Backup Documents 03/22/2016 Item #16E6 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLI
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO • E 6
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNAT u ' '
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 meeNac;.
**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. Jennifer Belpedio, ACA County Attorney JAB 3)a3,\(o
County Attorney Office
2. BCC Office Board of County EDF
Commissioners \ ç / 3\2-4\1�
3. Minutes and Records Clerk of Court's Office
IZ4 I �, r,err
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 issing information.
Name of Primary Staff Toni A. Mott Phone Number X8780
Contact/ Department
Agenda Date Item was March 22,2016 Agenda Item Number 16E6
Approved by the BCC
Type of Document Right-of-Entry Number of Original I
Attached Documents Attached
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? yN,.10 O K TAM
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 Vu..Y
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 TAM
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 TAM
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 as stated above and all changes made TAM
during the meeting have been incorporated in the attached document. The 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. •
l: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
Memorandum
1 6 E
TO: Minutes & Records to the Board
FROM: oni A. Mott, Real Property Management
DATE: March 22, 2016
RE: Vineyards Elementary School — Right-of-Entry
This item was approved on March 22, 2016, Agenda Item 16E6.
Please attest to Commissioner Fiala's signature as Chairman on the Right-of-Entry. The
original fully executed Right-of-Entry will remain in your files and Real Property Management
would like a copy once the attestation is complete.
Please contact me if you have any questions or comments at Extension 8780
Thank you!
PROJECT: WATER COOLER TANK
VINEYARDS ELEMENTARY SCHOOL 1 b E 6
RIGHT OF ENTRY
KNOW ALL MEN BY THESE PRESENTS that COLLIER COUNTY, a political
subdivision of the State of Florida, hereinafter known as Grantor, for and in
consideration of Ten Dollars ($10.00) and other valuable consideration to it in hand
paid, does hereby grant unto THE DISTRICT SCHOOL BOARD OF COLLIER
COUNTY, FLORIDA, its successors, assigns, agents, or contractors, hereinafter known
as Grantee, the temporary license and right to enter upon the lands of the Grantor
described in Exhibit "A", for the sole purpose of temporary construction staging and
access to facilitate the installation and construction of a water cooler tank at Vineyards
Elementary School (the "Project").
ALL RIGHT AND PRIVILEGE herein granted shall terminate upon the earlier of
completion of the Project or one (1) year from the date of execution of this Right of
Entry.
ADDITIONALLY, the rights and interest conveyed hereunder are conditioned
upon the reasonable exercise thereof by Grantee. Grantee shall only access lands of
Grantor through Grantee's property. Grantee shall fence off lands of Grantor and locate
all water pipes on lands of Grantor prior to using this Right of Entry. Grantee agrees not
to damage or remove any trees from the lands of Grantor. Grantee shall coordinate and
schedule with Grantor (or its staff) the times and dates for completing the Project.
Grantee shall restore and return any impacted lands of Grantor with hydro seed grass.
Grantee further agrees that it shall, at the Grantee's sole cost and expense, restore and
repair any and all damage caused to Grantor's property or improvements as a result of
Grantee's use of this Right of Entry.
IN WITNESS WHEREOF, the Grantor has caused these presents to be
executed in its name this Z14 day of , 2016.
ATTEST: BOARD OF COUNTY COMMISSIONERS,
DWIGHT E. BROCK, Clerk OF COLLI i COUNTY, LORIDA
,, II 14 ;;.7 b i L . BY
@st as t0 C Iii.,:k ty Clerk Donna Fiala, Chairman
signature only.
Approved as to form and
legality:
. Item# 110 E le
Jenne erA. Belped \\LOP Aaeda 3 u t"
Assistant County Attorney `7.�
�, \ Date ��,��r—1,
Rec'd .� ti (p
L.. ' V 0_ - •� (;4.)40 V
16E6
Exhibit `A'
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School District Property
° � Right a 'Entry
. � � Stagin and Access-,:ier
Pans Property Area ,.
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