conditions Packet Page -2530- 9!� 1!-')0" 2 11 err COLLIER COUNTY Board of County Commissioners Item Number: 16.13.4. Item Summary: Recommendation that the Collier County Community Redevelopment Agency (CRA) approve the application and recipient agreement for the Immokalee CRA Commercial Facade Improvement Grant Program for reimbursement of $20,000 for facade improvements to Paralegal & Notary Multi Services, Inc. located at 1007 North 15th Street (SR 29), Immokalee, Florida 34142. Meeting Date: 9/11/2012 Prepared By Name: MuckelBradley Title: Project Manager, 8/23/2012 8:49:05 AM Submitted by Title: Project Manager. Name: MuckelBradley 8/23/2012 8:49:06 AM Approved By Name: PhillippiPenny Title: Executive Director, Immokalee CRA, Date: 8/23/2012 10:27:08 AM Name: KlatzkowJeff Title: County Attorney Date: 8/23/2012 10:48:08 AM Name: KlatzkowJeff Title: County Attorney Date: 8/23/2012 11:00:51 AM Name: FinnEd Title: Senior Budget Analyst, OMB Packet Page -2531- Date: 8/29/2012 2:21:11 PM Name: OchsLeo Title: County Manager Date: 9/1/2012 12:54:18 PM Packet Page -2532- 9111120 12 Item 16.E.4. 9!` 11291 fferr 1 E .E 4 Immokalee CRA i Commorcial I -apade Improvement Grant Application Commercial Facade Grant Application Applicant Information Grantee Name (company): Paralegal and Notary Multi Services, LLC Grantee /Site Address: 1007 North 15' Street (SR 29), Immokalee, FL 34142 Daytime Phone: (239) 657 -3677 Alternate Phone: (239) 839 -7944 E -Mail Address: paralega1716 @yahoo.com Do you own or lease the property? Own Occupational License No: 961661 Authorized Representative Signature: Proiect InfaIrrnation Describe the existing conditions of the site (attach additional sheets if necessary). The building, which was recently purchased by the applicant, has been historically used as a residential structure. The applicant will be renovating the entire shucture in order to use it as the headquarters for his business operation. i i Outline the proposed improvements in detail (attach additional sheets if necessary). Doors?windows, stucco, paint, asphalt driveway, landscaping /sor, new roof over entry. List Approved Contractors and Amounts. Freeman & Freeman Contracting, Inc. $41,800.00. REQUIRED ATTACHMENTS FROM APPLICANT: 1) One estimate each from TWO contractors for each project.These contractors MUST be listed in the onfille database 2) Business Omiers: copy of occupational license. CRA STAFF: 1) Attach two color photos of each project to be perforated. 2) Attach Property Appraiser I.D. Estimated cost of improvements: $41,800 Maximum grant award: 520,000 Packet Page -2533- 9!11 r20 121 1 te rr,. 1 rEf.:E, 4 commr,,RcIA,L,FACApri, IMPROVEMENT PROGRAM RECIPIENT AGREEMENT THIS AGREEMENT ENTERED this 11 0(day of Septembers 2012 by and between the Collier County Community Redevelopment Agency (CRA) (Immokaleo) (hereinafter re tir ed to as "CRA!') and' Paralegal & N-o—taa Multi Services. LL (company) (hereinafter zeftred "GRANTEE"). W IT N t'S'SE t' WHEREAS, Mi, COlier County Ordinance No.. M24-8 . - as amended J u ly 2 2, 2448; by Ordinance 2008-40, the Board of County Commissioners,delegated. authority to the -CRA to award and administer CRA programs and awards including contracts with business GRANTEES witlun the boundaries of the Immokalee CRA for CRA grants; and WH8REAS, -the CRA Commercial Facade. Improvement Program (hereinafter referred Jo as the Tagade Program) allows for the use of CRA funds, in conjunction with private investments, for certain improvements to, commercial structures located within thebowidarles of the'Iminokalee CRA-;: and WHEREAS,, he intent of the Facade Program is to increase commercial occupancy rates and property values within the CRA while revitalizing the overall appearance of the Immokalee Area; and WHEREAS, GRANTEE has. applied for a fagade grant in the amount, of $20.,000 dollars; and WHEREAS, the CRA has determined that GRANTEE meets the -eligibility requirements and was approved fbf a Facade Program award in the amount of $20,000 dollars on 9/11/12 ("CRA Approval"). NOW, THEREFORE, in consideration of the mutual covenants contained herein and othervaluable.consideratiom, the patties agree as follows. 