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Agenda 03/26/2019 Item #16A 5
16.A.5 03/26/2019 EXECUTIVE SUMMARY Recommendation to approve final acceptance of the potable water and sewer facilities for Suncoast Credit Union (Pine Ridge Branch), PL20160003554, accept unconditional conveyance of a portion of the potable water and sewer facilities, and to authorize the County Manager, or his designee, to release the Utilities Performance Security (UPS) and Final Obligation Bond in the total amount of $11,928.03 to the Project Engineer or the Developer's designated agent. OBJECTIVE: To have the Board of County Commissioners, as Ex -Officio Governing Board of the Collier County Water -Sewer District, approve final acceptance of the potable water and sewer facilities, accept unconditional conveyance of a portion of the potable water and sewer facilities, and to release the Utilities Performance Security (UPS) and Final Obligation Bond in the total amount of $11,928.03, in accordance with the Collier County Utility Standards and Procedures, Ordinance No. 2004-31. CONSIDERATIONS: 1) The Developer of Suncoast Credit Union (Pine Ridge Branch), has constructed the potable water and sewer facilities within dedicated easements to serve this private development (see attached location map). A portion of the potable water and sewer facilities will be conveyed to the County, as described in Official Records (O.R.) Book 5499, Page (PG) 1573 and (O.R. Book 5499, Page (PG) 1579. The remaining potable water and sewer facilities will be private. 2) Preliminary acceptance of these utility facilities was approved by the Development Review staff on April 16, 2018. At that time, the value of these potable water and sewer utility facilities (assets) was $11,661 and $3,743.90, respectively. (See attached asset sheet). 3) Staff recorded all preliminary acceptance documents associated with the potable water and sewer facilities conveyed to the County in the public records of Collier County, which were reviewed and approved by the County Attorney's office as to form and legality. The County acquired its interest in a portion of the potable water and sewer facilities by Utilities Facilities Warranty Deed, and Bill of Sale recorded in Official Records Book 5499, at page 1573 and Book 5499, at page 1579 of the Public Records of Collier County, Florida. 4) The potable water and sewer utility facilities have been operated and maintained during the required one (1) year warranty period, following preliminary acceptance. 5) A final inspection to discover defects in materials and workmanship has been conducted by staff on February 14, 2019, in coordination with Public Utilities, and these facilities have been found to be satisfactory and acceptable. 6) The on-site potable water and sewer utilities, less the potable water and sewer utilities described in O.R. Book 5499, PG 1573 and O.R. Book 5499, PG 1579, are owned and maintained by the developer. 7) Staff recommends final acceptance of the subject utility facilities and to release the Utility Performance Security (UPS) and Final Obligation Bond in the total amount of $11,928.03. (See attached Exhibit A). 8) This final acceptance is in accordance with Collier County, Ordinance No. 2004-31, as amended. 9) Staff is unaware of any issues that would serve to negate the recommendation to release the applicable security. Packet Pg. 507 03/26/2019 FISCAL IMPACT: Approval of this Executive Summary will result in the Collier County Water -Sewer District receiving unconditional title to a portion of the potable water and sewer utility facilities, which at the time of preliminary acceptance, had a total gross value of $15,404.90 (no depreciation applied) and an asset will be recorded in the financial records of the county. GROWTH MANAGEMENT IMPACT: There is no growth management impact associated with this action. LEGAL CONSIDERATIONS: This item has been approved as to form and legality, and requires