Backup Documents 09/25/2018 Item #16A 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO I 6 A 3
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.
**NEW** ROUTING SLIP
Complete routing lines#1 through#2 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#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
1.
2.
3. County Attorney Office County Attorney Office
4. BCC Office Board of County k1S b1/4--\
Commissioners \<J/ l.,\S\\`‘
5. Minutes and Records Clerk of Court's Office /161 lG
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 addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Jodi Hughes Phone Number x-5744
Contact/ Department
/
Agenda Date Item was 9/25/18 1, Agenda Item Number 16A3 1
Approved by the BCC
Type of Document Plat el-- no P-f.172.4.,, Goner- Number of Original
Attached Documents Attached
PO number or account
number if document is
to be recorded
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. Does the document require the chairman's original signature? JH
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. JH
4. 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
5. The Chairman's signature line date has been entered as the date of BCC approval of the JH
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 JH
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 9/25/18 and all changes made during >',41' o
the meeting have been incorporated in the attached document. The County 1
Attorney's Office has reviewed the changes, if applicable. 104V_
9. Initials of attorney verifying that the attached document is the version approved by the VAI*141
BCC, all changes directed by the BCC have been made, and the document is ready for the
Chairman's signature.
I: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
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO 1 6 A 3
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 he received in the County Attorney Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines#1 through 112 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#2,complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials Date
2.
3. County Attorney Office County Attorney OfficeP)
4. BCC Office Board of County S
Commissioners v' ' / 1\\C\AcA
5. Minutes and Records Clerk of Court's Office
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 addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Jodi Hughes Phone Number x-5744
Contact/ Department /
Agenda Date Item was 9/25/18 Agenda Item Number 16A3 V
Approved by the BCC
Type of Document Bond,Maintenance Agreement Number of Original 2
Attached Documents Attached
PO number or account
number if document is
to be recorded
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. Does the document require the chairman's original signature? JH
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A
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
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney. JH
4. 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
5. The Chairman's signature line date has been entered as the date of BCC approval of the JH
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 JH
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 9/25/18 and all changes made during
the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the chan_es,if a I ,licable.
9. Initials of attorney verifying that the attached document is the version approved by the ®'
BCC,all changes directed by the BCC have been made,and the document is ready for the W
Chairman's signature. i
e i Y
I: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
16 A3
MEMORANDUM
Date: January 15, 2019
To: Jodi Hughes, Project Manager
Growth Management Department
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Plat/Performance Bond — 019067091 and the Construction and
Maintenance Agreement related to Azure at Hacienda Lakes
Attached for your records are copies of the documents referenced above, (Item #16A3)
approved by the Board of County Commissioners on Tuesday, September 25, 2018.
The original documents will be held in the Minutes and Records Department for the
Board's Official Record.
If you have any questions, please contact me at 252-8406.
Thank you.
Attachment
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION „
IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
entered into this Z' -'-- day O ,vew,\E,esr, 20 lib between Toll FL XIII Limited
Partnership by Toll Southeast LP Company, Inc. hereinafter referred to as "Developer," and the
Board of County Commissioners of Collier County, Florida, hereinafter referred to as the"Board.
RECITALS:
A. Developer has, simultaneously with the delivery of this Agreement, applied for the approval by the Board
of certain plat of a subdivision to be known as: Azure at Hacienda Lakes— Phase 1 Replat
B. Chapter 4 and 10 of the Collier County Land Development Code required the Developer to post
appropriate guarantees for the construction of the improvements required by said subdivision regulations,
said guarantees to be incorporated in a bonded agreement for the construction of the required
improvements.
NOW, THEREFORE, in consideration of the foregoing premises and mutual covenants hereinafter set forth,
Developer and the Board do hereby covenant and agree asfollows:
1. Developer will cause to be constructed:all required improvements
and other infrastructure improvements withintwelve(12)months from the date of approval said
subdivision plat, said improvements hereinafter referred to as the required improvements.