1. GRANTEE acknowledges to the CRA that GRANTEE has :received awcopy of the Fagade Program, that GRANTEE has read the Facade Program Midies and Procedures document and that GRANTEE has had ample opportunity to discuss. the F49ade Program with, GRANTEVS counsel or advisor. GRANTEE further acknowledges.-to the CRA that GRAN-TEE understands and agrees to abide by all of the, terms and conditiont of the Fagade Program GRANTEE agrees to the tents and conditions of the Fagade,Program attached heretolas Exhibit A and Incorporated herein by reference. 2. GRANTEE is the record owner of property- described as: Folio # 00076600007 (32 46 29 210FT X 21 OFT IN SE COR OFNI12 OF NE114 OP-ISEI/4) -I- Packet Page -2534- 3. GRANTEE "has agreed to make certainimprovements to the property pursuant to the Facade Program application submitted to the.CRA dated 8716li2>attached hereto as'ExhibitB and incorporated herein by reference. 4. CRA has approved an award to GRANTEE .in the amount of $20,000 to be administered pursuant to the terms of this Agreement based on an estimated cost of $41,800. S. Unless prior disclosure is included in-the grant applications no GRANTEE, or' any immediate relative of GRANTEE, shall serve as; a contractor or subcontractor for the construction of ,the improvements and no GRANTEE or any immediate relative of GRANTEE, shall receive - compensation fore labor ifor the construction of the improvements: Am, immediate relative of I GRANTEE shall. include mother, father, ' brother, sister, aunt; uncle. and cousin or' family member by marriage to include mother- n-law, fathc in-law:; brother in -ia'w and sister -in- law: `GRANTEE has verified, that all contractors who have provided bids for the approved work, are actively licensed by Collier County and GRANTEE, agrees that all labor will be; performed Only by the lowest bidding contractor. G. GRANTEE, agrees to obtain all necessary ;permits and submit any required plans to the Collier County Community Development and Ei roninental. Services Division: Upon completion of the work, GRANTEE .shall submit a closeout package to: the CRA which will include all applicable (electrical, structural, fire, plumbing, etc:) finalAnspection verification from Collier County Building Inspection Division. The. CRA, through its staff,, small confirin that the improvements were constructed pursuant to the terns. of this agreement approved by the CRA and shall create a final report to include digital color photographs of the project. before and after completion. 7. Within forty -five. (45) days after confirmation that 'the improvements were constructed pursuant to the terms of the approved application, GRANTEE shall be issued a check '.in the amount of the award. However, if GRANTEE fails to make the :improvements pursuant to the terms of this agreement., including construction start within 90 days of execution of the grant agreement and completion within 12 months ofthe execution of.the grant agreement, the award shall be deemed revoked and GRANTEE shall be entitled to no funding. S. This Agreement shall be governed and construed pursuant to the laws of the State of Florida. 9. This Agreement, along with ita incorporated attachments, contains the entire agreement of the parties and their :representatives and agents, and incorporates all prior understandings, whether oral or written. No change,; modification or amendment, or any representation, promise or condition,, or any waiver; to this Agreement shall be bindingunless in writing and signed by a duly authorized officer of the party to be charged. 