Backup Documents 12/08/2020 Item #16A21 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLID 6A 2 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 tine to he forwarded to the County Attorney(nice
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#I through#2 as appropriate for additional signatures,dates,and/or information needed, If the document is already compleic with the
exception of the Chairman's signature,draw a line through muting lines#I 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 Office P 2 I (2,f
4. BCC Office Board of County ��.I,,
Commissioners j / a ia()/
5. Minutes and Records Clerk of Court's Office
PICS 'ay'—.-
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 Melissa Nute Phone Number x-2361
Contact/ Department
Agenda Date Item was 12/8/2020 Agenda Item Number 16A21
Approved by the BCC
Type of Document Plat,Joiner and Consent 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? MN
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. MN
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 MN
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 MN
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 12/8/2020 and all changes made during T/Q not
the meeting have been incorporated in the attached document. The County �� o for
Attorney's Office has reviewed the changes, if applicable. f�,
9. Initials of attorney verifying that the attached document is the version approved by the s�t
BCC, all changes directed by the BCC have been made, and the document is ready for the W 4001.14
Chairman's signature. thts:'luie
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
1 6A 21
MEMORANDUM
Date: February 10, 2021
To: Melissa Nute, Site Plans Reviewer
Development Review
From: Ann Jennejohn, Deputy Clerk
Minutes & Records Department
Re: Plat, Joinder & Consent and Performance Bond 800115889
and the Construction & Maintenance Agreement related to
the Tree Farm Plat
Attached are the original Plat, Joinder & Consent and copies of the Bond and
Construction and Maintenance Agreement documents referenced above, approved by the
Board of County Commissioners (Item #16A21) on December 8, 2020.
The original Bond and Construction and Maintenance Agreement 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
16A21
Mortgagee's Consent
JERRY F. NICHOLS, TRUSTEE OF THE JERRY F. NICHOLS REVOCABLE TRUST DATED OCTOBER 7,
1999 (Lender"), authorized to transact business in the State of Florida, hereby certifies that it is
the holder of that certain Purchase Money Mortgage dated July 27, 2017 upon the real property
described therein and recorded in Official Records on August 3, 2017 in Official Records Book
5422, Page 1552; Purchase Money Mortgage Modification Agreement recorded February 21,
2018 in Official Records Book 5479, Page 1991; Partial Release of Mortgage and Other Loan
Documents recorded September 24, 2018 in Official Records Book 5555, Page 1930; Purchase
Money Mortgage Second Modification Agreement recorded August 7, 2019 in Official Records
Book 5660, Page 2165; Purchase Money Mortgage Third Modification Agreement recorded
November 14, 2019 in Official Records Book 5695, Page 807; Purchase Money Mortgage Fourth
Modification Agreement recorded January 23, 2020 in Official Records Book 5719, Page 3231;
Purchase Money Mortgage Fifth Modification Agreement recorded April 20, 2020 in Official
Records Book 5753, Page 1038; Purchase Money Mortgage Sixth Modification Agreement and
Partial Release of Mortgage recorded July 6, 2020 in Official Records Book 5783, Page 3424; and
Purchase Money Mortgage Seventh Modification Agreement recorded December 2, 2020 in
Official Records Book 5852, Page 3135 (collectively the "Mortgage"), and does hereby join in and
consent to the Dedication of the property by the owners, and agrees that its Mortgage shall be
subordinated to the dedications shown on the Tree Farm Plat..
.." yWitnesses
JERK . N - LS,TR T OF E /
,r fERRY F. NICHOLS REVOCABLE TRUS I,(� Lc,
DATED OCTOBER 7, 1999 Print Name id(i C, ((ti(41Jtl —
it/L/(,/( /-1 („...„2
Print Name M,.d,i,. , J72,0h,. e
Acknowledgement
State of Florida
County of (tier
.-
...-
The foregoing Mortgagee's Consent was acknowledged before me by means of physical presence or
❑ online notarization, this 5`h day of February , 2021, by Jerry F. Nichols, as Trustee of the Jerry F.
