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Encore Living Facilities
MEMORANDUM DATE: TO: FROM: RE: August 30, 2000 Maureen Kenyon, Supervisor, Clerk to Board Shirley Nix, Engineering Technician II Project Plan Review Encore Living Facilities Water and/or Sewer Facilities Acceptance Recording Fee Number 113-138312-63-649030 On ~"]¢g/ Z?/ ~00] , {99 The Board of County Commissioners granted final acceptance of the water and/or sewer facilities within the above-referenced project. Attached, please find the following recorded documents, in order: 1. Utilities Facilities Subordination, Consent and Joinder 2. Bill of Sale 3. Utility Easement 4. Utilities Facilities Warranty Deed Also, please find attached the following documents for your files. o o 9. 10. 11. Owner's Affidavit Attorney's Affidavit Copy of preliminary approval letter from Engineering Review Copy of Utilities Performance Bond Engineer's final payment confirmation Certification of pressure testing of water lines by Engineer of Record Certification of pressure testing of sewer lines by Engineer of Record Memorandum to Maureen Kenyon, Supervisor, Clerk to Board August 30, 2000 Page Two 12. 13. Bacteriological clearances (DER certification) for water facilities DER Placement-in-Service letter for sewer facilities 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. Contractor's Final Release of Lien Lab results on bacteriological test for water lines Verification of final cost (Detailed: quantities, sizes, unit cost, total cost, etc.) Letter by Engineer certifying that all water and/or sewer facilities are located within the public right-of-way or dedicated easements Contractual Guarantee for material and workmanship for a period of at least one year after the Board of County Commissioners' acceptance for both water and sewer facilities Letter from fire district regarding ownership and maintenance of fire hydrants and certification of field fire flow capacity testing Copy of backflow prevention assembly test report Certification of the inflow/infiltration test for the sewer lines by Engineer of Record Coating certification of man holes, wet wells and dry well from manufacturer Copy of pump station start-up report Copy of video tape test report Letter from Compliance Services section certifying that the final inspection reveals that the Utility facilities have been constructed in accordance with County ordinances and regulations 26. One copy of utility easement Memorandum to Maureen Kenyon, Supervisor, Clerk to Board August 30, 2000 Page Three If you have any questions, please call and advise accordingly. attachments doc:2094-2 Dwight E. Brock Clerk County of Collier CLERK OF THE CIRCUIT COURT COLLIER COUNTY COURTHOUSE 3301 TAMIAMI TRAIL EAST P.O. BOX 413044 NAPLES, FLORIDA 34101-3044 OFFICIAl, RECEIPT When Validated BRANCH OFFICES: GOLDEN GATE 4839 GOLDEN GATE PARKWAY GREENTREE SHOPPING CENTER 2386 IMMOKALEE ROAD IMMOKALEE 101 S. FIRST STREET MARCO ISLAND 1040 WINTERBERRY DRIVE EVERGLADES CITY 207 BROADWAY AVENUE ;[ '~ LJ ?. 32643 1 8 BCC ii"3 i.:383t2 63 64903,9 Ei',IGit'4EEF;I?.i¢:~ REVIIEW/ S NiX DC: 4 DC)CUMEN'T::'~ ]C TYP FILE ID BOOK PAGE JBORD 2682124 2'715 2269 SALE 2682125 2'715 22?3 :"~H T 26~2 i 26 2715 22'76 -:ED 2682127 27!5 2279 DESCRIPTION F?.ECOF::DiF. IG OF LEGAL IIqSTRU!.IEI'~ P,R.ht.T'.F. RECOF:DING DOCUIqEN]"AR'~' S'TAI'JPS - CHECK AMT 56. ~. 50 1.4 R E C 0 l:';.: D I N (3 TOTAL DUE: 65.90 Form 4 - Rev. 4/28/89 (Utilities Facilities Subordination Consent and Joinder) Utilities Acceptance - Doc #320 2682124 OR: 2715 PG: 2269 RECORDED in OFHCIAL RECORDS o~ COLLIER COUNTY, FL 08/29/2000 at 10:45AM DWIGHT E. BROCK, CLERK REC FEE 19,50 Kern: SHIRLEY NIX/ENGINEERING REVIEW HORSESHOE DRIVE UTILITY FACILITIES SUBORDINATION, CONSENT AND JOINDER THIS SUBORDINATION, CONSENT AND JOINDER given this %1¢/~ day of 1999, by PARIBAS, a French Bank, acting through its Chicago Branch}hereinafter referred to as "Mortgagee"), in favor of 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, its successors and assigns, (hereinafter referred to as "County"). Mortgagee is used as singular or plural, as the context requires. *, as Agent WITNESSETH. WHEREAS, Mortgagee is the owner and holder of that certain Mortgage and Security Agreement with Assignment of Rents as of April 16, 1999 from Encore Senior Living, III, LLC to Paribas recorded in Official Records Book 2537, Page 3171 et seq, along with UCC Financing Statements also recorded in Official Records Book 2537, Page 3201 et seq of the Public Records of Collier County, Florida, (hereinafter referred to as "Mortgage"), encumbering the premises legally described therein, (hereinafter referred to as the "Encumbered Property"). WHEREAS, County has requested and received from the fee simple owner of the Encumbered Property non-exclusive easements for the installation and maintenance of utility facilities over and across a portion of the encumbered premises legally described in Exhibit "A" attached hereto and incorporated herein by virtue of this reference, which premises are hereinafter referred to as the "Easement Property". WHEREAS, County has requested that Mortgagee consent to, join in and subordinate its Mortgage to the interest that County has in the Easement Property to which request Mortgagee has agreed. NOW, THEREFORE, in consideration of TEN DOLLARS ($10.00) and other good and valuable consideration, the receipt of which is hereby acknowledged, the Mortgagee does hereby consent to, join in and subordinate the lien of its Mortgage to the grant of that certain easement described herein over, under, and across the Easement Property and any interest of the County in any utility facilities located therein or affixed thereto. Except as subordinated to the easement described herein over, under, and across the Easement Property or any utility facilities located therein or affixed thereto, said Mortgage shall remain otherwise in full force and effect. OR: 2715 PG: 2270 IN