Backup Documents 06/22/2010 Item #16E 4ORIGINAL DOCUMENTS CHECKLIST & ROUTITTP 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SEN
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 . I he completed routing slip and original
documents are to be forwarded to the Board Office only a1Yer 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
., ,.frl.a draw a Ilnc thrnuvh rnntin, lines #i through #4. comolete the checklist, and forward to Sue Filson (line 15).
Route to Addressee(s)
(List in routing order)
Office
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Initials
Date
1.
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(Initial)
Applic able)
2.
Original document has been signed /initialed for legal sufficiency. (All documents to be
Agenda Item Number
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3.
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4.
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Number of Original
5. Ian Mitchell, BCC Office
Supervisor
Board of County Commissioners
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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 Sue Filson, need to contact stall 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
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Name of Primary Staff
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Phone Number
ava 1927
Contact
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(Initial)
Applic able)
Agenda Date Item was
Original document has been signed /initialed for legal sufficiency. (All documents to be
Agenda Item Number
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Approved by the BCC
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Type of Document
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Number of Original
Attached
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Documents Attached
INSTRUCTIONS & CHECKLIST
I. Forms / County Forms / BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1,26 05, Revised 224 .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)
Applic able)
_
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,
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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
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3.
The Chairman's signature line date has been entered as the date of BCC approval of the
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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 our deadlines!
6.
The document was approved by the BCC on IC .i'.:.."r'(enter date) and all changes
made during the meeting have been incorporated in the attached document. The
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Count Attorne 's Office has reviewed the changes, if applicable. __
I. Forms / County Forms / BCC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1,26 05, Revised 224 .05, Revised 9.18.09
16E4
MEMORANDUM
DATE: June 24, 2010
TO: Cindy Erb, Sr. Property Acquisition Specialist
Facilities Management Department
FROM: Ann Jennejohn, Deputy Clerk
Minutes and Records Department
RE: Bill of Sale to the City of Marco Island to Convey
Water Utility Facilities for the Marco Island Library
Rose Hall Addition
Attached is the original Bill of Sale, referenced above (Item #16E4)
approved by the Board of County Commissioners on June 22, 2010.
After recording please forward the original to the Minutes and Record's
Department so it may be kept with the Board's Official Records.
If you have any questions, please contact me at 252 -8406.
Thank you.
Attachment
Project: Marco Island Library Rose Hall Addition
■
Project Number: 54004.1
1
Prepared by:
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Jennifer B. White, Esquire
Office of the County Attorney
3301 East Tamiami Trail
Naples, Florida 34112
(239) 252 -8400
BILL OF SALE
KNOW ALL MEN BY THESE PRESENT:
THAT COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing
address is 3301 Tamiami Trail East, Naples, Florida 34112, of the first part, for and in
consideration of the sum of Ten Dollars ($10.00), in lawful money (and other good and
valuable considerations unto it moving) to it paid by CITY OF MARCO ISLAND,
FLORIDA, a Florida corporation, whose mailing address is 50 Bald Eagle Drive, Marco
Island, Florida 34145, of the second part, the sufficiency and receipt of which is hereby
acknowledged by it, has granted, bargained, sold, transferred, set over, and delivered,
and by these presents does grant, bargain, sell, transfer, set over and deliver unto the
party of the second part, assigns all those certain goods and chattels, described as
follows:
See attached Exhibit "A" which is incorporated herein by reference.
TO HAVE AND TO HOLD the same unto the party of the second part, CITY OF
MARCO ISLAND, FLORIDA, and assigns forever.
And the party of the first part, for itself and its successors, hereby covenants to and with
the party of the second part, CITY OF MARCO ISLAND, FLORIDA, and assigns that it
is the lawful owner of the said goods and chattels; that they are free from all liens and
encumbrances; that it has good right to sell the same as aforesaid, and that it will
warrant and defend the same against the lawful claims and demands of all persons
whomsoever.
IN WITNESS WHEREOF the party of the first part has hereby set its hand and seal this
a day of , 2010, Collier County, Florida.
ATTEST:
DWIGHT E. BROCK, Clerk
eputy Clerk
Approved as to form and
legal sufficiency:
Jennifer B. White
Assistant County Attorney
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
c
BY�
FRED W. COYLE, CHAIRMAN
Item R
Agenda
1 2 O
Date
Date
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Recd
16E4
EXHIBIT Ile
JENSEN Page oof
UNDERGROUND
5585 TAYLOR ROAD • NAPLES, FLORIDA 34109 • (239) 597 -0060 • FAX (239) 597 -0061
VERIFICATION OF FINAL COST FOR WATER FACILITIES ACCEPTANCE
PROJECT
Marco Island Library Rose Hall
210 S. Heathwood Drive
Marco Island, FL
ENGINEER
Q. Grady Minor
QUANTITIES SIZES
WATER:
GENERAL CONTRACTOR
Boran Craig Barber & Engel
3606 Enterprise Avenue
Naples, FL
UNIT PRICE TOTAL COST
1 EA
12" x 6"
Tapping Sleeve & Valve
4,411.80
4,411.80
1 EA
12" x 8"
Tapping Sleeve & Valve
5,122.00
5,122.00
1 EA
5/8" x 3/4"
Water Meter
400.00
400.00
10 LF
6"
C -900 CL 200
11.43
114.30
1 EA
Fire Hydrant Assembly
2,675.50
2,675.50
1'�9_tii�3[�in�
CERTIFIED UNDERGROUND UTILITY; CU C04499e FIRE SPRINKLER CONTRACTOR V. 117061000192
12,723.60