a majority vote for Board approval -SAS RECOMMENDATION: To approve final acceptance of the potable water and sewer facilities for Suncoast Credit Union (Pine Ridge Branch), PL20160003554, accept unconditional conveyance of a portion of the potable water and sewer facilities, and to authorize the County Manager, or his designee, to release the Utilities Performance Security (UPS) and Final Obligation Bond in the total amount of $11,928.03 to the Project Engineer or the Developer's designated agent. Prepared by: Lucia S. Martin, Technician, Development Review Division ATTACHMENT(S) 1. Location Map (PDF) 2. Exhibit A (PDF) 3. Assets Sheet (PDF) 16.A.5 Packet Pg. 508 16.A.5 03/26/2019 COLLIER COUNTY Board of County Commissioners Item Number: 16.A.5 Doe ID: 8084 Item Summary: Recommendation to approve final acceptance of the potable water and sewer facilities for Suncoast Credit Union (Pine Ridge Branch), PL20160003554, accept unconditional conveyance of a portion of the potable water and sewer facilities, and to authorize the County Manager, or his designee, to release the Utilities Performance Security (UPS) and Final Obligation Bond in the total amount of $11,928.03 to the Project Engineer or the Developer's designated agent. Meeting Date: 03/26/2019 Prepared by: Title: Technician — Growth Management Development Review Name: Lucia Martin 02/19/2019 3:18 PM Submitted by: Title: Project Manager, Principal — Growth Management Department Name: Matthew McLean 02/19/2019 3:18 PM Approved By: Review: Water Pamela Libby Additional Reviewer Wastewater Beth Johnssen Additional Reviewer Wastewater Steve Nagy Additional Reviewer Public Utilities Planning and Project Management Tom Chmelik Engineering & Natural Resources Jack McKenna Additional Reviewer Growth Management Operations & Regulatory Management Stephanie Amann Growth Management Department Judy Puig Level 1 Reviewer Water Steve Messner Additional Reviewer Growth Management Department Matthew McLean Additional Reviewer Growth Management Department James C French Deputy Department Head Review County Attorney's Office Scott Stone Level 2 Attorney Review Growth Management Department Thaddeus Cohen Department Head Review County Attorney's Office Jeffrey A. Klatzkow Level 3 County Attorney's Office Review Office of Management and Budget Valerie Fleming Level 3 OMB Gatekeeper Review Budget and Management Office Mark Isackson Additional Reviewer Completed 02/19/2019 3:22 PM Completed 02/19/2019 3:23 PM Completed 02/19/2019 3:26 PM Additional Reviewer Completed Completed 02/19/2019 5:01 PM Additional Reviewer Completed Completed 02/21/2019 10:29 AM Completed 02/22/2019 1:01 PM Completed 02/25/2019 10:25 AM Completed 02/25/2019 8:12 PM Completed 02/26/2019 8:14 AM Completed 02/28/2019 9:35 AM Completed 02/28/2019 9:59 AM Completed 03/08/2019 3:19 PM Completed 03/11/2019 9:49 AM Packet Pg. 509 County Manager's Office Board of County Commissioners Heather Yilmaz Level 4 County Manager Review Mary,lo Brock Meeting Pending 16.A.5 03/26/2019 Completed 03/18/2019 8:58 AM 03/26/2019 9:00 AM Packet Pg. 510 SUNCOAST CREDIT UNION PINE RIDGE BRANCH LOCATION MAP 16.A.5.a M m C 0 m 0 0 J r C d a Packet Pg. 511 WJOKAiEE RA r 9 1 L E E C O U N T Y Y &E NELL Rtr dikib ❑ x AWUMf IALEE xu �'! z W - 2 p q R F A I+ CGLQEh Ad TE 6N 143 tl' E CADE.:' Cs c dDpmc I c x �S k. ROW RA in ray � rA Si qF ALf164 TCd4 ALLEY W 1JIT.Jr 4 A(LEY vY N rM1 U ITE t CITY OF MARCO d/ !SCAN 0 k EWE GLADES 0 LOCATION MAP 16.A.5.a M m C 0 m 0 0 J r C d a Packet Pg. 511 Exhibit A Utilities Performance Security (UPS) and Final Obligation Bond The 10% UPS Bond, if applicable, is based on the total amount of the water and/or sewer utilities being installed for the whole project which includes material and labor. The contributory assets reflect the cost of materials, not labor and are based on the assets of which the county will be owning and maintaining. Final Obligation Bond, if applicable, in accordance with Utility