WITNESS WHEREOF, the Mortgagee has caused these presents to be executed the date and year first above written. Witness PARIBAS, a French Bank, acting through its Chicago Branch, ets Agent Witness Name: Russell Title: Dit~l~Ot STATE OF: ~ L~ COUNTY OF: ~ The foreeoing Utility Facilities Subordination, Consent and Joinder was acknowledged before me by I~o~e~ ~,~-.,-,~Z of Paribas. WITNESS my hand and official seal this ¢ day of ,1999. (affix notarial seal) ~0~ dg~ C l~otary Public My Commission Expires: I\/ ~qO[ Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 OR: 2715 PG: 2271 Exhibit A Lot 3 of Tamiami Professional Center, according to the Plat thereof, recorded in Plat Book 31, at Page 71 and 72 of the Public Records of Collier County, Florida. *** OR: 2715 PG: 2272 Exhibit "A" Form 9 - Rev. 4/28/89 - (Bill of Sale) Utilities Acceptance Acceptance - Doc #320 BILL OF SALE THIS BILL OF SALE evidencing the sale and conveyance of the water utility facilities described herein is made this 3 ~ day of ~ ,1999, by ENCORE SENIOR LIVING, LLC, a Delaware limited liability company, sole member of ENCORE SENIOR LIVING III, LLC, a Delaware limited liability company (hereinafter referred to as "Seller"), and the BOARD OF COLrNTY 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, its successors and assigns, (hereinafter referred to as "Buyer"). WITNESSETH That said Seller, for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to said Seller in hand paid by the said Buyer, the receipt whereof is hereby acknowledged, has granted, bargained, sold, transferred, set over and delivered, and by these presents does grant, bargain, sell, transfer, set over and deliver unto Buyer, and the Buyer's heirs, successors and assigns forever, all those certain water utility facilities lying within the following described land, together with appurtenant easement rights for the operation, installation and maintenance of said facilities, situate, lying and being in Collier County, Florida, to wit: (See Exhibit "A" attached hereto and incorporated by reference herein.) The Seller, for itself and its successors, hereby covenants to and with the Buyer and its successors and assigns that it is the lawful owner of the said goods and chattels herein referred to as utility facilities; that said goods and chattels are free from all liens and encumbrances; that it has good right, title and authority to sell same, and that it will warrant and defend the same against the lawful claims and demands of all persons whomsoever. Seller and Buyer are used for singular or plural, as the context requires. IN WITNESS WHEREOF, SELLER has caused these presents to be executed the date and year first above written. o o - Signature Page Follows - OR: 2715 PG: 2274 ENCORE SENIOR LIVING III, LLC a Delaware limited liability company Witness By its sole member: ENCORE SENIOR LIVING, LLC a Delaware limited liability company Bruce Schoen Senior Vice President STATE OF OREGON COUNTY OF MULTNOMAH The foregoing Bill of Sale was acknowledged before me by Bruce Schoen, Senior Vice President of Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore Senior Living III, LLC, a Delaware limited liability company. WITNESS my hand and official seal this __ (affix notarial seal) OFFICIAL SEAL LESLEE CARNEAU NOTARY PUBLIC- OREGON COMMISSION NO, 060078 MY COMMISSION EXPIRES DEC. 8, 2000 ~t~ day O~J'rl~, 1999. Not~7 Public My Commission Expires: Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 OR: 2715 PG: 2275 Exhibit "A" oo (3:;o ~oa o-r OZ "nO .-I Elm N Z ONr~ q-~ S 00'45'05" E 200.02' /./ =~o~o ~8 oo~> _ o N~ mm~m S~oo N ~dzM~z~m_ zm mo O~C--~--~~ Z ~h o . ,~z ~o>>~ oJ>©~ -- --~o ~__ O~ m~ Z Z~ N ~ N ~--0 > O~--m-- CO > > ' O -- O~ Z~--m~ mO ~Z~.~ o '~ mO m~ 2682126 OR: 2715 PG: 2276 SHIRLEY NIX/ENGINEERING REVIEW RECORDED in the OFFICIAL RECORDS o~ COLLIER COUNTY, ~L REC FEE HORSESHOE DRIVE 08/29/2000 at 10:ISAM DWIGHT B, BROCK, CLERK DOC-.70 BXT 5586 Form 7 - Rev. 4/28/89 (Utility Easement Utilities Acceptance - Doc #320 15.00 .70 UTILITY EASEMENT THIS UTILITY EASEMENT, granted this ~x~ day of ~ 1999, by Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore Senior Living III, LLC, a Delaware limited liability company 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, its successors and assigns, as Grantee. WITNESSETH: That the Grantor for and in consideration of the sum of ten dollars ($10.00) and other valuable consideration paid by the Grantee, receipt 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 to enter upon and to install and maintain utility facilities, on the following described lands being located in Collier County, Florida to wit: See attached Exhibit "A" which is incorporated herein by reference. TO HAVE AND TO HOLD the same unto the Grantee and its assigns, together with the right to enter upon said land, excavate, and take 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. TO WITNESS WHEREOF, the Grantor has caused these presents to be executed the date and year first above written. ENCORE SENIOR LIVING III, LLC a Delaware limited liability company By its sole member: ENCORE SENIOR LIVING, LLC a Delaware limited liability company Bruce Schoen Senior Vice President OR: 2715 PG: 2277 STATE OF OREGON COUNTY OF MULTNOMAH The foregoing Utility Easement was acknowledged before me by Bruce Schoen, Senior Vice President of Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore' Senior Living III, LLC, a Delaware limited liability company. WITNESS my hand and official seal this ,~0-LA day of /~bb~-- 1999. (affix notarial seal) 7,~ _ ._LINDA J. BRYANT ~x~.