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Backup Documents 06/11/2013 Item #16D10ORIGINAL DOCUMENTS CHECKLIST & ROUTING SL16 D 10 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. 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 L appropriate- (Initial) Applicable) 2. 6/11/13 V Agenda Item Number 16DI0 3. County Attorney Office County Attorney Office ('0 4. BCC Office Board of County Commissioners Number of Original 1 5. Minutes and Records Clerk of Court's Office Documents Attached PO number or account f 2Ytf5prj, 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 cwtact staff for additional or missing information. Name of Primary Staff Natali Betancur Phone Number 2524059 Contact / Department appropriate- (Initial) Applicable) Agenda Date Item was 6/11/13 V Agenda Item Number 16DI0 Approved by the BCC Does the document need to be sent to another agency for additional signatures? If yes, N / A w-- Type of Document Invoice — "f+ Number of Original 1 Attached Original document has been signed/initialed for legal sufficiency. (All documents to be Documents Attached PO number or account n/a number if document is by the Office of the County Attorney. to be recorded All handwritten strike- through and revisions have been initialed by the County Attorney's INSTRUCTIONS & CHECKLIST I: Forms/ County Fors/ 13CC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 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? 2. Does the document need to be sent to another agency for additional signatures? If yes, N / A w-- 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 by the Office of the County Attorney. 4. All handwritten strike- through and revisions have been initialed by the County Attorney's 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 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 signature and initials are 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. 6 Some documents are time sensitive and require forwarding to Tallahassee within a certain ►`�7 time frame or the BCC's actions are nullified. Be aware of Zour deadlines! 8. The document was approved by the BCC on 11 changes made during the meeting have been incorporated in the attach�ti i t. The County Attorney's �1 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 Fors/ 13CC Forms/ Original Documents Routing Slip W WS Original 9.03.04, Revised 1.26.05, Revised 2.24.05; Revised 11/30/12 ~~ Oodnty, of Collier CLERK OF THV CIR' UIT COURT Dwight E. Brock COLLIER COU?�, CO RTHOUSE Clerk of Courts 3315 TAMIAMI TRL E STE 102 i. P.O. BOX 413044 NAPLES, FLORIDA , f NAPLES, FLORIDA 34112 -5324 34101 -3044 _:Y June 28, 2013 Florida Department of Environmental Protection Marjory Stoneman Douglas Building Division of State Lands /Bureau of Public Land Administration 3900 Commonwealth Boulevard, MS 130 Tallahassee, Florida 32399 -6508 16DIO ' Clerk of Courts Accountant Auditor Custodian of County Funds Re: 2013/2014 Sovereignty Submerged Lands Annual Lease Fee and Wet Slip Revenue Reporting Transmitted herewith is a one (1) originals of the above referenced documents, as adopted by the Collier County Board of County Commissioners of Collier County, Florida on Tuesday, June 11, 2013, during Regular Session. Included are copies of payment mailed out June 27, 2013, and a self addressed envelop, please provide a copy of the fully executed document. Very truly yours, DWIGHT E. BROCK, CLERK lVkbA-�� ' Martha Vergara, Dep ty Jerk Enclosure Phone- (239) 252 -2646 Fax- (239) 252 -2755 Website- www.CollierClerk.com Email- CollierClerk�collierclerk.com T0. 