Nichols Revocable Trust dated October 7, 1999,who is personally know to me or who has produced
Driver License as identification.
\ I _ ;-Y'� KM D.DAVIDSON
&a'eo1
A'..
/ '�°.��r N9�2ryFU5hL—Sic1e0f`0`L�3 I
__ ,�1‘ — �C.-tti`.cC> e --- ' -'. Comm sso-#GG'54782
-.`��,' My Carom.byres Fe219,2022 P
NotaryPublic—State of Florida ; ;.
� ,,,. Bated trroa_n\ahoa2'Sola,iAssr.
Kim D. Davidson
GG154782 February 19,2022
Commission Number My Commission Expires
16A21
Mortgagee's Consent
Centier Bank, an Indiana State Bank, authorized to transact business in the State of Florida, hereby
certifies that it is the holder of that certain Amended and Restated Mortgage, Assignment of Rents and
Security Agreement (Financing Statement) upon the herein described property as recorded in Official
Records Book 5863, page 3646, of the Public Records of Collier County, Florida, and does hereby join
in and consent to the Dedication of the property by the owners, and agree that it's mortgage shall be
subordinated to the dedications shown on the Tree Farm Plat, being a subdivision located in Section
22, Township 48 South, Collier County, Florida.
Centier Bank /Signature/ . $ ).
•
i i;.'t,, , ..j,Gt,1 '1�(,r, 't (_
Printed Name: Tracey VanBuskirk
/Signature/ ,j
\_.,-, .1/N' k ' 1• ' I t,. '' ' :
Printed Name: Karla N. Powers
Centier Bank
By:
Print Name: Greg Gordon
Title: Senior Vice President
Acknowledgement
State of Indiana
County of Lake
The foregoing Mortgagee's Consent was acknowledged before me by means of XX physical presence
or ❑ online notarization, this 5th day of February 2021, by Michelle L. Norman, as notary of Centier
Bank (Bank), on behalf of the bank, who is personally known to me or who has produced license as
identification.
)/V /;r.�r ,yF "Official Seal"
vl ,, .{y Michelle L. Norman I
Notary Public— State of Indiana , Notary Public,State of lndlana'
s. .t`".t. Resident of Lake Co., IN
Michelle L. Norman ' ` j'/ My commission expires :
a, �'� December 8,2024
Name of Acknowledger(Typed, Printed or Stamped)
n/a 12-8-24
Commission Number My Commission Expires
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP I bA 2 1
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOAR!) OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original document. 'rhe completed routing slip and original documents are to he 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 N 1 through 42 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 41 through 42.complete the checklist,and forward to the County Attorney Office.
Route to Addressee(s) (List in routing order) Office Initials late
2.
3. County Attorney Office County Attorney Office \)\)e .00 L‘
4. BCC Office Board of County b
Commissioners J j g 6A611
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 Melissa Nute Phone Number x-2361
Contact/ Department
Agenda Date Item was 12/8/2020 Agenda Item Number 16A21
Approved by the BCC
Type of Document CMA & Performance Bond Number of Original 1
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? MN
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. MN
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 MN
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 MN
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 12/8/2020 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County an option for
Attorney's Office has reviewed the changes, if applicable. this line.
9. Initials of attorney verifying that the attached document is the version approved by the P N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the an option for
Chairman's signature. - this line.
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
i6A2I
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS entered
into this .*)-t'` day of Febuary , 20 21 between TBC Tree Farm 1,LLC hereinafter referred
to as "Developer", and 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: Tree Farm Plat-PL20180003592
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 as follows:
1. Developer will cause to be constructed: Roadways, storm drainage and utility infrastructure,
within 18 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$ 1,899,929.43 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 County, 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 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 designee refuse preliminary approval
of the improvements if they are in fact constructed and submitted for approval in accordance with the
requirements of this Agreement.
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 designee to inspect the required
improvements. The County Manager or 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.