~. N_qT_A_ R_¥_ ~ U B LI C -O R EGO N ~_O_MMISSION NO. 318435 N'~otary Public ff - My Commission Expires: Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 Exhibit "A" OR: 2715 PG: 2278 *** r- .o 0 Retn: 2682127 OR: 2715 PG: 2279 SHIRLEY NIX/ENGINEERING REVIEW RECORDED in the OFFICIAL RECORDS of COLLIER COUNTY, FL DOC-,70 HORSESHOE DRIVE 08/29/2000 at 10:45AM DWIGHT E, BROCK, CLERK Form 8 - Rev. 4/28/89 (Warranty Deed) Utilities Acceptance - Doc #320 15.00 .?0 UTILITY FACILITIES WARRANTY DEED THIS INDENTURE made this 5&-'' day of ~ ,1999, between ENCORE SENIOR LIVING, LLC, a Delaware limited liability company, sole member of ENCORE SENIOR LIVING III, LLC, a Delaware limited liability company (hereinafter referred to as "Grantor"), and 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, its successors and assigns, (hereinafter referred to as "Grantee"). WITNESSETH That said Grantor, for and in consideration of the sum of Ten Dollars ($10.00) and other good and valuable consideration to said Grantor in hand paid by said Grantee, the receipt of which is hereby acknowledged, has granted, bargained, and sold to the said Grantee, and Grantee's heirs, successors and assigns forever, all water utility facilities lying within the following described land, together with appurtenant easement rights for the operation, installation and maintenance of said facilities, situate, lying and being in Collier County, Florida, to wit: (See Exhibit "A" attached hereto and incorporated by reference herein.) and said Grantor does hereby fully warrant the title to said utility facilities, and will defend the same against the lawful claims of all persons whomsoever. For the purposes of this conveyance, the utility facilities conveyed herein shall not be deemed to convey any of the lands described in Exhibit "A". Grantor and Grantee are used for singular or plural, as context requires. IN WITNESS WHEREOF, Grantor has caused these presents to be executed the date and year first above written. - Signature Page Follows - OR: 2715 PG: 2280 ENCORE SENIOR LIVING III, LLC a Delaware limited liability company Witness Witness By its sole member: ENCORE SENIOR LIVING, LLC a Delaware limited liability company Bruce Schoen Senior Vice President STATE OF OREGON COUNTY OF MULTNOMAH The foregoing Utility Facilities Warranty Deed was acknowledged before me by Bruce Schoen, Senior Vice President of Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore Senior Living III, LLC, a Delaware limited liability company. WITNESS my hand and official seal this ~fl-~;[ day ofl~/Y[~, 1999. (affix notarial seal) ~X~f~.~ dQ~ Z~_j Nofary Public My Commission Expires: LESLEE CARNEAU ",~'~"- ?' NOTARY PUBLIC - OREGON COMMISSION NO. 060078 MY COMMISSION EXPIRES DEC. 8, Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 OR: 2715 PG: 2281 Exhibit "A" Z S 00'45'05" E 200.02' "U 3 L5 I-- ~ ~0 ~0 O~m ~ ~ ~ ~l~ZZ~~u~ '"--.. ~ --m ~bmm~m~m~~mm>m~ °~ ~cc_O~m Omom ~ ~ ~z~o_~o~=o~> c> mc ~z~ ~z~z>~ zm ~oOo o~ ~ ~°~ N~ ~w ~mm ? z~d_~dm>~O= ~ ~> o~ ~ ~-o~o 0~-- ~ 0~ J O~0 ~ Z~ ~ · 0~0~ ~0~ -0C3 Z 0 ~Qo~ ~ ~o0 0~..o~ O~ -- Zo~ Z O~ 0 00-- m ~z~oo · . >~o ~0 m~ ~o~ Form 6 - Rev. 4/28/89 (Owners Affidavit) Utilities Acceptance - Doc #320 OWNER' S AFFIDAVIT STATE OF OREGON COUNTY OF MULTNOMAH On this .--a~2:: day of I~ ~-r_~ , 1999, before me personally appeared Bruce Schoen, Senior Vice President of Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore Senior Living III, LLC, a Delaware limited liability company, owner of property to me personally known (hereinafter "Affiant"), who, being duly sworn on his oath, did say that all of the persons, firms, and corporations, including the general contractor and all subcontractors, who have furnished services, labor or materials according to plans and specifications, or extra items, used in the construction or repair of water and sewer utility facilities on the real estate hereinafter described, have been paid in full and that such work has been fully completed and accepted by the owner. Affiant further says that no claims have been made to the Owner by, nor is any suit now pending on behalf of, any contractor, subcontractor, laborer or materialman, and further that no chattel mortgages or conditional bills of sale have been given or are now outstanding as to the subject utility facilities placed upon or installed in the aforesaid premises. Affiant further says that the utility facilities described herein are not included in, encumbered by, or subject to any real property mortgage, chattel mortgage, security agreement, Uniform Commercial Code financing statement, or any other encumbrance. Affiant, as and on behalf of the owner of the subject utility facilities, does for valuable consideration hereby agree and guarantee, to hold 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 harmless against any lien, claim or suit by any general contractor, subcontractor, mechanic or materialman, and against chattel mortgages, security interests or repair of the subject utility facilities. Affiant is used as singular or plural, as the context requires. The utility facilities referred to herein are located within the real property described in the attached Exhibit "A". ENCORE SENIOR LIVING, III, LLC a Delaware limited liability company By its sole member: ENCORE SENIOR LIVING, LLC a Delaware limited liability company Bruce Schoen Senior Vice President STATE OF OREGON COUNTY OF MULTNOMAH subscr±bed to The foregoing Owner's Affidavit was sworn and before me by Bruce Schoen, Senior Vice President of Encore Senior Living, LLC, a Delaware limited liability company, sole member of Encore Senior Living III, LLC, a Delaware limited liability company. WITNESS my hand and official seal this (affix notarial seal) __"~)~dayof ~A,'~b~, 1999. No~j Public ~ My Commission Expires: /- / 7- Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 Exhibit A Lot 3 of Tamiami Professional Center, according to the Plat thereof, recorded in Plat Book 31, at Page 71 and 72 of the Public Records of Collier County, Florida. Form 5 - Rev. 4/28/89 - (Attorney's Affidavit) Utilities Acceptance - Doc #320 ATTORNEY' S AFFIDAVIT STATE OF FLORIDA COUNTY OF PALM BEACH ON THIS /~-- day of ff[t0;~&/i~-, 1999, before me personally appeared Kerry R. Schwencke, a licensed attorney authorized to practice in the State of Florida, to me personally known, whose current business address and telephone number is 1645 Palm Beach Lakes Boulevard, Suite 720, West Palm Beach, FL 33401, Telephone (561) 689-9200 (hereinafter "Affiant"), who, being duly sworn on his oath, does say: 1. This Affidavit is given as an inducement 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 to accept the dedication of water and sewer utility facilities located within the real property described in the attached Exhibit "A", which is incorporated herein by reference, said land being located in Collier County, Florida. 