Backup Documents 09/28/2021 Item #16A 9 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 9
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(Mice
at the lime the item is placed on the agenda. All completed routing slips and original documents must be received in the('aunty Attorney Office oo later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP
Complete routing lines 111 through It2 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 H I through t12,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 D D.p VA/1 i
4. BCC Office Board of County !Z'( 1 `
Commissioners � ,c7-01
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 Lucia Martin—Development Review Phone Number X 2279
Contact/ Department
Agenda Date Item was 9/28/2021 Agenda Item Number 16.A.9
Approved by the BCC
Type of Document Plat Number of Original
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? LM
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. LM
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 LM
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 LM
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 9/28/2021 and all changes made during n N/A is not
the meeting have been incorporated in the attached document. The County ()O an option for
Attorney's Office has reviewed the changes,if applicable. V 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 'op 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
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 A 9
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink paper. Attach to original doe men!. The completed routing slip and original documents are to be forwarded to the County Attorney(nice
at the time the item is placed on the agenda. All completed routing slips and original documents must be received in the(aunty 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
p}� e IIhi-7A
4. BCC Office Board of County PT bp J�
CommissionersI 1��� v' 1
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 inforrtlation is needed in the event one of the addressees
above,may need to contact staff for additional or missing information.
Name of Primary Staff Lucia Martin—Development Review Phone Number x-2279
Contact/ Department
Agenda Date Item was 9/28/202I Agenda Item Number 16.A.9
Approved by the BCC
Type of Document Bond, Maintenance Agreement 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? LM
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. LM
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 LM
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 LM
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 9/28/2021 and all changes made during N/A is not
the meeting have been incorporated in the attached document. The County DD r 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 N/A is not
BCC, all changes directed by the BCC have been made,and the document is ready for the O e 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
1 6 A 9
CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
THIS CONSTRUCTION AND MAINTENANCE AGREEMENT FOR SUBDIVISION IMPROVEMENTS
entered into this ZZ day of September, 2021 between Naples Associates IV LLLP, hereinafter
referred to as "Developer", and the 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: Valencia Trails—Plat Three.
B. Chapters 4 and 10 of the Collier County Land Development Code requires 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: All required improvements within 36 months from the date of
approval of 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$ 3,770,015.04 which amount represents 10% of
the total contract cost to complete the construction plus 100% of the estimated cost 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 such 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 his 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 his 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 his
designee to inspect the required improvements. The County Manager or his 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.
1 of 3
1 6 A 9
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 his 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 his designee. The County Manager or his
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 his 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 of 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 22 day of September 2021.
(Name of Entity)
SIGNED IN THE PRESENCE OF Naples Associate IV, LLLP
a Florida limited liability limited partnership
By: Naples IV Corporation,
A Florida corporation, its General Partner
By: c'"".91" v By: I ' U�'"'
� � Printed Name/Title: Maria Menendez, Vice President
Printed Name: `I �/ (,t)
Evidence of signing authority attached
hereto as Exhibit "6" .
Printed Name: �-(v\r1�
2 of 3
1 6 A 9
ATTEST:
BOARD OF OUNTY COMMISSIONERS
CRYSTAL K. KINZEL, CLERK OF COLLIE C TY, FLORIDA
•
BY. By: 011.41
Deputy Clerk t tteSt. to Ch , Pe nry Ta. .l nr Ch a S r a ii
•s! oet r only.
Approved as to form and le ality:
fie,c-t lam-
e
Derekt D. Perry
Assistant County Attorney
3 of 3
16A 9
EXHIBIT "A"
Subdivision Performance Security
1 6 A 9
EXI-tIEsiT A
PERFORMANCE BOND
BOND NO. LICX1206768
KNOW ALL PERSONS BY THESE PRESENTS: that
Naples Associates IV, LLLP (Name of Owner)
1600 Sawgrass Corporate Parkway, 4th FL (Address of Owner)
Sunrise, FL 33323 (Address of Owner)
(hereinafter referred to as "Owner")and
Lexon Insurance Company (Name of Surety)
12890 Lebanon Road (Address of Surety)
Mount Juliet, TN 37122 (Address of Surety)
615-553-9500 (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 Three Million Seven Hundred
Seventy Thousand Fifteen and 04/100 Dollars ($3,770,015.04) 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 Valencia Trails - Plat Three 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
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.