10. This Agreement is- personal to GRANTEE, and may not be assigned or transferred by GRANTEE or tor GRANTEE'S respective heirs, personal representatives,: successors or assigns without the prior: written consent of the CRA. -2 Packet Page -2535- 911'I V201 Itern 16.. ;.z Awl IN WITNESS WHEREOF, the parties have executed this Agreement on:the .date and year first written. above,: Wimes 'gnatur®; 1 ATTEST: DWIGHT E. BROC , Clerk , Deputy Clerk as to form and 4moy: Printed/Ty'PedWonne+'T , iC3e and By: Printed/Typed Name COLLIER COUNTY COMMUNITY REDEVELOPMENT AGENCY Ar Commissioner Donna Fiala, 'Chair This Agrl*ment is to be signed -and witnessed AFTER CRA.staff'has found the application to be complete. -3- Packet Page -2536- CRACoiVer County CommUNI, PedevelopmentAgeficy lmmokalee CPA I Commercial Faq,9do Wpr ovamant Gram fi- pplica ion Applicant Commitment of Resources J I / we, tenant(s) of the commercial property located at /l')�71 /'5`i� 4% 2'/YI�tO�'i�, have the funding and all other capability necessary to begin the site improvements listed above and have the ability to complete all improvements within one year of the approval of the improvement grant by the Collier County Community Redevelopment Agency. I / we further affirm that payment for all work on approved improvements will come from accounts in my / our name(s) or the name(s) of entities registered in the State of Florida which I / we have incorporated or otherwise registered with the state (verification is required). Payment for improvements by from persons or entities not a party to this Grant Application is grounds for disqualification. Signature of Tenant (if leased) Signature of Tenant (if leased) (if jointly Leased) gnatu e of Owner Signature of Owner (if jointly owned) Date Date /7/76/2- Date( 61-7 /z� ate Packet Page -2537- s 9/ i '4) ? V 1 n item �i L Scrateman 457149 0 _1- 01 -1:: Q1- 31 -121 i 0` Member Number From Thru Page Suncoast Schools Federal Credit Union www.suncoastfcu.org FIND OUT MORE ABOUT SUNCOAST'S G - 1704 PRODUCTS AND SERVICES TO HELP YOUR BUSINESS GROW. CALL TODAY PARALEGAL & NOTARY MULTI SERV 800 -999 -5887. 716 N 15TH ST -� IMMOKALEE FL 34142 -2806 I�f yflllllf' 1( I(" II' II( I' II(( 11' 1�(l(111(�(�f(��IIIII�(lill(111 .SUFFIX: 50 CLASSIC CHECKING PREVIOUS BALANCE 49659.99 DEPOSITS 190.22 CHECKS 5780.00 TOTAL NUMBER CHECKS CLEARED 4 MISC DEBITS 191.11 FEES /SERVICE CHGS .00 ENDING BALANCE 43879.10 POST EFF NEW DATE DATE TRANSACTION DESCRIPTION AMOUNT BALANCE 07/05 07/04 POS WITHDRAWAL -19.90 49640.09 000001670178294 B &L ACE HARDWARE IMMOKALEE FLUS 07/06 SHARE DRAFT # 1002 - 4425.00 45215.09 07/09 07/07 POS WITHDRAWAL -40.22 45174.87 048205034993 WM SUPERCENTER 95034 FORT MYERS FLUS 07/09 SHARE DRAFT # 1001 - 210.00 44964.87 07/11 SHARE DRAFT # 1003 -70.00 44894.87 07/11 07/10 POS WITHDRAWAL -1.58 44893.20 000001670178294 B &L ACE HARDWARE IMMOKALEE FLUS 07/16 07/14 POS WITHDRAWAL -26.18 44867.11 4445100056937 WALGREENS #5693 IMMOKALEE FLUS 07/16 DEPOSIT 100.00 44967.11 07/19 07/18 16.93 44984.04 048202237995 WM SUPERCENTER #2237 LEHIGH ACRES FLUS 07/26 DEPOSIT 50.00 45034.04 07/30 07/27 23.29 45057.33 048202237995 WM SUPERCENTER 42237 LEHIGH ACRES FLUS 07/30 07/28 POS WITHDRAWAL -9.96 45047.37 W0569321 WALGREENS 1450 IMMOKALEIMMOKALEE FLUS 07/30 07/27 POS WITHDRAWAL -93.27 44954.10 671070185660057 THE HOME DEPOT 48444 FT MYERS FLUS 07/30 SHARE DRAFT # 1004 - 1075.00 43879.10 CONTINUED ON NEXT PAGE Direct Inquiries to; PO Box 11904 - Tampa, FL 33680 -1904, (813) 621 -7511 or (800) 999 -5BB7 1 Packet Page -2538- JUG-- r Cris' Te rT .