Agenda 09/27/2011 Item #16B3
9/27/2011 Item 16.6.3.
EXECUTIVE SUMMARY
r"\
Recommendation for the Community Redevelopment Agency (CRA) to approve and
execute a Sweat Equity Grant Agreement between the CRA and a Grant Applicant within
the Bayshore Gateway Triangle area. (3179 Francis Avenue - fiscal impact $965.28)
OBJECTIVE: To approve and eXecllte a Sweat Equity Grant Agreement between the
Community Redeveloprn.ent Agency (CRA) and a Grant Applicant within the Bayshore Gateway
Triangle Community Redevelopment area. (3179 Francis Avenue - fiscal impact $965.28)
CONSIDERATIONS: The Sweat Equity Grant Program (SEG) is a redevelopment initiative
funded and administered by the CRA as partial reimbursement for exterior improvements to
buildings for residents within the Redevelopment Area. The CRA provides a minimum of $500.00
and a maximum of $1,000.00 for projects where the homeowner agrees to provide the labor as
their cost-match from Tax Increment Funds (TIF). Remaining project dollars are provided by the
applicant. The CRA FY-2011 TIF Grant budget is funded at $400,000. That includes $144,868.84 carried
forward from FY-2010to cover the encumbered TIF Grants allocated by the Board in that year. The
remaining $255,131.16 is allocated for eRA Board approved FY-2011 TIF Grant programs.
The Site Improvement Grant application (Exhibit A) submitted by Sean and HannahWaight,
owners of the residen.tialproperty at 3179 Francis Avenue, Naples, Florida, 34112, for exterior
upgrades including new paint, pressure washing and new facia and soffit was recommended for
approval by. the Bayshore/Gateway Triangle CRA Local Advisory Board.
r"\
LEGAL CONSIDERATIONS: This item has been reviewed by the County Attorney Office and
is sufficient for Board consideration and approval. It requires a majority vote for approval. -STW
FISCAL IMPACT: Sufficient budget exists within Fund (187) FY-2011 budget to satisfy this
application. Of the $400,00.00 in the FY-2011 budget, $384,965.94 has been awarded by the CRA Board
and $15,034.06 remains. This project totals $965.28, and the request is for up to $965.28 for a total
fiscal CRA impact of $965.28.
~\
GROWTH MANAGEMENT IMPACT: None.
RECO~ENDATION:That the CRA Board.approves and authorizes the Chairman to execute
the Sweat Equity Grant Agreement between the Community Redevelopment Agency .and Sean
and Hannah Waight, owners of the residential property at 3179 Francis Avenue, Naples, Florida,
34112 in the amount of $965.28.
Prepared by:
Ashley Caserta on September 9,2011
Grants Coordinator, Bayshore Gateway Triangle Community Redeve10p~ent Agency
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Packet Page -1457-
9/27/2011 Item 16.8.3.
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COLLIER COUNTY
Board of County Commissioners
Item Number: 16.B.3.
Item Summary: Recommendation for the Community Redevelopment Agency (CRA) to
approve and execute a Sweat Equity Grant Agreement between the CRA and a Grant Applicant
within the Bayshore Gateway Triangle area. (3179 Francis Avenue - fiscal impact $965.28)
Meeting Date: 9/27/2011
Prepared By
Name: CasertaAshley
Title: Grants Coordinator,
9/15/2011 9:13:05 AM
Submitted by
---.
Title: Grants Coordinator,
Name: CasertaAshley
9/15/2011 9:13:07 AM
A ppnt\ed
'r~j:llTle: JLlcksc.nI)a\,'id
Title: Executive Director, eRA.
Date.: 9/15/2011 9:31: 11 Afv1
Name: WilliamsSteven
Title: Assistant County AttorneY,County Attorney
Date: 9/19/2011 9:58:45 AM
Name: FinnEd
Date: 9/19/201111:39:47 AM
Name: KlatzkowJeff
Title: County Attorney,
Date: 9/19/2011 4:03:09 PM
~
Name: IsacksonMark
Packet Page -1458-
9/27/2011 Item 16.8.3.
Title: Director-Corp financial and Mgmt Svs,CMO
Date: 9/19/2011 6:36:51 PM
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,-.......
.-...
Packet Page -1459-
9/27/2011 Item 16.8.3.