16A21
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 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
designee. The County Manager or 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 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 of February , 20 21 .
SIGNED IN THE PRESENCE OF: (Name of Entity)
TBC Tre-e Farm 1, LLC
Witness:
By: TBC on rner, LLC, Its Manager
I INNJ�Li v C��C •1
Printed Name: By:
k/L},A William Yeomans,Jr., It'd Mana er
Witness: iV rP
(Provide Proper E idence of
Authority
Printed Name:
ATTEST:
CRYSTAL K. KINZEL, CLERK B RD OF COUNTY COMMISSIONERS
OF
LIER COUN , LO A
By: CI kC..4 By:
De y ?eJ ' 4/1) perry T for, Cha. r■&.n
Appro CCas to f and Iegaiity:
signature m y.
C Item#
` —
ere a a rry AC enda
Assistant County Attorney Date g G�
Roc a 119
•
Depuiy Clerk dit , ..
b,+ /1 ,. 16�A 21
PERFORMANCE BOND
BOND NO. 800115889
KNOW ALL PERSONS BY THESE PRESENTS: that
TBC Tree Farm 1, LLC (Name of Owner)
P.O. Box 250 (Address of Owner)
Pinellas Park, FL 33781-9998 (Address of Owner)
(Hereinafter referred to a "Owner") and
Atlantic Specialty Insurance Company (Name of Surety)
One State Street Plaza, Floor 31 (Address of Surety)
New York, NY 10004 (Address of Surety)
(781)332-7001 (Telephone Number)
(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 One MJLan.Eight Hundred"men-Nine Thousand.Nine Hundred Twenty-Nine Dollars and 43,00 Dollars
($ 1,899,929.43 ) 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 of a certain subdivision plat named Tree Farm Plat PL2018000592 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
i 6s 21
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
28th day of December / 2020 / .
WITNESSES: (Owner Nam- and Title if Corporation)
.• TBC Tree Farm 1, LLC
k
Printed Name Prince. Name/ itle ) Lam'
William B.Yeomans, Manager ^f 16 �`t}ice`' ����•�
i k Mu/icier"
(Provide •ro,er Evidence of Authority)
Printed Name
ACKNOWLEDGEMENT
STATE OF
COUNTY OF
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF ❑ PHYSICAL PRESENCE OR ❑ ONLINE NOTARIZATION THIS DAY OF / / ,
20 , by A.,,;,i;; ,. (NAME OF ACKNOWLEDGER) AS ; .
(TITLE) OF , , E . .. j i , (NAME OF COMPANY) WHO IS PERSONALLY KNOW TO
ME,OR HAS PRODUCED ,'.ill ;:. ,, . ! . AS IDENTIFICATION.
Notary Public-State of i Ir Lam' L,ik_
(SEAL) CHRISTINA M.LOCKW'OOD
Notary Fublic,State of New York
i Qual. In Onondaga Co.No.4963959
. ? , J. . ,e Commision Expires 01/09/ 2.,;.;
Printed Name , ,
WITNESSES: (Surety Name and Title if Corporation)
i4f/i. , Atlantic SpeSialty Insurance Company
.7jr,u
Printed Name Printed Name/Title Richard A. Lyons, Attorney-in-Fact
Roy S. Moore, III
(Provide Proper Evidence of Authority)
i
'1<#L.(•::- - . .
rinte Name
David Carello
16A21
ACKNOWLEDGEMENT
STATE OF New York
COUNTY OF Onondaga
THE FOREGOING PERFORMANCE BOND WAS ACKNOWLEDGED BEFORE ME BY MEANS
OF ❑X PHYSICAL PRESENCE OR ❑ ONLINE NOTARIZATION THIS DAY OF 28th / December/
20 20 , by Richard A. Lyons (NAME OF ACKNOWLEDGER) AS Attorney-in-Fact
(TITLE) OF Atlantic Specialty Insurance Company (NAME OF COMPANY) WHO IS PERSONALLY KNOW TO
ME, OR HAS PRODUCED New York State Driver's License AS IDENTIFICATION.