2. Developer herewith tenders its subdivision performance security (attached hereto as Exhibit "A" and by
reference made a part hereof) in the amount of$493,612.65 -which amount represents 10%of the
total contract cost to complete the construction plus 100% of the estimated cost of to complete the
required improvements at the date of this Agreement.
3. In the event of default by the Developer or failure of the Developer to complete such improvements within
the time required by the Land Development Code, Collier may call upon the subdivision performance
security to insure satisfactory completion of the required improvements.
4. The required improvements shall not be considered complete until a statement of substantial completion
by Developer's engineer along with the final project records have been furnished to be reviewed and
approved by the County Manager or his designee for compliance with the Collier County Land
Development Code.
5. The County Manager or his designee shall, within sixty (60) days of receipt of the statement of
substantial completion, either: a) notify the Developer in writing of his preliminary approval of the
improvements; or b) notify the Developer in writing of his refusal to approve improvements, therewith
specifying those conditions which the Developer must fulfill in order to obtain the County Manager's
approval of the improvements. However, in no event shall the County Manager or his designee refuse
preliminary approval of the improvements if they are in fact constructed and submitted for approval in
accordance with the requirements of thisAgreement.
6. The Developer shall maintain all required improvements for a minimum period of one year after preliminary
approval by the County Manager or his designee.After the one year maintenance period by the Developer
has terminated, the Developer shall petition the County Manager or his designee to inspect the required
improvements. The County Manager or his designee shall inspect the improvements and, if found to be
still in compliance with the Land Development Code as reflected by final approval by the Board,the Board
shall release the remaining 10% of the subdivision performance security. The Developer's responsibility
for maintenance of the required improvements shall continue unless or until the Board accepts
maintenance responsibility for and by the County.
16 A3
7. Six (6) months after the execution of this Agreement and once within every six (6) months thereafter
the Developer may request the County Manager or his designee to reduce the dollar amount of the
subdivision performance security on the basis of work complete, Each request for a reduction in the
dollar amount of the subdivision performance security shall be accompanied by a statement of
substantial completion by the Developer's engineer together with the project records necessary for
review by the County Manager or his designee. The County Manager or his designee may grant the
request for a reduction in the amount of the subdivision performance security for the improvements
completed as of the date of the request.
8. In the event the Developer shall fail or neglect to fulfill its obligations under this Agreement, upon
certification of such failure, the County Manager or his designee may call upon the subdivision
performance security to secure satisfactory completion, repair and maintenance of the required
improvements. The Board shall have the right to construct and maintain, or cause to be constructed or
maintained, pursuant to public advertisement and receipt and acceptance of bids, the improvements
required herein. The Developer, as principal under the subdivision performance security, shall be liable
to pay and to indemnify the Board, upon completion of such construction, the final total cost to the
Board thereof, including, but not limited to, engineering, legal and contingent costs, together with any
damages, either direct or consequential, which the Board may sustain on account of the failure of the
Developer to fulfill all of the provisions of this Agreement.
9. All of the terms, covenants and conditions herein contained are and shall be binding upon the Developer
and the respective successors and assigns of the Developer.
IN WITNESS WHEREOF, the Board and the Developer have caused this Agreement to be executed
by their duly authorized representatives this day ofts rc.sr,\Uc 20 \\ .
SIGNED IN THE PRESENCE OF: (Name of Entity)Toll FL XIII Limited Partnership by
Toll Sou east LP Company, Inc.
