Backup Documents 09/26/2023 Item #16C 4 16C4
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
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.
2.
3. County Attorney Office County Attorney Office
5A/(// 5/203
4. BCC Office Board of County
Commissioners /Q(, Lyi / 9/zq3
5. Minutes and Records Clerk of Court's Office
//403 *0 AN
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 Primary Staff `\O�� P LID
Phone Number 2 l-�3
Contactt/ W�Department 1 -J�
Agenda Date Item was n �1 Agenda Item Number �` ^ (�
Approved by the BCC j pas I s g Oho o o I6
Type of Document Number of Original
Attached a-S O\Vt„�c'1 Ql'\ Documents Attached pi
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? n1/4‘k\\-/
2. Does the document need to be sent to another agency for additional signatures? If yes,
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
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
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.
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 and all changes made during
the meeting have been incorporated in the attach document. The County � `1F., :,?
Attorney's Office has reviewed the changes,if applicable.
9. Initials of attorney verifying that the attached document is the version approved by the
BCC,all changes directed by the BCC have been made,and the document is ready for the SS' ` k4
Chairman's signature. =_r
1604
RESOLUTION NO. 2023- 1 6 9
A RESOLUTION OF THE BOARD OF COUNTY COMMISSIONERS OF
COLLIER COUNTY, FLORIDA, SUPERCEDING AND REPLACING
RESOLUTION NO. 1998-168 TO PROVIDE FOR UPDATED ESTOPPEL
LETTER FEES; AND PROVIDING FOR AN EFFECTIVE DATE.
WHEREAS, the Collier County Water-Sewer District maintains special assessment rolls
for the collection of all monies due the District for special assessments approved and authorized
by the Board of County Commissioners; and
WHEREAS,the District is responsible for the administration and collection of all financed
water and sewer impact fee receivables as well as monthly billing and collection of water and
sewer consumption charges;and
WHEREAS,individuals,title companies,real estate companies,and attorneys involved in
real estate transactions need and require accurate payoff information regarding special
assessments, financed impact fees, and water consumption as of the closing dates of real estate
transactions. In most transactions, this information is included on the transaction closing
documents; and
WHEREAS,on May 19, 1998,the Board of County Commissioners approved Resolution
1998-168, establishing an estoppel letter service and a fee for the service; and
WHEREAS,the estoppel letter service provides a significant benefit to those entities and
individuals in Collier County involved in real estate transactions requiring closings; and
WHEREAS, the time, human resources, technology, and material required by the
department staff to provide this estoppel letter service has value and cost that justly requires the
imposition of a reasonable,proportional fee for said service; and
WHEREAS, the Board recognizes that revisions to this fee schedule are necessary to
reflect the actual cost incurred by the County; and
NOW, THEREFORE, BE IT RESOLVED BY THE BOARD OF COUNTY
COMMISSIONERS OF COLLIER COUNTY,FLORIDA that:
1. The Collier County Water-Sewer District is hereby authorized to prepare its own
program and procedure to provide an"estoppel letter"service for the persons and business interest
requesting such service.
2. The Collier County Water-Sewer District shall require and receive a fee of Twenty-Five
Dollars ($25.00) for each estoppel letter the District prepares to pay for the cost of creation and
transmittal of said estoppel letter.
3. The Board further finds and declares that the fee set forth therein is a fair and reasonable
sum to be assessed for the estoppel letter service.
4. The Board declares that the estoppel letters are not recognized as official records of the
Board of County Commissioners and are provided as a courtesy to the requestor.
(23-REV-01278/1801118/11
16C4
5. This Resolution shall take effect immediately upon adoption.
6. Resolution No. 1998-168 is hereby superseded and replaced in its entirety by this
Resolution.
THIS RESOLUTION ADOPTED after motion,second,and majority vote favoring same
this 76t‘` day of � tr,ruer , 2023.