Notary Public—State of
(SEAL)
/47/4v_v I /-141,04z / 1 /1/0.. ei
Printed Ndyne
HILLARY J HEINTZ
a Notary Public-State of New York
NO.01HE6049357-
Qualified in Onondaga County
My Commission Expir's Apr 29, 2023
[intact]
INSURANCE
KNOW ALL MEN BY THESE PRESENTS,that ATLANTIC SPECIALTY INSURANCE COMPANY,a New York corporation with its principal office in Plymouth,
Minnesota,does hereby constitute and appoint: Richard A.Lyons,each individually if there be more than one named,its true and lawful Attorney-in-Fact,to make,execute,
seal and deliver,for and on its behalf as surety,any and all bonds,recognizances,contracts of indemnity,and all other writings obligatory in the nature thereof;provided that no
bond or undertaking executed under this authority shall exceed in amount the sum of:unlimited and the execution of such bonds,recognizances,contracts of indemnity,and all
other writings obligatory in the nature thereof in pursuance of these presents,shall be as binding upon said Company as if they had been fully signed by an authorized officer of
the Company and sealed with the Company seal. This Power of Attorney is made and executed by authority of the following resolutions adopted by the Board of Directors of
ATLANTIC SPECIALTY INSURANCE COMPANY on the twenty-fifth day of September,2012:
Resolved: That the President,any Senior Vice President or Vice-President(each an"Authorized Officer")may execute for and in behalf of the Company any and
all bonds,recognizances,contracts of indemnity,and all other writings obligatory in the nature thereof,and affix the seal of the Company thereto;and that the
Authorized Officer may appoint and authorize an Attorney-in-Fact to execute on behalf of the Company any and all such instruments and to affix the Company
seal thereto;and that the Authorized Officer may at any time remove any such Attorney-in-Fact and revoke all power and authority given to any such Attorney-in-
Fact.
Resolved: That the Attorney-in-Fact may be given full power and authority to execute for and in the name and on behalf of the Company any and all bonds,
recognizances,contracts of indemnity,and all other writings obligatory in the nature thereof,and any such instrument executed by any such Attorney-in-Fact shall
be as binding upon the Company as if signed and sealed by an Authorized Officer and,further,the Attorney-in-Fact is hereby authorized to verify any affidavit
required to be attached to bonds,recognizances,contracts of indemnity,and all other writings obligatory in the nature thereof.
This power of attorney is signed and sealed by facsimile under the authority of the following Resolution adopted by the Board of Directors of ATLANTIC SPECIALTY
INSURANCE COMPANY on the twenty-fifth day of September,2012:
Resolved: That the signature of an Authorized Officer,the signature of the Secretary or the Assistant Secretary,and the Company seal may be affixed by
facsimile to any power of attorney or to any certificate relating thereto appointing an Attorney-in-Fact for purposes only of executing and sealing any bond,
undertaking,recognizance or other written obligation in the nature thereof,and any such signature and seal where so used,being hereby adopted by the Company
as the original signature of such officer and the original seal of the Company,to be valid and binding upon the Company with the same force and effect as though
manually affixed.
IN WITNESS WHEREOF,ATLANTIC SPECIALTY INSURANCE COMPANY has caused these presents to be signed by an Authorized Officer and the seal of the Company
to be affixed this twenty-seventh day of April,2020.
4 tpRP0R4/•,,
SEAL "'_
',Y 1986 o By
STATE OF MINNESOTA `,2s tiFW yO a=
HENNEPIN COUNTY ,fi Paul J.Brehm,Senior Vice President
b k Io
On this twenty-seventh day of April,2020,before me personally came Paul J.Brehm,Senior Vice President of ATLANTIC SPECIALTY INSURANCE COMPANY,to me
personally known to be the individual and officer described in and who executed the preceding instrument,and he acknowledged the execution of the same,and being by me
duly sworn,that he is the said officer of the Company aforesaid,and that the seal affixed to the preceding instrument is the seal of said Company and that the said seal and the
signature as such officer was duly affixed and subscribed to the said instrument by the authority and at the direction of the Company.