Witness-- - ��
�'< By:
t
Printed Na512\\,\
, A_ ` 1\1(1 1vV1 ,,47 Kevin Brown, Division Senior VP
Printed Name/Title
/ (President, VP, or CEO)
Witness: <cg��'' ,, I
""v (Provide Proper Evidence of Authority)
Printed Name: kap le B• IS •
l
ATTEST:
/
Crystal K. Kinzel,`, Clerk of the Circuit Court BOARD • • !NTY C• : I• RS
&Controiler. . ,-""'- " '°° , OFC• ' • I Y, F . •
By: (IAA, ' k k2 4 lkYL/ 0 • c - By:
Deputy clerk AA G
signature only. q
Item# O 01 I
Approved as to fom arid legality:
Scott A. Stonetij� Agendal} �
Date ` L c7►�
Assistant County Attorney Date �`0S >:C\
RPr•d
NA& \40%
Deputy C!^ `.
i
16 A3.
PERFORMANCE BOND
Bond#: 019067091
KNOW ALL PERSONS BY THESE PRESENTS:that
Toll FL XIII Limited Partnership
24201 Walden Center Dr.#204
Bonita Springs, FL 34134
(hereinafter referred to as"Owner") and
Liberty Mutual Insurance Company
2200 Renaissance Blvd.,Suite 400
King of Prussia, PA 19406-2755
(610)729-1311
(hereinafter referred to as "Surety") are held and firmly bound unto Collier County, Florida, (hereinafter
referred to as "County") in the total aggregate sum of Four Hundred and Ninety-Three Thousand, Six
Hundred Twelve Dollars and Sixty-Five Cents($493,612.65) in lawful money of the United States, for the
payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators,
successors and assigns, jointly and severally, firmly by these presents. Owner and Surety are used for
singular or plural, as the context requires.
THE CONDITION OF THIS OBLIGATION is such that whereas, the Owner has submitted for approval by
the Board a certain subdivision plat named Azure at Hacienda Lakes — Phase 1 Replat and that certain
subdivision shall include specific improvements which are required by Collier County Ordinances and
Resolutions (hereinafter"Land Development Regulations"). This obligation of the Surety shall commence
on the date this Bond is executed and shall continue until the date of final acceptance by the Board of
County Commissioners of the specific improvements described in the Land Development Regulations
(hereinafter the"Guaranty Period").
NOW, THEREFORE, if the Owner shall well, truly and faithfully perform its obligations and duties in
accordance with the Land Development Regulations during the guaranty period established by the County,
and the Owner shall satisfy all claims and demands incurred and shall fully indemnify and save harmless
the County from and against all costs and damages which it may suffer by reason of Owner's failure to do
so, and shall reimburse and repay the County all outlay and expense which the County may incur in making
good any default, then this obligation shall be void, otherwise to remain in full force and effect.
PROVIDED, FURTHER, that the said Surety, for value received hereby, stipulates and agrees that no
change, extension of time, alteration, addition or deletion to the proposed specific improvements shall in
any way affect its obligation on this Bond, and it does hereby waive notice of any such change, extension
of time, alteration, addition or deletion to the proposed specific improvements.
PROVIDED FURTHER, that it is expressly agreed that the Bond shall be deemed amended
automatically and immediately, without formal and separate amendments hereto, so as to bind the Owner
and the Surety to the full and faithful performance in accordance with the Land Development Regulations.
The term"Amendment,"wherever used in this Bond,and whether referring to this Bond,or other documents
shall include any alteration, addition or modification of any character whatsoever.
IN WITNESS WHEREOF,the parties hereto have caused this PERFORMANCE BOND to be executed
this 19TH day of OCTOBER, 2018.
16 A3 44
WITNESSES: TOLL FL XIII LIMITED PARTNERSHIP
nn ,,�A1,A�� BY: TOLL SOUTHEAST LP COMPANY, INC.,
C-7---),
a ame—r�� Jul. r m. 17 a Delaware corporation
General Partner
B _
ALI r r
L. _
Printed Name gvi n 4• /&r04....•
I
WITNESSE J Liberty Mutual Insurance Company
I
Ahem F.Simkiss- Tit.04r /�
/ ! Y B . /_ �/_ I�r/ -----
Lois Eshleman- i� I iniel P. Dug-an—Attorn- ' - act
16 A3
ACKNOWLEDGEMENT
STATE OF
COUNTY OF t-t,e,
THE FOREG ING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME THIS :X 1DAY OF
0G �( , 2018, BY W1-44.r. iSrapwAn (NAME OF ACK
c),(.3/c/-t, (TITLE) OF TOLL FL XIII LIMITED PARTNERSHI O IS P SRE orsTALIY
F KNNTOFOR HAS PRODUCED AS IDENTIFICATION.