— a; hZTF 46&4E-Z_ 0 F K76; - N atet o 2n^ k ?tort r RECORDED 4,24x ,_ 2:4$ Ph', DAGc: tern Crot. DWIGHT E. BROC! - CLERK 07 THE CIRCUIT COUR- Universal Land Tidr;, LLG COLLIER COUNTY FLORIDA Lane, Suite 40i DDC @.70 $2,660.00 REC $10.00 Jacksonville, FL 32223_ Jacksonville, CONS $380,000.00 File Number; 36.36538 Consideraliom $360,000.00 (8paca Above This Line For Recording Pate) Warranty Deed 7 04t This Waffanty Deed made this n* dday of April, 2012,by Mohan Raj and Kiruba A. Raj, husband and wife whose post office address Is 721 N. loth Sl., Immokalee, FL 36142 grantor, to ParalegaM Notary Multi Services, LLC whose post office address is 716 N. 15th Street, tmrnokatee, FL 34142. grantee: (Whenever used herein the terms "grantor" and "grantee" Include ell the parties to this instrument and the heirs, legal representatives, and assigns of individuals, and the successors and assigns of corpera0e1`1s, trusts and trustees) Witnesseth, that said grantor, for and in consideration of the sum of TEN AND N01100 COLLARS ($10.00) and other good and valuable considerations to said grantor in hand paid by said grantee. the receipt whereof is hereby acknowledged, has granted, bargained, and sold to the said gr■nta¢. and grantee's heirs and assigns forever, the following described land, situate, lying and being in the Collier County, Florida, to -wit: Beginning at a point on the West line of the right-of-way of Stale Road 29 (Twenty Nine), 660 feel due South of the North line of the Northeast 114 of the Southeast 1/4 of Sectlon 32, Township 46 South, Range 29 East, thence due West 210 feet, thence North, parallel to the West line of sold right -of -way, 210 feet, thence East parallel to sold South line 210 feet, thence South along the West time of said right,-of-way 210 feet to Place of Beginning, Parcel Identification Number: 00076600007 Together with ail the tenements. hereditamenis and appurtenances thereto belonging or in anywise appertaining. To Have and to Hold, the same in fee simple forever. And the grantor hereby covenants Mtn said grantee that the grantor is lawfuiiy seized of said land to tee simple; that the grantor has good fight and lawful autho(rty to sell and convey said land: that the grantor hereby luk warrants the title 10 said IWO and will defend the same against the lawful Bairns of all persons whomsoever; and that said land is tree of all encumbrances, except taxes for the year of closing and subsequent years, resirickiom, reservations, covenenls and easements of record, If any. -in Witness Whereof, grantor has hq�eunto set grantors hand e dayyi year first ahoJo written ki�, 4:, jrh%5 Nome: A, State of Fiorlda county of 61, .l XeIf The foregoing instrument was acknowledged before me this day of April, 2012, by Mohan Raj and Kiruba A. Raj, husband and wife. who are personally known 10 me or as identification. /1-I)i i Notary RONALD E.J0NES 4 L COMiSSion DD 779590 Ekpires May 9, 20t2 ,,�•' tlm6r4R ,u7rw►'n0finmr84FLrF701! Packet Page -2539- Searcl Result: EKhibi'. �—: Prorlertl' 9.' ; d i 2'.,12 lies"` Collier County Tax Collector 3291 Tamiami Trail East, Naples FL 34112 2011 Tax Roll Inquiry System Print this page OWNER INFORMATION I F-PROPERTY INFORMATION Name: IRAJ. AIOHAN & KIRU13A A Parcel: 00076600067 Acre: 1.01 Address: 721 N 15TH ST Loc: 1007 15TH ST N INIHOKALEE i fa IS G View Address: F— 132,16 29 2107r X 2101717 IN SF. Add ress: Legal: COROFNl/2OFNE1 /4 OFSE1 /4 Addrcsvj JIM Address; I IMMOKALEE , FL 34142 -2805 Legal: VALUE/EXEMPTIONS Market Valne: 171,572 Taxable Valne: 171,572 Miliage Code: TAX INFORMATION PAY TERMS Nov: 2564.28 PAYMENT INFO paid Dt : lI/30/2011 Recpt: Q429G Mach: 30 Paymt: 2,564.28 Moe t: 200181 County: 645.56 Sehool St: School loc: 562.58 385.69 Dec: 2590.99 Jan: 26!7.70 Feb: 2644.41 Afar: 2671.12 Apr: Homested Ex: 0 Citp Tax: Dependt: R'ater: Independ: 0.00 308.69 58.65 530.74 AgricltrEx: W1dmvEx: �— Bltncl Ex: Disabled: ® � 0 STATUS INFO. Non Ad Va: Listallmcnt: N Delerred: N �� Bankrupt: 'tom Afay:0 