1 6 A 9
IN WITNESS WHEREOF,the parties hereto have caused this PERFORMANCE BOND to
be executed this 17th day of September, 2021.
WITNESSES: Naples Associates IV, LLLP, a Florida limited liability
limited partnership
By: Naples IV Corporation, a Florida corporation, its
general erBy
i<
Printed Name: N1' )C 0 Printed Name: N. Maria Menendez
By: Title: Vice President
Printed Name: ($k,vem 4/%/rX7; (Provide Proper Evidence of Authority
ACKNOWLEDGEMENT
STATE OF FLORIDA
COUNTY OF BROWARD
The foregoing instrument was acknowledged before me by means of❑x physical presence or❑ online
notarization, this 17th day of September , 2021 (year) , by N. Maria Menendez(name of person)as
Vice President for Naples IV Corporation, a Florida corporation the general partner of Naples Associates
IV, LLLP, a Florida limited liability limited partnership on behalf of said corporation and limited liability
partnership (name of party on behalf of whom instrument was executed)authorized to do business in
Florida herein identified as the PRINCIPAL and who is ❑x Personally Known or❑ Produced Identification
Type of Identification Produced:
NOTARY SEAL:
(Signature of Notary Public—State of Florida) — —
STEVEN M.HELFMAN Notary Publi
wr
:;_Commission#GG 211489
;••� .�:` Expires May 30,2022 C� n m�
°f Bonded Thru Troy Fain Insurance 800-385-7019 l.J
Printed Name of Notary Public
My Commission Expires:
16A 9
WITNESSES: SURETY: Lexon Insurance Company
By: By: can- g. (LO .
Authorized Signature
Printed Name: Christian Collins
Dale A. Bells
By: Printed Name
Printed Name: Taylor Rosenhaus Attorney-In-Fact and Florida Resident Agent
Title
STATE OF FLORIDA
COUNTY OF PALM BEACH
The foregoing instrument was acknowledged before me by means of M physical presence or❑ online
notarization, this 17th day of September , 2021 (year) , by Dale A. Belis (name of person)as Attorney-In-
Fact for Lexon Insurance Company(name of party on behalf of whom instrument was executed)
authorized to do business in Florida herein identified as the SURETY and who is i Personally Known or❑
Produced Identification Type of Identification Produced
NOTARY SEAL:
(Signature of Notary Public—State of Florida)
,
•
Notary Public
•
... , I i •.
'NWT 53.4r29116*-'117P.Rt ) •t Printed Name of Notary Public
My Commission Expires: •
1 6 A 9
to , SOMPO INTERNATIONAL
POWER OF ATTORNEY
9627
KNOW ALL BY THESE PRESENTS, that Endurance Assurance Corporation, a Delaware corporation, Endurance American Insurance Company, a Delaware
corporation, Lexon Insurance Company, a Texas corporation, and/or Bond Safeguard Insurance Company, a South Dakota corporation, each, a "Company" and
collectively,"Sompo International,"do hereby constitute and appoint:Brett Rosenhaus,Dale A.Bells as true and lawful Attorney(s)-In-Fact to make,execute,seal,and
deliver for,and on its behalf as surety or co-surety;bonds and undertakings given for any and all purposes,also to execute and deliver on its behalf as aforesaid renewals,
extensions,agreements,waivers,consents or stipulations relating to such bonds or undertakings provided,however,that no single bond or undertaking so made,executed
and delivered shall obligate the Company for any portion of the penal sum thereof in excess of the sum of ONE HUNDRED MILLION Dollars($100,000,000.00).
Such bonds and undertakings for said purposes,when duly executed by said attorneys)-in-fact,shall be binding upon the Company as fully and to the same extent as if
signed by the President of the Company under its corporate seal attested by its Corporate Secretary.
This appointment is made under and by authority of certain resolutions adopted by the sole shareholder of each Company by unanimous written consent effective the 15'h
day of June,2019,a copy of which appears below under the heading entitled"Certificate".
This Power of Attorney is signed and sealed by facsimile under and by authority of the following resolution adopted by the sole shareholder of each Company by
unanimous written consent effective the 15'h day of June,2019 and said resolution has not since been revoked,amended or repealed:
RESOLVED,that the signature of an individual named above and the seal of the Company may be affixed to any such power of attorney or any certificate relating thereto
by facsimile,and any such power of attorney or certificate bearing such facsimile signature or seal shall be valid and binding upon the Company in the future with respect
to any bond or undertaking to which it is attached.