Notary Public-State of F Let'
(SEAL)
Pri ed `- `A• ,F:r'i; ;,• THERESA A.IAALLOY
/ �.. ;._ MY COMMISSION►FF 939283
//
'4;7'--.14? EXPIRES:March 22,2020
Bonded Thru Notary Public Undanaitara
ACKNOWLEDGMENT
STATE OF PENNSYLVANIA
COUNTY OF CHESTER
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME THIS 19th DAY OF
OCTOBER, 2018, BY DANIEL P. DUNIGAN AS ATTORNEY-IN-FACT OF LIBERTY MUTUAL INSURANCE
COMPANY WHO IS PERSONALLY KNOWN TO ME, OR HAS PRODUCED N/A_ AS
IDENTIFICATION.
Notary Public-State of PENNSYLVANIA
(SEAL)
Printed Name COMMONWEALTH OF PENNSYLVANIA
NOTARIAL SEAL
THERESA BASSETT,Notary Public
Wiltistown Township,Chester County
(ORD.No. 15-44.§3.N) My Commission Expires October 12,2019
16 k3 r
THIS POWER OF ATTORNEY IS NOT VALID UNLESS IT IS PRINTED ON RED BACKGROUND.
This Power of Attorney limits the acts of those named herein,and they have no authority to bind the Company except in the manner and to the extent herein stated.
Certificate No.8038146
Liberty Mutual Insurance Company
The Ohio Casualty Insurance Company West American Insurance Company
POWER OF ATTORNEY
KNOWN ALL PERSONS BY THESE PRESENTS:That The Ohio Casualty Insurance Company is a corporation duly organized under the laws of the State of New Hampshire, that
Liberty Mutual Insurance Company is a corporation duly organized under the laws of the State of Massachusetts, and West American Insurance Company is a corporation duly
organized under the laws of the State of Indiana(herein collectively called the"Companies"),pursuant to and by authority herein set forth,does hereby name,constitute and appoint,
Brian C.Block;Richard J.Decker;Daniel P.Duniqan;James L.Hahn;Joseph W.Kolok,Jr.;William F.Simkiss
all of the city of Paoli ,state of PA each individually if there be more than one named,its true and lawful attorney-in-fact to make,execute,seal,acknowledge
and deliver,for and on its behalf as surety and as its act and deed.any and all undertakings,bonds,recognizances and other surety obligations,in pursuance of these presents and shall
be as binding upon the Companies as if they have been duly signed by the president and attested by the secretary of the Companies in their own proper persons.