2. The Affiant has examined record title information to both the real and personal property referenced in this affidavit, including but not limited to, information requested from the Florida Secretary of State relative to any Uniform Commercial Code financing statements. 3. The record owner of the real and personal property described herein is Encore Senior Living III LLC, a Delaware limited liability corporation (hereinafter "Owner").The Owner acquired record title to the subject real property by instrument recorded at Official Records Book~ff3), at Page .~/~ ¢', Public Records, Collier County, Florida (copy attached). Affiant herein affirms that he has examined corporate information obtained from the State of Delaware and states that Encore Senior Living III, LLC is current and active within said State, is currently authorized to do business in the State of Florida, and that Bruce Schoen, Senior Vice President is authorized to execute instruments on behalf of Encore in conjunction with the conveyance of the subject real and personal property. 4. Affiant states herein that subject property is encumbered by a certain Mortgage and Security Agreement with Assignment of Rents as of April 16, 1999 from Encore Senior Living III, LLC to Paribas recorded in Official Records Bo~o~537, Page 3171 and UCC Financing Statement recorded in Official Records Book 2537, Page ~ and by Notice of Commencement recorded in Official Records Book 2541, Page 499, of the Public Records of Collier County, Florida. Ker~ncke, Esquire STATE OF: ,~c 74.,'~:4 COUNTY OF: ,/f~*-/~'~ ~?z'.'./~./+ subscribed to The foregoing Attorney's Affidavit was swo~ and ~ before me by Kerry R. Schwencke, Esquire as Trustee on behalf of the above-retbrence Trust. WITNESS my hand and official seal this . (affix notarial seal) / 4' ;-~ay of f~Z~y/"-'- , 1999. d~otary Public My Commission Ex~)7~!?~!i!'i0:f, , Prepared by: Stephen C. Fraser Vice President of Development Encore Senior Living, LLC 48 Pleasant Street - Suite 4 Newburyport, MA 01950 Exhibit A Lot 3 of Tamiami Professional Center, according to the Plat thereof, recorded in Plat Book 31, at Page 71 and 72 of the Public Records of Collier County, Florida. COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION ENGINEERING REVIEW SECTION December 17, 1999 Planning Services Department 2800 North Horseshoe Drive Naples, 'Florida 34104 George Hermanson Hole, Montes & Associates, Inc. P. O. Box 1586 Naples, FL 34106 Re: Tamiami Professional Center & Encore Living Facility Dear Mr. Hermanson: This is to inform you that the above referenced project has been granted preliminary approval by Engineering Review in compliance with Collier County Land Development Code, Section 3. All water and/or sewer facilities approved, accepted and required to be maintained by Collier County shall be conveyed to the County pursuant to the provisions set forth in Collier County Ordinance No. 97-17, as amended. You are reminded that it is your responsibility to petition the Development Services Director for final approval of the improvements upon the expiration of the minimum one (1) year maintenance period. After satisfactory completion of all final inspections., the Board of County Commissioners shall grant final approval of the required improvements establishing County responsibility for maintenance of the required improvements if it is the Board's desire to accept and maintain the facilities. If you should have any questions or if we may be of assistance, please advise. Very truly yours, Shirley Ni~/_.~ .~// Engineering Technician II CC.' Joe Cheatham, Wastewater Director Paul Mattausch, Water Director Diane Deoss, Public Works John Houldsworth, Engineering Review Phone (941) 403-2400 Fax (941) 643-6968 www. co.collier, fl.us Form 2 - Rev. 4/28/89 - (Peffomla~lce Bond) Utilities Acccptancc Documcnr~ - Doc #320 UTILITIES PERFORMANCE BOND BOND NUMBER 929 108 000 KNOW ALL PERSONS BY THESE PRESENTS: that Encore Senior Living, III, LLC, a Delaware limited liability corporation, 305 N.E. 102nd Avenue, Portland, OR 97220 (hereinafter referred to as "Owner") as Principal, and American Casualty Company of Reading, Pennsylvania, a Pennsylvania corporation authorized to conduct a surety business in the state of Florida (hereinafter referred to as "Surety") as Surety, are held and firmly bound unto Collier County, Development Services, 2800 N. Horseshoe Drive, Naples, FL 34104, (hereinafter called "County") as Obligee, in the total aggregate penal sum of TWO THOUSAND ONE HUNDRED AND NO/100 DOLLARS ($2,100.00) 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 and plural, as the context requires. THE CONDITION OF THIS OBLIGATION is such that whereas, the Owner entered into a certain Utilities Facilities Construction Contract, dated the 2nd day of April, 1999, a copy of which is hereto attached and made a part hereof; and WI-IEKEAS, the County has a material interest in the performance of said Contract; and WHEREAS, the County has adopted Ordinances and Resolutions (hereinafter "Land Development Regulations") concerning the Owner's obligations to the County regarding the construction, conveyance and warranty of water and sewer facilities constructed within the unincorporated area of Collier County; NOW, THEREFORE, if the Owner ~hall well, truly and faithfully perform its obligations and duties to the County under said Land Development