Now Duc: D.OD Voter Appr. Gross Tax: Appi• fee:® Advertising: 13.93 2671.12 0.00 Veteran Ea: 0 Wholly Ex: Civilian Ex: �_� 0 COMMENTS ' ** Non Ad Valorem Amount Included in Gross Tax Non Ad Valorem Authorities NON AD VALOREM INFORMATION Type IlAuth # 71Auth Name Per Amount Gnrbagc 119013 Garbage Dist 2 165.28 COMMENTS Y Non Ad Valorem Amount Included in Gross Tax New Search Back To List 2003 Parcel Information 2004 Parcel Information 2005 Parcel Information ( 2006 Parcel Information 2007 Parcel Information 2008 Parcel Information 2009 Parcel Information 2010 Parcel Information Last Updated: 08/20/2012 5:00pm Packet Page -2540 - http://www.colliertax.com/search/view.php . iu— /- uy.)a/-i-vvo, page =l &tc =1 &taxyeal =2011 8/21/2012 x� „hi- c• r,.. B J I � D E R S R!SK: �:01'rIE;F�kG E Dru'rkRA- ,TI0N` The Declarations, Supplemental Declarations, Common American Zurich Insurance Company Policy Conditions, Commercial Inland Marine Conditions, A Stock Company Coverage Form(s) And Endorsement(s), if any, issued to Administrative Office: 1400 American Lane and forming a part thereof, complete the Commercial Schaumburg, IL 60196 Insurance Policy numbered as follows: THIS IS A COINSURANCE CONTRACT Fx� New Policy BR71330056 ❑ Renewal of Please read your policy. ❑ Rewrite of In return for the payment of the premium, and subject to all terms of this policy, we agree with you to provide the insurance as stated in this policy. 1. Named Insured and Mailing Address: 2. Producer Information: Freeman and Freeman Inc A Name: BB &T- OSWALD TRIPPE AND COMPANY PO Box 664 PO BOX 60139 Immokalee, FL 34134 FORT MYERS, FL 33906.6139 B Telephone # 239.433 -4535 C Fax # 866- 881 -5271 D Zurich Producer # 19685528 3. Policy Period — From: 0811 6/2 01 2 To: 08/16/2013 E Field Office Name SOUTHWEST FLORIDA 12:01 a.m. at your mailing address above. F Field Office Code SB 4. Form of Business: ❑ Individual ❑ Partnership 9 Corporation ❑ Joint Venture ❑ Other 5. Limits of insurance (either One -Shot or Reporting Form as indicated below) F SUPPLEMENTAL DECLARATIONS (If this box is checked, Supplemental Declarations is attached to and forms a part of this policy) ❑ Reporting Form (continuous policy) One -Shot (non - reporting formisingle structure policy) ❑ Annual Rate ❑ Monthly Rate (HBIS — 4) Ox 1-4 Family Dwelling ❑ Commercial Structure Property Location A) Any one building or structure ' 100; 15th Street B) All coverea property at all locations $ Immokalee, FL 34142 C) Rate Per Report D) Premium Per Report New Construction E) Total Taxes and Surcharges Per Report A) Any one building or structure $ 100,000 (per attached endorsement — N/A in NY) B) All covered property at all locations $ 100,000 F) Total Fully Earned Policy Premium Per Report (same as A unless otherwise noted) Remodeling D) Renovations and improvements $See now construction E) Existing buildings or structures $ F) Rate $ 0.666 G) Premium $ 666.00 H) 2005 Florida Hurricane Catastrophe $ 8.66 Fund (FHCF) Assessment 1) Total Fully Earned Policy Premium $ 674.66 minimum premium applicable) 6. Deductible: ❑$500 ❑$1,000 ❑$2,500 ❑$5,000 ZOther $1,500 7. Forms Applicable To This Coverage Part: SEE SCHEDULE OF FORMS AND ENDORSEMENTS Countersigned: Date By: Authorized Representative Packet Page -2541- FM- 170001 (04 -10) Non - Reporting Endorsement 9/' ir20 121 11e- 1E.E.4 GO ZURICH THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: BUILDERS RISK COVERAGE FORM Section E. ADDITIONAL CONDITIONS is amended as follows: 1. Paragraph e. of Additional Condition 3. When Coverage Begins And Ends is replaced by the following: e. Upon expiration of the policy. 