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Backup Documents 12/13-14/2011 Item #16C 4ORIGINAL DOCUMENTS CHECKLIST &ROUTING SLIP- 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 #I 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 Ian Mitchell (line #5). Route to Addressee(s) List in routing order) Office Initials Date L appropriate. Initial Applicable) 2. December 13, 2011 Agenda Item Number 16C4 3. signed by the Chairman, with the exception of most letters, must be reviewed and signed 4. UTILITY FACILITY WARRANTY DEED Number of Original 1 5. Ian Mitchell, BCC Office Su ervisor Board of County Commissioners Documents Attached �Z 1(4,11 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 the addressees above, including Ian Mitchell, 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 SUE ZIMMERMAN Phone Number 252 -2622 Contact appropriate. Initial Applicable) Agenda Date Item was December 13, 2011 Agenda Item Number 16C4 Approved by the BCC signed by the Chairman, with the exception of most letters, must be reviewed and signed Type of Document UTILITY FACILITY WARRANTY DEED Number of Original 1 Attached I & BILL OF SALE I Documents Attached INSTRUCTIONS & CHECKLIST I: Forms/ County Forms/ BCC Forms/ Original Documents Routing Slip WWS Original 9.03.04, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 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, 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 rN 3. The Chairman's signature line date has been entered as the date of BCC approval of the 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 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 Mithchell 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 12/13/11 (enter date) and all changes made during the meeting have been incorporated in the attached document. The a& 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, Revised 1.26.05, Revised 2.24.05, Revised 9.18.09 16C 4 MEMORANDUM Date: December 27, 2011 To: Sue Zimmerman Real Estate Services From: Martha Vergara, Deputy Clerk Minutes & Records Department Re: Utility Facility Warranty Deed & Bill of Sale Project: Landfill Gas -To- Energy Folio #00298520004 Attached please find one (1) originals as referenced above (Agenda Item #16C4), approved by the Board of County Commissioners on Tuesday, December 13, 2011. Please forward this original document when fully executed to the Minutes & Records Department, so that it becomes part of the Board's Official Records. If you should have any questions, please contact me at 252 -7240. Thank you. 16C 4 PROJECT: LANDFILL GAS -TO- ENERGY FOLIO NO.: 00298520004 UTILITY FACILITIES WARRANTY DEED AND BILL OF SALE THIS INDENTURE made this _* day of DMA -, 2011, between COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing address is 3335 Tamiami Trail E., Suite 101, Naples, FL 34112 (hereinafter referred to as "Grantor"), and the BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF COLLIER COUNTY AND AS THE EX- OFFICIO GOVERNING BOARD OF THE COLLIER COUNTY WATER -SEWER DISTRICT, its successors and assigns, whose mailing address is 3335 Tamiami Trail E., Suite 101, Naples, FL 34112 (hereinafter referred to as "Grantee "). WITNESSETH: That said Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt whereof is hereby acknowledged, has granted, bargained and sold to the said Grantee, and Grantee's heirs, successors and assigns forever, all water, and /or utility facilities and /or system(s) or portion(s) thereof lying in, on, over and under the following described land ( "Exhibit "A "), for operation, relocation, installation, repair and /or maintenance of said existing and any future facilities, system(s) or portion(s) thereof, all situate and lying and being in Collier County, Florida, to wit: (See Exhibit "A" attached