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Backup Documents 12/10-11/2013 Item #16F 4'ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLP 6 TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO iF 4 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. Complete routing lines #I through #2 as appropriate for additional signatures, dates, and/or information needed If the document is already complete with the excention of the Chairman's signature. draw a line through routine lines #I through #2. complete the checklist, and forward to the County Attorney Office. Route to Addressees (List in routing order) Office Initials Date 1. Develo men (Initial) Applicable) 2. 12/10/13 Agenda Item Number 16-F-4 3. County Attorney Office County Attorney Office JAK 1/8/14 4. BCC Office Board of County Commissioners Number of Original 3 separate 5. Minutes and Records Clerk of Court's Office Documents Attached 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 addressers above may need to enntact staff for ndditinnal or missing information. Name of Primary Staff Bruce Registir, Business and Economic Phone Number 252-8358 Contact / Department Develo men (Initial) Applicable) Agenda Date Item was 12/10/13 Agenda Item Number 16-F-4 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, JAK Type of Document Haynes Corporation Agreements Number of Original 3 separate Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or ac=isN/A signed by the Chairman, with the exception of most letters, must be reviewed and signed number if docum by the Office of the County Attorney. to be recorded All handwritten strike -through and revisions have been initialed by the County Attorney's JAK INSTRUCTIONS & CHECKLIST 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 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? JAK 2. Does the document need to be sent to another agency for additional signatures? If yes, JAK 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 JAK 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 JAK 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 JAK 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 JAK signature and initials are required. 7. In most cases (some contracts are an exception), the original document and this routing slip JAK 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 12/10/13 and all changes made during JAK the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes, if applicable. Initials of attorney verifying that the attached document is the version approved by a 9. JAK BCC, all changes directed by the BCC have been made, and the document is ready r the 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 INSTR 4938649 OR 5003 PG 3101 RECORDED 1/28/2014 12:06 PM PAGES 5 Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Jeffrey A. Matzkow REC $44.00 County Attorney 3299 Tamiami Trail East, Suite 800 _ Naples, FL 34112 JOB RETENTION INCENTIVE AGREEMENT This Job Retention Incentive Agreement ("Agreement") is entered into this 10th day of December, 2013, (the "Effective Date") by and between Collier County, a political subdivision of the State of Florida, through its Board of County Commissioners, hereinafter referred to as "County," and Haynes Corporation, hereinafter referred to as "Haynes," collectively referred to as the "Parties," with a Performance Measurement Commencement Date of July 27, 2010, which is the date the Board of County Commissioners first approved Haynes application for this Incentive. RECITALS: WHEREAS, Haynes submitted an application to be considered for a Job Retention Incentive for a Project involving the construction of a 30,000 square foot facility adjacent to their existing manufacturing facility on Mercantile Avenue, to be located on a parcel whose legal descriptions are included in Exhibit A and is incorporated by reference herein (which parcel is hereinafter referred to as the "Property"). A copy of this application is on file in the Growth Management Division, Impact Fee Administration Office; and WHEREAS, at its July 27, 2010 regular public meeting the Board, having reviewed the application as well as the findings of the County Manager and staff, and following public comment on this matter, approved the application as outlined in the Executive Summary; and WHEREAS, following the Board's approval of its application, Haynes went forward and expanded their facilities as set forth in their application and its reliance on the County's intent to incentivize the retention of jobs; and WHEREAS, at its June 11, 2013 meeting, the Board directed that the County Manager or his designee, and the County Attorney, to prepare required incentive agreements with Haynes, including this Agreement for retention of jobs held by Collier County residents or employees willing to relocate to Collier County, consistent with the company's approved incentive application, for consideration by the Board at a future meeting. Page 1 NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows: 1. The foregoing Recitals are true and correct and are incorporated by reference herein. 