ATTEST 4'� ' •• BOARD OF COUNTY COMMISSIONERS
Crystal, - ; H k.a Courts COLLIER COUNTY, FLORIDA
Agey. Aff
Attest as o . arr, •-. Clerk Rick LoCastro, Chairman
sign• u = •`nlyx ty
Approve. •• t• 1 . _.lity:
Jeffrey A. 1 i atzk. , Co my Attorney
[23-REV-01278/1801118/1] CNh
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 6 C 4
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
Print on pink pare 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. Risk Risk Management
2. County Attorney Office County Attorney Office f A/03
4. BCC Office Board of County /f[
Commissioners /0/9
4. Minutes and Records Clerk of Court's Office
io/9/��
5. Procurement Services Procurement Services
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 Patrick Contact Information 239-252-8407
Contact/ Department O'Quinn/PROCUREMENT
Agenda Date Item was SEPTEMBER 26TH, Agenda Item Number 16.C.4.
Approved by the BCC 2023
Type of Document Number of Original Documents 1
Attached AGREEMENT \ Attached
PO number or account N/A '� 23-037-NS PROPLOGIX, LLC
number if document is LIEN SEARCH SERVICE DBA ORANGE
to be recorded AGREEMENT DATA SYSTEMS
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 STAMP OK 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 PRO
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 PRO
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 PRO
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 o 023 and all changes made during N/A is not
the meeting have been incorporated in the at c ocument. The County 5iT 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 5c--r N/A is not
BCC,all changes directed by the BCC have been made,and the document is ready for the /j�� an option for
Chairman's signature. 11 this line.
16C4
Lien Search Service Agreement #23-027-NS
This Service Agreement(the"Agreement") is made by and between PROPLOGIX, LLC, d/b/a ORANGE
DATA SYSTEMS ("Orange Data"), located at 5901 N. Honore Ave., Ste. 200, Sarasota, FL 34243 and
THE BOARD OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FI,ORIDA, ("COLLIER
COUNTY"), located at 4420 Mercantile Avenue, Naples, FL 34104. ORANGE DATA and COLLIER
COUNTY may also be referred to in the singular as"Party"and in the Plural as"Parties".
RECITALS
WHEREAS, COLLIER COUNTY desires to retain ORANGE DATA to perform Lien Search
Report and/or Estoppel Request research services to determine the existence of liens and utility-related
debts on properties within Collier County as more fully described herein (generally referred to as the
"Services").
WHEREAS, ORANGE DATA desires to provide the Services described herein and agrees to do
so under the terms and conditions set forth in this Agreement.
NOW,THEREFORE,for good and valuable consideration,the Parties agree as follows:
DEFINITIONS
Date of execution: Shall mean the date on which this Agreement is signed by the last Party as indicated
on the signature page of this Agreement.
Days: Shall mean calendar days unless otherwise specified.
Section I
PROFESSIONAL SERVICES
The Parties agree to perform the Services described below in accordance with the specifications,terms,and
conditions, including compensation and expenses,as set forth herein.
Services:ORANGE DATA shall timely respond to requests for information from third-party organizations,
on behalf of COLLIER COUNTY,concerning information on permits,outstanding utility fees or any other
debts owed to COLLIER COUNTY for code enforcement, and whether a lien has been filed or not,
regarding any such unpaid utility and permit fees or any other debt owed to COLLIER COUNTY.
COLLIER COUNTY will automatically provide the necessary file information on permits,utility and other
debts owed to COLLIER COUNTY for code enforcement,whether a lien has been filed or not, utility and
permit fees and any other debt owed to COLLIER COUNTY by its customers, constituents, or property
owners.
Section II
ASSIGNMENT
This Agreement shall be binding upon and inure to the benefit of the Parties and their respective successors
and assigns provided that it may not be assigned by either Party without consent of the other Party and that
consent shall not be reasonably withheld.Notwithstanding the foregoing,ORANGE DATA may assign all
or any portion of its rights and obligations hereunder to the purchaser of all or substantially all its assets or
stock (by merger or otherwise). It is expressly intended and agreed that no third-party beneficiaries are
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16C4
created by this Agreement,and that the rights and remedies provided herein shall inure only to the benefit
of the Parties to this Agreement.