Regulations and all flae undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without notic~ to the Surexy and during the guaran~ period established by the County, and thereafter, and if the Owner shall satisfy all claims and demands incurred under such contract, and shall fully indemnif3r and save harmless the County from all costs and d~mages which it may suffer by reason of failure to do so, and shall reimbur~ 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 or addition to the terms of the contract or to work to be performed thereunder or the specifications accompanying same shall in any way affect its obligation on this Bond, and it does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to thc specifications. SIGNED, SEALED and DATED this 2nd day of September, 1999. R LIVING, III, LLC AMERICAN C~SUALTY COMPANY OF READING, PENNSYLVANIA (Surety) Muriei M. van Veen, Altorney-in-Fact CO RSI NED (Resi~nt Agent) POWER OF ATTORNEY APPOINTING INDIVIDUAL ATTORNEY-IN-FACT Know All Men By These Presents, That CONTINENTAL CASUALTY COMPANY, an Illinois corporation, NATIONAL FIRE INSURANCE COMPANY OF HARTFORD, a Connecticut corporation, AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA. a Pennsylvania corporation (herein collectively called 'the CCC Surety Companies'), are duly organized and existing corporations having their principal ~ in the City of Chicago, and State of Illinois, and that they do by virtue of the signature and seals herein affixed hereby make, cor~stitu~ and appoint Daniel J. Sloan, Muriei M. Van Vesn, Cynthia A. Hilton, Individuall~ of Portland, Ore, Ion their true and lawful Attorney(s)-in-Fact ~ full power and aulJ~rfty hereby conferred to sign, seal and execute for and on their behalf bonds, undertakings and other obligatory instruments of similar nature - In Unlimited An'taunts - and to bind them thereby as fully and to the same extent as if such instruments were signed by a duly authorized officer of their corporations and all the acts of said Attorney, pursuant to the authority hereby given are hereby ,~',~cl and confirmed. This Power of Attorney is made and executed pumuant to and by authority of the By-Laws and Resolutions, printed on the reverse hereof, duly adopted, as indicated, by the Boards of Directors of the corporations. In Witness Whereof, the CCC Surety Companies have caused these presents to be signed by their Group Vice President and their corporate seals to be hereto affixed on this 27th day of Ma~/ , 1998 NATIONAL FIRE INSURANCE COMPANY OF HARTFORD AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA Marval J. Csshbn Group V~e Prssk~a State of Illinois, County of Cook, ss: On this 27th day of Ma)~ , 1998 , before me pemonslly came Marvin J. Cashion, to me known, who, being by me duly sworn, did depose and sa~. that ha resides in the City of Chicago, Slate of Illinois; that he is a Group ~e President of CONTINENTAL CASUALTY COMPANY, NATIONAL FIRE INSURANCE COMPANY OF HARTFORD, and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA described in and which executed the above instrument; that he knows the seals of said corporations; that the seals affixed to the said instrume~ are such corporate seals; that they were so affixed pursuant to authority given by the Boards of Directors of said corporations and that he signed his name thereto pursuant to like authority, and acknowledges same to bethe act and deed of said corporations. My Commission Expires March 6, 2000 Mary Jo Abel Notary Public CERTIFICATE I, Mary A. Ribikewskis, Assistant Secretary of CONTINENTAL CASUALTY COMPANY, NATIONAL FIRE INSURANCE COMPANY OF HARTFORD, and AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA do hereby certify that the Power of Attmney herein reverse hereof are still in force. In testimony whereof I have hereunto subscribed my name and affixed the seals of the said corporations thru 2pal day of September , 1999 · (Rev.1011197) CONTINENTAL CASUALTY COMPANY NATIONAL FIRE INSURANCE COMPANY OF HARTFORD AMERICAN CASUALTY COMPANY OF READING, PENNSYLVANIA Mary A. Ribikawskis Assistant Secretary Preserving and enhancing Florida's quality of life since 1966 HOLE, MONTES & ASSOCIATES, INC. ENGINEERS PLANNERS SURVEYORS September 24, 1999 Ms. Shirley Nix Collier County Project Plan Review 2800 North Horseshoe Drive Naples, FL 34104 Re: Encore Senior Living Water and Sewer Facilities Acceptance HMA File No. 1998104 Dear Ms. Nix: This letter will serve to notify you that we have been paid for all curremly billed engineering and surveying services. H~E~.~I~~X'~SOCIATES, INC. George H. Hermanson, P.E. Senior Vice President GHH/asm \\Hma__naples\W~ 1998\ 1998104\ghh\SN90924-2.doc 715 TENTH STREET SOUTH POST OFFICE E~OX 1586 NAPLES, FLORIDA 34106 941-262-4617 FAX 941-262-3074 HOLE, }~ONTES & ASSOCIATES, INC- ENGI1VEERS - I2dqD SURVEYORS 715 TENT~ ST SO. N~-PLES, FL 33939 HYDROSTATIC TESTING Project: ~.'/~Cz;~ Engineer's Project Number: D~te of Test: ~l, { ~ Description of Line T~sted: Test Pressure: C~~TION OF ~T,T~DWABT,R !~/KAGE PFd~ ONE ~OUt~: (Lan of pipe) x (dia~. of Pipe) x SQR(Test Pressure) / 133200 (in feet) (in inches) ( ( ( ( ( ( ( ( )'x ( $" ) x SQR( ) x (lo") x SQR( /~x ) X ( ) x'SQR( ) X ( .) xSQR( ) x ( ) xSQR( ) x ( ) xSQR( ) x ( ) x SQR(' ) / i33200: ) / 133200 = ) / 133200 = ) / 133200 = ) / 133200 = ) / 133200 = ) / 133200 : ) / 133200 = Total gallons _RESULTS OF TEST: Length.of Test ~t ~.,..~.. Pressure at Beginning of test: . P~_essure at End of test: ~mount of %-ater required to bring Pressure ~.o to begi~D~ ~g. pressure: Hole, Montes & Associates, ibc- Contractor Project: ~OI~TES & ASSOCIATES, INCo ENG//q]EERS - LA/qD SURVEYOt~S 715 TENTH ST SO. N~LES, FL 33939 HYDROSTATIC TESTING Engineer' s Project Number: D te of Test: / Description of Line Tested: Test Pressure: C3/DCUI~TION OF .