4 "-f ' ONDWANNASH.TROUT `i�
y ` )NOTARY PUBLIC•MINNESOTA
2i
°' t. My Commission Expires
January 31,2025 Notary Public
I,the undersigned,Secretary of ATLANTIC SPECIALTY INSURANCE COMPANY,a New York Corporation,do hereby certify that the foregoing power of attorney is in full
force and has not been revoked,and the resolutions set forth above are now in force.
Signed and sealed. Dated 28th day of December 2020
P�t� iNSli9'.
SEAL m;
1'2 1986 0
This Power of Attorney expires YOP�
aa3?
January 31,2025 ,,f e tiN
Kara Barrow,Secretary
Please direct bond verifications to suretypintactinsurance.com
6A2
[intact]
Atlantic Specialty Insurance Company
Period Ended 12/31/2019
Dollars displayed in thousands
Admitted Assets Liabilities and Surplus
Investments' Liabilities
Bonds $ 1,219,332 Loss Reserves $ 750,516
Preferred Stocks - Loss Adjustment Expense Reserves 243,193
Common Stocks 791,167 Total Loss&LAE Reserves 993.709
Mortgage Loans
Real Estate - Unearned Premium Reserve 520,053
Contract Loans - Total Reinsurance Liabilities 17,061
Derisetnes - Commissions,Other Expenses,and Taxes due 40,497
Cash,Cash Equivalents&Short Term Investments 62,383 Derivetn.es
Other Investments 17,350 Payable to Parent,Subs or Affiliates
Total Casts&Investments 2,090,232 All Other Liabilities 165,932
Premiums and Considerations Due 261.176 Total Liabilities 1,737,252
Reinsurance Reccnerable 51,892
Receivable from Parent,Subsidiary or Affiliates 21,005 Capital and Surplus
All Other Admitted Assets 59,800 Common Capital Stock 9,001
Preferred Capital Stock
Total Admitted Assets 2,484,105 Surplus Notes •
Unassigned Surplus 49,392
Other Including Gross Contributed 688.460
Capital&Surplus 746,853
Total Liabilities and C&S 2,484,105
State of Minnesota
County of Hennepin
I, Christopher Jerry, Secretary of Atlantic Specialty Insurance Company do hereby certify
that the foregoing statement is a correct exhibit of the assets and liabilities of the said
OneBeacon Insurance Company, on the 31s' day of December, 2019, according to the
best of my information, knowledge and belief.
Secretary
Subscribed and sworn to, before me, a Notary Public of ti State of Minnesota on this
27t1i day of February, 2020.
SHANNON MARIE LAUBY-WOLF I Not r Public
Notary Public
Minnesota
I = My Commission Expires 0
Jan 31, 2025
16A21
Project TREE FARM
F, E ( �� /L A Prep y PERMIT AND INSPECTION FEES OPC
'v ,Ll` Prepared B RJS Date: 6/30/2020
- -� ----- --- -_ ---- '- Checked By: DFW Date: 7/4/2020
ENGINEERING
Calculation Summary TOTAL
Earthwork $ 594,741.50
Paving $ 459,157.98
Drainage $ 141,573.60
Sanitary Collection System $ 155,610.50
Potable Water $ 129,710.00
Miscellaneous - $ 246,415.00
TOTAL $ 1,727,208.58
Earthwork,Paving,Drainage,Landscape and Lighting,Irrigation and Misc. TOTAL O.P.0 $ 1,441,888.08
Potable Water and Sanitary Sewer TOTAL O.P.0 $ 285,320.50
Estimated 110%Bond Amount $ 1,899,929.43
NOTES:
1)The Opinion of Probable Cost is based on Peninsula Engineering'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 Opinion of Probable Cost and may require adjustments to delete,decrease,or increase portions of this Opinion of Probable Cost.
