Backup Documents 09/22/2015 Item #16A23 �
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL P 8ec. q}. 1,C--
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGI�AT1
Print on pink paper. Attach to original document. The completed routing slip and original documents are to be forward t11►►//tt, n y tor 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 ci/c)j_
4. BCC Office Board of County �
Commissioners t (S / 9\291
5. Minutes and Records Clerk of Court's Office
grzq ins :99Pnl
PRIMARY CONTACT INFORMATION
Normally the primary contact is the person who cr ted/prepared the Executive Summary. Primary contact information is needed in the event one of the
addressees above,may need to contact staff for additio al or missing information.
Name of Primary Staff Marcus L.Ber an,P.S.M. Phone Number 239.252.6885
Contact/ Department
Agenda Date Item was 9/22/2015 Agenda Item Number 16.A,22---
Approved by the BCC / ( , f , 2
Type of Document Original ,&, Number of Original 1
Attached Documents Attached
PO number or account 131-138327-649030
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? MLB
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 MLB
by the Office of the County Attorney.
4. All handwritten strike-through and revisions have been initialed by the County Attorney's MLB
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 MLB
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 MLB
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 22,2015 and all changes L
made during the meeting have been incorporated in the attached document. The
County Attorney's Office has reviewed the changes,if applicable. 4,
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 se
Chairman's signature.
I:Forms/County Forms/BCC Forms/Original Documents Routing Slip WWS Original 9.03.04,Revised 1.26.05,Revised 2.24.05;Revised 11/30/12
Prepared by and without opinion of title and return to: 1 6 A 2
Richard D.Yovanovich,Esq. INSTR 5178542 OR 5200 PG 1018
Coleman Yovanovich&Koester,P.A. RECORDED 10/1/2015 4:28 PM PAGES 2
4001 Tamiami Trail North, Suite 300 DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Naples,Florida 34103 COLLIER COUNTY FLORIDA
239-435-3535 DOC@.70$0.70 REC$18.50
File Number: 5025.001
[Space Above This Line For Recording Data]
Quit Claim Deed
This Quit Claim Deed made this O. ,day of,SE'►rt 2015 between Board of County Commissioners of Collier
Count, Florida whose post office address is 3299 Tamiami trail East, Naples, Florida 34112, ("grantor"), and American
Farms,LLC whose post office address is 1484 Keane Ave. S.W.Naples,Florida 34117,("grantee"):
(Whenever used herein the terms "grantor" and "grantee" include all the parties to this instrument and the heirs, legal representatives, and assigns of
individuals,and the successors and assigns of corporations,trusts and trustees)
Witnesseth,that said grantor, for and in consideration of the sum TEN AND NO/100 DOLLARS($10.00)and other good
and valuable consideration to said grantor in hand paid by said grantee, the receipt whereof is hereby acknowledged, does
hereby remise, release, and quitclaim to the said grantee, and grantee's heirs and assigns forever, all the right, title, interest,
claim and demand which grantor has in and to the following described land, situate, lying and being in Collier County,
Florida to-wit:
Legal Description: The South thirty (30) feet of the West 1/2 of the Northeast 1/4 of the
Northeast 1/4 of the Northeast 1/4, of Section 30, Township 49 South, Range 27 East,
Collier County, Florida.
Parcel Identification Number: 003 34600008
Subject to: (a) ad valorem real property taxes for the year 2014 and subsequent years; (b)zoning, building
code and other use restrictions imposed by governmental authority; (c) outstanding oil, gas and mineral
interests of record, if any; and (d) restrictions, reservations, and easements common to the subdivision, if
any.
Grantor warrants that at the time of this conveyance, the subject property is not the Grantor's homestead
within the meaning set forth in the constitution of the state of Florida, nor is it contiguous to or a part of
homestead property."
To Have and to Hold, the same together with all and singular the appurtenances thereto belonging or in anywise
appertaining, and all the estate, right, title, interest, lien, equity and claim whatsoever of grantors, either in law or equity, for
the use,benefit and profit of the said grantee forever.
16A23 3
In Witness Whereof,grantor has hereunto set grantor's hand and seal the day and year first above written.
Signed,sealed and delivered in our presence:
ATTEST: _ • 41 BOARD OF COUNTY COMMISSIONERS
DWIGHTE.BROCK,CLERK< COLLIER COU1 -Y,F O' DA
BY: � . : ,� � �i I !_. BY:
Deputy'cle�; : . Y Tim N ce,Chairman
Attest as N '
404,
mature only.
Appro es as to form . d legality:
sm.---
ail
Scott A. On
Assistant County Attorney
Quit Claim Deed-Page 2