~T,T, OWABLE Iz~/KAGE PF2~ ONE ~OUt~: (Len of pipe) x (dia~. of Pipe) x SQR(Test Pressure) / 133200 = (in feet) (in inches) ) :X: ( D%p' ) X SQR( /~3 )'x ( ) × SQR( ) x ( ) xSQR( ) x ( ) x'SQR( ) x ( .) xSQR( ) x ( ) x SQ-~( ) x ( ) xSQR( ) x ( ) x SQR(' ) / 1332oo = ) / 133200 = ) / 133200 = ) / 1332oo = ) / 133200 = ) / 133200 = ) / 133200 ----- ) / 133200 = Total gallons RESULTS 0FTEST: Length-of Test ~/klowab!e Lo-~kage Pressure mt BegiD_n~ng of test: · _=~_essure at End of test: ~mount of %-ater required to bring Hole, ~ontes & Associates, ibc- Contractor Jeb Bush Governor Department of Environmental Protection South District P.O. Box 2549 Fort Myers, Florida 33902-2549 David B. Struhs Secretary Thomas M. Taylor, Trustee C/o Hole, Montes and Associates 715 Tenth Street South Naples, Florida 34102 November 24, 1999 Re: Collier County - PW Tamiami Professional Center/ Encore Senior Living (Collier County Regional WTP) 153262-001-DSGP Dear Mr. Taylor: This acknowledges receipt of certification that thc subject water distribution system extension has been completed in accordance with the plans and related materials permitted by this agency under Permit Number 153262-001-DSGP dated April 8, 1999. Based on this certification and satisfactory bacteriological results, we are approving these facilities for service. Your continued cooperation in our water supply program is appreciated. Sincerely, cc: George H. Hermanson, P.~.' Thomas E. Kuck, P.E. ~ Professional Engineer Water Facilities "More Protection, Less Process" Printed on recycled paper. ~,l~tOR~^ LA Florida Department of Environmental Protection Twin Towers Office Bldg., 2600 Blair Stone Road, Tallahassee, Florida 32399-2400 DOMESTIC WASTEWATER COLLECTION/TRANSMISSION SYSTEMS CERTIFICATION OF COMPLETION OF CONSTRUCTION INSTRUCTIONS: This form is to be completed and submitted to the Department, prior to placing the system into operation. A collection/transmission system should not be placed into operation without prior Department approval. All information is to be typed or printed in ink and all blanks must be fdled. Construction Permit No: 50581-111-DWC Name of Project: Tamiami Professional Center/Encore Senior Living Name of Owner: Section 15 Land Trust Dated April 13, 1999 Name of design engineer and Florida registration number (if different from engineer signing certification): Date(s) connection to existing system or treatment plant: Treatment plant serving project Name: Collier County Public Works County: Collier City: Naples DEP Identification Number (also known as WAFR or GMS Identification Number): Substantial deviations from the approved plans and specifications (attach additional sheets None DEP Form 62-604.300(7)(b) Effective: June 1. 1992 Northwest District Northeast Dislrict 160 Governmental Cen~r7825 Baynlttad~ws Way. Suite B~200 Page 1 of 3 Central District 3319 Maguire Bird. Suit~ 232 Orhmd,. Florida 32803-3767 407-894-7555 Slmthwcst District 3804 Coconut Palm Drive Tampa. Florida 33619-8318 813-744-6100 South Dislricl 2295 Victoria Ave.. Suite 364 Fort Myen;. FIodda 33901 sEP-2T'99 11:2~ F~OM: ~.-, T0:1~.4.~262307~ P~G~:02 '%YAIV~.R OF LIEN 2-~'qOW ALL MEN BY TH]SSE PRESENTS, that Timothy C. I~Litehell, St., as Preside[it, of Haleakala Construct/on. Inc. for and in consideration of ONE HUNDRED EI(~HT THOUS/LND FOUR HUNDRED EI'GHTYTHKEE DOLLARS alid TEN cetlls ( $108,483.10 ) and other good and val'uable considerations, lawful mone~' of the uml~l States of America, to me m hand paid,, the reeiept whereof is hereby aclcuowledged, does hereby waive, release, renfiss, and relinquish any and all. right to claim an}' [iell or liens for work l:~rform '~cl or material t'urnishcd, or any kind or class of loin whatsoever oa the following ciesc.ril~xt prot.~r~y: All tile Potable Water Main and Sanita~' Sewer System for Encore Senior Li¥ing at Naples as depicted on the construction drawings prepared b.v Hotc Montes and Associates, Inc. Et'.d~mk'ala Cunatruc[ion, 5753 Taylor Road Nlilpl~, Floric~ 34109-18.~6 ~Y '~ STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) The foregoing instrumcat was sig~aed and ack:m;vi~'dg~d before ate th.is 9 [I.~ day of August, 1999 by Timothy C. 'Mimh~ll St, who is l~rsonally known to me and who did .not take a~ oath. CC 732239 RECEIVED $£P 2 ? Iggg THE DOUGLAS COMPANY Q It, ANDO, FL ( Notary Seal ) 7/1/96 I1 -3 ~Ny. tRONMENTAL QL_.LITY LAB. 1009 Tamiami Trail Port Charlotte, FL 33953 HRS #85116 b~NG WATER BACTERIOLOGICAL ANALYSIS FOR LAB USE ONLY RECEIVED: ANALYZED: OUT: LAB CERTIFICATION g85116 SYSTEMNAME..~fl/C~/~..~ ~ E,V~,. ],.~,/ /.v~ ADDRESS: COLLECTOR~[~ ¢.. L... SAMPLE SITE (Locality or Subdivision): ,~'~'~' ~.- SYSTEM I.D. NO: SYSTEM PHONE #: COUNTY: ~'o/// ~'/7_ DER DISTRICT: COLLECTOR PHONE #: DATEAND TIME COLLECTED: ~/,~ ::Z/? ? -- ~;~-~ ~--..~ C_)~/043 TYPE OF SUPPLY (Circle one): Community water system Non communily water system TYPE OF SAMPLE (Circle One): REMARKS: Nontransient - non community water system Private well Swimming pool Bottled water Other public water system Compliance Repeat Replacement ("'~ Main clearan~""~, Well survey Other (Check Box) (Check BOx)~ ~ (Specify) [] Distribution [-1TNTC or C [] Raw E3Turbid TO BE COMPLETED BY COLLECTOR OF SAMPLE TO BE COMPLETED BY LAB I ANALYSIS METHOD: MF MTF ~MI~I~ M~ PA COLL. SAMPLE POINT CL NON CONFIRM CONFIRM NO. (Specific Address) RES'D pH SAMPLE NUMBER COLIFORM *TOTAL TOTAL FECAL * Results in this column are preliminary. Fecal coliform confirmation on community and noncommunity water systems and total coliform confirmation on all types of water systems will follow in 24 - 48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INTERPRETATIONS- REMARKS BY PROGRAM REVIEWER NAME AND MAILING ADDRESS OF PERSON~'FIRM TO RECEIVE REPORT REVIEWING OFFICIAL: TITLE: ( ) ) SATISFACTORY ) INCOMPLETE COLLECTION INFORMATION ) REPEAT SAMPLES ) REPLACEMENT SAMPLES ENVIRONMENTAL QL_ .LITY LAB. 1009 Tamiami Trail · -' ~-' !~" i:':~ Port Charlotte, FL 33953 ~ ~ l~r) HRS #85116 ........ DRINKING WATER BACTERIOLOGICAL ANALYSIS SYSTEM NAME. ~J~XI.) C/"2/L./~_- ADDRESS: COLLECTOR: ,,_,.,.., FOR LAB USE ONLY RECEIVED: ~'~ ANALYZED: L~"~ Of.