Section III
PAYMENTS
Payment for the Services shall be paid by the requesting third-party organization directly to ORANGE
DATA. COLLIER COUNTY is not responsible for payment of the Service Fee. Payment upon ordering is
required for all third-party requestors. Any invoice not paid within thirty (30) days shall be deemed past
due and subject to interest at 1.5%per month by any third-party requestors.The Parties agree that this late
charge is a reasonable estimate of the damage ORANGE DATA will incur if amounts due are not paid on
time. COLLIER COUNTY shall bear no responsibility or liability for the payment of any late charge
interest assessed to third-party requestors. Fees shall be$25.00 per Lien Search Report can be modified at
the discretion of COLLIER COUNTY. The total Service Fee for ORANGE DATA shall be $12.50 per
Lien Search Report and/or Estoppel Request generated by ORANGE DATA,plus any interest assessed and
actually recovered resulting from the imposition of a late charge. ORANGE DATA will collect the entire
$25.00 lien search fee on behalf of COLLIER COUNTY and will retain$12.50 as payment for producing
the Lien Search Report or Estoppel Request, and remit the remaining$12.50 to COLLIER COUNTY.
Payment shall be remitted to COLLIER COUNTY once a month by the 10"'of each month for the preceding
months Lien Search Report / Estoppel Request purchases. Reconciliation reports must be provided
matching payments received by ORANGE DATA in connection with providing the Services to COLLIER
COUNTY. Payment shall be made via ACH to an Account provided by COLLIER COUNTY.
ORANGE DATA shall keep all records and supporting documentation which concern or relate to the
Services provided for a minimum of five(5)years from the date of termination of this Agreement or such
longer period as may be required by law,whichever is later. COLLIER COUNTY,or any duly authorized
agents or representatives of Owner(including the Collier County Clerk of Court and Comptroller), shall
have the right to audit,inspect and copy all such records and documentation as often as they deem necessary
during the period of this Agreement and during the document retention period noted above; provided,
however,such activity shall be conducted only during normal business hours.
Section IV
LITIGATION
Intentionally Omitted.
Section V
PERFORMANCE WARRANTY AND REMEDY
ORANGE DATA warrants that all Services provided hereunder will conform to the requirements
reasonably set forth by COLLIER COUNTY and will be performed consistent with generally prevailing
professional and industry standards. COLLIER COUNTY must notify ORANGE DATA in writing of any
deficiencies under this section within thirty(30)days of discovering the deficiency.
Page 2 of 8
ORANGE DATA 23-027-NS CA®
16C4
Section VI
DISCLAIMER AND LIMITATIONS OF LIABILITY
With the exception of the express warranties in this Agreement, ORANGE DATA makes NO OTHER
WARRANTY, EXPRESS OR IMPLIED, INCLUDING, WITHOUT LIMITATION, ANY IMPLIED
WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE.
Section VII
INTELLECTUAL PROPERTY
All rights to patents, trademarks, copyrights, and trade secrets owned by ORANGE DATA remain the
property of ORANGE DATA.ORANGE DATA does not grant COLLIER COUNTY any right or license
to any such intellectual property.
Section VIII
CONFIDENTIALITY
ORANGE DATA shall use reasonable efforts to keep confidential all data and information which is marked
confidential and furnished to ORANGE DATA by COLLIER COUNTY under this Agreement
Confidentiality of all records is subject to the Florida Public Records Act, Chapter 119, Florida Statutes,
and any other relevant State and federal statutes.
Section IX
INDEMNIFICATION
To the maximum extent permitted by Florida law, ORANGE DATA shall, indemnify and hold harmless
COLLIER COUNTY for all losses due to errors committed by ORANGE DATA that are transmitted to
third-parties provided that ORANGE DATA received accurate information from COLLIER COUNTY to
create such reports. The foregoing indemnification shall be limited to direct monetary damages, not to
exceed the amount of professional liability/errors and omissions insurance coverage maintained by
ORANGE DATA and applicable to such loss.
To the extent allowed by law, and without waiving or extending any rights that COLLIER COUNTY has
to limit its liability under Section 768.28,Florida Statutes,COLLIER COUNTY will indemnify ORANGE
DATA for any losses due to incorrect, incomplete, inaccurate, or untimely information provided by
COLLIER COUNTY to ORANGE DATA.