2. The Board hereby agrees to provide Haynes an incentive payment for retention of existing jobs held by Collier County residents or employees willing to relocate to Collier County, based on Haynes's original application. This Agreement has a Performance Measurement Commencement Date of July 27, 2010, under the terms and conditions set forth below. Haynes's incentive eligibility for receipt of such incentive payments shall be based on its performance in retaining employees, who are Collier County residents, since the Performance Measurement Commencement Date. Haynes understands and agrees that there is no defined funding source for the grant outlined in this Agreement, and as such this grant is subject to annual appropriation. 3. In consideration for such assistance, Haynes hereby accepts the benefits and burdens set forth below. Job Retention funds in the amount of $1,000 will be provided for each job retained by a Collier County resident or an employee relocating to Collier County. Haynes proposal in its approved application was to retain 42 jobs that are filled by residents of Collier County, but Haynes hereby represents that only 37 of the 42 jobs were filled by residents of Collier County as of the preliminary review of 2011 wage and payroll information. Retention funds for 37 jobs filled by residents of Collier County will be released upon execution of this Agreement and verification that the jobs were retained on the following dates: September 30, 2011 - $ 12,333 (Pending verification) September 30, 2012 - $ 12,333 (Pending verification) September 30, 2013 - $ 12,334 (Pending verification) 4. An annual review and audit of performance under such agreement shall be performed by the County Manager or his designee for each year of payment, to determine whether there has been good faith compliance with the terms of the Agreement. The initial review of performance will commence with the execution of this contract. Haynes shall give the county auditor full access to its business records and business premises as required certifying the retained and created jobs. If the County Manager or his designee finds, on the basis of substantial competent evidence, that there has been a failure to comply with the terms of this Agreement, the Agreement may be revoked or unilaterally modified by the County. Haynes shall be given ten Page 2 16F 4' business days prior written notice of any review and audit. In addition to an annual audit, within ten business days from the county's written request, Haynes will provide the County with all requested documentation required to verify compliance with the terms of the ordinance or any agreement. Any documents or copies of documents retained by the County which contain any individual employee's personal identifying information that is held as evidence of the employment and wage requirements of this contract will be confidential in accordance with F.S. 288.075 for the duration of this contract. 5. Neither the payment of funds, nor this Agreement, may be transferred, assigned, credited or otherwise conveyed without prior written approval from the County, which approval may be freely withheld. 6. The County shall record this Agreement in the Public Records of the County, with all costs of recording being paid by Haynes. After all obligations have been met, a satisfaction of agreement will also be recorded in Collier County public records at Haynes's sole expense. IN WITNESS WHEREOF, the Parties have executed this Agreement on the date and year first above written. ATTER`` DWI614T E. BIrO , Clerk Br. Attest as to.Ctiaintta*p t Cie signature oq�.-J- J form and legality Jeffrey County BOARD OF COUNTY COMMISSIONERS COLLIER QQUNTY, MORIDA TOM HENNING, C Page 3 Recommend Approval: Bruce Register Director, Business & Economic Development AS TO HAYNES CORPORATION: Signed, sealed and Delivered in the presence of- S11iiirre Printed Name nature 16 Ab Printed T4ame STATE OF FLORIDA COUNTY OF COLLIER The foregoing Agreement dOVehn bx�o , 2013, by James S 1�r-kiiown me or has produced identity. [NOTARIAL SEAL] was acknowledged before me this Dixon, President of Haynes Corporation, Jaynes °? 