2)This Opinion of Probable Cost shall be used for applicable Review Fee Calculation Purposes only.
3)All costs provided in this OPC are based on recent contract prices,or the Engineers'latest known unit costs.These costs cannot be guaranteed at this time due to unpredictable and
uncontrollable increases in the cost of concrete,petroleum,etc.or the availability of materials and labor.
4)This cost estimate does not include the cost of any building construction.
5)This cost estimate assumes dry utilities(power,cable and telephone)will be installed at no-cost to the developer.
6)Review Fees for lake excavation provided in separate Review Fee,with the lake exvacation permit.
Digitally signed by Daniel F
Daniel F Waters
DN:c=US,o=PENINSULA
IMPROVEMENT CORPORATION
D6A PENINSULA ENGINEERING,
WatersF00 06690,cnnoDanlielDF1Waters
Date:2020.07.14 11:12:17-04'00'
Daniel F Waters,P.E.
FL Registration#60746
Peninsula Engineering FL CA No.28275
o en�..,.�wo+o�eo..._•m=..tea.+.- E, .,weAc>.,aawm,e.co...ea 1of7
16A21
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: RJS Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
EARTHWORK
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
EW-1 SILT FENCE(SINGLE ROW) 6,348 LF $ 1.50 $ 9,522.00
EW-2 LAKE EXCAVATION(OVERBURDEN.)' 29,959 CY $ -
EW-3 LAKE EXCAVATION(ROCK)1 43,889 CY $ -
EW-4 EMBANKMENT-(ONSITE)2 29,163 CY $ 2.50 $ 72,907.50
EW-5 EMBANKMENT-(IMPORT FILL)2 28,372 CY $ 12.50 $ 354,650.00
EW-6 CLEARING(EXOTIC AND VEGETATION REMOVAL) 26.20 AC $ 3,500.00 $ 91,700.00
EW-7 BAHIA SODS 15,321 SY $ 3.00 $ 45,962.00
EW-8 FINAL GRADING 1 LS $ 20,000.00 $ 20,000.00
EW-9
SUB-TOTAL EARTHWORK= $ 594,741.50
Assumptions:
1. LAKE EXCAVATION COST TO BE INCLUDED IN REVIEW FEES AND BOND SUBMITTED WITH EXCAVATION PERMIT
2. EMBANKMENT FOR APARTMENT BERMS AND TEMPORARY SWALES ON THE APARTMENT TRACT ARE ASSUMED
TO BE FROM ON-SITE LAKE EXCAVATION.REMAINDER OF SITE FILL IS ASSUMED TO BE IMPORT FILL
3. SOD QUANTITIES ASSUME THE AREA TO BE SODDED CONSISTS OF THE ENTIRE RIGHT OF WAY,THE PUBLIC
UTILITY EASEMENT AND LAKE MAINTAINANCE EASEMENT
P.Active_Prgects'P-BROK-003'001 Tree_Farrn—PPL,Butloels`Gmt EstroatesSREV0,Apinion of Probable Cost-REV01 2 of 7
16121
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: RJS Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
PAVING
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
PAV-1 3/4"ASPHALTIC CONCRETE TYPE S-III(FIRST LIFT) 3,001 SY $ 4.95 $ 14,853.96
PAV-2 3/4"ASPHALTIC CONCRETE TYPE S-III(SECOND LIFT) 3,001 SY $ 4.95 $ 14,853.96
PAV-3 8"LIMEROCK 3,361 SY $ 8.75 $ 29,407.84
PAV-4 12"STABILIZED SUBGRADE 3,764 SY $ 1.55 $ 5,834.52
PAV-5 ON-SITE CONCRETE SIDEWALK(4"THICKNESS) 5,393 SF $ 4.00 $ 21,572.00
PAV-6 COLLIER BOULEVARD CONCRETE SIDEWALK(6"THICKNESS) 12,335 SF $ 6.00 $ 74,010.00
PAV-7 TYPE"F"CURB 1,080 LF $ 12.50 $ 13,500.00
PAV-8 4'VALLEY CROSSING 50 LF $ 7.95 $ 397.50
PAV-9 BLUE-BLUE REFLECTORS 6 EA $ 15.00 $ 90.00
PAV-10 SIGNAGE AND STRIPING 1 LS $ 15,500.00 $ 15,500.00
PAV-11 REMOVE EXISTING PAVEMENT 3,001 SY $ 1.50 $ 4,501.20
PAV-12 COLLIER BOULEVARD TURN LANE 1 LS $ 250,000.00 $ 250,000.00
PAV-13 SWALE GRADING 4,182 LF $ 3.50 $ 14,637.00
SUB-TOTAL PAVING= $ 459,157.98
Assumptions:
*THE PAVING COSTS LISTED ABOVE INCLUDE AN ASSUMPTION FOR CONSTRUCTION OF A TURN LANE WITHIN THE COLLIER
BOULEVARD ROW.THE PROPOSED IMPROVEMENTS WILL BE PERMITTED AS A SEPARATE ROW PERMIT APPLICATION.