4�- x}5001 441l1 5 Martha S. Verqara A From: Robin Tooma V Sent: Friday, June 28, 2013 7:34 AM O / To: Martha S. Vergara _ Subject: RE: DEP Report \ / Hi, Martha. Yes, the check was cut yesterday, and I didn't catch it in time. It went out in the mail. Paying company code 1000 Payment document no. 2000307 755 Bank details House Bank F:TSAP, Bank Key 067091119 Account ID A/F Bank Account 1138533 Bank name Fifth Third Bank city Check information Check number 88 °333 Currency us Payment date 06/26/2013 Amount paid 10, 902.38 Check encashment Cash discount amount 0.00 Check recipient Flame FLORIDA DEPARTMENT OF ENVIRONMENT... City TALLAHASSEE Payee's country us Regional code FL ' R.ob%vu TOC)MR Assistant Operations Manager Clerk of the Circuit Court Collier County Government Center 3299 Tamiami Trail East, Bldg F 7th Floor Naples, FL 34112 (239)252 -8438 Robin.Tooma @Collierclerk.com From: Martha S. Vergara Sent: Thursday, June 27, 2013 9:08 AM To: Robin Tooma Subject: FW: DEP Report Hi Robin, 1 16010 Account I Account short text . ......... Amount Martha S. Vergara Funds ct cmmt it Check encashment 11/16/2012 Cash discount amount From: Sara M. Schneeberger Sent: Thursday, June 27, 2013 4:22 PM To: Martha S. Vergara Subject: NDN 3237993 Payment Info below — check cashed 1 1/ 16/12 (9 Doc.Typt ; RE ( Invoice,- gross ) Normal document Doc. Number 5100739857 company code 1000 Fiscal year 2013 Doc. date 10/24/2012 Posting date 11/13/2012 Period 02 calculate Tax Ref.doc. 3237993 Doc.currency USD Doc. Hdr Text ADVERTISING Itm PK Fund cost ctrJWBs ele Account I Account short text . ......... Amount ..M._....._ ....... i Text Funds ct cmmt it Check encashment 11/16/2012 Cash discount amount Check recipient Name NAPLES DAILY NEWS 11311 120877 NAPLES DA DAILY NEWS 305.82- ADVERTISING !PAYABLE 2,1861111 138317 120 211200 GOODS RCVD INV RCVD 305.82 138317 1649100 Check information Check number 880352 Currency Payment date 11/14/2012 Amount paid Check encashment 11/16/2012 Cash discount amount Check recipient Name NAPLES DAILY NEWS City NAPLES Payee's country US Regional code FL Sara Schneeberger Sr. Fiscal Technician /Accounts Payable Collier County Clerk of the Circuit Court Finance Department 239-252-7857 Office 239-252-6179 Fax Sara.Schneeberger@collierclerk.com I Uso 1,442.76 0.00 April 15, 2013 FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION MARJORY STONEMAN DOUGLAS BUILDING 3900 COMMONWEALTH BOULEVARD TALLAHASSEE, FLORIDA 32399 -3000 Subject: 2013/2014 Sovereignty Submerged Lands Annual Lease Fee and Wet Slip Revenue Reporting Dear Sir or Madam: 16D10 RICK SCOTT GOVERNOR HERSCHEL T. VINYARD JR. SECRETARY Enclosed you will find your 2013 /2014 annual lease fee invoice and wet slip revenue reporting package for your sovereignty submerged lands lease with the Board of Trustees of the Internal Improvement Trust Fund of the State of Florida. As Lessee, you are required to submit your annual lease fee and provide wet slip rental and income information annually based on the previous year's income to the Department of Environmental Protection's Division of State Lands, as agent for the Lessor. Any reporting forms due from previous years are also included and need to be completed. You will receive a supplemental invoice if any additional fees are due based on the wet slip rental information you submit. Please complete the enclosed forms, providing accurate and legible information, and return them along with your annual payment within 30 days of the invoice date to the following address: Florida Department of Environmental Protection Division of State Lands, Bureau of Public Land Administration Post Office Box 3070 Tallahassee, FL 32315 -3070 All fees must be received in full within 30 days of the invoice date or a twelve percent (12 %) late fee will be assessed pursuant to section 4 of your lease agreement. Any partial payment received will be returned unless previously approved. If you have any questions regarding invoice payments, please contact