IN WITNESS WHEREOF,each Company has caused this instrument to be signed by the following officers,and its corporate seal to be affixed this 15'h day of
June,2019.
Endurance Assurance Corporation Endurance American Lexon Insurance Company Bond Safeguard
--r Insurance Company , Insurance Company
By: By: / By: , -,l By: '
Richard Appel;,SNP,&„senior Counsel Richard Appel,;,SMP'&,rSenior Counsel Richard Appel; : Senior Counsel Richard Appel;,,SVP&Senior Counsel
.•Pysurance .can Ins4,,,,. 1guPAMc� `�. �q INSUR
_e'Q81kP,1O�Rg�p�,C'�'s g'cCe.8µF0rgj.~d7''a T'r`a .,R c�. �� :�JP.• -A "',9�p'=:
C SEAI, ems_ _�:;,ti,A TP, ?: J JO aew` �•, 1=`.I i ki SOUTH '.t�
9''. 2002 ,4_ _C'. 1996 ;o t s SEAL S : `_ro DAKOTA 0
r ;p, INSURANCE
"s.Vj'.DEL AWARE 0' 5 a h DELAWARE.i5, i�V v,�. .•� 0 Z'. COMPANY a
: %.4Cr .Jy a: A c,,, r l -off t"�
,,,,,.,o 4..,,,,„, "�, ACKNOWLEDGEMENT '`s: 6f _
On this 15'h day of June,2019,before me,personally came the above signatories known to me,who being duly sworn,did depose and say that he/ttiey'14' ffofjicer of each
of the Companies;and that he executed said instrument on behalf of each Company by authority of his offic under th by ws of each Company,: a.......�oq
STATE
B - mo Art
Y' ,
Amy Taylor,Not Public My CommissiDn Expires 5/9%23;'
CERTIFICATE ��a
Bry son c •
I,the undersigned Officer of each Company,DO HEREBY CERTIFY that:
1.That the original power of attorney of which the foregoing is a copy was duly executed on behalf of each Company and has not since been revoked amended or modified;
that the undersigned has compared the foregoing copy thereof with the original power of attorney,and that the same is a true and correct copy of the original power of
attorney and of the whole thereof;
2.The following are resolutions which were adopted by the sole shareholder of each Company by unanimous written consent effective June 15,2019 and said resolutions
have not since been revoked,amended or modified:
"RESOLVED,that each of the individuals named below is authorized to make,execute,seal and deliver for and on behalf of the Company any and all bonds,
undertakings or obligations in surety or co-surety with others: RICHARD M.APPEL,BRIAN J.BEGGS,CHRISTOPHER DONELAN,SHARON L.SIMS,
CHRISTOPHER L.SPARRO,MARIANNE L.WILBERT
;and be it further
RESOLVED,that each of the individuals named above is authorized to appoint attorneys-in-fact for the purpose of making,executing,sealing and delivering bonds,
undertakings or obligations in surety or co-surety for and on behalf of the Company."
3.The undersigned further certifies that the above resolutions are true and correct copies of the resolutions as so recorded and of the whole thereof.
IN WITNESS WHEREOF,I have hereunto set my hand and affixed the corporate seal this 17th day of Se.tember I,20 21
--dow —
BY.�
Dame S. .neee retary
NOTICE: U.S.TREASURY DEPARTMENT'S OFFICE OF FOREIGN ASSETS CONTROL(OFAC)
No coverage is provided by this Notice nor can it be construed to replace any provisions of any surety bond or other surety coverage provided. This Notice provides information concerning
possible impact on your surety coverage due to directives issued by OFAC. Please read this Notice carefully.
The Office of Foreign Assets Control(OFAC)administers and enforces sanctions policy,based on Presidential declarations of"national emergency". OFAC has identified and listed
numerous foreign agents,front organizations,terrorists,terrorist organizations,and narcotics traffickers as"Specially Designated Nationals and Blocked Persons". This list can be located
on the United States Treasury's website—httos://www.treasury.qov/resource-center/sanctions/SDN-List.