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GRANT AGREEMENT BETWEEN CRA AND GRANTEE
FOR SWEAT EQUITY IMPROVEMENTS FOR
BAYSHORE/GATEWAY TRIANGLE REDEVELOPMENT AREA
THIS AGREEMENT ENTERED this z.::l!"day of S!l'~~ ,2:till... by and
between the Collier County Community Redevelopment Agency (hereinafter referred to as
"CRAIt) and X-c..N'\. G:lt\P1 1t~....t\Ah (hereinafter referred to as II Grantee").
vJ~\~tvt
WITNES SETH:
WHEREAS, in Collier County Ordinance No. 2002-38, the Board of County
Commissioners delegated authority to the CRA to award and administer CRA grants including
contracts with Grantees for CRA grants; and
WHEREAS, CRA Ordinance No. 08-61 reestablished the Sweat Equity Improvement
Grant; and
WHEREAS, Grantee has applied for a Sweat Equity Grant in the amount of
q Cp 5 . ~g dollars; and
WHEREAS, the CRA has determined that Grantee meets the eligibility requirements and
~ was approved for a grant award in the amount of q vS". Z:i/ dollars on
.)e-p~~b.e.v- 2..1 , 2A> if ("CRA Approval").
NOW, THEREFORE, in consideration of the mutual covenants contained herein and
other valuable consideration, the parties agree as follows:
L Grantee acknowledges to the CR.1\. that Grantee has received a copy crtne ColLier
(~~ounty C~on1.il1unity Redevelopn1cnt ligency SVle~t E,quity In1provenlent Grant ProgrL~
Information and Appiication (hereinafter referred to as "Grant Program"), that Grantee has read
the Grant Program, and that Grantee has had ample opportunity to discuss the GraIlt Program
with Grantee's counselor advisor. Grantee further acknowledges to the eRA that Grantee
understands and agrees to abide by all of the terms and conditions of the Grant Program. Grantee
agrees to the terms and conditions ofthe Grant Program.
2.
3\ 1Gj
Grantee is the record owner / tenant of property described as
fV'A.k~S Av.v.-~( "'"" ~ ~ os, -fL:34 /, ~
3. Grantee has agreed to make certain improvements to the property pursuant to the
grant application submitted to the CRA dated ftv..?:f'-" r i, 1-0 l , attached hereto as
Exhibit A and incorporated herein by reference.
4. Grantee agrees to complete the construction of the Sweat Equity Improvements
within ninety (90) days of eRA approval. Grantee also agrees to provide the sweat equity
(labor) to complete the improvements. Grantee is prohibited from paying for any improvements
'"
Sweat Equity Grant Agreement FY 2011
1
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9/27/2011 Item 16.8.3.
L
or materials funded under this program with cash. All payments for approved projects must be in
the form ofa check or credit card drawing on funds from Grantee's accounts.
5. CRA has approved a grant to Grantee in the amount of up to 0)(P5".:z. ~
to be administered pursuant to the terms of this Agreement based on an estimated cost of
Q) tp~. z~ . If the actual cost of materials is less than this amount and less than $1,000 to
construct the improvements, the grant amount shall be reduced dollar for dollar in CRA funds;
however in no case will the cost of materials for improvements be less than $500.
6. Grantee agrees that all improvements completed do not require a Collier County
permit or permit from any other agency. Upon completion of the work, Grantee shall submit to
the CRA staff a project summary report, two (2) 8 by 10 photos of the property after the
improvements are completed, a list of materials and construction techniques used, and any other
information specific to the improvements or requested by the CRA staff. The CRA, through its
staff, shall confirm that the improvements were constructed pursuant to the terms of the
application approved by the CRA. Grantee acknowledges that the total grant award shall not
exceed the sum oflowest price quotes for all projects.
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 grant. However, if Grantee fails to make the improvements pursuant to the
terms of the approved application, or if the project is not completed within ninety (90) days of
CRA approval, or if Grantee fails to make improvements of at least $500 value, the grant shall be
deemed automatically revoked and Grantee shall not be entitled to the grant.
8. This Agreement shall be governed and construed pursuant to the laws of the State
of Florida.
c: This A.greenlent cont2iI1S the entire agreernent of the paTties cud ihel!
:-eprescnt2:tive-s and agents, 2,nd incorporates ell prior understa.l1dings, v\rhether oral or \)vritt~!l.
No change, modification or ful1endment, or any representation, promise or condition, or fu'l)'
waiver, to this Agreement shall be binding UIlJess 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 to Grantee's respective heirs, personal representatives, successors or assigns without
the prior written consent of the CRA'
Sweat Equity Grant Agreement FY 2011
2
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9/27/2011 Item 16.8.3.