hereto and incorporated by reference herein.) and said Grantor does hereby fully warrant the title to said utility facilities and /or system(s) or portion(s) thereof, be they realty, personalty, or mixed, and Grantor will defend such title against all claims of all persons whomsoever. For the purposes of this conveyance, the utility facilities, system(s) and /or portion(s) thereof conveyed herein shall not be deemed to convey any of the lands described in either exhibit. Grantor and Grantee are used for singular or plural, as context allows. A list of the utility facilities, etc., being conveyed is attached as Exhibit "B ". TO HAVE AND TO HOLD the same unto the Grantee and its assigns, together with the right to enter upon said land, excavate, relocate and /or take or introduce materials for the purpose of constructing, relocating, operating, repairing and /or otherwise maintaining utility systems thereon. Grantor and Grantee are used for singular or plural, as the context requires. IN WITNESS WHEREOF, Grantor has caused these presents to be executed the date and year first above written. ,.,ATT'EW ,- BOARD OF COUNTY COMMISSIONERS DWIGHT e $6tQ,CK,, COLLIER COUNTY, FLORIDA ` f t BY: D p lerk FRED W. 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A �4 cPOj w�44�4w �1t woq N a��le4OP � is F i T 'y m T A Npf 1+I+N1+y p�Hw Y+ � I+�wN qpN W W V'� N �V+pa�Ip���N+N�V+ V A-i c ZOT yT� O 2p m Z ymy� � �I+p Qm00p yNO�F` OE III': �+�`y�q'QN pYp �Y�p1 W Grp �Jp y}a��� AmN`+PN pNp O�00)I�+W N V ppSpp< O � y p T pA D Z P>y "nT TT W IypN��PTTT��TTTTT IITT TTTfITTTTT[; 1" m A y mT Q ZO T 1�1 T TTT1T�1°m�A TmmT y�T m yT�TTTm m Tm 1T�yT1T�T mT eT�T mT TI�1 ^'= D T �TU D -1FT 20D ... ���yy�.. �T.. - _Y ��Y�Y "�Y y` y�Y ��iy�y•_•I ••.i�O jO�V�1 mp Z -1 Y^� f`1p 1 O��y00)�� F O A tia T p � Z T N T N P A 10 D�O b r 1p N M m� z z o 5z r2 C p o a M m S T � N m IYZI 2 n EXHIBIT-,&— Page I of I - 16C 4 VERIFICATION OF FINAL COST PROJECT NAME: Naples Landfill LFGTE Facility LOCATION: Section 36, Township 49S, Range 26E; Collier County, Florida NAME 8 ADDRESS OF OWNER: Naples, Florida 34117 TYPE OF UTILITY SYSTEM: POTABLE WATER ITEM SIZE QUAN. UNIT COST TOTAL Potable Water Poly Service Line 2" 142 LF $13.30 $1,888.60 Backflow Assembly 2" 1 EA $2.750.00 $2.750.00 DR -11 Casing 4" 60 LF $15.50 $930.00 C -900 DR 14 PVC 8" 679 LF $2750 $18.67250 Tapping Sleeve & Valve 10 "x8" 1 EA $3,850.00 $3,85000 ARV 1" 1 EA $1,32000 $1,320.00 Bacterial Sampling Point 8" 1 EA $1,70500 $1,70500 Auto Flushing Device 6" 1 EA $4,620.00 $4.620.00 Fire Hydrant 1 EA $4,40000 $4.40000 Irrigation Poly Line 2" 78 LF $13.30 $1,037.40 DR -11 Casing for Irrigation 4" 60 LF $15.50 $93000 CERTIFYING: `% %J1111/1///�/, 1 do hereby ce ' tha�A\ S and an acc t ep� of the � roject Et1 OF: Davidson \N Suits301tR /�� / / / /����� \ \`\ Naples, Florida__, Louis- -GaudW, Vice President OF: Quality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) TOTAL COST described above are true 0,20 The foregoing instrument was signed and acknowledged before me this i day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. _ N���� SEAL: u lic nature nature ms`s •' j EXH I B IT'S , Page_ I of - ....,.,. $42,10350 16C 4 CERTIFICATION OF PRIVATE MATERIAL PROJECT NAME: Naples Landfill LFGTE Facility LOCATION: Section 36, Township 49S, Range 26E, Collier County, Florida NAME & ADDRESS OF OWNER: Naples, Florida 34117 TYPE OF UTILITY SYSTEM: POTABLE WATER ITEM SIZE QUAN. UNIT COST TOTAL Poly Service Line 2" 142 LF $1.48 $210.16 Backflow Assembly 2" 1 EA $1.271.40 $1,271.40 DR -11 Casing 4" 60 LF $2.48 $148.80 Irrigation Poly Line 2" 78 LF $1.48 $115.44 DR -11 Casing for Irrigation 4" 60 LF $2.48 $148.80 CERTIFYIN;`\� \ \ \��II��I �i, I cc raz! j�o" accurate,? tion.o��ttt� 353Vl*W RqJ1 \1N" Suite 301 Naples, Florida Louis