In accordance with OFAC regulations,if it is determined that you or any other person or entity claiming the benefits of any coverage has violated U.S.sanctions law or is a Specially
Designated National and Blocked Person,as identified by OFAC,any coverage will be considered a blocked or frozen contract and all provisions of any coverage provided are immediately
subject to OFAC. When a surety bond or other form of surety coverage is considered to be such a blocked or frozen contract,no payments nor premium refunds may be made without
authorization from OFAC. Other limitations on the premiums and payments may also apply.
Any reproductions are void.
Surety Claims Submission:LexonClaimAdministration(Wsompo-intl.com
Telephone:615-553-9500 Mailing Address:Sompo International;12890 Lebanon Road;Mount Juliet,TN 37122-2870
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EXHIBIT " B"
Signing Authority
1 6 A 9
2021 FLORIDA LIMITED PARTNERSHIP ANNUAL REPORT FILED
DOCUMENT#A13000000162 Apr 13, 2021
Entity Name: NAPLES ASSOCIATES IV, LLLP EXHIBIT "B" Secretary of State
5487529080CC
Current Principal Place of Business:
1600 SAWGRASS CORPORATE PARKWAY, STE.400
SUNRISE, FL 33323
Current Mailing Address:
1600 SAWGRASS CORPORATE PARKWAY, STE400
SUNRISE, FL 33323
FEI Number: 90-0957942 Certificate of Status Desired: Yes
Name and Address of Current Registered Agent:
NAPLES IV CORPORATION
1600 SAWGRASS CORPORATE PARKWAY, STE400
SUNRISE, FL 33323 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE: STEVEN M. HELFMAN 04/13/2021
Electronic Signature of Registered Agent Date
General Partner Detail :
Document# P13000028204
Name NAPLES IV CORPORATION
Address 1600 SAWGRASS CORPORATE
PARKWAY, STE.400
City-State-Zip: SUNRISE FL 33323
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am a general partner of the limited partnership or the receiver or trustee empowered to execute this report as required by Chapter 620,Florida Statutes:and that my name
appears above,or on an attachment with all other like empowered.
SIGNATURE: RICHARD M. NORWALK VP 04/13/2021
Electronic Signature of Signing General Partner Detail Date
2021 FLORIDA PROFIT CORPORATION ANNUAL REPORT FILED1 b A 7
DOCUMENT#P13000028204 Apr 13, 2021
Entity Name: NAPLES IV CORPORATION EXHIBIT "B" Secretary of State
1684015224CC
Current Principal Place of Business:
1600 SAWGRASS CORPORATE PARKWAY SUITE 400
SUNRISE, FL 33323
Current Mailing Address:
1600 SAWGRASS CORPORATE PARKWAY SUITE 400
SUNRISE, FL 33323
FEI Number: 46-2483022 Certificate of Status Desired: Yes
Name and Address of Current Registered Agent:
HELFMAN,STEVEN M ESQ
1600 SAWGRASS CORPORATE PARKWAY SUITE 400
SUNRISE, FL 33323 US
The above named entity submits this statement for the purpose of changing its registered office or registered agent,or both,in the State of Florida.
SIGNATURE:
Electronic Signature of Registered Agent Date
Officer/Director Detail :
Title P Title VP,AS
Name EZRATTI, MISHA J. Name FANT,ALAN J.
Address 1600 SAWGRASS CORPORATE Address 1600 SAWGRASS CORPORATE
PARKWAY SUITE 400 PARKWAY SUITE 400
City-State-Zip: SUNRISE FL 33323 City-State-Zip: SUNRISE FL 33323
Title VP Title VP
Name NORWALK, RICHARD M. Name ARKIN, RICHARD A.
Address 1600 SAWGRASS CORPORATE Address 1600 SAWGRASS CORPORATE
PARKWAY SUITE 400 PARKWAY SUITE 400
City-State-Zip: SUNRISE FL 33323 City-State-Zip: SUNRISE FL 33323
Title VP,TREASURER Title VP, S
Name MENENDEZ, N.MARIA Name HELFMAN,STEVEN M.
Address 1600 SAWGRASS CORPORATE Address 1600 SAWGRASS CORPORATE
PARKWAY SUITE 400 PARKWAY SUITE 400
City-State-Zip: SUNRISE FL 33323 City-State-Zip: SUNRISE FL 33323
I hereby certify that the information indicated on this report or supplemental report is true and accurate and that my electronic signature shall have the same legal effect as if made under
oath;that I am an officer or director of the corporation or the receiver or trustee empowered to execute this report as required by Chapter 607,Florida Statutes;and that my name appears
above,or on an attachment with all other like empowered.