,-.......
IN WIlNESS WHEREOF, the parties have executed this Agreement on the date and year
first written above.
(1) J.tf.s &:
6rk sh~vt
Printed/Typed Name
(2~~
G~'4/{
SEffN JL1. WfI/6 HT
PrintedITyped Name
By: ~~ 1ft
C,../
)xl" ~~\~e-y'
Print~dITyped Name
f-{-~ VI''1 G. 1Ft I/v c( ; '1/r, i
PrintedlTyped Name U
~
A TrEST:
DWIGHT E. BROCK, Clerk
COLLffiR COUNTY COMMUNITY
REDEVELOPMENT AGENCY
, Deputy Clerk
By;
JUvl COLETTA, Chairman
'J
Approved as to form and
legal sufficiency:
Steven T. Williams ~("> I
Assistant County Attorney ~In II
~
Sweat Equity Grant Agreement FY 2011
3
Packet Page -1462-
REeF:
9/27/2011 Item 16.8.3.
U i 2011
I ~,' " I B ,\ Y S H 0 R E
tl.'>,. G /, T E W ' Y
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Bayshore Gateway Triangle eRA I Sweat Equir,' l:irani ,,-ppncc;HOii
Grantee Name
SEG A lication (Detach and submit to eRA office.)
~' Applicant Information
~\At'l ({NO \1\~WNilk \~~\t\ '
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Grantee Address
Site Address
Daytime Phone
f1t.)X~ .- C7v '"
VNr\~ ~
Alternate Phone
E-Mail Address
Do YOll own or lease the property?
Pro' ect Information
Describe the existina conditions of the site (attach additional sheet .if necessary).
'ntr'~~~t\Z "~\~"tN~ i ,Zt -f "ii~1'fN(1 V".\I(t\~ 1\{\YVl ~t'tt:). ~{:VIVlt~
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. '<~~'." d""f' r ,',,,". !." '#IT,,", .. '\!;r1K!Jll'il'i,WJMmB_J~~:NillSltlllmM'~:RJ'Ji;,w~firlf"\" .Re""",.' 'V.'."'~"B J""qC(j ."",
"'~: ':\ "j- -;;~ "'~;--~""i :.' ,,'- _\ 5~"'"= 'i"I;,,!!, ~, , ,,'" ~_. <. :!- "" _ _ ",",~ ~:1,. , M - ", ~~ ."".. ',"...'4-",-:"~:'CC"" fk~~4
'lIt} ~~um,~n~:ec~'tpnateJ:or:a'lI:@.1Brov,ein~~~ntoJ\lem.~inl:bp.llseit. . -', "_"" "'~I
CRA STAFF:
I) Attach two color photos of each project to be performed.
2) Attach Property Appraisel' JD.
3) Attach proof of nayment of oronertv taxes.
1) Estimated cost of improvements: $ f.1lJ}~, 2. '$ .
2) Maximum grant award: $ , ?~~~ 5' ' 1..,"<; ~f
CRA Staff Signature: . ~ '~'J ,'<::"'-
t "
Date:
g 12<;- J i ,
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Packet Page -1463-
9/27/2011 Item 16.8.3.
Bayshore Gateway Triangle eRA I ~:)'NGnj Eq"i~y GFHlt !\ppl:C8i:nn
('J ".I.BAYSHORE
f'<' G/',TEW:Y
l~tJ]hi:~, I T:~ I f~ N G l E
~
Grantee Commitment of Resources
1/ we, ~~ ~t ~\ ~(~~t~ W\{N~~ t,)f\~\\if , owner(s) / tenant(s) of the
propeliy located at Jrr~ fiOiN0\.~ Nv( I ~M~ I Pt ~411~have the funding and abil ity to begin the
site improvements listed above and have the ability to complete all improvements within one year of
the approval of the Sweat Equity Grant by the Collier County Community Redevelopment Agency.
1/ we furiher affirm that payment for all work on approved improvements will come from accounts
in my I 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)
Date
Signature of O\vner
( ,
I ,/ r
""'" f ,"'/1.',1 '..',',/) /"---;";f'
'.......1 ,f I i {I
I 1(10/-'v v,
/Date
Signature of Owner
(if jointly owned)
...-...
3
Packet Page -1464-
Search Results
9/27/2011 Item 16.8.3.
