Backup Documents 05/22/2018 Item #16C1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 C
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. j�„_ „ .1) 619**NEW** ROUTING SLIP V.-f..�
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. Jennifer A. Belpedio, Esq. Asst. County Attorney
County Atty. W S I A ,11
County Attorney's Office
2. BCC Office Board of County AsS-�[�
Commissioners J4/s ! �l
-411
3. Minutes and Records Clerk of Court's Office
Thd
5f29t `$ n4
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 C.Perry Peeples Phone Number 239-252-8073
Contact/ Department
Agenda Date Item was May 22,2018 / Agenda Item Number 16.C.1
Approved by the BCC '/
Type of Document Utility Easement Number of Original 1
Attached Documents Attached
PO number or account Account: Fund 412, Cost Center 263614, RECORDING FORM
number if document is Object Code 273512, Project 71010.56 / ATTACHED
to be recorded v
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? `�� CPP
2. Does the document need to be sent to another agency for additional sigtures? 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
signed by the Chairman,with the exception of most letters,must be reviewed and signed SPP
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 CPP
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 CPP
signature and initials are required.
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 May 22,2018,and all changes made CPP
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
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Memorandum
TO: Minutes & Records Management
FROM: C. Perry Peeples, Real Property Management
DATE: May 22, 2018
RE: Golden Gate Community Park Utility Easement
The Board of County Commissioners approved the recording of this document on May 22,
2018, Agenda Item 16.C.1.
Attached is the original Utility Easement for attestation.
Please attest to Commissioner Solis' signature as Chairman on the document.
A recording form is also attached.
Please contact me if you have any questions or comments at Extension 8073.
Thank you.
PROJECT: FGUA Transition-Waterline Interconnect REC R 5563704 OR 5515 PG 2358
PARCEL: Golden Gate Community Park RECORDED 5/31/2018 1020 AM PAGES 2
FOLIO: 00296200009 DINGHY E. BROCK. CLERK OF THE CIRCUIT COURT
Right of Entry accepted by BCC COLLIER COUNTY FLORIDA
pursuant to 11/14/17 Agenda Item 9-B DOC@.70$0.70 REC$18.50
UTILITY EASEMENT 1
THIS UTILITY EASEMENT, made and entered into this L-1.-q. day of iN\G\
2018, by COLLIER COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF FIIORIDA,
whose post office address is 3335 East Tamiami Trail, Suite 101, Naples, Florida 34112,
hereinafter referred to as "Grantor", to the BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER COUNTY AND AS
EX-OFFICIO THE GOVERNING BOARD OF THE COLLIER COUNTY WATER-SEWER
DISTRICT, whose post office address is 3335 East Tamiami Trail, Suite 101, Naples, Florida
34112, its successors and assigns, hereinafter referred to as "Grantee".
WITNESSETH:
GRANTOR, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration paid by the Grantee, the receipt and sufficiency of which is hereby acknowledged,
hereby conveys, grants, bargains and sells unto the Grantee, its successors and assigns, a
perpetual, non-exclusive easement, license, and privilege for utility purposes, on the following
described lands located in Collier County, Florida, to wit:
See attached Exhibit "A" which is incorporated herein by reference.
Subject to easements, restrictions, and reservations of record.
THIS PROPERTY IS NOT GRANTOR'S HOMESTEAD.
TO HAVE AND TO HOLD the same unto the Grantee together with the right to enter
upon said land, excavate, and place or remove materials for the purpose of constructing,
operating, and maintaining utility facilities thereon. In accordance with the Collier County Utility
Standards, the Grantee will repair any damage and restore the surface of the impacted area to
the condition existing prior to the installation of the watermain, including any damage to turf,
landscaping, sidewalks, irrigation and signage. Grantor and Grantee are used for singular or
plural, as the context requires.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed the
date and year first above written.
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK COLLIER COUNTY, FLOkIDA
p
BY:
A ,st as to Chainnan's ,Depter y C1Ptk ANDY` LIS, CHAIRMAN
signature only.
APPROVED AS TO FORM AND LEGALITY:
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