Backup Documents 12/11-12/2012 Item #16A21 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
(Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The
completed routing slip and original documents are to be forwarded to the Board Office only after the Board has taken action on
the item.)
ROUTING SLIP
Complete routing lines#1 through#4 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#4,complete the
checklist, and forward to Commissioners' Office(line#5).
Route to Addressee(s) Office Initials Date
(List in routing order)
2.
3.
4. Emily Pepin County Attorney's Office
5. Office Manager Board of County Commissioners
6. Minutes and Records Clerk of Courts Office t-)-44)
PRIMARY CONTACT INFORMATION
(The primary contact is the holder of the original document pending BCC approval.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 need to contact staff for additional or missing information.All original
documents needing the BCC Chairman's signature are to be delivered to the BCC office only after the BCC has acted to approve the item.)
Name of Primary Staff Joseph Delate Phone Number (239)252-5821
Contact
Agenda Date Item was 12/11/12 J Agenda Item Number 16.A.21
Approved by the BCC
Type of Document Owner's Affidavit,Bill of Sale Number of Original 2
Attached Documents Attached ( -
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. Original document has been signed/initialed for legal sufficiency. (All documents to be JD
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. This includes signature pages from ordinances,
resolutions,etc. signed by the County Attorney's Office and signature pages from
contracts,agreements, etc.that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and possibly State Officials.)
2. 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
3. The Chairman's signature line date has been entered as the date of BCC approval of the JD
document or the final negotiated contract date whichever is applicable.
4. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's JD
signature and initials are required.
5. In most cases(some contracts are an exception),the original document and this routing slip JD
should be provided to the BCC office within 24 hours of BCC approval. 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!
6. The document was approved by the BCC on 12/11/12 and all changes made during the JD
meeting have been incorporated in the attached document. The County Attorney's Office
has reviewed the changes, if applicable.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip
WWS Original 9.03.04
16 A21
MEMORANDUM
Date: December 28, 2012
To: Joseph Delate, Senior Project Manager
Transportation Engineering/Construction Mgmt.
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Parcel 263HPV Bill of Sale & Owner's Affidavit for property
in the Linwood Way Right-of-Way necessary to convey water
utility facilities to the City of Naples
Attached for your records are copies of the documents referenced above (Item #16A21)
approved by the Board of County Commissioners on December 11, 2012.
The original documents will be held in the Board's Official Records.
If you have any questions, please feel free to contact me at 252-8406.
Thank you.
Attachment
16 A2 1
PROJECT: (Misc.99999)
Gateway Triangle#518031
(Naples Grove and Truck Company's Little Farms area)
PARCEL: 263HPV
OWNER'S AFFIDAVIT
STATE OF FLORIDA
COUNTY OF COLLIER )
BEFORE ME, the undersigned Deputy Clerk, on this day appeared Fred W.
Coyle, who to me is well known, and having been duly attested, deposes and states:
My name is FRED W. COYLE. I am over the age of twenty-one (21) years, am
otherwise sui furls, and have personal knowledge of the facts asserted herein.
I am the Chairman of the Board of County Commissioners for Collier County, a
political subdivision of the State of Florida (the"Owner") and owner of said road right of
way located at Linwood Way and described on Exhibit "A" attached hereto and
incorporated by reference herein ("Property").
This Affidavit is given as an inducement to the City of Naples, Florida, a
municipal corporation of the State of Florida (the "City") to accept the dedication or
conveyance of the water utility system(s) or portion(s) thereof ("Utility System(s)")
located within or upon the road right of way described in Exhibit"A"attached hereto and
incorporated by reference herein, said land being located in Collier County, Florida (the
"Property").
All persons, firms, and corporations, including the general contractor, all
laborers, subcontractors and sub-subcontractors, material-men and suppliers, who
have furnished services, labor or materials according to the plans and specifications, or
extra items, used in the construction, installation and/or repair of the Utility Systems on
the Property, have been paid in full and that such work has been fully completed and
unconditionally accepted by the Owner.
No claims have been made to the Owner by, nor are any suit now pending on
behalf of, any contractor, subcontractors, laborer or material-man, and further that no
chattel mortgages or conditional bills of sale have been given or are now outstanding as
to the Utility System(s) placed upon or installed in, above or on the Property.