~d~ ~ OUT: 6 / LAB CERTIFICATION #851 "---2"~F:_)y',¢Ol'&. L~ t./l,a...~ SYSTEM I.D. NO: SYSTEM PHONE~: COUN~~ ~ DER DISTRICT: ~ COLLECTOR PHONE ~: SAMPLE SITE (Locali~ or Su~ivision): ~~ ~ ~ ~r ~/~ ~PE OF SUPPLY (Circle one): Communi~ water system Non communi~ water system Non~ansient - non communi~ water system Private well Swimming p~l ~1~ water Other public water system ~PE OF SAMPLE (Circle One): Comptian~ Re.at Replacement ~a~ Well su~ey O~er (Ch~k ~x) (Ch~k ~x) (Sp~ify) ~ Distribution ~TNTC or C ~ Raw ~ Turbid REMARKS: TO BE COMPLETED BY COLLECTOR OF SAMPLE TO BE COMPLETED BY LAB ANALYSIS METHOD: MF IvrrF ~'~1~- M~OA COLL. SAMPLE POINT CL NON CONFIRM CONFIRM NO. (Specific Address) RES'D pH SAMPLE NUMBER COLIFORM 'TOTAL TOTAL FECAL ' Results in this column are preliminary. Fecal coliform confirmation on community and noncommunity water systems and total coliform confirmation on all types of water systems will follow in 24 - 48 hours. P - Coliforms are present C - Confluent growth TA - Turbid, Absence of gas or acid A - Coliforms are absent TNTC - Too numerous to count INTERPRETATIONS- REMARKS BY PROGRAM REVIEWER NAME AND MAILING ADDRESS OF PERSON/FIRM TO RECEIVE REPORT REVIEWING OFFICIAL: ( ) ) SATISFACTORY ) INCOMPLETE COLLECTION INFORMATION ) REPEAT SAMPLES ) REPLACEMENT SAMPLES TITLE: CERTIFICATION OF CONTRIBUTORY ASSETS PROJECT NAME: LOCATION: ENCORE SENIOR VILLAGE AT NAPLES ENCORE WAY NAPLES. FLORIDA 34102 NAME AND ADDRESS OF OWNER: ENCORE SENIOR LIVING 305 N.E. 1{/2 nd Avcnuc Portland. OR 97220 TYPE UTILITY SYSTEM: SANITARY SEWER SYSTEM DESCRIPTION AND COST OF MATERIAL. LABOR, AND SERVICES :~8" PVC SDR-26 SEWER 0-6'CUT ~ ...... 9_~0_ ] LF $15.00 ! $14.100.00 2 $1.225.oo } $:,4so.oo .... ~ EA 210" LF I ~. EA ~ $26 735.00 $26,735.00 ,? S,, oo.oo I ~ EA $300.00 ~ $300.00 '4~DIA M ANItOLE 0-6' CUT 4' DIA MANHOLE 6-8'C1~T !6" PVC L_ATERAL ...... ]6" P¥C CLEAN-OUT ICONN TO EXIST FORCEMA1N i3" PVC FORCEMAIN PUMP STATION COMPLETE T.V. VIDEO iTEST ING FORCEMAIN Sub Total _ 5 ....... $52,638.10 (If more space is required, use additional page(s). Number each page and include the name of the project. 7/1/96 11-5 CERTIFICATION OF CONTRIBUTORY ASSETS PROJECT NAME: LOCATION: ENCORE SENIOR VILLAGE AT NAPLES ENCORE WAY NAPLES, FLORIDA 34102 NAME AND ADDRESS OF OWNER: ENCORE SENIOR LIVING 305 NE. 102 nd Avenue Portland. OR 97220 TYPE UTILITY SYSTEM: POTABLE WATER SYSTEM DESCRIFFION AND COST OF MATERIAL, LABOR. AND SERVICES ii~i!~ii~Si~!~ ~ : ::::::::::::::::::::::::::::::::::::::::::::::: ::::::::::::::::::::::::::::::::: .................................... l~:e:ser~ :~on t .......... .......................... ..... p: ..... ........... POTABLE WATER iCoNN TO Ex~Si~)ATER ~ i [ EA ! $1,500.00 .... $1,500.00~ 4"4"PvcPVC DR-14DR-18 WATER WATER ~ 920~40~ '~FLF ~ $9.2558'75 ~ 29500 ......... 2~ ~A i $500.00 $~.o°°.o '12" PVC WATER SERVICE ' 6 ~ .~k $250.00 , . ]3" DOMESTIC B.F.P. ASSEMBI.Y 4,. PERM BLO~'7OFF .... ~ 2, EA } $900.00 ~ $1 ~00.00~ VErSt a:s.e. ~ESTIN~ 6" FIRE B.F.P. ASSEMBLY 1 Sub Total ~ ~ $55,845.00 (If more space is required, use additional page(s). Number each page and include the name of the project. 7/1/96 11-5 Preserving and enhancing Florida's quality of life since 1966 HOLE, MONTES & ASSOCIATES, INC. ENGINEERS PLANNERS SURVEYORS September 24, 1999 Ms. Shirley Nix Collier County Project Plan Review 2800 North Horseshoe Drive Naples, FL 34104 Re: Encore Senior Living Water and Sewer Facilities Acceptance HMA File No. 1998104 Dear Ms. Nix: I hereby state to the best of my knowledge and ability that the water distribution system and wastewater collection system is located in the platted right-of-way and the easements, which are submitted as part of the conveyance package. Very truly yours, H~~& ASSOCIATES, INC. George H. Hermanson, P.E. Senior Vice President GHH/asm W:\ 1998\ 1998104\ghh\SN90924.doc 715 TENTH STREET SOUTH POST OFFICE BOX 1586 NAPLES, FLORIDA 34106 941-262-4617 FAX 941-262-3074 WARRANTY The undersigned parties do hereby warrant and/or guaranty all work executed by the contractor on the water and/or sewer swstems of ENCORE SENIOR LIVING at NAPLES to be free from defects in material and workmanship for a period of at least one ( 1 ) year from the date of acceptance by the Collier County Board of Coun~ Commissioners. The undersigned parties further agree that the3' will. at their own expense, repair and replace all such defective work and all other work damaged by said defective work under this Warrant3..' - Guaranty. It is furthermore understood that the consideration for the giving of this Warranty and/or Guaranty is the requirement by the General Conditions and Specifications under which the contract was let that such Warranty and/or Guaranty would be given. Haleakala Construction. Inc. BY'~~r.. Prc.'dc t STATE OF FLORIDA ) ) SS: COUNTY OF COLLIER ) The foregoing instrumem was signed and acknowledged before me this9 th day of August, 1999 by' Timothy C. Mitchell. Sr. who is personally imox~ to me and who did not take an oath. [~r~'ncia-I~ Me'r'chhnt - CC 732239 7/I /96 11-2 01/17/00 MON 08:34 FAX 19412623074 HOLE ~{ONTES ~002 ~.~1 Nm. th Navies Conh-ol & FIRE PREVENTION BUREAU 1780 Immokalee Road · N~olel. Florida 34110 (941) 597-9227 * Fax (941) 597-3522 Rescue District December 10, 1999 Hole, Montes and Assoc. 