SIGNATURE:RICHARD M. NORWALK VP 04/13/2021
Electronic Signature of Signing Officer/Director Detail Date
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EXHIBIT "C"
Opinion of Probable Cost
1 6 A 9
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Project: Valencia Trails Naples-Plat Three
P E N I N S U Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
ENGINEERING Checked By DCH Date: 6/22/2021
CALCULATION SUMMARY TOTAL
EROSION CONTROL AND EARTHWORK
$ 35,000.00
PAVING
$ 970,549.90
DRAINAGE $ 956,201.00
POTABLE WATER $ 405,344.00
SANITARY SEWER $ 883,591.50
LANDSCAPE AND LIGHTING
$ 176,600.00
TOTAL
$ 3,427,286.40
EROSION CONTROL,PAVING,DRAINAGE,LANDSCAPE AND LIGHTING: TOTAL O.P.C.= $ 2,138,350.90
POTABLE WATER,SANITARY SEWER: TOTAL O.P.C.= $ 1,288,935.50
NOTES:
1)This Opinion of Probable Cost shall be used for Review Fee Calculation Purposes Only.
2)All costs provided in this OPC are based on Engineers'latest known or estimated unit costs.Unit costs cannot be guaranteed,due to
unpredictable and uncontrollable increases in the cost of concrete,petroleum,or the availability of materials and labor.
3) Review Fees for lake excavation are provided with the lake excavation permit.Therefore,lake excavation volume and associated costs are
excluded from this analysis.
Daniel C
Hartley
Daniel Hartley
FL Registration#73943
Peninsula Engineering
Certificate of Authorization#28275
PAActive_Projects\P-GLHO-003\o03_Valencia Trails_Plat_Three\Budgets\OPC\Rev01\OPC_Plat3_FeeCalc_REV01.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
EROSION CONTROL AND EARTHWORK
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
EW-1 EROSION CONTROL(COMPLETE) 1 LS $ 20,000.00 $ 20,000.00
EW-2 TEMP.SWALE CONSTRUCTION AND MODIFICATIONS 1 LS $ 15,000.00 $ 15,000.00
SUB-TOTAL EROSION CONTROL AND EARTHWORK= $ 35,000.00
P.Wctive_Projects\P-GLHO-003\003_Valencia_Trails_Plat_Three\Budgets\OPC\Rev01\OPC_Plat3_FeeCalc_REV01.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
PAVING
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
PAV-1 1"ASPHALTIC CONCRETE TYPE S-Ill(FIRST LIFT) 1 LS $ 138,169.20 $ 138,169.20
PAV-2 3/4"ASPHALTIC CONCRETE TYPE S-III(SECOND LIFT) 1 LS $ 121,914.00 $ 121,914.00
PAV-3 6"LIMEROCK BASE 1 LS $ 189,644.00 $ 189,644.00
PAV-4 12"STABILIZED SUBGRADE 1 LS $ 53,283.20 $ 53,283.20
PAV-5 2'VALLEY GUTTER 1 LS $ 120,557.50 $ 120,557.50
PAV-6 3'VALLEY GUTTER 1 LS $ 8,671.00 $ 8,671.00
PAV-7 TYPE"F"CURB AND GUTTER 1 LS $ 34,936.00 $ 34,936.00
PAV-8 4"THICK CONCRETE SIDEWALK 1 LS $ 277,375.00 $ 277,375.00
PAV-9 ADA COMPLIANT MATS 1 LS $ 7,500.00 $ 7,500.00
PAV-10 SIGNAGE 1 LS $ 15,000.00 $ 15,000.00
