Backup Documents 07/08/2014 Item #16D13 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 D 1 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 Attor ey Office no later
than Monday preceding the Board meeting.
**NEW** ROUTING SLIP 7 ;1i <C ti 77
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 Q ('OI'¢
o�
4. BCC Office Board of County 75/ -1k t fie(
5. Minutes and Records Clerk of Court's Office
/ J
I vt lilt i
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 SUE JIM ZIMME MAN Phone Number 252-2622
Contact/ Department
Agenda Date Item was JULY 8,2014 Agenda Item Number 16D13
Approved by the BCC
Type of Document UTILITY EASEMENT; BILL OF SALE; Number of Original 3
Attached and OWNERS AFFIDAVIT Documents Attached
PO number or account 306/116360/800651
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? SJZ
2. Does the document need to be sent to another agency for additional signatures? If yes, N/A 1/
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 SJZ ✓
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 -184Z-
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 SJZ
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 SJZ
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 July 8,2014 (enter date)and all changes SJZ
made during the meeting have been incorporated in the attached document. The aaic
County 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
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
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16013 ,
MEMORANDUM
Date: July 14, 2014
To: Sue Zimmerman
Real Estate Services
From: Martha Vergara, Deputy Clerk
Minutes & Records Department
Re: Owner Affidavit
1596 Golden Gate Parkway
Attached please find the original document as referenced above
(Agenda Item #16D13), approved by the Board of County
Commissioners on Tuesday, July 8, 2014.
Minutes & Records Department has kept a copy to be kept as
part of the Board's Official Records.
If you should have any questions, please contact me at 252-7240.
Thank you.
Attachments
16013
OWNER'S AFFIDAVIT
STATE OF FLORIDA
COUNTY OF COLLIER
BEFORE ME, the undersigned Deputy Clerk, on this day appeared TOM HENNING,
who to me is well known, and having been duly attested, deposes and states:
My name is TOM HENNING. I am over the age of twenty-one (21) years, am
otherwise sui juris, and have personal knowledge of the facts asserted herein.
I am the Chairman of the Board of County Commissioners for Collier County, a
political subdivision of the State of Florida (the "Owner") and owner of the property
located at 1596 Golden Gate Parkway, Naples, FL and with the specific areas
described on Exhibits "A", "B" and "C" attached hereto and incorporated by reference
herein ("Property").
This Affidavit is given as an inducement to the City of Naples, Florida, a municipal
corporation of the State of Florida (the "City") to accept the dedication or
conveyance of the water and wastewater utility system(s) or portion(s) thereof ("Utility
System(s)") located within or upon the Property, said land being located in Collier
County of Florida.
All persons, firms, and corporations, including the general contractor, all laborers,
subcontractors and sub-subcontractors, material-men and suppliers, who have
furnished services, labor or materials according to the plans and specifications, or extra
items, used in the construction, installation and/or repair of the Utility Systems on the
Property, have been paid in full and that such work has been fully completed and
unconditionally accepted by the Owner.
No claims have been made to the Owner by, nor are any suit now pending on
behalf of, any contractor, subcontractors, laborer or material-man, and further that no
chattel mortgages or conditional bills of sale have been given or are now outstanding
as to the Utility System(s) placed upon or installed in, above or on the Property.
Title to the subject Utility System(s) or portion(s) thereof and/or easement(s),
being conveyed to the City of Naples are encumbered by the following liens and
mortgages of record: NONE.
As and on behalf of the Owner, does for valuable consideration hereby agree
and guarantee, to hold the City of Naples, Florida, a municipal corporation of the State
of Florida, harmless against any lien, claim or suit by any general contractor,
subcontractor, mechanic or material-man, and against chattel mortgages, security
interests or repair of the Utility System(s). Affiant is used as singular or plural, as the
context requires.
16013
FURTHER AFFIANT SAYETH NAUGHT.
Dated this C6 day of _TA , 2014.
Signed and delivered in our presence:
ATTEST:..•" BOARD OF OUNTY COMMISSIONERS
DWIGHT E. BROCK COLLIER UNT FLORIDA
(\t' r a: BY: /
ttf as to Dee — erk TOM HEN IN , I•irman
A
signature only.
Approved as to form and legality:
Assistant County Attorney ` -`\4
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EXHIBIT C
Perna, ) of I
16D13
"- Memorandum
TO: Minutes & Records Management
FROM: Sue Zimmerman
Sr. Property Acquisition Specialist '
Real Property Management l`
DATE: July 8, 2014
RE: Gordon River Greenway Park
Project No. 800651
Agenda Item 16D13, July 8, 2014
Item 16D13 was approved on the July 8, 2014 Agenda for approval of a Utility Easement, Bill
of Sale and Owners Affidavit to the City of Naples regarding County-owned property at the
Gordon River Greenway Park. Accordingly, attached please find the original Utility
Easement, Bill of Sale and Owners Affidavit.
Please attest to the Chairman's signature on each of these documents. After which please
forward the Utility Easement and Bill of Sale to Recording with the provided Recording Form,
which calls for the return of the original recorded documents to your office for safe keeping.