2. Additional Condition 4. Reporting Provisions is replaced by the following: 4. Reporting Provisions a. The premium charged is fully earned and no refund is due to you when coverage ends. b. You will keep accurate construction records regarding property we cover under this policy. This includes the "total estimated completed value" of the property and a record of all contracts of sale dealing with the property. 3. Additional Condition 7. Coinsurance is replaced by the following: 7. Coinsurance If the limit of insurance is less than the "total estimated completed value' of the property insured, you will bear a portion of any loss. The amount we will pay is determined by the following steps: a. Divide the limit of insurance by the "total estimated completed value" of the Covered Property; b. Multiply the total amount of the covered loss, before the application of any deductible, by the percentage determined in paragraph a.; c. Subtract the deductible from the figure determined in paragraph b. Example No 1. (This example assumes there is no penalty for underinsurance.) Deductible $1,000 Reported value $100,000 "Total Completed Estimated Value' $100,000 Amount of loss or damage $60,000 a. Limit of Insurance/Total Estimated Completed Value $100,000/$100,000 = 1.00 b. Amount of loss x percentage in A $60,000 x 1.00 = $60,000 c. Deductible amount subtracted from results in B HB1S -1 (04.09) Page 1 of 2 Includes copyrighted material of insurance Services Office, Inc., with its permission. Packet Page -2542- r r.. lie: �, r L i .�. $60,00u - $'�,OOcl = $50.00 . Total amount of loss payable = $59,000 Example No. 2 (This example assumes there is a penalty for underinsurance.) Deductible $1,000 Limit of Insurance $100,000 "Total Completed Estimated Value" $120,000 Amount of loss $60,000 a. Limit of Insurance/Total Estimated Completed Value $100,000/$120,000 = .833 b. Amount of loss x percentage in A $60,000 x.833 = $49,980 c. Deductible amount subtracted from results in B $49,980 - $1,000 = $48,980 Total amount of loss payable = $48,980 All other terms, conditions, provisions and exclusions of the policy remain the same. HBIS -1 (04 -09) Page 2 of 2 Includes copyrighted material of Insurance Services Office, Inc., with its permission. Packet Page -2543- Windstorm Percentage Deductible 91112012 Item 16.E 4 ZURICHn THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY. This endorsement modifies insurance provided under the: BUILDERS RISK COVERAGE FORM SCHEDULE 1 100715th Street, Immokalee, FL 34142 Loc. # Address Windstorm Deductible Percentage: 3 % For loss or damage caused by windstorm, Section D. Deductible is replaced by the following: The Windstorm Deductible applies to loss or damage to Covered Property caused directly or indirectly by windstorm, regardless of any other cause or event that contributes concurrently or in any sequence to the loss or damage. If loss or damage from a covered weather condition other than windstorm occurs, and that loss or damage would not have occurred but for the windstorm, such loss or damage shall be considered to be caused by windstorm and, therefore, part of the windstorm occurrence. With respect to Covered Property, no other deductible applies to windstorm. The Windstorm Deductible applies whenever there is an occurrence of windstorm. WINDSTORM DEDUCTIBLE CLAUSE A. Non Reporting Form 9. The Deductible amount will be determined by multiplying the Windstorm Deductible Percentage as shown in the Schedule by the Limit of Insurance applicable to the property described in the Declarations that has sustained loss or damage. This Deductible is calculated separately for, and applies separately to, each location described in the Declarations, if the location sustains loss or damage. 