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Backup Documents 11/10/2020 Item #16C 1 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 C 1 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. County Attorney Office County Attorney )Il 13 j � c 1\:\ -t'I' h_Q_ L a 2. BCC Office Board of County S b Commissioners .1k A( \1113106 3. Minutes and Records Clerk of Court's Office Al(1° 1iIle 690 1�A1i"`�,�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 Cindy M. Erb Phone Number 239-252-8917 Contact/ Department Agenda Date Item was l Agenda Item Number Approved by the BCC 1 k 110 2,0 o /c/am / Type of Document — Number of Original U' Attached ?... (-)-5- �,� kt,t;1-2'(S . - Documents Attached PO number or account Account: Fund , Cost Center , number if document is Object Code 649030, Project 1,4 to be recorded /U 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? 54 OK" a,ei 2. Does the document need to be sent to another agency for additional signature ? 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. 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 , ,1 r� signature and initials are required. 1.� ; 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 1\` le 2,c'2_c, ,and all changes 1 made during the meeting have been incorporated in t attached document. The ,� rt-N ' U1 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 . to.Chairman's signature. e qe_ Re\�-6.11 '�-o l�eok\ def./ , l: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 16C 1 MEMORANDUM DATE: November 17, 2020 TO: Cindy Erb, Sr. Property Acquisition Specialist Facilities Management Department FROM: Martha Vergara, Sr. Deputy Clerk Minutes and Records Department RE: Warranty Deed and Bill of Sale, and Owner's Affidavit BCIRP-Phase 1 Utilities Attached per your memo are the originals of the document referenced above, (Items #16C1) approved by the Board of County Commissioners on Tuesday, November 10, 2020. When fully executed please forward the originals to Minutes and Records Department to be kept as part of the Board's Official Records. If you have any questions, please contact me at 252-7240. Thank you. Attachment 16C 1 PROJECT: BCIRP—Phase I-Utilities Prepared by: Jennifer A. Belpedio,Assistant County Attorney Office of the County Attorney 3329 East Tamiami Trail, Suite 800 Naples, Florida 34112-5749 (239)252-8400 UTILITY FACILITIES WARRANTY DEED AND BILL OF SALE THIS INDENTURE made this 10-4\ day of 1,1Qiri\bec , 2020, between COLLIER COUNTY, A POLITICAL SUBDIVISION OF THE STATE OF FLORIDA, (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, (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 utility facilities and/or system(s) or portion(s) thereof lying in, on, over and under the following described land, for operation, relocation, installation, repair and/or maintenance of said facilities, system(s) or portion(s) thereof, all situate and lying and being in Collier County, Florida, to wit: See attached Exhibit "A" and Exhibit "B" which are incorporated herein by reference. 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 sketch or other graphic representation showing the location 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. Warranty Deed&Bill of Sale 16C 1 IN WITNESS WHEREOF, Grantor has caused these presents to be executed the date and year first above written. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA ,Th ,7_, .ed„)#%.,,,,leic.)4..as- BY: Attest as to Chairman's , Deputy Clerk BURT L. SAUNDERS, Chairman c, ,h:tr,,.t-, ?•. Approved as to form and legality: ' • Jenn . elpedio, Assi nt County Attorney O$ o cpS:7 af Warranty Deed&Bill of Sale 16C 1 Exhibit "A" The items to be conveyed are located on property owned by the Board of County Commissioners of Collier County, Florida as described in the Warranty Deed recorded in 0R3328 pages 2422 thru 2430 (Folio # 00209961005). There is an existing 24-inch HDPE Water Main that runs to the property within the existing Access Easement as recorded in Plat Book 36 Page 73 of the Public Records of Collier County, Florida. The items to be conveyed provide water service and fire protection to the Park and include fire hydrant assembly's, gate valves, air release valves, master meter assembly and 10-inch PVC water mains that were connected to two existing 10-inch stubouts from the existing 24-inch water main. There is an existing 16-inch PVC Wastewater Force Main that runs to the property within the existing Access Easement as recorded in Plat Book 36 Page 73 of the Public Records of Collier County, Florida. The items to be conveyed provide wastewater service to the Park and include wastewater manholes, 8 -inch PVC gravity mains, 6-inch PVC services, master pump station and 4-inch PVC wastewater force main that was tapped off the existing force main. C:\Users\local_ribach\INetCache\Content.0utlook\NR8L36T5\Exhibit A.docx 16C 1 EXHIBIT "B" —____ - - .7 i_1--„--ems�10� PVC WMM. , \ Tr. n f \, I :;/ _ : /i/ \\ ..,\ r--) 1 1; 1 _ 1 L 1 , . 1 1 i C,' - r,-•�, ib i .1 o • ,. - i EX. 24" W.M. X. 16" E.M. j W 1.1 /� :.