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Backup Documents 03/23/2021 Item #16C3 ORIGINAL DOCUMENTS CHECKLIST & ROUTINGSLIP .5.30�a/ TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE 3 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 2. BCC Office Board of County Commissioners 3. Minutes and Records Clerk of Court's Office ( ,,�1 3) ta- p ?V � i 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 ( �© �. Agenda Item Number �t x Approved by the BCC ) Type of Document 11 J� Number of Original Attached - Vn(,(,�l ciElAtinuit Documents Attached 1 PO number or account Account: Fund if, Cost Center , Object number if document is Code 649030, Project 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)� n Applicable) 1. Does the document require the chairman's original signature? S 0 �( �-- 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. 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 signature and initials are required. eltre 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 Zl ')O l ,and all changes N/A is not made during the meeting have been incorporated in the attached document. The CiO1 an option for County 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 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 16C3 Ann P. Jennejohn From: Ann P. Jennejohn Sent: Tuesday, April 6, 2021 8:44 AM To: erb c Subject: Item #16C3 3-23-21 BCC Meeting Attachments: Backup Documents 03_23_2021 Item #16C3.pdf Good Morning Cindy, Please see the attached for your records. Thank you! Ann Jennejohn !3MR Senior Deputy Clerk II ` t'.1T lYF{:�.J, Clerk to tote Value Adjustwtevtt Board �,�'� `'%, Office: z39-zsz-84o� Fax: 239-252-8408 (Jr applicable) Avivt.Jevwtejohvt@CollierClerk.cowt rr�r�. 1et-`r Office of the Clerk of the Circuit Court & Comptroller of Collier County 3299 Tawtiavvti Trail, Suite #401 Naples, FL. 34112.-5324 www.CollierClerk.com i 1 6 C3 #OOpmCn Work Request No. 9837065 UNDERGROUND EASEMENT z • m m x cn(O, m _ O ;a -,'''lXOOo (BUSINESS) o n m m I'' Sec.23, Twp 48 S, Rge 26 E This Instrument Prepare By o�' O = o co Name: Jennifer A. Belpedio, Esq. o z m (-,, r� Parcel I.D.: 49660082584 Co. Name: Office of Collier County Attorney :o - n o 0 (Maintained by County Appraiser) m x o Address: 3299 East Tamiami Trail,Suite 800 0 n N Co Naples, Florida 34112-5749 O c cn ,J The undersigned, in consideration of the payment of$1.00 and other good and c, o n D D o valuable consideration, the adequacy and receipt of which is hereby C K cJ acknowledged, grant and give to Florida Power& Light Company, its affiliates, H -a k) licensees, agents, successors, and assigns ("FPL"), a non-exclusive z O easement forever for the construction, operation and maintenance of o u underground electric utility facilities (including cables, conduits, appurtenant o W equipment, and appurtenant above-ground equipment) to be installed from time to time; with the right to reconstruct, improve, add to, enlarge, change the -0 voltage as well as the size of, and remove such facilities or any of them within x an easement described as follows: Reserved for Circutl Court o m See Exhibit"A" ("Easement Area") xi Together with the right to permit FPL to attach or place wires to or within any facilities hereunder and lay cable and conduit within the Easement Area and to operate the same for FPL's communications purposes in connection with electric service; the right of ingress and egress to the Easement Area at all times; the right to clear the land and keep it cleared of all trees, undergrowth and other obstructions within the Easement Area; the right to trim and cut and keep trimmed and cut all dead, weak, leaning or dangerous trees or limbs outside of the Easement Area, which might interfere with or fall upon the lines or systems of communications or power transmission or distribution; and further grants, to the fullest extent the undersigned has the power to grant, if at all, the rights hereinabove granted on the Easement Area, over, along, under and across the roads, streets or highways adjoining or through said Easement Area. IN WITNESS WHEREOF, the undersigned has signed and sealed this instrument on Mack al , 2021. ATTEST CRY$T—Alig..'KkNZEL Clerk - BOARD O NTY COMM : •NErS COLLIE. . NTY, FLORIDA • `t By: ' // , Uepuly Clerk N NNY I AY of , Chalrpers•n al wan' g� bitty: Print Address: 3299 East Tamiami Trail, Suite 800 Approved as to form and le .ty: Naples, Florida 34112-5749 Jennite b e lo, A sls ounty Attorney sC )°‘53. 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