4A- day of who is ersonally� as proof of Signature of Notary Public — State of Flo Ada Print Commissioned Name of Notary Public Page 4 9 ".. DEANM DMUMUUX MY COMMISSION 4 FF 028441 =;a EXPIRES: July 14, 2017 u Bonded Thru Notary Public Uoderw tern was acknowledged before me this Dixon, President of Haynes Corporation, Jaynes °? 4A- day of who is ersonally� as proof of Signature of Notary Public — State of Flo Ada Print Commissioned Name of Notary Public Page 4 EXHIBIT "A" Legal Description 3581 Mercantile Avenue, Naples, FL 34104 36 49 25 COMMN 1/4 CNR, S 628.55 FT, W 989.97 FT TO POB, W 455.2 FT, N 200 FT, E 455.2FT, S 200 FT TO POB 3742 Arnold Avenue, Naples, FL 34104 36 49 25 COMMAT N % CNR S 228.55 FT, S 89 DEG W 1221.45 FT TO POB, S 200 FT, W 455.2 FT, N 200 FT, E 455.2 FT TO POB 2.08 Page 5 16F 4 INSTR 4938650 OR 5003 PG 3106 Prepared by: RECORDED 1/28/2014 12:06 PM PAGES 6 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT Jeffrey A.Matzkow COLLIER COUNTY FLORIDA County Attorney REC $52.50 3299 Tamiami Trail East, Suite 800 Naples, FL 34112 — — — JOB CREATION INCENTIVE AGREEMENT This Job Creation Incentive Agreement ("Agreement") is entered into this 10th day of December, 2013,(the "Effective Date") by and between Collier County, a political subdivision of the State of Florida, through its Board of County Commissioners, hereinafter referred to as "County," and Haynes Corporation, LLC, hereinafter referred to as "Haynes," collectively referred to as the "Parties," with a Performance Measurement Commencement Date of July 27, 2010, which is the date the Board first approved Haynes application for this Incentive. RECITALS: WHEREAS, Haynes submitted an application to be considered for a Job Creation Incentive for a Project involving the construction of a 30,000 square foot facility adjacent to an existing Haynes manufacturing facility on Mercantile Avenue, to be located on a parcel whose legal descriptions are included in Exhibit A and is incorporated by reference herein (which parcel is hereinafter referred to as the "Property"). A copy of this application is on file in the Growth Management Division, Impact Fee Administration Office; and WHEREAS, at its July 27, 2010 regular public meeting the Board, having reviewed the application as well as the findings of the County Manager and staff, and following public comment on this matter, approved the application as outlined in the Executive Summary; and WHEREAS, following the Board's approval of its application, Haynes went forward and expanded their facilities as set forth in their application; and Page 1 16F 4 WHEREAS, at its June 11, 2013 meeting, the Board directed that the County Manager or his designee, and the County Attorney, to prepare required incentive agreements with Haynes, including this Agreement for creation of new jobs filled by Collier County resident or employees willing to relocate to Collier County, consistent with the company's approved incentive application, for consideration by the Board at a future meeting. NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows: herein. 1. The foregoing Recitals are true and correct and are incorporated by reference 2. The Board hereby agrees to make Haynes eligible for payments for the creation of new jobs for Collier County residents or employees willing to relocate to Collier County, based on Haynes's original application. This Agreement has a Performance Measurement Commencement Date of July 27, 2010, under the terms and conditions set forth below. Haynes's program eligibility for receipt of such incentive payments shall be based on its performance in creating new jobs for Collier County residents, since the Performance Measurement Commencement Date. 3. In consideration for such assistance, Haynes hereby accepts the benefits and burdens set forth below. Haynes proposal was to create up to 20 new jobs, with Collier County residency requirements, in three phases by September 30, 2013. Haynes hereby represents that only 17 of the 20 new jobs were filled by Collier County residents or employees relocating to Collier County, so that Haynes will only receive payment for the 17 new jobs verified as being held by Collier County residents. Incentive payments will be paid in accordance with the payment schedule below upon verification