Backup Documents 04/26/2016 Item #16A21 ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 16 A 2 1
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.
**NEW** ROUTING SLIP ° 5i eO
Complete routing lines#1 through#2 as appropriate for additional signatures,dates,and/or information needed. If the document is alreadydomplete 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
Vi,C,(Ai
4. BCC Office Board of County
Commissioners /si
5. Minutes and Records Clerk of Court's Office
AA) 5/0,0 4:t7pilt
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 Melissa Alvarez/G D Phone Number (239)252-2 9
Contact/ Department
Agenda Date Item was April 26,2016 V Agenda Item Number 16A21 i
Approved by the BCC
Type of Document Quit Claim Deed and Bill of Sale Number of Original 1
Attached Documents Attached
PO number or account 5e...'r r �\p
number if
to be recorded document is r 3 '_ /6`6 .51-/ , tgtt3O
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? MA
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 MA
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 MA
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 MA
signature and initials are required.
7. In most cases(some contracts are an exception),the original document and this routing slip
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 jA 6
time frame or the BCC's actions are nullified. Be aware of your deadlines!
8. The document was approved by the BCC on 4/26/16 and all changes made during the MA
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
_ 1 Chairman's signature. i ,
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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 \C3N
S
16A21
Sales Price: $0
Doc Stamps: .70
Prepared without opinion of title by&return to: INSTR 5262077 OR 5269 PG 3612
RECORDED 5/5/2016 3:46 PM PAGES 4
DWIGHT E. BROCK, CLERK OF THE CIRCUIT COURT
Sarah H.Grieb,Esq. COLLIER COUNTY FLORIDA
Roetzel&Andress DOC@.70$0.70 REC$35.50
850 Park Shore Blvd.
Naples,Fl. 34103
239-649-6200
File No: 123996.0071
(Space above for recording information)
UTILITY FACILITIES QUIT CLAIM DEED AND BILL OF SALE
THIS QUIT CLAIM DEED made this DicjvN day of A 1 r : I , 2016, between BOARD
OF COUNTY COMMISSIONERS OF COLLIER COUNTY, FLORIDA, AS THE GOVERNING
BODY OF COLLIER COUNTY AND AS THE EX-OFFICIO GOVERNING BOARD OF THE
COLLIER COUNTY WATER-SEWER DISTRICT (hereinafter collectively referred to as "Grantor"),
and KE TALIS PARK PROPERTIES, LLC, a Delaware limited liability company, 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 whereof is hereby
acknowledged, hereby quit claims, remises and releases to the said Grantee, and Grantee's heirs,
successors and assigns forever, all irrigation facilities located and lying in, on, over and under the
following described land, for operation, relocation, installation, repair and/or maintenance of said
facilities, system(s)or portion(s)thereof,all situate and lying and being in Collier County,Florida,to wit:
(See Exhibit "A" attached hereto and incorporated by reference herein.)
(Exhibit"B"attached hereto is a sketch or other graphic representation
that depicts the physical location of the utility systems being conveyed.)
and said Grantor does hereby remise, release, and quitclaim to the said Grantee, and Grantee's heirs
assigns forever, all the right, title, interest, claim and demand which grantor has in and to the said utility
facilities and/or system(s)or portion(s)thereof, be they realty,personalty, or mixed.
9063052_1
16A21
The purpose of this quit-claim deed and bill of sale is to convey back to Grantee all irrigation utility
facilities contained in Official Records Book 5243, Page 3707, of the Public Records of Collier County,
Florida.
IN WITNESS WHEREOF, Grantor has caused these presents to be executed in its name by the Board of
County Commissioners acting by the Chairman or Vice of said Board, the day and year first above
written.
GRANTOR:
ATTEST: BOARD OF COUNTY COMMISSIONERS
Dwight E.Brock, Clerk''., COLLIER COUNTY, FLORIDA
By: " L. � , ' B y�v�,� dr1-42114-
Y•
Attest as o ' al an.s 411V ' DONNA FIA A, CHAIRMAN
sig ure only: f
Appr,,v;d as to form an. I-_ality:
Scott A. Stone,Assistant County Attorney
'W 3f'b/qb
9063052_1
16A21
EXHIBIT A
Those certain County Utility Easements("C.U.E.")as more particularly shown on the Plat of Seneca at
Talis Park,as recorded in Plat Book 55,Page 31,Public Records of Collier County,Florida.
9063052 1
16 A 2 1
EXHIBIT B
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