Collier County Tax Collector
3291 E Tamiami Trail
Naples FL 34112-5758 2010 Tax Roll Inquiry
System
Print this paue
.-..
OWNER INFORI\lA TlON I PROPERTY INFORMATION
Name:IIWAIGHT, SEAN M & HANNAH F IPareel: 1161481920007 II Aere:II.15
Address:1I3179 FRANCIS AVE I Loc:1I3179 FRANCIS AVE NAPLES ('\Inn) ((;IS Virw)
Address:1I I Legal:IINAPLES BETTER HOMES 1ST ADD
Address:1I I Legal:IIBLK 5 LOT 9
Address:1I I Legal:1I
Address:IINAPLES, FL 34112-3831 I Legal:11 1
Iv A LUE/EXEMPTlONSI TAX INFORMA nON I PA Y TERMS I PA VMENT INFO
Market \'allle:1I74,894 I COllntJ':lIn.36 I No\':11548.86 Paid Dt :11lI/29/2010
Taxable \'allle:1I25.000 I School St: II J 40.88 I Dec:1I554.58 Reept:1I29460
Millage Code:l~ Sc1100110c:1I91.77 I Jan:1I560.30 Mach: 1130
Homested Ex:1I40824 I City T8x:1l0.00 1 Feb:11566.01 P8ymt:1I548.86 1
Agricltr Ex:l~ Dependt:1I17.90 1 I Mar:1I571.73 1\lort:1I200180 I
WidowEx:l~ Water: 1112.03 I 1 Apr:II.0 STATUS INFO.
BlindEx:l~ Independ:1139.57 I May:II.0 Non Ad Va:IIV
Disnbled:l~ Voter Appr:113.73 I 1'\0\1' Dut:1
Vetel'lln Ex:l~ I " Gross Tax:IIS71.73 Installment:IIN
Deferred: II N
Wl10lly Ex:l~ I Appr fec:II.0
Ballkrupt:IIN
I Ci\'ilian Ex:l~ I Ad\'ertising:1I0.00
TD\:1I0
---.
CTHTlrICATF !';!'{Jll'LUIO\
Certi ncall's Blllst ht, paill witlt rash, l~ns.hieT~ ('htel, or rnont'y unh,t
ITax Year IISplit IICer!. II IIDate Issued II Paid Date IIRec II IIMach 1~ITn \ IIAmount Paid IIAmt Due Ihru. IIAmt Due thru, I
12003 IDI3938.041105/26/2004 1I09/09!200411466561~[[]DI325.37 1
IComment: 1
12002 IDI4612-031105/28/2003 1109/09/2004 11466571~[[]DI306.63
IComment: 1
Certificates must Iw paill with casb, casbicrs cbeck or mont..\' order
New Search
Back To List
.-..
2003 Parcel Information I 2004 Pars~ellnformatjon I 2005 Parcel Infonnation I 2006 Parcel Information 1 2007
Parcel Informatio!} 12008 Parcel Information 12009 Parcel Information
. . Packet Page -1465-
http://colhertax.com/searchlvlew.php?ID= 1'7 L..J .J'TV 1 'T(Xvugc:- L.:J&tc=3 5&tax year=20 1 0
8/25/2011
Details
9/27/2011 Item 16.8.3.
,-.......
it Current Ownership
Parcel No.1161481920007 II Property Addressl13179 FRANCIS AVE
Owner Namell WAIGHT. SEAN M & HANNAH F
Addressesll3179 FRANCIS AVE
cityll NAPLES II Statell FL
Legal/' NAPLES BETTER HOMES 1ST ADD
I BLK 5 LOT 9
. ~t=
@f
Property Record
Sketches
zipl134112 - 3831
Section Township Acres Map No. Strap No.
11 50 0.15 5A11 502000 595A11
Sub No. 502000 I NAPLES BETTER HOMES 1ST ADD
,Itt Use Code 01 I SINGLE FAMILY RESIDENTIAL
.See Instructions for Calculations
2011 Preliminary Tax Roll
(Subject to Change)
If all Values shown below equal 0 this
parcel was created after the Final Tax Roll
Latest Sales History
,---..
I Land Value /I
,(+) Improved Value II
I (=) Marl(ot Value II
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09 I 2004 II 3640 - 3809 $ 112,500.0(
II 2898 - 3460 I $ 38,OOO.Q(
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http://www.collIerapprarser.com/RecordDetal1..a-.>p UVl."-p--::-l ~uor..10hoID=0000061481920007 8/25/2011
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OMZR130A
LOWE'S HOME CENTERS, INC.