J. Gawdio, Vice President TOTAL COST of material described above are true and an ,project Engineer OF: Quality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) $1,894.60 The foregoing instrument was signed and acknowledged before me this day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. / I SEAL: racy P-01iffic Si ure INIC i EXHIBIT_ Page of .i 16C 4 CERTIFICATION OF CONTRIBUTORY ASSETS - COUNTY PROJECT NAME: Naples Landfill LFGTE Facility LOCATION: Section 36, Township 49S, Range 26E, Collier County, Florida NAME 8 ADDRESS OF OWNER: Naples, Florida 34117 TYPE OF UTILITY SYSTEM: POTABLE WATER (MATERIALS ONLY) ITEM SIZE QUAN. UNIT COST TOTAL C -900 DR 14 PVC 8" 679 LF $7.71 $5,235.09 Tapping Sleeve & Valve 10 "x8" 1 EA $1,902.37 $1,902.37 ARV 1" 1 EA $614.62 $614.62 Bacterial Sampling Point 8" 1 EA $743.09 $743.09 Auto Flushing Device 6" 1 EA $2,359.10 $2.359.10 Fire Hydrant 1 EA $2,218.69 $2.218.69 CERTIFYING: I do hereby that t ib repres5Kat!,qK of the s .:stn\_. \ P.E., P -ft er OF: 530 K aft Rd i /// Suite 301 Naples, Florida Lours JFean'ffiio, Vice President TOTAL COST above are true and an accurate NOV 022" OF: Quality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) The foregoing instrument was signed and acknowledged before me this / - -) day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. f! . ota u lic Sig u e SEAL:.r> EXHIBIT_ Page_ of _ $13.072.96 OF: Davidso, ;0 3530 Kraft Rd Suite 301 Naples, Florida Louis 4. Gaudio, Vice President OF: Duality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) The foregoing instrument was signed and acknowledged before me this day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. SEAL:�,..'�6 Notary Pu c ignatu r EXHIBIT-1- Page . q of 5 16C 4 VERIFICATION OF FINAL COST PROJECT NAME: Naples Landfill LFGTE Facility LOCATION: Section 36, Township 49S, Range 26E; Collier County, Florida NAME 8 ADDRESS OF OWNER Naples, Florida 34117 TYPE OF UTILITY SYSTEM: SANITARY SEWER TOTAL ITEM SIZE QUAN. UNIT COST Lift Station 1 EA $18,150.00 $18,150.00 HDPE 1 1/4" 721 LF $1458 $10,512.18 PVC SDR26 6" 158 LF $17.93 $2,832.94 Gate Valve 2" 1 EA $675.00 $675.00 Clean Out 6" 3 EA $440.00 $1,320.00 TOTAL COST $33,490.12 CERTIFYING: `/, I do hereby certi aterial and services described above are true and an accurat` tion�� stalled system. •elb No d7 OF: Davidso, ;0 3530 Kraft Rd Suite 301 Naples, Florida Louis 4. Gaudio, Vice President OF: Duality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) The foregoing instrument was signed and acknowledged before me this day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. SEAL:�,..'�6 Notary Pu c ignatu r EXHIBIT-1- Page . q of 5 16C 4 CERTIFICATION OF PRIVATE MATERIAL PROJECT NAME: Naples Landfill LFGTE Facility LOCATION: Section 36, Township 49S, Range 26E, Collier County, Florida NAME & ADDRESS OF OWNER: Naples, Florida 34117 TYPE OF UTILITY SYSTEM: SANITARY SEWER ITEM SIZE QUAN. UNIT COST TOTAL Lift Station 1 EA $9,205.76 $9,205.76 HDPE 11/4" 721 LF $1.19 $857.99 PVC SDR26 6" 158 LF $2.11 $333.38 Gate Valve 2" 1 EA $318.00 $318.00 Clean Out 6" 3 EA $247.88 $743.64 TOTAL COST $11,458.77 CERTIFYING: I do hereby c i n sbtdh� vial described above are true and an accurate representation of the as - s e NOV o zo�� Pr ngineer oft OF: Davidson 3530 Kraft Rd 0111 J IM\� Suite 301 Naples, Florida Louis a. "Gaudio, Vice President OF: Quality Enterprises USA, Inc. 3894 Mannix Drive Suite 216 Naples, Florida 34114 STATE OF FLORIDA ) SS: COUNTY OF COLLIER ) The foregoing instrument was signed and acknowledged before me this LL day of May, 2011 by Louis J. Gaudio, who is personally known to me and who did not take an oath. � f SEAL: otary ftbli s gnature .►%* Notary Puo Susan i S•:nurti My C',mmiss'or. ;.�,, g•, ,�ck . EXH I B IT P • °o,..a EXU:,44 Page _,5Z of c' _