2. We will not pay for loss or damage to Covered Property until the amount of loss or damage exceeds the applicable Deductible. We will then pay the amount of loss or damage in excess of that Deductible, up to the "total estimated completed value" or the Limit of Insurance for that Covered Property, B. Reporting Form 1. The Deductible amount will be determined by multiplying the Windstorm Deductible Percentage as shown in the Schedule by the 'total estimated completed value" of the location reported to us that has sustained loss or damage. This Deductible is calculated separately for, and applies separately to, each building or structure reported to us, if two or more buildings or structures sustain loss or damage. 2. We will not pay for loss or damage to Covered Property until the amount of loss or damage exceeds the applicable Deductible. We will then pay the amount of loss or damage in excess of that Deductible, up to the "total estimated completed value" reported to us for that Covered Property. All other terms, conditions, provisions and exclusions of this policy remain unchanged. HBIS -43 (04 -09) Includes copyrighted material of Insurance Services Office, Inc. with its permission. Page 1 of 1 Packet Page -2544- r20 ," FLORIDA NOTICE TO POLICYHOLDERS Section 627.4131 of the Florida Insurance Code requires that we furnish you the following telephone number for you to present inquiries or obtain information about coverage and to provide assistance in resolving complaints. When calling ask for the Builders Risk Plan Supervisor. HBIS 48 ED 5 -97 1 -800- 800 -3907 Packet Page -2545- 9/1 '1 /201 ? Item 16.5,4 . THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY, POLICY CHANGES Policy Change Number 1 POLICY NUMBER POLICY CHANGES COMPANY EFFECTIVE BR71330056 From 08/16/2012 To 08/16/2013 American Zurich Insurance Company NAMED INSURED AUTHORIZED REPRESENTATIVE Freeman and Freeman Inc BB &T- OSWALD TRIPPE AND COMPANY PO Box 664 PO BOX 60139 Immokalee, FL 34134 FORT MYERS, FL 33906 -6139 #19685528 COVERAGE PARTS AFFECTED Builders Risk Coverage CHANGES The following changes were made to the policy: Additional Premium: 50.00 Total policy premium is unchanged: $674.66 The 'Policy Premium' shown in the Declarations is unchanged. $674.66 The following changes have been made to the additional interests: Added Additional Insured - Other Jean B. Volcy 1007 N, 15th Street Immokalee, FL 34142 Authorized Representative Signature Copyright, Insurance Services Office, Inc., 1983 IL 12 01 1185 Copyright, ISO Commercial Risk Services, Inc., 1983 Page 1 of 1 Packet Page -2546- Freeman Et Freeman, Inc 'My Sale Fladda Home Partlelpating Contractor' 201 East Delaware Ave., Immokalee, FL 34142 Phone 239.657.2410 Fax 239.657.4093 freebuildq@gmaiL.com TO Jean Volcy Paralegal ft Notary Services 1007 15th Street No. Immokalee, FL. 34142 9'11/2 -0 12 Item 16.8.4. P rop osa QUOTE # 116 DATE: AUGUST 2, 2012 EXPIRATION DATE 10!3!2012 JOB RESPONSE TERMS DUE DATE 1007 15th Street So. 45 days QTY DESCRIPTION UNIT PRICE LINE TOTAL Permits i3 Plans 3500 -General Conditions 2000 Concrete Slab 2400' Framing Package for New Front Entry 7500 New Roof for Entry only 3200 'La s a in Et Sod p g i 1200 - DdorS E Windows � 3700 Stucco 2800 Painting 3700 Asphalt Driveway 4300 Profit ft Overhead 7500 SUBTOTAL TOTAL 41800.00 13k Quotation prepared by: This is a quotation on the goods named, subject to the conditions noted below: (Describe any conditions pertaining to these prices and any additional terms of the agreement. You may want to include contingencies that will affect the quotation.) To accept this quotation, sign here and return: _ THANK YOU FOR YOUR BUSINESSI Packet Page -2547- f STATE & FLdRiDA DEP2#$T{ri$tiT OF HI;StNLSS AND" ;`. $RO�?83S20�NAIr REGULATION CBC060361 6� I/Z:118201476 :''c RTZ r A. �UxxAxzsa S �0 ftACTORI. ,FR$Eb�AZi, $RNL'i'�Ti�S,TEL'` JR FREEMAN ?+fir, I i; l\ > I$'t:SRTIFIBD and }r th' irovlelo" of C , 068'8 7 prpirilton a.ti;Xbd 201 . 4. L1ZG'6i10 Packet Page -2548- 9/11/20,12 Item 1 6.E Contractor- Certiiicatior� Detail Page 9111/201 Item 16.5,/ Contractor Details Class Code: 1110 Class Description: BUILDING CONTR.