Backup Documents 10/25/2011 Item #10Go (�ek�. 10 -27-20 t[
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 10G
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 Sue Filson (line #5).
Route to Addressee(s)
List in routing order
Office
Initials
Date
1. Judy Puig
GMD Planning &
Regulation/Operations
(Initial)
b)
Agenda Date Item was
2.
Agenda Item Number
IOG
Approved by the BCC
3.
Type of Document
4.
Number of Original
1
Attached
5 Ian Mitchell, Supervisor, BCC Office
Board of County
Commissioners
/
6. Minutes and Records
Clerk of Court's Office
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 fie addressees above, including Sue Filson, 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
Amy Patterson
Phone Number
252 -5721
Contact
appropriate.
(Initial)
Applicable)
Agenda Date Item was
October 25, 2011
Agenda Item Number
IOG
Approved by the BCC
signed by the Chairman, with the exception of most letters, must be reviewed and signed
Type of Document
Amendment to Agreement
Number of Original
1
Attached
I
I Documents Attached
INSTRUCTIONS & CHECKLIST
I: Forms/ County Forms/ BCC Forms/ Origi Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
t_ea�-e -fir d /07- /3� ?�20 - 30
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
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,
Af
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
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
(j
document or the final negotiated contract date whichever is applicable.
nT
4.
"Sign here" tabs are placed on the appropriate pages indicating where the Chairman's
y�
signature and initials are required.
5.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Ian Mitchell in 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 10/25/11 (enter date) and all changes
made during the 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/ Origi Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05
t_ea�-e -fir d /07- /3� ?�20 - 30
10 G � -j*1
MEMORANDUM
Date: November 8, 2011
To: Amy Patterson, Impact Fee & EDC Manager
Business Management and Budget Office
From: Ann Jennejohn, Deputy Clerk
Board Minutes & Records Department
Re: (Recorded) Amendment to an Impact Fee Payment
Assistance Agreement with Lucy Salon, Inc.
Attached for your records is a copy of the document referenced above, (Item #10G)
approved by the Board of County Commissioners October 25, 2011.
The Minutes and Record's Department has held the original document for the Board's
Official Record.
If you have any questions, please call me at 252 -8406.
Thank you.
Attachment
10G
AMENDMENT TO AGREEMENT FOR
FEE PAYMENT ASSISTANCE PROGRAM
THIS AMENDMENT TO AGREEMENT is entered into this a5+�'day of 6 (2011, 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 Lucy Zuniga, individually and as
authorized officer of Lucy Salon, Inc. hereinafter referred to as "Owner." collectively stated as the
"Parties."
INSTR 4621539 OR 4731 PG 3226
RECORDED 11/1/2011 9:24 AM PAGES 4
RECITALS: DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC $35.50
WHEREAS, Collier County Ordinance No. 2003 -61, the Collier County Fee Payment
Assistance Ordinance, as amended and codified as Chapter 49 of the Code of Laws and
Ordinances of Collier County Florida, hereinafter referred to as the "Ordinance," provides for Fee
Payment Assistance for payment of impact fees to qualifying businesses; and
WHEREAS, upon approval of the Owner's application for a Fee Payment Assistance
Program, the Parties entered into an Agreement for the Fee Payment Assistance Program, which is
dated December 22, 2006, and recorded in Official Records Book 4159, Pages 0844 et seq.,
hereinafter referred to as the "Agreement."
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. Owner has met one year of compliance under the Agreement. However, due to
ongoing economic difficulties, Owner has not met, and will be unable to meet in the foreseeable
future, the ongoing required employment obligations of the Agreement. Accordingly, the parties
agree that the remaining balance of $17,292.52 in Fee Payment Assistance Funds are now fully
due to the County.
3. Because of the ongoing economic difficulties, Owner has requested, and County has
agreed, that the repayment of these funds may be made in 10 equal biannual payments of
$1,729.25, commencing January 15, 2012, as set forth in the attached Payment Schedule.
4. Owner agrees that if any payment is not timely made, the entire balance will become
Page 1
immediately due and payable, with interest then accruing on a daily basis from the date of default
at the statutory rate of interest for final judgments. Should the entire balance not be then paid, the
County will be entitled to recover all fees and costs, including attorney's fees, incurred in
enforcing this debt.
5. Except as amended, all other terms and conditions of the December 22, 2006
Agreement remain in full force and effect. This Amendment and its provisions merge any prior
agreements, if any, between the parties with respect to the matters set forth in this Amendment.
6. This Amendment shall be recorded by the County, at the expense of the County, in the
Official Records of Collier County, Florida, within sixty (60) days after execution by the Board.
REMAINDER OF DOCUMENT INTENTIONALLY LEFT BLANK
SIGNATURE PAGE TO FOLLOW
Page 2
10G
IN WITNESS WHEREOF, the Parties have executed this Amendment to the Agreement
for Fee Payment Assistance Program, on the date and year first above written.
a; BOARD OF COUNTY COMMISSIONERS
OF COLLIER COUNTY, FLORIDA
ATTEST:
DWIGNTAI 'CK ;ULERK
By: co
By. FRED W. COYLE, CHAIRMA
;j
STATE OF FLORIDA
COUNTY OF COLLIER
OWNER: Lucy Zunica and Lucy Salon, Inc.
By:� t
cy Z ga ' both Tier individual capacity and
as President of Lucy Salon, Inc.
The foregoing Agreement was acknowledged before me this �� day of
2011, by Lucy Zuniga, individually and as,/� uthorized officer of Lucy Salon,
I c. who is personally known to me or has produced ft- dveW4A'J as
proof of identity.
•```R� P' ABDIEL DAVID MOXAM
• y omm. Expires Jun 21, 2013
A:g�—na�ture of Person Taking Acknowledgment
Commission # DD 894299
Bonded Through National Notary Assn.
Approved as to form and Recommend Approval:
Page 3
ao4pa-�t���
Amy Patidrson, Impact Fee Manager
Impact Fee Administration
Payment Schedule
Original Balance: $ 18,527.78
Balance after one year compliance credit $ 17,292.52
Payment Schedule: Ten Equal Payments of $ 1729.25 beginning January 15, 2012
Payments due on or before the due date:
January 15, 2012 $ 1,729.25
July 15, 2012
$ 1,729.25
January 15, 2013
$ 1,729.25
July 15, 2013
$ 1,729.25
January 15, 2014
$ 1,729.25
July 15, 2014
$ 1,729.25
January 15, 2015
$ 1,729.25
July 15, 2015
$ 1,729.25
January 15, 2016
$1,729.25
July 15, 2016
$ 1,729.25
$0.02 balance to be paid with final payment.
Page 4
IOG
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