of the jobs. Job creation funds in the amount of $2,000 will be provided for each new job created and filled by a Collier County resident or an employee relocating to Collier County. This requirement will also be part of the job verification process, prior to the release of any incentive funds. Due to the phased implementation of the new jobs, the following is the proposed schedule, by Job Creation Year, displaying when the Incentive payment requirements would be met (assuming that all jobs are created and validated, and corresponding payment reductions are not required): Page 2 16F 4" Job Creation Year Potential Amount of Incentive Basis of Payment (JCY) Payment JCY ending September $8,000 First Payment Phase I — 12 jobs added 30, 2011 (pay when verified in FY2014 JCY ending September $10,000 Second Payment Phase I — 12 jobs retained 30, 2012 (pay when verified in FY2014) First Payment Phase II — 3 jobs added JCY ending September $11,333 Third Payment Phase I-12 jobs retained 30, 2013 (pay when verified in FY2014) Second Payment Phase II — 3 jobs retained First Payment Phase III — 2 jobs added JCY ending September $3,333 Third Payment Phase II — 3 jobs retained 30, 2014 (pay when verified in FY2015) Second Payment Phase III — 2 jobs retained JCY ending September $1,334 Third Payment Phase III — 2 jobs retained 30, 2015 Total $34,000 17 jobs 4. Upon execution of this Agreement and the County's verification, Haynes will be awarded a grant in the sum of $8,000, representing $2,000 per new full time job created for Job Creation year 2012. Further payments shall be calculated pending verification of the creation of qualified jobs by the County Manager of his designee following the conclusion of the Job Creation Year 2013, 2014, 2015, and 2016 job creation phases. 5. Should at any time over the term of this Agreement the number of qualifying jobs is less then set forth in the payment schedule set forth above, for such payment period the County Manager or his designee will authorize a lesser sum be paid based on the actual number. This diminution of grant funds shall be the County's sole remedy should Haynes not meet the scheduled job creation. Haynes understands and agrees that there is no defined funding source for this Project, and as such these grants are subject to annual appropriation. 6. As a precondition to payment, Haynes shall give the County reviewer full access to its business records and business premises as required certifying the created jobs. Haynes shall be given 10 business days prior written notice of this review. Any documents or copies of documents retained by the County which contain any individual employee's personal identifying information that is held as evidence of the employment and wage requirements of this contract will be confidential in accordance with F.S. 288.075 for the duration of this contract. Page 3 16 F 7. Neither the payment of funds, nor this Agreement, may be transferred, assigned, credited or otherwise conveyed without prior written approval from the County, which approval may be freely withheld. 8. The County shall record this Agreement in the Public Records of the County, with all costs of recording being paid by Haynes. After all obligations have been met, a satisfaction of agreement will also be recorded in Collier County public records at Haynes's sole expense. IN WITNESS WHEREOF, the Parties have executed this Agreement on the date and year first above written. ATTEST , Vim, DWIGH-t E. BROOK Clerk B - 4 Attest as tt� arrxmani e signaturenty. legality Jeffrey County BOARD OF COUNTY COMMISSIONERS COLLIER COUNTY, FLORIDA By: (gam TOM HENNING, CHAIRMAN Page 4 Recommend Approval: Bruce Register Director Business and Economic Development AS TO HAYNES CORPORATION AND JL SOUTH PROPERTIES, LLC: Signed, sealed and Delivered in the presence of: STATE OF FLORIDA COUNTY OF COLLIER 16F a 3aynes The foregoing Agreement was acknowledged before me this 02Y4t"- day of 2013, by James S. Dixon, President of Haynes Corporation, who is ersonally known me or has produced as proof of identity. [NOTARIAL SEAL] Signature of Notary Public — State of Florida Print Commissioned Name of Notary Public Page 5 MY COAIkOPI . t FF 028441 EXPIRES: ,her 14, 2017 RJR.,, R,J,R eoed.er�weanPuafouedenKian Signature of Notary Public — State of Florida Print Commissioned Name of Notary Public Page 5 16F 4" EXHIBIT "A" Legal Description 3581 Mercantile Avenue, Naples, FL 34104 36 49 25 COMMN 1/4 CNR, S 628.55 FT, W 989.97 FT TO POB, W 455.2 FT, N 200 