IN WITNESS WHEREOF,this Power of Attorney has been subscribed by an authorized officer or official of the Companies and the corporate seals of the Companies have been affixed
thereto this 14th day of March , 2018 . 5,
ySY INSt(d, P 1NSUgr ,,.;.U4,uq,,r
•P-,w:,a 9 �-s ) 4:'I: t The Ohio Casualty Insurance Company 0
, 1919 1912 k a 1991 Liberty Mutual Insurance Company C
o y x. West American Insurance Company
N ,,„'.,,,,MSS.*tl 7��'Ai11uSi ;v, . 3
a) i
c STATE OF PENNSYLVANIA ss David M.Carey,Assistant Secretary es
COUNTY OF MONTGOMERY C
d ill c On this 14th dayof March , 2018 re C
ti, before me personally appeared David M.Carey,who acknowledged himself to be the Assistant Secretary of Liberty Mutual Insurance v f—
v w Company,The Ohio Casualty Company,and West American Insurance Company,and that he,as such, being authorized so to do,execute the foregoing instrument for the purposes >,(.0
5 2 therein contained by signing on behalf of the corporations by himself as a duly authorized officer. M LLI
to
d`> > IN WITNESS WHEREOF,I have hereunto subscribed my name and affixed my notarial seal at King of Prussia,Pennsylvania,on the day and year first above written. O a
Z
j yP PAST COMMONWEALTH OF PENNSYLVANIA �J �'el
Q6aooNw� t �_.. M
tc, o (,, t Notarial Soil &)A1406
�.G%� C
CrtI•N ” s v j Teresa Pastella,Notary Public. By:
Q m OF I Upper Merton Two.,Montgomery County Teresa Pastella,Notary Public d C
L dP—
My Commission Expires March 28.2021 65
P
+moi y'-Ta Lv,2' Member Pennsylvania Aasecati!n of Notaries Q E
fiy W 0' tQ
C tip This Power of Attorney is made and executed pursuant to and by authority of the following By-laws and Authorizations of The Ohio Casualty Insurance Company, Liberty Mutual fA p
6.; Insurance Company,and West American Insurance Company which resolutions are now in full force and effect reading as follows: t G
C41) 4.t7;
m ARTICLE IV-OFFICERS-Section 12.Power of Attorney.Any officer or other official of the Corporation authorized for that purpose in writing by the Chairman or the President,and subject O C
t:,4; to such limitation as the Chairman or the President may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Corporation to make,execute,seal, 'y
0C acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surely obligations. Such attorneys-in-fact,subject to the limitations set forth in their respective
Eyy' powers of attorney,shall have full power to bind the Corporation by their signature and execution of any such instruments and to attach thereto the seal of the Corporation. When so Siis
,p F. ` executed,such instruments shall be as binding as if signed by the President and attested to by the Secretary.Any power or authority granted to any representative or attorney-in-fact under > a
i the provisions of this article may be revoked at any time by the Board,the Chairman.the President or by the officer or officers granting such power or authority. d°
y N
-5 C ARTICLE XIII-Execution of Contracts-SECTION 5.Surety Bonds and Undertakings.Any officer of the Company authorized for that purpose in writing by the chairman or the president, o0
> $ and subject to such limitations as the chairman or the president may prescribe,shall appoint such attorneys-in-fact,as may be necessary to act in behalf of the Company to make,execute, 1-M
O 3 seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety obligations. Such attorneys-in-fact subject to the limitations set forth in their C 09
Z V respective powers of attorney,shall have full power to bind the Company by their signature and execution of any such instruments and to attach thereto the seal of the Company. When so
executed such instruments shall be as binding as if signed by the president and attested by the secretary. V
h9.:12 O
Certificate of Designation-The President of the Company,acting pursuant to the Bylaws of the Company,authorizes David M.Carey,Assistant Secretary to appoint such attorneys-in-
fact as may be necessary to act on behalf of the Company to make,execute,seal,acknowledge and deliver as surety any and all undertakings,bonds,recognizances and other surety
obligations.
Authorization-By unanimous consent of the Company's Board of Directors,the Company consents that facsimile or mechanically reproduced signature of any assistant secretary of the
Company,wherever appearing upon a certified copy of any power of attorney issued by the Company in connection with surety bonds,shall be valid and binding upon the Company with
the same force and effect as though manually affixed.
I, Renee C. Llewellyn, the undersigned. Assistant Secretary, The Ohio Casualty Insurance Company, Liberty Mutual Insurance Company, and West American Insurance Company do
hereby certify that the original power of attorney of which the foregoing is a full, true and correct copy of the Power of Attorney executed by said Companies,is in full force and effect and
has not been revoked. 77i
IN TESTIMONY WHEREOF,I have hereunto set my hand and affixed the seals of said Companies this if77 day of .fyj/ / ,20/9 .