P:Nclrve Proptcts,P-BROK-0N.001 Tree_Fxm_PPLVBUEpels\Cost_EstimxeslREVO1lOprum of Probable Cost-13E1/01 3 of 7
16A21
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: RJS Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
DRAINAGE
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
DRA-1 15"RCP STORM SEWER 67 LF $ 40.10 $ 2,686.70
DRA-2 18"RCP STORM SEWER 95 LF $ 49.22 $ 4,675.90
DRA-3 24"RCP STORM SEWER 670 LF $ 70.00 $ 46,900.00
DRA-4 30"RCP STORM SEWER 139 LF $ 89.00 $ 12,371.00
DRA-5 JUNCTION BOX(ROUND) 3 EA $ 3,000.00 $ 9,000.00
DRA-6 THROAT INLET 4 EA $ 2,500.00 $ 10,000.00
DRA-7 GRATE INLET WITH SIDE INLETS 1 EA $ 2,750.00 $ 2,750.00
DRA-8 TYPE"D"GRATE INLET WITH SIDE INLETS 4 EA $ 4,755.00 $ 19,020.00
DRA-9 FLARED END FOR 24"RCP 2 EA $ 4,500.00 $ 9,000.00
DRA-10 REMOVE EXISTING STORM SEWER 1 LS $ 1,500.00 $ 1,500.00
DRA-11 MODIFY EXISTING STORM STRUCTURE(S-200) 1 LS $ 1,250.00 $ 1,250.00
DRA-12 ROCK EXCAVATION 243 LF $ 80.00 $ 19,420.00
DRA-13 CONTROL STRUCTURE 1 EA $ 3,000.00 $ 3,000.00
SUB-TOTAL DRAINAGE= $ 141,573.60
P Wctrva_PropctsW.BRON-003001 Tree Fmm PPLeutlgets1Cost_Estimates\REVO,Opnion of Probable CostREVo, 4 of 7
16421
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: AA Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
SANITARY COLLECTION SYSTEM
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
SS-1 8"PVC GRAVITY SEWER MAIN(8'-10'CUT) 137 LF $ 40.00 $ 5,480.00
SS-2 8"PVC GRAVITY SEWER MAIN(10'-12'CUT) 276 LF $ 45.00 $ 12,420.00
SS-3 SINGLE SANITARY SEWER SERVICE 2 EA $ 700.00 $ 1,400.00
SS-4 SANITARY SEWER CLEANOUT 2 EA $ 500.00 $ 1,000.00
SS-5 4'SANITARY SEWER MANHOLE(8'-10'CUT) 2 EA $ 5,500.00 $ 11,000.00
SS-6 TELEVISION INSPECTION 413 LF $ 5.00 $ 2,065.00
SS-7 TESTING 1 LS $ 3,500.00 $ 3,500.00
SS-8 8"PVC FORCE MAIN(DR 14) 147 LF $ 50.00 $ 7,350.00
SS-9 8"PVC FORCE MAIN(DR 18) 1,946 LF $ 48.00 $ 93,408.00
SS-10 HOT TAP EXISTING FORCE MAIN 1 LS $ 2,500.00 $ 2,500.00
SS-11 ROCK EXCAVATION 207 LF $ 75.00 $ 15,487.50
SUB-TOTAL SANITARY COLLECTION SYSTEM = $ 155,610.50
