Backup Documents 03/12/2024 Item #16B 3 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 1 ..S B 3
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. :kV-0
**NEW** ROUTING SLIP , r4 j 6129-
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alre co lete 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 00
° 3I
I,l r3izy
4. BCC Office Board of County
Commissioners q 4 /7,// 3/is/ . (
5. Minutes and Records Clerk of Court's Office 0/1
2_�r� �
�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 Dennis McCoy/TMSD Phone Number 252-5726
Contact/ Department
Agenda Date Item was March 12,2024 Agenda Item Number 16B3
Approved by the BCC
Type of Document Easement Use agreement Number of Original 1
Attached Documents Attached
PO number or account See attached check
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? Stamp ok
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 DM
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 DM
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 DM
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 3/12/24 and all changes R1A is not
made during the meeting have been incorporated in the attached document. The OP
/1( optiop f
County Attorney's Office has reviewed the changes,if applicable. �Y
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 CO? 1 : on for
Chairman's signature. thl<s 144e
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
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INSTR 6552112 OR 6364 PG 2704 1 8 B 3
RECORDED 5/30/2024 10:07 AM PAGES 2
Owner: Georgina Rodriguez CLERK OF THE CIRCUIT COURT AND COMPTROLLER
Address: 1680 18th Ave NE COLLIER COUNTY FLORIDA
REC$18.50
Parcel ID No. 37860200000
EASEMENT USE AGKEEMEIV'1'
(16th Street NE Bridge Project No. 60212—Right of Way EUA)
This EASEMENT USE AGREEMENT ("Agreement") is made as of this /21.4 day of
MAKCti 20Zy ,by and between Georgina Rodriguez("Owner")and Collier County("County").
WHEREAS, Owner is the current fee owner of that certain real property known as the North 180
Feet of Tract 2, Golden Gate Estates, Unit No. 25, according to the plat thereof as recorded in Plat Book 7,
Pages 13 and 14,of the Public Records of Collier County, Florida(hereinafter"Subject Property");and
WHEREAS, as set forth in Plat Book 7,Pages 13 and 14,the Public was granted of certain right-
of-way easement rights that the County holds in trust, as referenced in the Plat's dedication paragraph, a
portion of which encumbers the Subject Property(hereinafter"Easement Area"); and
WHEREAS,Owner has a fence(the"Encroachment")in a portion of the County's Easement Area
located on Owner's Subject Property that is approximately 0.27 feet of the Easement Area and not in direct
conflict with the 16th Street NE Bridge Project No. 60212;and
WHEREAS, the County has no present objection to the use of the Encroachment within the
Easement Area, provided that Owner agrees to the terms and conditions set forth below.
NOW, THEREFORE, in consideration of the sum of $10.00 and other good and valuable
consideration, the receipt and sufficiency of which is hereby acknowledged, Owner and County hereby
agree as follows:
1. The above recitals are true and correct and are incorporated herein.
2. Owner shall provide to the County whatever access the County requires to continue its easement rights
and further agrees to waive any claim of damage to the Encroachment arising out of the County's
maintenance activities within the Easement Area,whether such damage is intentional or unintentional.
3. The County agrees that until otherwise notified,Owner may continue the use of Encroachment within
the Easement Area, however,the County retains the right, in its sole discretion,to demand by written
request that the Encroachment be removed from the Easement Area, which Owner shall do at their
sole cost and expense within a reasonable time from receipt of such request.
4. The Encroachment shall only be what is in existence as of the date of this agreement, a fence up to
0.27 feet into the Easement, and no other construction shall be allowed or in effect in said Easement.
5. Owner agrees for him/herself and successors and assigns that they shall release, indemnify and hold
the County harmless for and against any and all obligations, claims, liabilities, expenses and/or fees
(including reasonable attorney's fees and court costs) including personal injury or property damage
arising out of the use of the Easement Area by the Owner, his/her respective contractors, agents,
employees or invitees at any time while the Encroachmentremains within the Easement Area.Further,
Owner, for him/herself, successors and assigns agrees to release and hold the County harmless from
and against any and all obligations, claims, liabilities, expenses and/or fees (including reasonable
attorney's fees and court costs) including personal injury or property damage arising out of the use of
the Easement Area by the County, including but not limited to, damage which may occur to the
Encroachment during the normal operation,maintenance, repair and/or replacement, as applicable,of
the Easement Area and/or the Encroachment and/or the infrastructure,which may now or in the future
be located within the Easement Area.
Page 1 of 2
CAL)
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16B 3
6. This Agreement shall be recorded at the Owner's expense in the Official Records of Collier County,
Florida, and shall be a covenant running with the land and shall be binding upon the heirs, personal
representatives, grantees, assigns and successors.
IN WITNESS WHEREOF, the parties hereto have executed this Easement Use Agreement as of
the date first above written.
WITN SES: ) OWNER:
Wit ' Sig ture .k�ti� ,T a -j '
• ' n Georgina Rodriguez
RhQ o�
Witn s:1:rinted Name/7- v
_ _.,,,a,
_. . _ _ ,
cA-
s#2 Signature l--..Vv c �cx 1/ . C 2 ct
Witness#2 Printed Name
STATE OF FLORIDA
COUNTY OF COLLIER
The foregoing instrument was acknowledged before me by means of physical presence this .30
day of Su_vuz_ 2023, by Georgina Rodriguez, who ❑ is per nally known or ck�s produced
Dnvz/5 �l'c.Q, frAtillIlUtfy, as identification.
„71, ...c;;sAtssto4;•••0 „ 4, kja,d
<� y
. Notary Signatu e
w: =o:o cc9n234 *= ee-Irp 1
l kiaird
f� '.yA�4aed mo .."• ,-, Notary Printed Name
�. O ••.blic 1inder .
G O
ATTEST'. ��ii/�STATE-1` As to County:
CRYSTAL K.KINZEL, LEENIC
BOARD OF COUNTY COMMISSIONERS
COLLIER COON Y FLORIDA
By:
Attest a to Cnnln1.- id Deputy Clerk
3 signature only
By:
Approved as to form and legality: Chri aAulgatt.
Chairman
6.1,,a, a t
Derek D. Perry
��
Assistant County Attorney Al,/
�2 1,
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