,,,:p.,-„A, `' atiUR', H,N q
p'..N+,°04,, tt te
r' )ae'—'1!N� ,�P . ,‘,4'.c,cm (/(/,//
91, 0 1912 1991 By: -L ~
o , Renee C.Lle - ,•ssistant Secretary
•14:, At.res C\,hD u�,^:c...:00','.��'Z' y ''•'iN,t�'!`
* *
104 of 500
LMS 12873_022017
16 A3
♦♦�Q• Liberty LIBERTY MUTUAL INSURANCE COMPANY
►� 6 Mutual, FINANCIAL STATEMENT—DECEMBER 31,2017
SURETY
Assets Liabilities
Cash and Bank Deposits 5370,003,299 Unearned Premiums $7,503,154,587
*Bonds—U.S Government 1;331,664,975 Reserve for Claims and Claims Expense 19;658,731,454
*Other Bonds 11,127,053,004 Funds Held Under Reinsurance Treaties 224,693,828
Reserve for Dividends to Policyholders 967,520
*Stocks 16,367,850,688 Additional Statutory Reserve 52,491,027
Real Estate 272,895,626 Reserve for Commissions,Taxes and
Agents'Balances or Uncollected Premiums 5,258,657,823 Other Liabilities 4.049.392.852
Accrued Interest and Rents 100,341,596 Total $31,489,431,268
Special Surplus Funds $176,230,822
Other Admitted Assets... 11.192.287.530 Capital Stock 10,000,000
Paid in Surplus 9,484,316,385
Unassigned Surplus 4,860,776,066
Total Admitted Assets $46020,754 S41 Surplus to Policyholders 14,531,323,273
Total Liabilities and Surplus 546,070,754,541
°�,^
Jp..1N.SiJaK�..�
z ro" * Bonds are stated at amortized or investment value;Stocks at Association Market Values.
191< 2 The foregoing financial information is taken from Liberty Mutual Insurance Company's financial
statement filed with the state of Massachusetts Department of Insurance.
I, TIM MIKOLAJEWSKI,Assistant Secretary of Liberty Mutual Insurance Company, do hereby certify that the foregoing is a true,and
correct statement of the Assets and Liabilities of said Corporation,as of December 31,2017,to the best of my knowledge and belief.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed the seal of said Corporation at Seattle,Washington,this 16'day of
March,2018.
Assistant Secretary
S-1262LMICla 3118
16 A3 1
Azure at Hacienda Lakes
Twin Villa Construction - Phase 1 (PPLA)
OPINION OF PROBABLE COST - REVO1
Waldrop Engineering File No. :518-01-10 Rev01
SUMMARY
Earthwork $15,668.50
Paving $87,654.86
Waste Water $40,450.00
Potable Water $240,098.67
Drainage $44,145.00
Electrical $20,721.75
Sub-Total $448,738.78
10%O&M $44,873.88
Total $493,612.65
Notes
1)This Opinion of Probable Cost(OPC)shall be used for permitting purposes
only.
2)This OPC is based on the engineer's understanding of the current rules,
regulations,ordinances,and construction costs in effect on the date of this
document.Interpretations of these construction costs may affect this OPC,and
may require adjustments to delete,decrease,or increase portions of this OPC.
