Backup Documents 09/13/2022 Item #16C 2 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 C 2
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 /�^-'�� 6�I���ai�2
County Attorney's Office
2. BCC Office Board of County �
Commissioners �� by� i
3. Minutes and Records Clerk of Court's Office
1\4) �I� 6 ca- 10'.51.1
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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 Vivian Rodriguez Phone Number 239-252-8402
Contact/Department
Agenda Date Item was SeptemberI3,2022 Agenda Item Number 16.C.2
Approved by the BCC
Type of Document Utility Easement—GG City Golf Course— Number of Original 1
Attached Transmission Water Main Improvements Documents Attached
PO number or account 419-273401-70253.4
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? 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 final negotiated contract date whichever is applicable.
6. "Sign here"tabs are placed on the appropriate pages indicating where the Chairman's VR
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 September 13,2022,and all changes VR N/A is not
made during the meeting have been incorporated in the attached document. The 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
BCC,all changes directed by the BCC have been made,and the document is ready for the f� an option.for
Chairman's signature. ' this linen
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
•
Memorandum I 6 C 2
TO: Minutes & Records Management
FROM: Vivian Rodriguez, Real Property Management
DATE: September 14, 2022
RE: Golden Gate City Golf Course—Transmission Water Main Improvements
This item was accepted by the BCC pursuant to Agenda dated September 13, 2022,
Item No. 16.C.2.
Kindly attest to Commissioner McDaniel's signature as Chair on the Utility Easement. Once
attested, please forward a copy of the Utility Easement for my files via email to
vivian.rodriguez@colliercountyfl.gov.
Please contact me if you have any questions or comments at Extension 8402.
Thank you.
INSTR 6311191 OR 6175 PG 3440 1 6 C2
PROJECT: GG Water Main Connect RECORDED 9/21/2022 9.31 AM PAGES 5
CLERK OF THE CIRCUIT COURT AND COMPTROLLER
ADDRESS: 4150 Golden Gate Pkwy COLLIER COUNTY FLORIDA
FOLIO No: 36560040008 DOC@.70 0$ .70 REC$44.00
CUTILITY EASEMENT
THIS UTILITY EASEMENT, made and entered into this 13fi` day of $epfchLcr , 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 including, but not limited to, utility lines and
pipes, and other equipment or improvements appurtenant thereto or thereunder for the purpose
of constructing, operating, maintaining, and accessing utility facilities thereon. Grantor and
Grantee are used for singular or plural, as the context requires. The easements granted herein
shall constitute easements running with the land and shall burden the lands described above.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed the date
and year first above written.
AT7: 8T•,,, n BOARD OF COU►TY COMMISSIONERS
CRYSTAL.K KtN'ZEL, Clerk of the COLLIER CO • - IA
C:rcuit G�`tirt�a i�lptroHer (1) OA
BY: C C. BY: _�...► Ai.
Attest as to Cha' �,
iii
Clerk WI ,IAM L. MCDANIEL, Jr., hairman
cimn tune only.
Ihis Conveyance Approved By
Appr t fo m and I gality: The
e Board Onf County
tti ;\ Collier County Florida,
Pursu T Agen is ,
onald T. Tomasko, Date: 61/S LL Item No: /6.e-,L Assistant CountyAttorney y \�? o
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