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Backup Documents 03/24/2020 Item #16C 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING PPS' 3 . o TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 1 6 C 2 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. Jennifer A. Belpedio, Asst. County Atty. County Attorney 3 S laDaU County Attorney's Office 2. BCC Office Board of County $,S d Commissioners j4,51 5•'p " 40 3. Minutes and Records Clerk of Court's Office 3 '&)-2.2) =`�c /401/4 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 Toni A. Mott Phone Number 239-252-8780 Contact/ Department Agenda Date Item was March 24,2020 Agenda Item Number 16.C.2 Approved by the BCC Type of Document FPL Easement(Business) Number of Original 1 Attached Documents Attached PO number or account 474-173415-649030-70219.1 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? ( - TAM 2. Does the document need to be sent to another agency for additional signatures? I es, 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. 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 N/A 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 TAM signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 March 24,2020,and all changes made TAM during the meeting have been incorporated in the attached document. The County Attorney's Office has reviewed the changes,if applicable. 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 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 1602 Memorandum TO: Min tes & Records Management 4 FROM: Toni A. Mott, Manager, Real Property Management DATE: March 24, 2020 RE: FPL Easement (Business) for Deep Injection Well @ Resource Recovery Park On March 24, 2020, the BCC approved Agenda Item 16.C.2, authorizing the Chairman to execute the FPL Easement (Business) for Deep Injection Well @ Resource Recovery Park. Attached is the original FPL Easement (Business). Please attest to Commissioner Saunders' signature as Chairman on the document. Also attached is a recording form to complete the transaction. Please contact me if you have any questions or comments at Extension 8780. Thank you. 1 6 G a EASEMENT (BUSINESS) Work Request No. 9095396 This Form Approved by FPL& CAO Sec. 25 & 36, Twp. 49 S., Range 26 E Parcel I.D.: 00289720004 Name: Patrick Riley (Maintained by County Appraiser) Company: Florida Power&Light Form 3722(Stocked) Rev 6/11 Address: 4105 15th Ave S, Naples FL 34116 The undersigned, in consideration of the payment of$1.00 and other good and valuable consideration, the adequacy and receipt of which is hereby acknowledged, grant and give to Florida Power& Light Company, its affiliates, licensees, agents, successors, and assigns ("FPL"), a perpetual, non-exclusive easement for the construction, operation and maintenance of overhead and underground electric utility facilities (including wires, poles, guys, cables, conduits, and appurtenant equipment) to be installed from time to time; with the right to reconstruct, improve, add to, enlarge, change the voltage, as well as the size of, and remove such facilities or any of them within an easement described as follows: See Exhibit "A" ("Easement Area") Together with the right to permit any other person, firm or corporation to attach wires to any facilities hereunder and lay cable and conduit within the easement and to operate the same for communications purposes; the right of ingress and egress to the easement area at all times; the right to clear the land and keep it cleared of all trees, undergrowth and other obstructions within the Easement Area; to trim and cut and keep trimmed and cut all dead, weak, leaning or dangerous trees or limbs outside of the easement area which might interfere with or fall upon the lines or systems of communications or power transmission or distribution; and further grants, to the fullest extent the undersigned has the power to grant, if at all, the rights hereinabove granted on the Easement Area heretofore described, over, along, under and across the roads, streets or highways adjoining or through said Easement Area. n IN WITNESS S WHEREOF, the undersigned has signed and sealed this instrument on this a\ day of ity v«, , 2020. Board of County Commissioners Collier Co , Florida By: BURT L. SAUNDERS, Chairman 3299 Tamiami Trail E, #303 INSTR 5850483 OR 5746 PG 2179 Naples, Florida 34112-5746 RECORDED 4/1/2020 3:23 PM PAGES 3 CLERK OF THE CIRCUIT COURT AND COMPTROLLER COLLIER COUNTY FLORIDA Attest: ,- "" f DOC@.70$0.70 REC$27.00 Crystal K. Kinz6(,p r "� �u By. a ., 4,, '0° i' • • Print Name: - t 1YN Deput, ,al rS. j/9,9 TOmiarni.Tr9i , 4th Flr. Aer ` ` ai }ssrarsTonaiman signature and . o� Approved as fo form an egalify: `r)'' C off' <0- . Bel edia Assi n oun Attorney f}. 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