Backup Document 06/28/2022 Item #16C 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP l ibe'+
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 he/ �a
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is already complet it the
P
exception of the Chairman's signature,draw a line through routing lines#1 through#2,complete the checklist,and forward to the County Attorney 0 ice.
Route to Addressee(s) (List in routing order) Office Initials Date
1. Jennifer A. Belpedio, Assistant County County Attorney .•( ��� 7S)Zvi Z
Atty., County Attorney's Office �;J
2. BCC Office Board of County
Commissioners 06 isi 612R'Z2,
3. Minutes and Records Clerk of Court's Office
to
PRIMARY CONTACT INFORMATION
3 :0
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 Sonja Stephenson Phone Number 239-252-8073
Contact/Department
Agenda Date Item was June 28,2022 Agenda Item Number 16.C.2
Approved by the BCC
Type of Document Utility Easement Number of Original
Attached Documents Attached
PO number or account
number if document is41 _Q`J�?J tiO4. I I^
to be recorded � v
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? N/A
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 fmal negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's SS
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip N/A
should be provided to the County Attorney Office at the time the item is input into SIRE.
Some documents are time sensitive and require forwarding to Tallahassee within a certain
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on June 28,2022,and all changes made
during the meeting have been incorporated in the attached document. The County
Attorney's Office has reviewed the changes, if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the N
BCC,all changes directed by the BCC have been made,and the document is ready for thetij
Chairman's signature. .
.:...:..................................
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
t6G 2
Memorandum
TO: Minutes & Records Management
FROM: Sonja Stephenson, Real Property Management
DATE: June 28, 2022
RE: Utility Easement
The Board of County Commissioners approved the Utility Easement on June 28, 2022
Agenda Item 16.C.2.
Attached is the original for attestation.
Please attest to Commissioner William's signature as Chairman on the document.
Please find attached the recording memo for the Recording Department.
Please contact me if you have any questions or comments at Extension 8073.
Thank you.
Cotter County
Administrative Services Division
Facilities Management
Real Property Management Section
3335 Tamiami Trail E., Suite 101
Naples, FL 34112
Please record the attached documents as follows:
1 . Utility Easement (3 pages).
Copies required: Yes No X
Charge the following:
Account: Fund 419, Cost Center 273404, Object Code 76110, Project 70253.4
Copy of receipt to: REAL PROPERTY MANAGEMENT, Attn.: Sonja Stephenson (via email)
Sonja.stephenson@colliercountyfl.gov
ORIGINAL DOCUMENTS to be returned to MINUTES & RECORDS
Any questions call Sonja Stephenson @ 252-8073
Thank you.
Consideration: $0
Doc Stamps: $.70
• IV •
Real Property Management Section•3335 Tamiami Trail East,Suite 101 •Naples,Florida 34112-5356.239-252-8991 •FAX 239-252-8876
INSTR 6276737 OR 6147 PG 2427 C C
PROJECT: GG Water Main Connect RECORDED 7/1/2022 8:13 AM PAGES 3
ADDRESS: 4701 Golden Gate PkwyCLERK OF THE CIRCUIT COURT AND COMPTROLLER
COLLIER COUNTY FLORIDA
FOLIO No: 36111520003 DOC@.70$0.70 REC $27 00
UTILITY EASEMENT
THIS UTILITY EASEMENT, made and entered into this 2g t1. day of "5.4e , , 2022,
by COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing address,
3335 East Tamiami Trail, Suite 101, Naples, FL 34112, as Grantor, to the BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING BODY OF
COLLIER COUNTY AND AS EX-OFFICIO THE GOVERNING BOARD OF THE COLLIER
COUNTY WATER-SEWER DISTRICT, whose mailing address is 3335 Tamiami Trail East, Suite
101, Naples, FL 34112, its successors and assigns, as Grantee.
(Wherever used herein the terms "Grantor" and "Grantee" include all the parties to this
instrument and their respective heirs, legal representatives, successors or assigns.)
WITNESSETH:
Grantor, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration paid by the Grantee, the receipt and sufficiency of which is hereby acknowledged,
hereby conveys, grants, bargains and sells unto the Grantee, its successors and assigns, a
perpetual, non-exclusive easement, license, and privilege for utility, access and maintenance
purposes, on the following described lands located in Collier County, Florida, to wit:
See attached Exhibit "A"which is incorporated herein by reference.
Subject to easements, restrictions, and reservations of record.
THIS IS NOT HOMESTEAD PROPERTY.
TO HAVE AND TO HOLD the same unto the Grantee together with the right to enter upon
said land, excavate, and place or remove materials for the purpose of constructing, operating,
and maintaining utility facilities thereon. Grantor and Grantee are used for singular or plural, as
the context requires. In the event that the proposed transmission water main is in conflict with
any future building or skate park expansion, CCWSD will relocate the transmission main at our
expense.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed the date
and year first above written.
ATTEST: BOARD OF COU TY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk of the COLLIER CO , L
Circuit Court •Comptroller
(1) •
BY: BY:
Attest-as to Chan " 'eputy C erk
William L. McDaniel, Jr., Chairman
ipatttfe alllys
Ap oved s. vi-
••t form and legality:
�tierirriferk-Befredio �.,�1�� 1 -06,0Ko 9):\
Assistant County Attorney \\
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