Title to the subject Utility System(s) or portion(s) thereof and/or easement(s),
being conveyed to the City of Naples are encumbered by the following liens and
mortgages of record: NONE.
As and on behalf of the Owner, does for valuable consideration hereby agree
and guarantee, to hold the City of Naples, Florida, a municipal corporation of the State
of Florida, harmless against any lien, claim or suit by any general contractor,
subcontractor, mechanic or material-man, and against chattel mortgages. security
interests or repair of the Utility System(s). Affiant is used as singular or plural, as the
context requires.
FURTHER AFFIANT SAYETH NAUGHT.
16A 1
Dated this_ t\- day oft� z , xr-" . 20 ‘.7 .
Signed and delivered in our presence:
ATTEST BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK COLLIER COUNTY, FLORIDA 3`
!dust in
^4 Clerk Fred W. Coyle, Chair an,,
01104011 M . .
Approved as to form
and legal sufficiency:
Assistant County Attorney
ate,# l ie►c" -1
Dateda 121 [12, 1
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16A2i
PROJECT (Misc.99999)
Gateway Triangle#518031
(Naples Grove and Truck Company s Little Farms area)
PARCEL 263HPV
All that certain fire hydrant, pipe, gate valve and relevant
appurtenances thereto installed within the Linwood Way Right of
Way, as shown on the attached Record Drawing Sheet for
Gateway Triangle Stormwater Pump Station.
4
EXHIBIT
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16A21
PROJECT: (Misc.99999)
Gateway Triangle#518031 NSTR 47 75 4R600,0 R 446? :1:F211�
(Naples Grove and Truck Company's Little Farms area) RECORDED 12/2012012 2. M PAGES 3
PARCEL: 263HPV Cb1i BHT DKCl ERHE C'RCiJ;TC;)URr
COWER COUNTY FL C:RIUA
NEC$27 i;0
BILL OF SALE
THIS BILL OF SALE evidencing the sale and conveyance of the utility facilities
described herein is made this II day of ece, ,44,j--, 20 12,, by COLLIER
COUNTY, a political subdivision of the State of Florida (hereinafter referred to as
`SELLER"), and the CITY OF NAPLES, its successors and assigns(hereinafter referred
to as"BUYER").
WITNESSETH:
That said Seller, for and in consideration of the sum of Ten Dollars ($10.00) and
other good and valuable consideration to said Seller in hand paid by the said Buyer, the
receipt whereof is hereby acknowledged, has granted, bargained, sold, transferred, set
over and delivered, and by these presents does grant, bargain, sell, transfer, set over
and deliver until the Buyer, and the Buyer's heirs, successors and assigns forever, all
those certain water utility system(s) or portion(s) thereof ("Utility Facilities") described
and located on attached Exhibit "A" within lands and/or public rights of way, together
with appurtenant access approvals and/or easement rights for the operation,
installation, maintenance and replacement of said facilities lying and being in Collier
County, Florida, to wit:
(See Exhibit"A"attached hereto and incorporated by reference herein)
The Seller, for itself and its successors, hereby covenants to and with the Buyer
and its successors and assigns that it is the lawful owner of the said goods and chattels
herein referred to as utility facilities; that it has good right, title and authority to sell
same, and that it will warrant and defend the same against the lawful claims and
demands of all persons whomsoever. Seller and Buyer are used for singular or plural,
as the context requires.
IN WITNESS WHEREOF, SELLER has caused these presents to be executed
the date and year above written.
Signed and delivered in our presence:
ATTEST: BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCK COLLIER COUNTY, FLORIDA
}I ..,�
=D l C lerk Fred W. Coyle , Chairman
slogiliare Or*
Approved as to form
and legal sufficiency:
A
Assistant County Attorney
16A21
PROJECT: (Misc.99999)
Gateway Triangle#518031
(Naples Grove and Truck Company's Little Farms area)
PARCEL 263HPV
All that certain fire hydrant, pipe, gate valve and relevant
appurtenances thereto installed within the Linwood Way Right of
Way, as shown on the attached Record Drawing Sheet for
Gateway Triangle Stormwater Pump Station.
EXHIBIT
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EXHIBIT i
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