NAF 0613
r'AGt;: 1.
PROJECT ESTIMATE
PAINT QUOTE
CONTACT: ,
CUST #: 93409482
-..
SALESPERSON: IADAROLA, MICHAEL
SALES #: 22870
PROJECT NUMBER: 329650220
DATE ESTIMATED: 07/26/11
QTY ITEM # ITEM DESCRIPTION VEND PART # PRICE
--------- ------------------------------ -------------------- ----------
5 219849 10 OZ ALEX PLUS CLEAR (238090) 18071 11.40
1 234557 9-3/4" 2PK ROLLER WOOSTER LR718-9 7.97
1 305798 3 " BRUSH EASYFLO WOOSTERS L6410-3 15.88
1 102477 3M LG FINE GRIT SANDING SPONGE DSFMF 3.97
2 75381 GL VALSPAR DURA EXT SATIN BSE 007.0075381. 73.96
2 77793 GL VALSPAR DURA EXT S/G BSE 1 007.0077793. 75.96
3 9576 5GL DURAMAX S/G BASE 1 007.0009576. 504.00
0 91244 5GL VALSPAR DURA EXT SATIN BSE 007.0091244. 0.00
TOTAL FOR ITEMS
FREIGHT CHARGES
DELIVERY CHARGES
TAX AMOUNT
TOTAL ESTIMATE
693.14
0.00
0.00
41.59
734.73
This Quote is valid until 08/25/11.
MANAGER SIGNATURE
DATE
THIS ESTIMATE IS NOT VALID WITHOUT MANAGER'S SIGNATURE.
THIS IS AN ESTIMATE ONLY. DELIVERY OF ALL MATERIALS CONTAINED IN THIS
ESTIlflliTE ARE SUBJECT TO AVAILABILITY FROM THE MANUFACTURER OR SUPPLIER.
QU&~TITY, EXTENSION, OR "~DITION ERRORS SUBJECT TO CORRECTION. CREDIT
TERJ1S SUBJECT TO APPEOVAL BY =-,O\r.JES CREDIT DEPAR'TI1ENT.
~
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Packet Page -1471-
9/27/2011 Item 16.8.3.
OMZR13 OA
LOWE'S HOME CENTERS, INC.
NAF 0613
r .r..'U.c.. ~ ..L.
PROJECT ESTIMATE
~CONTACT: ,
CUST #: 93409482
SALESPERSON: RUSSELL, TERRY
SALES #: 684057
PROJECT NUMBER: 329431655
DATE ESTIMATED: 07/25/11
QTY ITEM # ITEM DESCRIPTION VEND PART # PRICE
--------- ------------------------------ -------------------- ----------
4 204959 MIRATEC 1X6X16 TEXT/SMOOTH 00004 71.92
10 6307 WHITE SOLID SOFIT TRI 4"X12' 424214 148.10
12 6239 VINYL F CHANNEL WHITE 342 -vJH 567375 83.88
1 9637 PRS CH 3" X .131 PT FRAME NAIL GRSP10DZ 35.83
1 55692 PAS 3" X .120 SMTH BRT FNP 650524 24.40
2 84304 2X6X10 ACQ TOP CHOICE TREATED TC2610T225N 11.94
3 46905 2X4X8 ACQ TOP CHOICE TREATED TC248T225N 5.91
1 40245 GL VALSPAR EXT SATIN WHT 007.0040245. 25.97
TOTAL FOR ITEMS 407.95
FREIGHT CHARGES 0.00
DELIVERY CHARGES 0.00
TAX AMOUNT 24.48
TOTAL ESTIMATE 432.43
This Quote is valid until 08/24/11.
MANAGER SIGNATURE
DATE
THIS ESTIMATE IS NOT VALID WITHOUT MANAGER'S SIGNATURE.
~HIS IS AN ESTIK~TE ONLY. DELIVERY OF ALL MATERIALS CONTAINED IN THIS
;TIMATE ARE SUBJECT TO AVAILABILITY FROM THE MANUFACTURER OR SUPPLIER.
~UANTITY, EXTENSION, OR ADDITION ERRORS SUBJECT TO CORRECTION. CREDIT
TERl'1S SUBJECT TO APPF.OVAL BY LO\tJES CREDIT DEPARTMENT.