We would appreciate receiving a copy of the fully signed Utility Easement and Bill of Sale via
email.
Please deliver the original Owners Affidavit to our office via interoffice mail so that we,
deliver the original to the City of Naples for their records.
Please contact me if you have any questions or comments at Extension 2622.
Thank you.
16013
PROJECT: Gordon River Greenway Parks
INSTR 5007308 OR 5057 PG 3594
RECORDED 7;1512014 9:55 AM PAGES 4
DWIGHT E BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
REC 535.50
BILL OF SALE
THIS BILL OF SALE evidencing the sale and conveyance of the utility facilities described
herein is made this ' day of .3 , 2014, by COLLIER COUNTY, a political subdivision
of the State of Florida (hereinafter r ferred to as "SELLER"), and the CITY OF NAPLES, its
successors and assigns (hereinafter referred to as "BUYER").
WITNESSETH:
That said Seller, for and in consideration of the sum of Ten Dollars ($10.00) and other
good and valuable consideration to said Seller in hand paid by the said Buyer, the receipt
whereof is hereby acknowledged, has granted, bargained, sold, transferred, set over and
delivered, and by these presents does grant, bargain, sell, transfer, set over and deliver unto the
Buyer, and the Buyer's heirs, successors and assigns forever, all those certain utility facilities lying
within the following described land, together with appurtenant easement right for the operation,
installation and maintenance of said facilities, situate, lying and being in Collier County, Florida,
to-wit:
Exhibits "A", "B", and "C" as attached.
The Seller, for itself and its successors, hereby covenants to and with the Buyer and its
successors and assigns that it is the lawful owner of the said goods and chattels herein referred
to as utility facilities: that it has good right, title and authority to sell same, and that it will warrant
and defend the same against the lawful claims and demands of all persons whosoever. Seller
and Buyer are used for singular or plural, as the context requires.
IN WI1NESS WHEREOF, SELLER has caused these present to be executed the date and
year above written.
Signed and delivered in our presence:
ATTES(: BOARD OF • OUNT COMMISSIONERS
DWIGHT E.BROCK, COLLIER �UUN ` �FLORIDA
r�
r. . : ,,,..... ,.... _ . ......_
peputy t l OM HENNING, airman
A est as to Chairman s
signature only:
Approved as to form and legal sufficiency:
i"his Conveyance Approved By
IF
The Board Of County
_ _._.._. "` �`
"' Commissioners
Z1 !J$ "^ . B it.ti.P t 0 Collier County Florida,
Assistant County Attorney Pursuant To Agerr is
C '' ')� Mae: 115114 -Item No:16 1°._
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page. 1 of____L___
PROJECT: Gordon River Greenway Park
26 LI 1 3
(potable water and sewer) INSTR 5007307 OR 5057 PG 3590
RECORDED 7/15/2014 9.55 AM PAGES 4
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
COLLIER COUNTY FLORIDA
DOC @.70$0.70 REC$35.50
UTILITY EASEMENT
THIS UTILITY EASEMENT, made and entered into this ; day of .)L- Li-L ,
2014, by COLLIER COUNTY, a political subdivision of the State of Florida, wholse post
office address is 3335 East Tamiami Trail, Suite 101, Naples, Florida 34112, hereinafter
referred to as "Grantor", to the City of Naples, a municipal corporation of the State of
Florida, its successors and assigns, whose post office address is 735 8th Street South,
Naples, Florida 34102, hereinafter referred to as "Grantee".
W ITN ESSETH:
Grantor, for and in consideration of TEN DOLLARS ($10.00) and other valuable
consideration paid by the Grantee, the receipt and sufficiency of which is hereby
acknowledged, hereby conveys, grants, bargains and sells unto the Grantee, its
successors and assigns, a perpetual, non-exclusive easement, license, and privilege for
utility purposes, on the following described lands located in Collier County, Florida, to
wit:
See attached Exhibits "A", "B" and "C" which are
incorporated herein by reference.
Subject to easements, restrictions, and reservations of record.
TO HAVE AND TO HOLD the same unto the Grantee together with the right to
enter upon said land, excavate, and place or remove materials for the purpose of
constructing, operating, and maintaining utility facilities thereon. Grantor and Grantee
are used for singular or plural, as the context requires.
IN WITNESS WHEREOF, the Grantor has caused these presents to be executed the
date and year first above written.
ATTEST:- BOARD OF COUNTY COMMISSIONERS
DWIGHT E. BROCI. COLLIER COUNTY, FLED RIDA
/
'ate
,b put -rk TO HENNI G, •irman
- • t as totbauihan s i /
signature only.
Approved as to form and legality:
3-£....)t?‘-'4.(k)'(Z IS e.,L,,?Lb%0
Assistant County Attorney 4C-. :his Conveyance Approved By
a3 ►tie Board Of County
(0� Commissioners
tollier County Florida,
eursuant To Agen la
Date: 11 ,11`} -Item No: «Di1
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