Section X
FORCE MAJEURE
Notwithstanding anything to the contrary contained herein, if ORANGE DATA is obstructed or delayed at
any time in the delivery or performance of Services contemplated herein as a result of unforeseeable causes
beyond the control of ORANGE DATA, and not due to its fault or neglect, including but not restricted to
acts of nature ("force majeure"), or of the public enemy, acts of government, fires, floods by weather
conditions not reasonably anticipated, epidemics, quarantine regulations, strikes or lockouts, by
unavoidable casualties,or by any act of COLLIER COUNTY or a third party,or by any other cause beyond
ORANGE DATA's control, then ORANGE DATA is excused from any such failure to timely perform,
provided that the delay would not have occurred but for the act or force majeure In the event that either
party is rendered unable,either wholly or in part, to carry out its obligations under this Agreement due to
an act or force majeure as described hereinabove,then the party affected by such act or force majeure shall
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ORANGE DATA 23-027-NS CAO
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give written notice with clear explanation to the other party within five(5) business days of the discovery
of the actor or force majeure. Following such notice, the obligations of the party giving notice shall be
suspended only during the continuance of the act or force majeure, provided good faith due diligence is
demonstrated in seeking a remedy to the cause.
Section XI
ENTIRE AGREEMNT
Each of the Parties hereto agrees and represents that this Agreement comprises the full and entire agreement
between the parties affecting the Services contemplated, and no other agreement or understanding of any
nature concerning the same has been entered into or will be recognized, and that all negotiations, acts, or
work performed prior to the execution hereof shall be deemed merged in, integrated and superseded by this
Agreement.
Section XII
DELIVERY OF COMMUNICATIONS
All notices and other communications required by this Agreement shall be writing and shall be delivered
either by personal delivery, by mail, or e-mail. If delivered by mail, notices shall be sent by Express Mail
or by certified or registered mail, return receipt requested, with postage and charges prepaid. Electronic
mail is an acceptable means of communication and all e-mail communications shall be sent to the e-mail
addresses below.
All notices and other written communications under this Agreement shall be addressed as indicated below,
or as specified by subsequent written notice delivered by the Party whose address has changed.
Collier County Board of County Commissioners,FL
do Utility Billing&Customer Service
4420 MERCANTILE AVE
NAPLES,FL 34104
Attn: ANNIA MACHIN, MANAGER
Phone:239-252-8744
Email: anniam,machinCc3coiliercountyflgav
Proplogix,LLC d/b/a Orange Data Systems
5901 N. Honore Ave., Ste 200
Sarasota, FL 34243
ATTN: Legal Department
Email: legal(a?,proplogix.eom
Operational and regular course of dealings communications should be directed to David Harrington
(david@orangedata.com).
Section XIII
DISPUTE RESOLUTION
Prior to the initiation of any action or proceeding permitted by this Agreement to resolve disputes between
the parties, the Parties shall make a good faith effort to resolve any such disputes by negotiation. The
negotiation shall be attended by representatives of ORANGE DATA with full decision-making authority
and by COLLIER COUNTY's staff person who would make the presentation of any settlement reached
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ORANGE DATA 23-027-NS CAO
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during negotiations to COLLIER COUNTY for approval. Failing resolution, and prior to the
commencement of depositions in any litigation between the parties arising out of this Agreement,the Parties
shall attempt to resolve the dispute through Mediation before an agreed-upon Circuit Court Mediator
certified by the State of Florida. The mediation shall be attended by representatives of ORANGE DATA
with full decision-making authority and by COLLIER COUNTY's staff person or designee who would
make the presentation of any settlement reached at mediation to COLLIER COUNTY's Board for approval.
Should either Party fail to submit to mediation as required hereunder, the other Party may obtain a court
order requiring mediation under Section 44.102, Fla. Stat.
Section XIV
GOVERNING LAW&JURISDICTION
This Agreement shall be governed in accordance with the laws of the State of Florida. Any suit or action
brought by either Party to this Agreement against the other Party relating to or arising out of this Agreement
must be brought in the appropriate federal or State courts in and for Collier County, Florida, which courts
have sole and exclusive jurisdiction on all such matters.
Section XV
ATTORNEY'S FEES AND COSTS
The prevailing Party shall have the right to collect from the other Patty its reasonable costs and necessary
disbursements and attorneys' fees incurred in enforcing this Agreement, including appellate fees, if any.
Section XVI
INSURANCE
ORANGE DATA shall provide insurance as follows:
a) Workers' Compensation: Insurance covering all employees meeting Statutory Limits in
compliance with the applicable state and federal laws.
The coverage must include Employers'Liability with a minimum limit of$100,000 for each accident.
b) Professional Liability: Shall be maintained by ORANGE DATA to ensure its legal liability for
claims arising out of the performance of professional services under this Agreement. Such insurance
shall have limits of not less than $1,000,000 each claim and aggregate.
c) Cyber Liability: $1,000,000 Per Occurrence.