- CERTIFIED Certification Number: 22991 Original Issue Date: 10/31/2001 Certification Status: ACTIVE Expiration Date: 8131/2012 County Comp Card: State Number: CBC060361 State Expiration Date: 8131/2012 Doing Business As: FREEMAN & FREEMAN, INC. Mailing Address: P. O. BOX 664 IMMOKALEE, FL 34143 - Phone: (239)657 -2410 Fax: (239)657 -4093 Bacl; Copyright ©2003 -2007 Collier County Government, 3301 E. Tamiami Trail, Naples, FL 34112 1 Phone 239 - 774 -8999 Site Map I Privacy Policv and Disclaimer I Website developed by Vision internet http:// apps2 .colliergov.net/webapps /visior Packet Page -2549- x ?cert =22991 8/16/2412 LABELLE HOMES INC. CBC: 1255634 Po box 2862, lmmokalee, Fl 34143 Phone (239) 839 -0922 Labettehomes@yahoo.com BILL Jean Volcy Paralegal @ Notary Services 1007 15' street no. lmmokalee Ft. 34142 COMMENTS 9(11!2 ^12 Item 163.4. STATEMENT #i 1 DATE: AUGUST 3, 2012 Any and all change orders must be approved by office prior to change. Change orders by owner to be $40.00/ man hour DATE DESCRIPTION BALANCE AMOUNT 1. apply and pay for all permits And plans $5,000.00 2.Generat CondlTIONS $3,000.00 3.Concrete slab $3,000.00 4. Framing Package for New Front Entry $8,500.00 5. painting, with one sprayed prime coat and two paint $$4,000.00 6. New roof for entry only $4,000.00 7. door and windows $4,500.00 8.1andscaping and sod $2,000.OD 9. stucco $3,000.00 10. Asphalt driveway $5,500.00 11, profit and overhead $8,500.00 1 -30 DAYS 31 -60 DAYS 61 -90 DAYS CURRENT PAST DUE PAST DUE PAST DUE OVER 90 DAYS PAST DUE AMOUNT DUE $51,000.00 THE ABOVE PRICING, SPECIFICATION AND CONDITIONS ARE SATISFACTORY AND HEREBY Arr FDFTCfI 1 ARM 1 F WnkArC It UVDI:RV AIITnOL7911 Tn Mn TNC CA1n Intl. At carr mim A Packet Page -2550- — ontractor — ertitrcatror, Detail Pap, 110- -4 9/11/2012 Iterr 16.^.4. Contractor Details Class Code: 1110 Class Description: BUILDING CONTR.- CERTIFIED Certification Number: 31330 Original Issue Date: 6/1212007 Certification Status: ACTIVE Expiration Date: 8/3112012 County Comp Card: State Number: CBC 1255634 State Expiration Date: 8/3112012 Doing Business As: LABELLE HOMES, INC. Mailing Address: 602 6TH AVE CIR IMMOKALEE, FL 34142 - Phone: (239)839 -0922 Fax: Back Copyright 02003 -2007 Collier County Government, 3301 E. Tamiomi Trail, Naples, FL 34112 1 Phone 239 - 774 -8999 Site Map I Privacy Policy and Disclaimer I Website developed by Vision Internet http : / /apps2.colliergov.net/webapps /vision packet Page - 2551 - x7cert =31330 8/16/2012 Exhib' 3/11/2012 Iterr 16.E. { Fi f` f, Air A qtr { Fi f` Packet Page -2552- qtr M;, h'EWOCBBUI�D�C :!_ fmliC fdu uh f f"" POl.G �A�D4f�yfOr *R tiY riflarcF r-f stiff` �tsn eNe r�l9ee -4, C :ALEE. f 4� ELEVATION PLAN P.4 bi �'`. .�T. Packet Page -2552- �xhi /20 1 Item 16. E. 4 _'t' L SINES BJSINESS -7 ,. ;NUMBE c `Fi DRSESHOE: DRi,'_ - FLORID-_'z 10, = 12--9)'252 =2.-_' VISIT OUR t/VEBSITE AT: wvA�_collierta:;.cor- THIS RECEI ?T EXPIRES.SEPTEMBER_3G, 201: C - f DISPLAY AT PLACE OF'BUSINESS FOR PUBLIC INSPECTION OCATION: :.716.N 15TH ST S , �. � sJ FAILU M ,- , DO SOTS CONTRARY TO LOCAL LAWS ZONED: C4 `��� -Eff AL"=F0 1 \.. SOLE PROPRIETRRr -THIS TAX IS NON- REFUNDABLE - BUSINESS PHONE: 657 -3677 jl PARALEGAL& N0TARY.MULTI'SERVICES CENTER e VOLCY, JEAN * t 604 GLADIOLA ST i .IMMOKALEE FL 34142 0000 CLASSIFICATION: ADMINISTRATIVE•QFFICE i" t ti; DATA', 08/0912012 CLASSIFICATION CODE: 03606401.: r !r�, AMOUNT' 30.00 This document is a business tax only. This is not certification that licensee Is qualified. FtECI iPT 2320.40 It.does.npk .permit- the-licensee to violate any existing regulatory zoning laws of thwstaten*unty or citres . nor does it ekemotthe:licensee from any other taxes or permits that may be require -�by !aw FM Packet Page -2553- . /.�� #...Packet mow, Pag - 554 ~ ©»