PAV-11 STRIPING 1 LS $ 2,500.00 $ 2,500.00
PAV-12 TEMPORARY CONSTRUCTION ENTRANCE 1 LS $ 1,000.00 $ 1,000.00
SUB-TOTAL PAVING= $ 970,549.90
P'Active_Projects\P-G LHO-003\003_Valencia_Trails_Plat_Three\Budgets\0 PC\Rev0110 PC_PIat3_FeeCalc_R EV01.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
DRAINAGE
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
DRA-1 12"HDPE SECONDARY DRAINAGE PIPE 1 LS $ 67,774.00 $ 67,774.00
DRA-2 15"RCP STORM SEWER 1 LS $ 10.470.00 $ 10,470.00
DRA-3 18"RCP STORM SEWER 1 LS $ 36,000.00 $ 36,000.00
DRA-4 24"RCP STORM SEWER 1 LS $ 162,400.00 $ 162,400.00
DRA-5 30"RCP STORM SEWER 1 LS $ 31,080.00 $ 31,080.00
DRA-6 36"RCP STORM SEWER 1 LS $ 147,840.00 $ 147,840.00
DRA-7 48"RCP STORM SEWER 1 LS $ 225,212.00 $ 225,212.00
DRA-8 18"FLARED END 1 LS $ 3,700.00 $ 3,700.00
DRA-9 24"FLARED END 1 LS $ 14,175.00 $ 14,175.00
DRA-10 30"FLARED END 1 LS $ 5,600.00 $ 5,600.00
DRA-11 36"FLARED END 1 LS $ 17,700.00 $ 17,700.00
DRA-12 48"FLARED END 1 LS $ 30,800.00 $ 30,800.00
DRA-13 VALLEY GUTTER INLET(DOUBLE) 1 LS $ 102,400.00 $ 102,400.00
DRA-14 FDOT TYPE 9 1 LS $ 36,600.00 $ 36,600.00
DRA-15 GRATE INLET 1 LS $ 36,400.00 $ 36,400.00
DRA-16 YARD DRAIN 1 LS $ 26,550.00 $ 26,550.00
DRA-17 12"HDPE MITERED END W/RIP-RAP 1 LS $ 1,500.00 $ 1,500.00
SUB-TOTAL DRAINAGE= $ 956,201.00
P.\Active_Proj ects\P-G LHO-003\003_Valencia_Trai Is_P lat_Three\Budgets\OPC\Rev0110 P C_P lat3_FeeCalc_R EVO1.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
POTABLE WATER
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
WAT-1 6"PVC(C900, DR18) 1 LS $ 33,558.00 $ 33,558.00
WAT-2 6"PVC(C900, DR14) 1 LS $ 11,385.00 $ 11,385.00
WAT-3 8"PVC(C900,DR18) 1 LS $ 58,392.00 $ 58,392.00
WAT-4 8"PVC(C900,DR14) 1 LS $ 735.00 $ 735.00
WAT-5 10"PVC(C900,DR18) 1 LS $ 45,720.00 $ 45,720.00
WAT-6 10"PVC(C900,DR14) 1 LS $ 5,124.00 $ 5,124.00
WAT-7 12"PVC(C900,DR18) 1 LS $ 23,040.00 $ 23,040.00
WAT-8 12"PVC(C900,DR14) 1 LS $ 1,680.00 $ 1,680.00
WAT-9 6"GATE VALVE 1 LS $ 4,600.00 $ 4,600.00
WAT-10 8"GATE VALVE 1 • LS $ 10,500.00 $ 10,500.00
WAT-11 10"GATE VALVE 1 LS $ 13,650.00 $ 13,650.00
WAT-12 12"GATE VALVE 1 LS $ 7,800.00 $ 7,800.00
WAT-13 TEMP.BACTERIAL SAMPLE POINT 1 LS $ 990.00 $ 990.00
WAT-14 PERM BACTERIAL SAMPLE POINT 1 LS $ 5,400.00 $ 5,400.00
WAT-15 AUTOMATIC FLUSHING DEVICE 1 LS $ 15,300.00 $ 15,300.00
WAT-16 SINGLE WATER SERVICE(SHORT SIDE) 1 LS $ 15,990.00 $ 15,990.00
WAT-17 SINGLE WATER SERVICE(LONG SIDE) 1 LS $ 4,680.00 $ 4,680.00
WAT-18 DOUBLE WATER SERVICE(SHORT SIDE) 1 LS $ 26,100.00 $ 26,100.00
WAT-19 DOUBLE WATER SERVICE(LONG SIDE) 1 LS $ 45,100.00 $ 45,100.00