���� � 39��AVE NE — 1 ; ��A, Sa Sa 4" PVC fJ � MASTER WATER R I I e 8" PVC SAN SEWED' `------ \ ,. . oER ! /SEW � 5 ,t \ 8" PVC W.M. � J'_ _ 8' PVC— �� E /'' - - - ,,y SAN. SEWER 1 �. _ . l N - i L2 inimmilli 0 125' 250' SCALE: 1" = 250' SCALE: , ©GCe�(�y�I1110C °i'' "''° ^�" e BIG CORKSCREW ISLAND REGIONAL PARK E111111"fa 1Bc1 Krg Joe CODE: Ruol,Springs.Flmnda 34131 ccuau DATE: s Civil Engineers • Land Surveyors Planners Landscape Architects MASTER UTILITY PLAN oanonEn xo:u Cc LL 01 Aut".ER 0005131 Cell.of MaliRu..lne.e LC 3000UIC0 LB 0005131 FOOu NAYS: �CU315-UliLnv[xwPore 3 1nnlla SVrngu. 2:19.!1-17.111 unu.l;1'a(1L II,nnr-ra ni Purl\)rm 239 1i11111380 SHEET 1 OF 1 i 16C 1 PROJECT: BCIRP—Phase I-Utilities Prepared by: Jennifer A. Belpedio,Assistant County Attorney Office of the County Attorney 3329 East Tamiami Trail, Suite 800 Naples, Florida 34112-5749 (239)252-8400 OWNER'S AFFIDAVIT STATE OF FLORIDA COUNTY OF COLLIER BEFORE ME, the undersigned authority, personally appeared BURT L. SAUNDERS, who to me is well known, and having been duly sworn and under oath, deposes and states: 1. My name is BURT L. SAUNDERS, I am over the age of twenty-one (21) years, am sui juris, and have personal knowledge of the facts asserted herein. 2. COLLIER COUNTY is the owner of said real property located at 825 39th Ave NE and known as Big Corkscrew Island Regional Park, and described on Exhibit A, which shows the location of the subject utility facilities being conveyed. 3. All persons, firms, and corporations, including the general contractor, all laborers, subcontractors and sub-subcontractors, materialmen and suppliers who have furnished services, labor or materials according to plans and specifications, or extra items; used in the construction, installation and/or repair of water and wastewater utility system(s) or portion(s) thereof on the real estate hereinafter described, have been paid in full and that such work has been fully completed and unconditionally accepted by the current owner of such facilities. 4. No claims have been made to the owner, nor is any suit now pending on behalf of any contractor, subcontractor, sub-subcontractor, supplier, laborer or material-men, and no chattel mortgages or conditional bills of sale have been given or are now outstanding as to the subject utility system(s) or portion(s) thereof placed upon or installed in or on the aforesaid premises. 5. Title to the subject utility system(s) or portion(s) thereof and/or easement(s), if any, being conveyed to the County is not encumbered by any recorded mortgage, recorded assignment of rents or profits, by any recorded Uniform Commercial Code Financing Statement, or by any other recorded document that imposes a security interest that could negatively affect conveyance of marketable title to the utility system(s) or portion(s) thereof and/or any easement being conveyed to the County. 6. As and on behalf of the owner of the subject utility system(s) or portion(s) thereof, does for valuable consideration hereby agree and guarantee, to hold 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 harmless against any lien, claim or suit by any general contractor, subcontractor, sub-subcontractor, supplier, mechanic, material-man, or laborer, and against chattel mortgages, security interests or repair of the subject utility system(s) or Owner's Affidavit 16C 1 portion(s) thereof by or on behalf of Owner. Affiant is used as singular or plural, as the context requires. 7. The utility system(s) or portion(s) thereof referred to herein are located within the real property described in the attached Exhibit "A". FURTHER AFFIANT SAYETH NAUGHT. DATED this day of KO�Qmb�r 2020. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA BY: Ael-,/ c4 4-- Attett as to Chairman's Deputy Clerk BURT L. SAUNDERS, Chairman i; nature only. Approved as to form and legality: 0 Jen er . Belpedio,'Assist oun y Attorney 055 c.j Owner's Affidavit 16C 1 Exhibit "A" The items to be conveyed are located on property owned by the Board of County Commissioners of Collier County, Florida as described in the Warranty Deed recorded in OR3328 pages 2422 thru 2430 (Folio # 00209961005). There is an existing 24-inch HDPE Water Main that runs to the property within the existing Access Easement as recorded in Plat Book 36 Page 73 of the Public Records of Collier County, Florida. The items to be conveyed provide water service and fire protection to the Park and include fire hydrant assembly's, gate valves, air release valves, master meter assembly and 10-inch PVC water mains that were connected to two existing 10-inch stubouts from the existing 24-inch water main. There is an existing 16-inch PVC Wastewater Force Main that runs to the property within the existing Access Easement as recorded in Plat Book 36 Page 73 of the Public Records of Collier County, Florida. The items to be conveyed provide wastewater service to the Park and include wastewater manholes, 8 -inch PVC gravity mains, 6-inch PVC services, master pump station and 4-inch PVC wastewater force main that was tapped off the existing force main. C:\Users\local_ribach\INetCache\Content.0utlook\NR8L36T5\Exhibit A.docx