P:Actrve_Prgecis1P-BROK-COW01_Tree—Fam,_PPLIBW BdsCost EaOmates,REV01\Op ruon of Probable Cost-REVO1 5 of 7
16421
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: RJS Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
POTABLE WATER
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
PW-1 6"PVC WATER MAIN(C900,DR-18) 20 LF $ 14.00 $ 280.00
PW-2 8"PVC WATER MAIN(C900,DR-14) 182 LF $ 18.00 $ 3,276.00
PW-3 8"PVC WATER MAIN(C900,DR-18) 1,374 LF $ 16.00 $ 21,984.00
PW-4 10"PVC WATER MAIN(C900,DR-14) 646 LF $ 22.00 $ 14,212.00
PW-5 10"PVC WATER MAIN(C900,DR-18) 726 LF $ 20.00 $ 14,520.00
PW-6 8"GATE VALVE 4 EA $ 1,300.00 $ 5,200.00
PW-7 10"GATE VALVE 7 EA $ 1,550.00 $ 10,850.00
PW-8 FIRE HYDRANT ASSEMBLY(COMPLETE)` 6 EA $ 3,573.00 $ 21,438.00
PW-9 8"TEMPORARY BLOW-OFF 5 EA $ 2,005.00 $ 10,025.00
PW-10 10"TEMPORARY BLOW-OFF 1 EA $ 4,000.00 $ 4,000.00
PW-11 TESTING 1 LS $ 2,500.00 $ 2,500.00
PW-12 PERMANENT BACTERIAL SAMPLE POINTS 1 EA $ 1,900.00 $ 1,900.00
PW-13 TEMPORARY BACTERIAL SAMPLE POINTS 3 EA $ 175.00 $ 525.00
PW-14 AUTOMATIC FLUSHING DEVICE 1 EA $ 2,500.00 $ 2,500.00
PW-15 TEMP BACKFLOW DURING CONSTRUCTION 1 EA $ 7,500.00 $ 7,500.00
PW-16 AIR RELEASE VALVE 3 EA $ 2,500.00 $ 7,500.00
PW-17 CONNECT TO EXISTING 1 LS $ 1.500.00 $ 1,500.00
SUB-TOTAL POTABLE WATER= $ 129,710.00
Assumptions:
*Fire Hydrant Assembly(Complete)includes gate valve at hydrant.
P:Naive_Projects`Y BROK-003001_Tree_Farm PPL':Budgets:Cos1_EsarrrAes`REVOI,Opin on of Probable Cost-REV01 6 of 7
16121
Project: TREE FARM
Task: PERMIT AND INSPECTION FEES OPC
Prepared By: RJS Date: 6/30/2020
Checked By: DFW Date: 7/4/2020
MISCELLANEOUS
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
MSC-1 IRRIGATION(ALLOWANCE)* 1 LS $ 50,000.00 $ 50,000.00
MSC-2 LANDSCAPING(ALLOWANCE) 1 LS $ 184,415.00 $ 184,415.00
MSC-3 LIGHTING(ALLOWANCE) 1 LS $ 7,500.00 $ 7,500.00
MSC-4 PRESERVE AND LITTORAL SIGNAGE 1 LS $ 4,500.00 $ 4,500.00
MSC-5 $
MSC-6
SUB-TOTAL MISCELLANEOUS= $ 246,415.00
P'.Wcirve Prgects,P-BROK-003'001_Tree_Fam PPL\BudgetslCast_Esbmates,REVOlOpmlpn or Probable Cost-REVOI 7 of 7