LO\tJES IS J\ S:jPPLI:2E OF 1,1l;TEEI1\LS OrJI..JY. LC)'/.}ES DOES I\JCYT ENGJ1..GE II\~ TEE PPJiCTIC2:
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PC#: 226
2600 DAVIS BLVD
NAPLES, FL 34104-4333
239-774-7117
9/27/2011 Item 16.8.3.
2500PSI
0160130
2.00 PRESSURE WASHER HOSE
SALES
Qty
1
ITEMS:
Item number
DLPKSRCHG
TRANSPORTATION SURC~ffiRGE
ENVIRONMENTAL
ENVIRONMENTAL
PRESSURE v;ASHE;-~ VlJ\.HD
1
1
P. ~;]..8EER ~'Jlu\JD -
COFIr:rJ-:
~
E~I\'T;l_L PRO~E~f~~-"C)I,l =lL:;-"':\~
DELIVERY CHARGE
PICKUP CHARGE
310.00
6.00
12.00
12.00
37.00
6.00
Unit
EA
Price
10.000
10.00
EJI.
1.:00
1.10
H'b
1'1/"
~ \ I -
~m
.L"
E::=~'l~~~~L:
50.00
50.00
Sub-total:
Total:
213 .45
213 .45
******************************************************************************** ********************************
*
Rate your rental experience www.sunbeltrentals.com/survey
IF THE EQUIPMENT DOES NOT WORK MULTIPLE SHIFTS OR CUSTOMER IS RESPONSIBLE -FOR
PROPERLY. NOTIFY THE OFFICE AT ONCE OVERTIME RATES MAY APPLY REFUELING. DAMAGES AND REPAIRS
1. The totel charges are an estimate based on the estimated rental period provided by Customer.
2. Customer assumes all risks associated with the Equipment during the Rental Period. including injury and damage to persons. r:,operty and the Equipment.
~: ~~~~qe~i~~:~~~~:f~:tO~:~~~h:~o~~IXv':~~~~t~~~:~~ v:;n~~~t~~~~r~z::,~~~~~~d~::~'d:'~O n~: hna~tei~::~~ti~~U~~3T8:;:~!:s~:t~~~~i'c~~t~I~~~O~~st::~~:Joc:.u~~~ge;~lng use of the Equipment,
Customer shell not use the Equipment and shell contact Sunbelt immediately.
~: ~~~~~~~~ ~~~ ~:~~fV~d~~:~d~S~~~e~:~~a~d8~d r:;::~~~Ct~O~~ge;~~~~dn~h~r~~~eh~~~I~ :~di~us ~:~~r~~:rid O:o~~~~~ns of this Contract, including the Release and Indemnification provision in Section 7. ;~
and the Environmental Fee In Section 14, which can also be found at www.sunbeltrentals.com/rentalcontract...Delivery/Pickup Surcharge fee explanation is available at
7. ~~~~~~:~~~~~',sig~~~~~~~h~~llc~p of Equipment. retain Pick Up Number given by Sunbelt and is responsible for Equipment until actually retrieved by Sunbelt.
8. For operations in California: Customer is renting equipment registered under the California Air Resources Board (CARB) Portable Equipment Registration Program (PERP). The operator of this equipment
is subject to the requirements of the PERP regulation and local Air Pollution Control District rules. Under the PERf Regulation. the renter is required to keep B copy of the rentel agreement and CARB
registration certificate. including operating conditions and notification requirements, with the equipment at all times. By signing this form. the renter acknowledges receipt of these documents.
Customer Is declining Rental Protection Plan _ (Customer Initials)
Name Printed Packet Page -1473-
Customer Signature
Date
RNTOUTP1P IRev 061021111
Delivered By
Date
. if www.sunbeltrentols.com .....
9/27/2011 Item 16.8.3.
---.
Sunshine
August 25, 20 I I
1 ca plastic mailbox
Sea 2" reflective numbers
1 ea 4x4 wood post
1 ea bag cement mix
5068994
79227 8x.79
5274261
CMSTONE40
$59.99
$6.32
$19.49
$3.99
----
Sub Total
6% Sales Tax
$89.79
$ 5.40
141 Tamiami Trail North, Naples FL 34102
239-262-2940 239-262-1516 (fox)
--...
Naples, Golden Gate, Bonita Springs, San Carlos Park, Marco Island, East Naples
www.sunshineace.com
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