Mary Upchurch or Alicia Ruffin, and for questions regarding the enclosed wet slip revenue reporting package, please contact Cheryl McCall or Starla Wagner at (850) 245 -2720. Bureau of Public Land Administration Division of State Lands Enclosures www dep. state.fl. us 16010 4 SOVEREIGNTY SUBMERGED LANDS LEASE ANNUAL WET SLIP REVENUE REPORT As a submerged lands lessee, you are required to report annually to the Division of State Lands all income derived directly or indirectly from the lease area, to report the number and type of wet slips and to certify that all information provided is correct. This includes reporting any income collected by you or someone else. The three attached forms must be completed and returned by all lessees. Directions for completing forms WET SLIP INFORMATION FORM - This form is for reporting the number and type of wet slips. Please enter the correct number of each type of wet slip at the lease facility and total. GROSS INCOME REPORTING FORM - This form is for reporting direct and indirect income that has been generated within the lease boundary during the timeframe specified. This is required under the terms of your lease and under subsection 18- 21.011(1)(a)2. Florida Administrative Code. Please enter the amount of both direct and indirect income generated by month within the lease boundary. The definition of income can be found at the bottom of the form. CERTIFICATION FORM - This form is the lessee's confirmation that all information provided is true and correct. This form must be notarized. General Lease Fee Information Income is defined in Rule 18- 21.003, Florida Administrative Code, as the gross revenue derived directly or indirectly from the use of state -owned submerged lands such as slip rental, lease or sublease fees, dock or pier admission fees, club membership, stock ownership or equity interest in activities where increased revenue is attributable to the use of the submerged land. However, gross revenue shall not include pass- through fees for utility services, sale of the facility or sales of products not occurring on sovereignty submerged lands. Gross revenue shall include all future payments made for the transfer of the interest in a slip originally obtained from the Board's lessee, including transfer of slip rights by slip sublessee, slip "sellers ", slip interest transfers, new club memberships, and other similar transactions. If you are required to pay 6% of the income generated on the lease area, you will receive a supplemental invoice for any additional fees owed. To view Chapter 18 -21 Florida Administrative Code, on Sovereignty Submerged Lands Management in its entirety go to: http: / /www.flruies.org/ gateway /ChapterHome.asp ?Chapter =18 -21 FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF STATE LANDS /BUREAU OF PUBLIC LAND ADMINISTRATION 3900 COMMONWEALTH BOULEVARD, MS 130 TALLAHASSEE, FLORIDA 32399 -3000 (850) 245 -2720 2012/2013 Wet Slip Information Form Lessee: lh'ey Instrument No: I. INFORMATION ON WET SLIPS LOCATED ON STATE -OWNED LANDS 1. Number of Temporary Slips - Slips that are not rented and are used as fl docking, launching or removing boats, restaurants, or store purchases. ese slips should be Non revenue generating slips. 2. Number of Transient Slips- Slips that are rented on a short term basis. 0 3. Number of Public Slips - open to the public on a "first come, first served" basis. - Rental term shall be no longer than one year and with no automatic renewal rights or conditions. 4. Number of Slips Not Usable - Slips that are silted in or are in low water. O 5. Number of Slips Sold, Subleased, Licensed, Assigned, etc. - Attach a copy of the document which represents the sale, sublease, license or assignment. The document should include the sublessee's name, unit number, the slip number, and the amount of the transaction. 