3)All costs provided in this OPC are based on recent contract prices,or the
engineer's latest known unit costs.These costs are subject r1gt11fglgyr4o
unpredictable and uncontrollable increases in the cqppb� r , eQ�(,�",��,,,
or the availability of materials and labor. ��J�, VO'1 'i°
•• No. 85247
I
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Jacq n . a . que, P t.,
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late
Florida License#85247
COA#8636
16 A3
EARTHWORK
Item# Description Estimated Unit Unit Price Amount
Quantity
EW-1 Single Row Silt Fence 2,995 lF $2.05 $6,139.75
EW-2 Sod(1'Behind Curb) 235 SY $2.25 $528.75
EW-3 Inlet Protection 9 EA $1,000.00 $9,000.00
SUBTOTAL= $15,668.50
16 A3
PAVING
Estimated
Item# Description Unit Unit Price Amount
Quantity
P-1 Open Cut Roadway 1,717 SY $9.00 $15,453.00
P-2 3/4"Asphaltic Concrete(Type S-III)First Lift 1,717 SY $5.50 $9,443.50
P-3 6" Limerock Base(Compacted and Primed) 1,717 5Y $8.00 $13,736.00
P-4 12"Stabilized Subgrade 2,253 SY $2.35 $5,294.55
P-5 Remove Existing 5'Concrete Sidewalk 105 SY $8.00 $840.00
P-6 Remove Existing Valley Gutter 1,286 LF $8.00 $10,288.00
P-7 Remove Existing Valley Gutter Crossing 20 LF $8.00 $160.00
P-8 Remove Existing Type"F"Curb 40 LF $8.00 $320.00
P-9 5'Concrete Sidewalk 690 SY $23.91 $16,495.81
P-10 Valley Gutter 1,286 LF $11.50 $14,789.00
P-11 Valley Gutter Crossing 20 LF $12.45 $249.00
P-12 Type"F"Curb 40 LF $14.65 $586.00
SUBTOTAL= $87,654.86
16 A3
Estimated
Item# Description Unit Unit Price Amount
Quantity
WW-1 Cap and Abandon Existing Sewer Services 11 EA $1,000.00 $11,000.00
WW-2 New Double Sewer Service(Complete) 20 EA $1,050.00 $21,000.00
WW-3 Relocate Existing Sewer Service(Including Cleanout) 6 EA $925.00 $5,550.00
WW-4 Sanitary Sewer Cleanout 5 EA $400.00 $2,000.00
WW-5 Sanitary Sewer Cleanout with Traffic Bearing Lid 1 EA $900.00 $900.00
SUBTOTAL= $40,450.00
16 A3
POTABLE WATER
Estimated
Item# Description Unit Unit Price Amount
Quantity
Potable Water Services
PW-1 Convert Existing 2"Water Service to 1.5"Double Service 3 EA $675.00 $2,025.00
PW-2 Relocate Existing Single Water Service 1 EA $600.00 $600.00
PW-3 Double Service(Long Side)-Includes Hot Tap 19 EA $2,825.00 $53,675.00
PW-4 Single Service(Short Side)-Includes Hot Tap 2 EA $2,000.00 $4,000.00
PW-5 Double Service(Short Side)-Includes Hot Tap 2 EA $2,000.00 $4,000.00
PW-6 Directional Drill(Water Services) 735 LF $200.00 $146,998.67
PW-6 Fire Services
PW-7 Cap and Abandon Existing Fire Services 16 EA $700.00 $11,200.00
PW-8 Cap and Abandon Existing 6"Fire Main 8 EA $1,000.00 $8,000.00
PW-9 Remove Existing Hydrant 8 EA $1,200.00 $9,600.00
SUBTOTAL= $240,098.67
16 A3
DRAINAGE
Estimated
Item# Description Unit Unit Price Amount
Quantity
D-1 Remove Existing Yard Drain 5 EA $300.00 $1,500.00
D-2 Remove Existing 12"HDPE 312 LF $10.00 $3,120.00
D-3 Remove Existing 15"HDPE 155 LF $10.00 $1,550.00
D-3 Remove Exsting 36"RCP 217 LF $50.00 $10,850.00
D-4 Remove 36"FES 1 EA $700.00 $700.00
D-5 Remove Exsiting Valley Gutter Inlet 1 EA $760.00 $760.00
D-6 Valley Gutter Inlet 1 EA $4,500.00 $4,500.00
D-7 36"RCP 238 LF $67.50 $16,065.00
D-8 36"FES 1 EA $3,350.00 $3,350.00
D-9 Yard Drain 1 EA $1,000.00 $1,000.00
D-10 Connect to Existing Drainage 1 EA $750.00 $750.00
SUBTOTAL= $44,145.00
16 A3
DRY UTILITIES
Item# Description Estimated Unit Unit Price Amount
Quantity
1 Relocated Lighting Fixtures and Dry Utilities 1 LS $20,721.75 $20,721.75
SUBTOTAL= $20,721.75