FT, E 455.2FT, S 200 FT TO POB 3742 Arnold Avenue, Naples, FL 34104 36 49 25 COMMAT N % CNR S 228.55 FT, S 89 DEG W 1221.45 FT TO POB, S 200 FT, W 455.2 FT, N 200 FT, E 455.2 FT TO POB 2.08 AC Page 6 16F a 4 INSTR 4938651 OR 5003 PG 3112 RECORDED 1/28/2014 12:06 PM PAGES 7 Prepared by: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT COLLIER COUNTY FLORIDA Jeffrey A. Klatzkow REC $61.00 County Attorney 3299 Tamiami Trail East, Suite 800 Naples, FL 34112 AGREEMENT FOR IMPACT FEE PAYMENT REFUND This Agreement to refund impact fee payments already paid to Collier County is entered into this 10th day of December, 2013, (the "Effective Date") by and between Collier County, a political subdivision of the State of Florida, through its Board of County Commissioners, hereinafter referred to as "County," and Haynes Corporation , hereinafter referred to as "Haynes," collectively referred to as the "Parties," with a Performance Measurement Commencement Date of July 27, 2010, which is the date the Board of County Commissioners first approved Haynes's application for Impact Fee Assistance. RECITALS: WHEREAS, Haynes submitted an application to be considered for Impact Fee relief for a Project involving the construction of a 30,000 square foot facility adjacent to an existing Haynes manufacturing facility on Mercantile Avenue, to be located on a parcel whose legal descriptions are included in Exhibit A and is incorporated by reference herein (which parcel is hereinafter referred to as the "Property"). A copy of this application is on file in the Growth Management Division, Impact Fee Administration Office; and WHEREAS, the County Manager and staff reviewed the application and, based on the representations therein, approved Haynes's application for Impact Fee relief as outlined in an Executive Summary that was submitted to the Board on July 27, 2010; WHEREAS, at its July 27, 2010 regular public meeting the Board, having reviewed the application as well as the findings of the County Manager and staff, and following public comment on this matter, approved the application as outlined in the Executive Summary; and WHEREAS, based on its approved application and its reliance toward the County's intent to provide impact fee relief, Haynes prepaid its impact fees for said Property on January Page 1 16F 4 " 13, 2012, in the amount of $78,464.50 and went forward with construction of the new facility on the Property; and WHEREAS, Haynes received a certificate of occupancy for the Property on August 22, 2013; and WHEREAS, at its June 11, 2013 regular meeting, the Board directed the County Manager and the County Attorney to prepare program agreements with Haynes, including this Impact Fee Payment Refund Agreement based on Haynes Corporation's originally -approved application; and WHEREAS, given the delay in implementation of this Agreement, the Board wishes to provide Impact Fee relief to Haynes as set forth below. NOW, THEREFORE, in consideration of the foregoing Recitals, and other good and valuable consideration, the receipt and sufficiency of which is hereby mutually acknowledged, the Parties agree as follows: herein. 1. The foregoing Recitals are true and correct and are incorporated by reference 2. The Board hereby formally agrees to provide impact fee relief in the form of a refund of previously paid impact fees based on the information in its approved application for the expansion of its existing Collier County business, and for recognizing that Haynes carried forward with its intent and caused the construction of a 30,000 square foot (approximate) facility located adjacent to an existing Haynes manufacturing facility on Mercantile Avenue. 3. In consideration for such assistance, Haynes hereby accepts the benefits and burdens set forth below. 4. This incentive award is a refund by Collier County to refund Haynes's impact fees, contingent on the creation and maintenance of 20 new jobs for 6 years at an average wage of not less than $34,320 starting from August 1, 2010. Haynes represents that it has met this obligation by the first anniversary of the Performance Measurement Commencement Date. As set forth below, the County will continue to annually audit Haynes on or about August 1St of each calendar year. Provided that Haynes is not in default of this Agreement, Collier County shall reimburse Haynes $78,464.50 after September 1, 2016, and confirmation of compliance. Haynes Page 2 16F 4" understands and agrees that there is no defined funding source for this Impact Fee Payment Refund set out by this Agreement, and as such this grant is subject to appropriation, and further agrees that failure to satisfy job and wage requirements set forth in the original application and this agreement will result in a forfeiture of the impact fee refund. 