6. Number of Private Slips, not rented to the public - Slips used for C1 personal mooring, Association common area, etc. V Total Number of Slips on State -owned Lands, Add lines 1 through 6 Is your facility a Pier with Admission Fees? YES Boating has a tremendous economic impact on the State of Florida each year. In an effort to learn if boaters have an adequate number of slips around the state, we are requesting information on wet slips that are not within a state -owned submerged land lease. No income generated from these slips is to be reported. II. INFORMATION ON WET SLIPS LOCATED ON PRIVATELY -OWNED LAND 1. Number of Slips Sold, Subleased, Licensed, Assigned, etc: 2. Number of Public Slips - open to the public on a "first come, first served" basis. 3. Number of Private Slips, not rented to the public - Slips used for C personal mooring, Association common area, etc. Total Number of Slips on Privately -Owned Lands, Add lines 1 through 3 0 16oio 2012/2013 GROSS INCOME REPORTING FORM Lessee: �� i ( Instrument #: Month Year Direct Income Indirect Income The beginning month is the Anniversary month of your lease. All income received directly by Lessee from transactions within the lease boundary. * All income received by someone other than the Lessee for transactions involving the use of state -owned submerged land within the Lessee's lease boundary. May 2012 $ t� $ 0 June 2012 $ Q $ 0 July 2012 $ O $ 0 August 2012 $ 0 $ 0 September 2012 $ 0 $ October 2012 $ p $ November 2012 $ b $ 0 December 2012 $ 0 $ o January 2013 $ V $ February 2013 $ 0 $ O March 2013 $ c Q $ 61 z 0 d April 2013 $ Q 0 $ I U TOTALS $ te) 0 Is bQ Every month must be filled out even if income for the month is zero. "Enter Zero if slips are non - revenue generating or generated 070" * Income is defined in chapter 18- 21.003, Florida Administrative Code, as the gross revenue derived directly or indirectly from the use of state -owned submerged lands such as slip rental, lease or sublease fees, dock or pier admission fees, club membership, stock ownership or equity interest in activities where increased revenue is attributable to the use of the submerged land. However, gross revenue shall not include pass- through fees such as fees for utility services, sale of the facility or sales of products not occurring on sovereignty submerged lands. Gross revenue shall include all future payments made for the transfer of the interest in a slip originally obtained from the Board's lessee, including transfer of slip rights by slip sublessee's, slip "sellers ", slip interest transfers, new club memberships, and other similar transactions. PLEASE ATTACH A LIST OF ANY SLIP TRANSFERS AS DEFINED ABOVE INCLUDING THE SLIP NUMBER, AMOUNT OF INCOME RECEIVED, SUBLESSEE'S NAME AND UNIT NUMBER, IF APPLICABLE. FLORIDA DEPARTMENT OF ENVIRONMENTAL PROTECTION DIVISION OF STATE LANDS /BUREAU OF PUBLIC LAND ADMINISTRATION 3900 COMMONWEALTH BOULEVARD, MS #130 TALLAHASSEE, FLORIDA 32399 -3000 (850) 245 -2720 CERTIFICATION, Instrument No. 1 a0 Z 9 ( (j Lessee Name: (0 (� I(� I'f �(A J2 Billing Address City/State /Zip Telephone: (Z ZG) Z — 40100 (Please provide area code) Facility Address; ��j d �� N(} �� - p f i VL City /County /Zip: 1, being first duly sworn, hereby certify under penalty of perjury that the following statements are true: (1) To the best of my knowledge and belief, the information contained on the Wetslip Information Form and the Gross Income Reporting Form is true and correct; (2) 1 have read and understand the terms and conditions of the sovereignty submerged lands lease, and the facility is in full compliance with all the terms and conditions of the sovereignty submerged lands lease; (3) 1 am authorized to execute this certification on behalf of the lessee; and (4) 1 am aware that any intentional false statement herein will be grounds for cancellation of the sovereignty submerged lands lease. �TTESt WIWT . BROCK. CLERK Attest as to 'cw a 's CZ signature only, FATE OF of Lessee X0(2 <► � '\ . \-i\ L2'ESQ Printed Name of Signature Title june� I1. 