715 10'" Street South Naples, FL 34102 Re: Fire Hydrant Acceptance Encore Way, 950 Encore Way Dear sir, The North Naples Fire Control and Rescue District has inspected for ownership and maintenance on the above hydrants. We have received payment for the above hydrant(s) and now accept ownership and maintenance. $125.00 per hydrant times number of hydrants 1 : $125.00 $23,00 per thrust block times number of hydrants 1 : $ 23.00 one flow charge at time of acceptance $35.00 _ $ 35.00 Total: $183.00 Following are the results of the flow test: Static: 70 Residual: 62 Flow: 1188 Pitot: 50 If you have any questions, please do not hesitate to give me a call at 597-9227. Fire Prevention Bureau Pd in full: Ck 16192 Date- 12/09/99 NATURE $&VER"i~AX MEMQ 01616 Oa~e I,,v ~. Phone I PIIOIIL' ~ FILE r4o.221 12/08 '99 0..9:43 ID:bALEAEALA FaX:94~ 598 94i8 PAgE CHBCE VALVE #1 RBI.iEF VALVE CHBCiC VALVi~ ~ ~. VA~ ~~ ~ ~bly [ ~ rub~ ~, [ r~r ~t ( ~ at ucmn ch~k All repdrs shall be completed within een (117) days. i hereby ccz~ duc this dn~ b scc~rtte tLnd reflects the proper OlX~tion mn~ mdntenan~ of t~e uaembly. FILE ~o,221 1L~,.'08 '99 0~:~4 ID:HALEAKALA FgX:.941 S98 9418 PAGE Meeer No. .... ~ ' . ......... Date Tested No~, All reptirs sh~ be eomplated within een (10) days. I hereby ce. flj~y that thi. c~tt b accurate nad reflects the proper operation tncl ma~nteflance of the usem~. _~T~'_ ~ f ,~"~d~ ,~ ,,, =_Cert. No./I/~-~.¢-~./_.~ 12)nm~f ~.-~ ......... Cl~J. ¥./EL~I~ #1 RJ~LrEF YALVE CH~CE V~ ~ P~ VA~_~M [ ] ~ o~y { ] ~ o~y [ ] cleaned only [ ] ~d~y ~u ~ o~n~ at across ~cck 12/08 gq 08:44 ID:HALEAKALA FAX:941 S98 9418 PAGE " 57.~ ~yZo~ ~ · Afemr No. -..--_ { {etked 'dosed ~&h~ of' A,,e,,,M,,, aP [ ] ~C [ ] PV's [ i Pi,, U~ [ { Po, bi, ,:~n~l ,m_ 3.~ _PSi cio,ed did not open [ ] 6",u~ pre,,ure · acto~ chcck k~ I~Utj ocher I other *mm/guide lock nuts .od~er m'o~a chcd~ ~e._____~! relief wJve &,nu&e pre~sure opened u across check ..__.__PSI vdve___._.pSl [] Noee AI~ tep~ ,h~i be com~leeed within een (lO) days. Rem~ .... ~ . l heseby cett/~/that this dam b scx:umte md reflects the peoper opee~io~ ~ mainl~nnnce of ~e assembl~ _.~-. ~x~~, ~ .... ~.~ ~ ~0~ ~ ~_,? ~... ~_?~... HOr.W., HONTES & 'ASSOCIATES, INC. ENGINEERS -- LAND SURVEYORS 715 TENTH ST SO. NAPLES, FL 33939 INFILTRATION/RXPILTRATIONTEST OF SANITARY SEWER Project: Eng~ -eer's Project N,,mher: Date of Test: Description of Line Tested: CALCU~%~ION OF $T.T.OWABLE INFIL .TRATION/~.rFT~.TRATION PER 24 HOURS: ~allons) x (Dt-~. of-Pipe) x (Length of Pipe) / 5280 ft/mt - (in inches) (in feet) 50 x ( ~" ) x ( /~-% )../ 5280 50 x ( ) x ( ) / 5280 50 x ( ) x ( ] I 5280 so x ( ) x ( } / 5280 s0 x ( ) x ( ) / 5280 so z ( ) x ( .- ) / 5280 S0 x ( ) x ( ) / 5280 SO x ( ) x ( ) / 5280 Total gallons RESULTS OF TEST.: Amoun= of inftltration/exfiltration measured Visible leaks noticed ~d ~/£~/~ L Z~% Hole, ~ontes & Associates, Inc. Contractor 9~1Dg?66~5...~INTS & CO~TINGS --~ 36~ P02 OCT 08 '99 10:09 "Tg. tructure Re abiIitation! To Whom It May Concern: ' · -- -"cation fllat the structures supplied to, ~ ~ Plea · accept this lesser as ?run t--, were co'at~ ~ 36mis on the se~er. ' 44~1 ti:retook BridRe Parkway ' Nth. Ft. Myers. FL 330113 * 041~007-6645 s 041-007-711'/ FAN 10/18/99 MON 08:52 FAX 19412823074 HOLE /40NTES Deja: 10/14189 Time', 1:~0:00 ~ ~002 Custom Pump E Controls, Inc. 6D~4 Jet.art Industrial Bl~d Tel: (815) $86-6255 Fax: (813) 886-$508 Date: October 1~, 1~99 ./ob No: 1~718 JQb Hame: Encore Senior Bran! LocatMh: Fort Myel~ Fi, Pump Manufacturer: /ay_,e,rs. , Mmdel No: WG~O~03.~ RattnB: 35 GPM ~ B2' TDH HP: S RPM: 3450 PQwer: 3/BDIZOBV volts / ~mp; ETM Ro13tion "FIOw '- Head Floats T1 T2 T] (hours) _ (cMck) (1 min ~) (~me~) (c~ck) ~mp ~: 208 / 20 ~a / 20 205 / ZO O. 1 ok 32 82 ak Pump ~: 208 / ~ zoa/ ~.S 205 I ZO g. 1 ok 3S B2 ok Pump ~: n4 na na na ha na n~ na Panel Manufacturer; KG Controls M~del No: 25S97& Type: Duplex HP: $ HP Power: 3/60~08 Check Schematic: ok Che~k Fle~t~ for Operation; ok Comments: Confirmed proper tncomlnS elect~cal se_l~C_e' Confirm_ed proper flo~t QperaUon and sequencin~: Confirmed pump alternation arid H!,h w~-t~_-r..~!~i~'.a. Ctiya .t~.'.. Obser~e~' ;,~,~r amperage draw and confirm, ed it vas within manufacturer's limits. Conducted a 60 semnd flow test (e~ floW'afid estimated pump. ~.~;harlle head. Statkm may be put into service. SiKned: Contractor or Owflee Rel~e_~e~tattve C'dsto111 Pqdmp & Cofll~rolf, MC. 10tt4199 1971e~u,xl;- 10/14/99 cpc. 10/14/99 ~ =fiDUd 8T. F6 86S TF6:XU_-I ~gu)t~'I~H:CI OT:prT 66, FT/O'I; gOB'ON COLLIER COUNTY UTILITIES ~TAS TE~TATER DEP~RTMENT PROJECT VIDEO REVIEW DATE OF REVIEW: 10-19-99 PROJECT NAME: Encore Senior Livin~ Facility (North% ENGINEER OF RECORD: CONSTRUCTION CONTRACTOR: VIDEO CONTRACTOR: Sewer Viewer COMMENTS: Lines and Services Acceptable RECOMMENDATIONS: REVIEW NT3MBERED COMMENTS IN ONE YEAR: I NUMBERED COMMENTS UNACCEPTABLE: (REPAIR/REPLACE) OTHER RECOMMENDATIONS: 0 C T ~ ~ t99.9 · WASTEWATER DEPART,MEN I COLLIER COUNTY GOVERNMENT COMMUNITY DEVELOPMENT AND ENVIRONMENTAL SERVICES DIVISION PLANNING SERVICES DEPARTMENT ENGINEERING REVIEW SECTION November 9, 1999 Planning Sexvices Department 2800 North Horseshoe Drive Naples, Florida 34104 Mr. George Hermanson Hole, Montes & Associates, Inc. 715 Tenth Street South Naples, FL 34102 Tamiami Professional Center, Water & Sewer Acceptance. Dear Mr. Hermanson: A preliminary inspection of the referenced project was conducted by Randy Casey of the Engineering Review Section of the Planning Services Department on November 3, 1999. Conditions were found to be acceptable, and appear to meet County standards. This letter is being sent to replace the letter dated November 4, 1999 that did not reference the project. If you should have any questions, please do not hesitate to call Randy Casey at (941) 403-2418. Sincerely, Thomas E. Kuck, P.E. Engineering Review Manager CF/ts/c:\Inspection form Water & Sewer cci Edward Finn, Operations Manager Joseph Cheatham, Wastewater Director, Utilities Paul Mattausch, Water Director, Utilities Evelyn Ferguson, D.O.R. Billing Supervisor Randy Casey, Engineering Inspector, Engineering Review Section ,~Shirley Nix, Engineering Tech. II, Engineering Review Section File Phone (941) 403-2400 Fax (941) 643-6968 ,w,,.co.coilier. fl. uo oo cdc) oo o (/3 Z S 00'45'05" E 200.02' EO L5 0 > © c) Z :;; :ii OZ bz~oo ~ IZ~O~ ~Z ~m ~ ~ ~c> z~ ~u~z~ ~ ~dz~z~_zm Oo ~ o~ ~ ~z_~z~S~z mz Z N~ ~>~ ~ >~ ~'' ~ZjZ~ '' ~0~ ~ ~ ~> ~=~ ~ zo~o~,,=~ ~×~ ~ ~>>' .~' >n>~n ~o~ q~o ~o~o~o~om~ > moo~z~m~ ~o>z ~ =~~o~o~_~ >~o°° ~ ~- ~ ~ --~o~o~= U - Z