Backup Documents 09/24/2019 Item #16E16 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16E 1 6
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
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 SRT 9/27/19
4. BCC Office Board of County
Commissioners
5. Minutes and Records Clerk of Court's Office
(WU
21
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 Mario Menendez/Fleet anagement Contact Information 239-252-417
Contact/Department
Agenda Date Item was September 24,2019 L Agenda Item Number 16E16
Approved by the BCC
12G3Type of Hold Harmless and Indemnity Agreement Number of Original
Document Attached whereby the purchaser agrees to hold Documents Attached
harmless and indemnify the County for any
potential claims relating to those purchased
vehicles since the date of sale.
PO number or account N/A
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 STAMP OK SII
2. Does the document need to be sent to another agency for ad s i ':•. •: es? If yes, SRT
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 SRT
signed by the Chairman,with the exception of most letters,must be reviewed and signed
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's SRT
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 SRT
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 SRT
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip SRT
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 07/23/2019 and all changes made during SRT /A is not
the meeting have been incorporated in the attached document. The County o option for
Attorney's Office has reviewed the changes,if applicable. „+s line.
9. Initials of attorney verifying that the attached document is the version approved by the f, A is not
BCC,all changes directed by the BCC have been made,and the document is ready for theoption for
Chairman's signature. ;s's line.
1616
MEMORANDUM
Date: October 1, 2019
To: Mario Menendez,
Fleet Management
From: Martha Vergara, Sr. Deputy Clerk
Minutes & Records Department
Re: Hold Harmless & Indemnity Agreement
Vehicles
Attached for your records is an original of the referenced document above,
(Item #16E16) adopted by the Board of County Commissioners on Tuesday,
September 24, 2019.
The Board's Minutes & Records Department has kept an original as part of
the Board's Official Records.
If you have any questions, please feel free to contact me at 252-7240.
Thank you.
Attachment
16 E 16
HOLD HARMLESS AND INDEMNITY AGREEMENT
For valuable consideration, the receipt and sufficiency of which is hereby acknowledged,
McGregor Motor Sports, Inc., a Florida for profit company doing business at 27 75th North
Airport Road, Suite 205, Fort Myers, FL 33907 (hereafter referred to as "Indemnitor"), hereby
releases, forever discharges, holds harmless and agrees to defend and indemnify, as more
particularly stated below, Collier County, Florida, a political subdivision of the State of Florida
(hereafter, the "Indemnitee") in connection with, and from the date of purchase of certain motor
vehicles, including but not limited to the Indemnitee's provision of duplicate titles when the
Indemnitor lost and or errantly damaged or destroyed the original titles after purchasing the
following vehicles from the Indemnitee at auction in Collier County on or about April 29. 2017:
Title Number Vehicle ID Number Vehicle Make Year
86998336 2FTPX18Z93CA27259 Ford 2003
84913679 2FTPF17Z32CA25414 Ford 2002
100013463 2FZACFDJ98AZ51754 Horton 2008
103003656 1 GBJG316091162405 Champion 2009
94204491 2G1 WT58K069125060 Chevrolet 2006
84645253 1 FAFP52U82A 144451 Ford 2002
87585736 2FAFP71 W23X186492 Ford 2003
93667138 15GGE291051091093 Gillig 2005
107260287 1 GNLC2E06BR373168 Chevrolet 2011
Indemnitor agrees it shall indemnify, defend and hold harmless the Indemnitee against any
actions, claims, demands, suits and damages of all types arising out of or resulting from and
pertaining to the sale and purchase of the above motor vehicles from the date of purchase at
auction on April 29, 2017 forward, including but not limited to any post-sale operation of those
motor vehicles, whether involving personal injury, property damage or contractual disputes.
Further, Indemnitor agrees it shall indemnify, defend and hold harmless the Indemnitee against
any actions, claims, demands, suits and damages arising out of or resulting from and in
connection with the execution of this Hold Harmless and Indemnity Agreement.
Indemnitor and Indemnitee understand and armee that the duty to indemnify includes all related
costs, including but not limited to: attorney's fees, settlements, court costs, judgments,
satisfactions, or other expenses incurred by Indemnitee in any manner connected with the subject
of this agreement. It is specifically understood and agreed that this indemnification agreement
does not cover or indemnify the Indemnitee for its sole negligence.
Indemnitee shall give Indemnitor notice of any actions, claims, demands, or suits with respect to
the subject matter of this Indemnity Agreement, and shall provide written notice to Indemnitor
within fifteen (15) days of any action, claim, demand or suit is made upon Indemnitee with
respect to the subject matter of this Indemnity Agreement. indemnitee shall provide such written
notice to Indemnitor at the following address:
16E16
McGregor Motor Sports, Inc.
27 75th North Airport Road, Suite 205
Fort Myers, FL 33907
Attn: Ronald Coppolino, Sr., President
The terms of this Hold Harmless and Indemnity Agreement shall bind and inure to the benefit of
the parties hereto, and their heirs, legal representatives, successors, and assigns.
IN WITNESS WHEREOF, the authorized representatives of the parties have hereunder set forth
their hands and seals on this 24th day of September 2019.
AS TO THE INDEMNITEE:
ATTEST:Crys tr$el, ' BOARD • 0 TY C ,MISS •NERS
Comptrolleriia.Cterk.9fVourts COI :y4il
'': 0.40 , F ORl1. .olkiii.
Att s as to et rman s ,it .• ',ty fair illiam L. McDaniel, Jr., Chairman
signature only. '(;y:.
DATED: l 1
h,,
A ro ed as tof legality
r)77 A (L.--
Scott R. Teach
Deputy County Attorney
INDEMNITOR:
Witness . 1: McGregor Motor Sports, Inc.
x
By: Pre's
Print NameL /Q 71rc,q 2 opo Jn^d Ron Id Coppolino, Sr.. President
tses�1o. 2: /1 a
4
Date: S2 � i I
Print Nam
,G TAMMY J.COLONS
$ _ t Notary Public,State of Florida
Commission#GG 353198
^'' My comm.expires Aug.17,2023
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