20t3 Date COUNT F Sworn to or a i ed and subscribed before me the Iby lPersonally Known R Produced Identification pe of identificaiton produced INotary Signature Commission Expires day of , 20 , (SEAL) Approved as to form and legality Assistant County DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIPTS SECTION POST OFFICE BOX 3070 TALLAHASSEE FL 32315 -3070 Bill To: COLLIER COUNTY, FLORIDA 15000 LIVINGSTONE ROAD NAPLES, FL 34109 E C E � W EDO� APR 19 2013 Parks Recreation ** INVOICE / INSTRUMENT INFORMATION ** 16D10 INVOICE Invoice #: 69405 Instrument #: 110028165 Invoice Date: 04/15/2013 Expiration Date: 05/05/2015 Due Date: 05/15/2013 Extended Term Fee: NO Rate: AQUATIC PRESERVE RATE Location: GOODLAND BOATING PARK, RAMP AND DOCKING ** IMPORTANT REMINDERS ** If paying by mail, please return invoice with your payment to the above address. Online payment by check, credit card or debit card is available at hftp://www.fldei)portal.com/cio/pay-invoices/. Late payments are subject to a 12% Interest fee pursuant to FAC 18- 21.011(1)(b)l1. INFORMATION ANNUAL LEASE FEE DATA Net Extended Description Memo Object Square Rate Discount *Amount Feet Term Fee ANNUAL LEASE BOAT SLIP RENTAL 021017 47,753 0.326154 30% Y FEE 2013/2014 DISCOUNT APPLIED $10,902.38 Subtotal $10,902.38 Sales Tax (0.0 %) $0.00 County Tax (0 %) $0.00 Note: PLEASE COMPLETE THE ENCLOSED INCOME REPORTING FORMS Total $10,902.38 AND RETURN WITH YOUR REMITTANCE Invoice Balance Due $10,902.38 InstrumentILease $10,902.38 Balance Due 111 11 ANNUAL LEASE FEE FORMULA = BASE FEE* - DISCOUNT + EXTENDED TERM FEE *BASE FEE = Base Rate x Net Square Feet OR *BASE FEE = Minimum Rate DISCOUNT = Base Fee x Discount Percentage EXTENDED TERM FEE = Base Fee x Extended Term Fee Percentage For any questions concerning this invoice, please call the Division of State Lands at (850) 245-2720. DEPARTMENT OF ENVIRONMENTAL PROTECTION RECEIPTS SECTION POST OFFICE BOX 3070 (� (� n/7� TALLAHASSEE, FL 32315 -3070 R E C E, 1V/ APR 19 2013 Bill To: [—Parks Recreation COLLIER COUNTY, FLORIDA 15000 LIVINGSTONE ROAD NAPLES, FL 34109 ** INVOICE / INSTRUMENT INFORMATION ** 16010 ' INVOICE Invoice #: 69405 Instrument #: 110028165 Invoice Date: 04/15/2013 Expiration Date: 05/05/2015 Due Date: 05/15/2013 Extended Term Fee: NO Rate: AQUATIC PRESERVE RATE Location: GOODLAND BOATING PARK, RAMP AND DOCKING ** IMPORTANT REMINDERS ** If paying by mail, please return invoice with your payment to the above address. Online payment by check, credit card or debit card is available at http: / /www.fidet)portal.com /go /pay- invoices /. Late payments are subject to a 12% Interest fee pursuant to FAC 18- 21.011(1)(b)l1. INFORMATION ANNUAL LEASE FEE DATA Net Extended Description Memo Object Square Rate Discount *Amount Feet Term Fee ANNUAL LEASE BOAT SLIP RENTAL 021017 47,753 0.326154 30% Y FEE 2013/2014 DISCOUNT APPLIED $10,902.38 Subtotal $10,902.38 Sales Tax (0.0 %) $0.00 County Tax (0 %) $0.00 Note: PLEASE COMPLETE THE ENCLOSED INCOME REPORTING FORMS Total $10,902.38 AND RETURN WITH YOUR REMITTANCE Invoice Balance Due $10,902.38 Instrument/Lease $10,902.38 Balance Due 11 1 ANNUAL LEASE FEE FORMULA = BASE FEE* - DISCOUNT + EXTENDED TERM FEE *BASE FEE = Base Rate x Net Square Feet OR *BASE FEE = Minimum Rate DISCOUNT = Base Fee x Discount Percentage EXTENDED TERM FEE = Base Fee x Extended Term Fee Percentage For any questions conceming this invoice, please call the Division of State Lands at (850) 245 -2720.