5. This Agreement will expire upon payment by the County to Haynes, or September 30, 2016 if performance requirements are not met. Following this expiration, and upon satisfactory completion of all requirements of this Agreement, at the then property owner's request and sole expense, the County will record any necessary documentation evidencing same. 6. Under this Agreement an annual review shall be performed by the County on or about August 1St of each calendar year, to determine whether there has been good faith compliance with the terms of this Agreement. Haynes shall give the County reviewer full access to its business records and business premises as required to certify the created jobs. If the County Manager or his designee finds, on the basis of substantial competent evidence, that there has been a failure to comply with the terms of this Agreement, the Agreement may be revoked or unilaterally modified by the County. Haynes shall be given 10 business days prior written notice of any review. In addition to an annual review, within 10 business days from the County's written request, Haynes will provide the County with all requested documentation required to verify compliance with the terms of this Agreement based on Haynes's original application. Any documents or copies of documents retained by the County which contain any individual employee's personal identifying information that is held as evidence of the employment and wage requirements of this contract will be confidential in accordance with F.S. 288.075 for the duration of this contract. 7. By way of example and not as a limitation, this Agreement will be in substantial breach upon the following events: (1) any change in the status of the business or project such that it no longer meets the required criteria agreed to and approved as part of Haynes's original application, as set forth in this Agreement; (2) failure to fully comply with all reasonable requests during any County review conducted pursuant to this Agreement; (3) upon the County Manager or his designee being informed of a material misrepresentation in the Application; (4) 20 new jobs are not created and maintained up until July 27, 2016, at an average wage of not less than $34,320 or a time extension has not been granted by the Board of County Commissioners related to the timing for the creation of the jobs, or (5) failure by Haynes to pay its tax bill in full to the tax collector's office annually, on or before the date it is due. Page 3 16F 8. The County shall record this Agreement in the Public Records of the County, with all costs of recording being paid by Haynes. After all obligations have been met, a satisfaction of agreement will also be recorded in Collier County public records at Haynes's sole expense. IN WITNESS WHEREOF, the Parties have executed this Agreement on the date and year first above written. ATTEST: DWIGHT E. ISR I ;.Clerk Br� _f Attest asto Charia ep Cl signafareQrily;. ,. BOARD OF COUNTY COMMISSIONERS COLLIER C LINTY, F ORIDA B: TOM HENNING, CHA AN pity: Recommend Approval: Bruce Register Director Business & Economic Development Page 4 n AS TO HAYNES CORPORATION AND JL SOUTH PROPERTIES, LLC: Signed, sealed and Delivered in the presence of: Sign e PrintFd Name SigpaturIe� Printed Name STATE OF FLORIDA COUNTY OF COLLIER 16F 4 Jaynes The foregoing Agreement was acknowledged before me this Db day of �24wV , 2013, by James S. Dixon, President of Haynes Corporation and Managing Member of JL Properties LLC, who is 6 ersona ly known to me or has produced as proof of identity. [NOTARIAL SEAL] ; ti'k•ru, DE/WNADESRWSSFMX MY COMMISSION N FF 028441 a•. EXPIRES: Juhr 14, 2017 tir,h Bonded Thiu Notoy Pubik Undwftm Signature of Notary Public — State of Florida Print Commissioned Name of Notary Public Page 5 16F 4 EXHIBIT "A" Legal Description 3581 Mercantile Avenue, Naples, FL 34104 36 49 25 COMMN 1/4 CNR, S 628.55 FT, W 989.97 FT TO POB, W 455.2 FT, N 200 FT, E 455.2FT, S 200 FT TO POB 3742 Arnold Avenue, Naples, FL 34104 36 49 25 COMMAT N % CNR S 228.55 FT, S 89 DEG W 1221.45 FT TO POB, S 200 FT, W 455.2 FT, N 200 FT, E 455.2 FT TO POB 2.08 AC Page 6 16F 4 EXHIBIT `B" Impact Fee Amount IMPACT FEES PAID COLLIER COUNTY BUILDING PERMIT 2011070937 $78,464.50 Page 7