WAT-20 TEMP BLOW-OFF. 1 LS $ 1,800.00 $ 1,800.00
WAT-21 FIRE HYDRANT ASSEMBLY 1 LS $ 73,800.00 $ 73,800.00
SUB-TOTAL POTABLE WATER= $ 405,344.00
P\Active_Projects\P-GLHO-003\003_Valencia_Trails_Plat_Three\Budgets\OPC\Rev01\OPC_Plat3_FeeCalc_REV01.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
SANITARY SEWER
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
SAN-1 8"SDR 26 PVC GRAVITY SEWER MAIN(6'-8'CUT) 1 LS $ 72,096.00 $ 72,096.00
SAN-2 8"SDR 26 PVC GRAVITY SEWER MAIN(8.-10'CUT) 1 LS $ 68,832.00 $ 68,832.00
SAN-3 8"SDR 26 PVC GRAVITY SEWER MAIN(10.-12'CUT) 1 LS $ 54,894.00 $ 54,894.00
SAN-4 8"SDR 26 PVC GRAVITY SEWER MAIN(12'-14'CUT) 1 LS $ 24,250.00 $ 24,250.00
SAN-5 8"SDR 26 PVC GRAVITY SEWER MAIN(14'-16'CUT) 1 LS $ 31,204.00 $ 31,204.00
SAN-6 8"SDR 26 PVC GRAVITY SEWER MAIN(16.-18'CUT) 1 LS $ 35,402.00 $ 35,402.00
SAN-7 8"SDR 26 PVC GRAVITY SEWER MAIN(18'-20'CUT) 1 LS $ 27,132.00 $ 27,132.00
SAN-8 8"SDR 26 PVC GRAVITY SEWER MAIN(20.-22'CUT) 1 LS $ 26,600.00 $ 26,600.00
SAN-9 4'SANITARY SEWER MANHOLE(6'-8'CUT) 1 LS $ 37,800.00 $ 37,800.00
SAN-10 4'SANITARY SEWER MANHOLE(8.-10'CUT) 1 LS $ 52,800.00 $ 52,800.00
SAN-11 4'SANITARY SEWER MANHOLE(10'-12'CUT) 1 LS $ 36,400.00 $ 36,400.00
SAN-12 4'SANITARY SEWER MANHOLE(12'-14'CUT) 1 LS $ 11,600.00 $ 11,600.00
SAN-13 4'SANITARY SEWER MANHOLE(14'-16'CUT) 1 LS $ 6,200.00 $ 6,200.00
SAN-14 4'SANITARY SEWER MANHOLE(16'-18'CUT) 1 LS $ 13,600.00 $ 13,600.00
SAN-15 4'SANITARY SEWER MANHOLE(18'-20'CUT) 1 LS $ 21,300.00 $ 21,300.00
SAN-16 4'SANITARY SEWER MANHOLE(20'-22'CUT) 1 LS $ 30,400.00 $ 30,400.00
SAN-17 6"SERVICE LATERAL(SINGLE) 1 LS $ 14,880.00 $ 14,880.00
SAN-18 6"SERVICE LATERAL(DOUBLE) 1 LS $ 61,560.00 $ 61,560.00
SAN-19 TELEVISION INSPECTION 1 LS $ 22,087.50 $ 22,087.50
SAN-20 4"PVC FORCE MAIN(C900 DR18) 1 LS $ 18,990.00 $ 18,990.00
SAN-21 4"PVC FORCE MAIN(C900 DR14) 1 LS $ 564.00 $ 564.00
SAN-22 PUMP STATION 1 LS $ 215,000.00 $ 215,000.00
SUB-TOTAL SANITARY SEWER= $ 883,591.50
P.\Active_Projects\P-G LH O-003\003_Valencia_Trails_Plat_Three\Budgets\0 PC1Rev01\OPC_P lat3_FeeC alc_R EV01.xlsx
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Project: Valencia Trails Naples-Plat Three
Task: Engineer's OPC for Fee Calculation(Rev01)
Prepared By: CMW Date: 6/22/2021
Checked By: DCH Date: 6/22/2021
LANDSCAPE AND LIGHTING
ID DESCRIPTION QTY UNIT TYPE UNIT PRICE TOTAL PRICE
LL-1 LIGHTING(FPL STREET LIGHTING) 1 LS $ 51,600.00 $ 51,600.00
LL-2 LANDSCAPE 1 LS $ 125,000.00 $ 125,000.00
SUB-TOTAL LANDSCAPE AND LIGHTING= $ 176,600.00
P\Active_Projects\P-GLH0-003\003_Valencia_Trails_Plat_Three\Budgets\OPC1Rev0110PC_PIat3_FeeCalc_REV01.xlsx