Section XVII
TERM OF AGREEMENT
This Agreement is effective from the date of execution for a period of five(5) years unless terminated by
the Parties as allowable hereunder per Section XVIII of this Agreement.
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ORANGE DATA 23-027-NS
1 6 C 4
Section XVIII
TERMINATION
a) Termination for Convenience: COLLIER COUNTY shall have the right to terminate this
Agreement without cause upon thirty (30) calendar days written notice to ORANGE DATA.
ORANGE DATA shall have the right to terminate this Agreement without cause upon ninety(90)
days written notice to COLLIER COUNTY. In the event of any termination for convenience,
ORANGE DATA'S recovery against COLLIER COUNTY shall be limited to that portion of the
Agreement amount actually earned through the date of termination,but ORANGE DATA shall not
be entitled to any other or further recovery against COLLIER COUNTY, including,but not limited
to,damages or any anticipated profit on portions of the Services not performed.
b) Termination for Cause: This Agreement may be terminated by written notice by either Party for
material breach of this Agreement,provided the terminating Party has given the breaching Party at
least fifteen(15)days written notice of,and opportunity to cure such breach.Termination for breach
does not constitute waiver of any other rights or remedies that non-breaching Party may have for
breach of this Agreement.
Section XIX
MISCELLANEOUS
a) The captions of each paragraph of this Agreement are inserted solely for convenience and are not
to be constructed as part of this Agreement.
b) If any provision in this Agreement is determined by a competent authority to be unenforceable,all
other provisions of this Agreement shall continue in full force and effect.Similarly,if any provision
is determined to be unenforceable due to terms exceeding that which is allowable under the law,
that provision shall be enforced to the fullest extent allowable under the law.
c) The failure of either Party to this Agreement to insist upon the performance of any of the terms and
conditions of this Agreement,or the waiver of any breach of any of the terms and conditions of this
Agreement,shall not be constructed as waiving any such terms and conditions, but the same shall
continue and remain in full force and effect as if no forbearance or waiver occurred.
d) ORANGE DATA is an independent contractor, and neither ORANGE DATA nor ORANGE
DATA's personnel shall be deemed employees of COLLIER COUNTY.Nothing in this Agreement
is intended to constitute a partnership,joint venture, employment, agency, or any other similar
relationship by or between the Parties.
c) This Agreement was drafted and negotiated with the participation of both Parties. This Agreement
shall not be construed with prejudice against the drafter.
f) The rights and obligations of the Parties which by their nature must survive termination or
expiration of this Agreement in order to achieve their fundamental purpose shall survive any
termination or expiration of this Agreement.
g) This Agreement may be executed in two or more counterparts, each of which shall be deemed to
be an original, but all of which shall constitute one and the same agreement. Digital or electronic
signatures shall have the same force and effect as an original.
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NOW THEREFORE,the Parties to this Agreement have caused it to be executed on the date indicated
below.
ATTEST:
Crystal K. Kinzel, Clerk of Circuit Court BOARD OF COUNTY COMMISSIONERS
and Comptro, •• ' , 1COLLIER COUNTY, FLORIDA
441
By: ;!` go/,ok -,,. dpr, By: (---1-2fir -- --.....
i- Rick LoCastro,Chairman
Dated: -1m4111 4t.., -w c). . I.
(SEAL) "ttest as to.Ch*man's
ice sighatur eniy
r
Appr as to Form and egality:
11-- ) t�v L,......_
Scott R.Teach,Deputy County Attorney
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ORANGE DATA 23-027-NS
16C4
Orange Data's Witnesses: CONTRACTOR:
PROPLOGIX, LLC, d/b/a ORANGE DATA
SYSTEMS ("Orange Data")
e-W;240-476(,,
F,
irst Witness
V� By: _.
2 jI?,'%rIe11�// ,� Signature
tType int witness namet
lairan/& j! 14LL CE'o
' _ 1 TType/print signature and ttl(el'
Seco fitness
<:' YPeP/Ql�k (-ter- it ( /la. ' ell 2�3.?3
TT / rint witness namet Date
Page 8 of 8
ORANGE DATA 23-027-NS CAO