Ordinance 2004-31 Attachments: 1. Verification of Final Cost 2. Receipt of Payment 16.A.5.b 27, r Q Packet Pg. 512 Amount Receipt Number 10% UPS Bond $7,928.03 1236667 Final Obligation Bond $4,000.00 2017389364 Total Amount $11,928.03 The 10% UPS Bond, if applicable, is based on the total amount of the water and/or sewer utilities being installed for the whole project which includes material and labor. The contributory assets reflect the cost of materials, not labor and are based on the assets of which the county will be owning and maintaining. Final Obligation Bond, if applicable, in accordance with Utility Ordinance 2004-31 Attachments: 1. Verification of Final Cost 2. Receipt of Payment 16.A.5.b 27, r Q Packet Pg. 512 PROJECT NAME: LOCATION: NAME AND ADDRESS OF OWNER TYPE OF UTILITY SYSTEM: VERIFICATION OF FINAL COSTS SUNCOAST CREDIT UNION SECTION 7, TOWNSHIP 49S RANGE 26E SUNCOAST CREDIT UNION 6801 EAST HILLSBOROUGH AVE. TAMPA, FL. 33610 WATER MAIN (Material and Services) [ ITEM IT SIZE IQUANTITYi UNIT COST I TOTAL SLEEVE AT CONNECTION GATE VALVE GATE VALVE AUTOMATIC FLUSHING DEVICE PVC DR -18 WATER MAIN POLY TUBE WATER SERVICE HYDRANT ASSEMBLY FIRE BACKFLOW ASSEMBLY POTABLE TEE PVC DR -14 FIRE MAIN POTABLE METER BOX AND SADDLE BACKFLOW 8" 1 EA $ 680.00 $ 680.00 8" 2 EA $ 1,410.00 $ 2,820.00 6" 1 EA $ 1,260.00 $ 1,260.00 1 EA $ 3,850.00 $ 3,850.00 8" 142 LF $ 31.50 $ 4,473.00 2" 85 LF $ 7.90 $ 671.50 1 EA $ 3,260.00 $ 3,260.00 6" 1 EA $ 7,850.00 $ 7,850.00 8" X 6" 1 EA $ 820.00 $ 820.00 6" 30 LF $ 49.10 $ 1,473.00 1.5' 1 EA $ 1,260.00 $ 1,260.00 2" 1 EA $ 2,180.00 $ 2,180.00 TOTAL COST $ 30,597.50 I do hereby certify that the quantities of material and labor described above are a true and accurate representation of the system of the as -installed cost of the system. CERTIFYING: 77 Z_ 7 OF: Bluewater of South Florida, Inc. 4350 Arnold Ave, Suite 5 Naples FL. 34104 STATE OF FLORIDA COUNTY OF COLLIER The foregoing instrument was signed and acknowledged before me this _5th_ day of January, 2017 by _ who is personally known to me and who did to an oath. ' l /)l,/ �'e SEAL: LYnn K. Nisoor Notary Pu is NOTARY CLIC STATE OF FLORIDA E ores 10/7/2019 16.A.5. b ON Packet Pg. 513 16.0.5. b PROJECT NAME: LOCATION: NAME AND ADDRESS OF OWNER VERIFICATION OF FINAL COST SUNCOAST CREDIT UNION SECTION 7, TOWNSHIP 49S RANGE 26E SUNCOAST CREDIT UNION 6801 EAST HILLSBOROUGH AVE. TAMPA, FL. 33610 TYPE OF UTILITY SYSTEM: SANITARY SEWER (Material and Services) ITEM SIZE1QUANTITY1 UNIT COST I TOTAL HOT TAP 4" x 4" 1 EA $ 3,140.00 $ 3,140.00 CHECK VALVE W/VAULT 4" 1 EA $ 2,060.00 $ 2,060.00 DIRECTIONAL DRILL 8" 49 LF $ 93.00 $ 4,557.00 HDPE CARRIER 4" 66 LF $ 28.80 $ 1,900.80 4" PVC DR -18 FORCEMAIN 4" 80 LF $ 39.55 $ 3,164.00 4" SDR 26 LATERAL 4" 56 LF $ 13.50 $ 756.00 4" CLEANOUT 4" 1 EA $ 375.00 $ 375.00 GRINDER STATION 1 EA $ 25,700.00 $ 25,700.00 AIR RELEASE VALVE 1 EA $ 7,030.00 $ 7,030.00 TOTAL COST $ 48,682.80 I do hereby certify that the quantities of material and labor described above are a true and accurate representation of the system of the as -installed cost of the system. CERTIFYING: OF: Bluewater of South Florida, Inc. 4350 Arnold Ave, Suite 5 Naples FL. 34104 STATE OF FLORIDA COUNTY OF COLLIER 04 The foregoing instrument was signed and acknowledged before me this _5th_ day of January, 2017 by _ who is personally known to me and who did take an oath. SEAL: Notary ubli LYm K. Nistor NOTARY PUBLIC STATE OF FLORIDA Cm" FF925319 E)Ores 10/7/2019 Packet Pg. 514 16.A.5.b Form 2 - Rev. 2004 (Utilities Performance Bond) Bond Number: 1236667 UTILITIES PERFORMANCE BOND KNOW ALL PERSONS BY THESE PRESENTS: that the principal Suncoast Credit Union at 68/01 East Hillsborough Ave., Tampa, FL 33610 (hereinafter referred to as "Owner"), and The Cincinnati Insurance Company at 6200 S. Gilmore Rd., Fairfield, OH 45014 (hereinafter referred to as "Surety"), are held and firmly bound unto Collier County, Florida, (hereinafter called "County"), in the total aggregate penal sum of Seven Thousand Nine Hundred Twenty -Eight ---03/100 ($7,928.03) Dollars in lawful money of the United States, for the payment of which sum well and truly to be made, we bind ourselves, our heirs, executors, administrators, successors, and assigns, jointly and severally, firmly by these presents. Owner and Surety are used for singular or plural, as the context requires. THE CONDITION OF THIS OBLIGATION is such that whereas, the Owner entered into a certain Utilities System Construction Contract, dated the 7 1 day of February , 2017, a copy of which is hereto attached and made a part hereof; and WHEREAS the County has a material interest in the performance of said Contract; and WHEREAS the County has adopted Ordinances and Resolutions (hereinafter "Land Development Regulations") concerning the Owner's obligations to the County regarding the construction, conveyance and warranty of potable water, non -potable irrigation water and/or wastewater system(s) or portion(s) thereof constructed within the unincorporated area of Collier County; NOW, THEREFORE, if the Owner shall well, truly and faithfully perform its obligations and duties to the County under said Land Development Regulations and all the undertakings, covenants, terms, conditions, and agreements of said contract during the original term thereof, and any extensions thereof which may be granted by the Owner, with or without notice to the Surety and during the guaranty period established by the County, and thereafter, and if the Owner shall satisfy all claims and demands incurred under such contract, and shall fully indemnify and save harmless the County from all costs and damages which it may suffer by reason of failure to do so, and shall reimburse and repay the County all outlay and expense which the County may incur in making good any default, then this obligation shall be void, otherwise to remain in full force and effect. PROVIDED, FURTHER, that the said Surety, for value received hereby, stipulates and agrees that no change, extension of time, alteration or addition to the terms of the contract or to work to be performed thereunder, or the specifications accompanying same shall in any way affect its Page 1 c Packet Pg. 515 . obligation on this Bond, and does hereby waive notice of any such change, extension of time, alteration or addition to the terms of the contract or to the work or to the specifications. PROVIDED, FURTHER, that it is expressly agreed that the bond shall be deemed amended automatically and immediately, without formal and separate amendments hereto, upon amendment to the Contract not increasing the contract price more than twenty percent (20%), so as to bind the Owner and the Surety to the full and faithful performance of the contract as so amended. The term "Amendment", wherever used in this bond, and whether referring to this bond, the Contract or other documents shall include any alteration, addition or modification of any character whatsoever. IN WITNESS WHEREOF, the parti hereto have caused this Instrument to be executed this 22nd day of February, 2017. P incipal: Suwa Cr•At Union Name Surety: The Cincinnati Insurance Company Typed Name and Title: Heather Bannon, Attorney -In -Fact NOTARY ACKNOWLEDGEMENTS FOR PRINCIPAL State of County/Cityof 1` / O o-, Q to wit: a Notary Public in and for the County/City and State afor�said,g� rt;fy that �Ce ✓y�2SL1QS.yy r U whose name is signed to the foregoing bond, personally appeared before me in my County/City and State aforesaid and acknowledged the same to be his act and deed. My commission expires l) 02 Q ' / V4%- Given under my hand and seal this 074 day of -19 jtW *'14 20-1 101z 111.111, o •.p a�F ""' LINDA J. LOPRESTO Notary Public - State o1 Florida • My Comm. Expires Aug 25. 2018 commission 0 FF 154331 µo; 1,11111111111 F 1)I I. ;,•' Bonded tivao National Wary Assn. _ 16.A.5.b Page 2 c 01 r t X LU :.o c a� E co Q Packet Pg. 516 NOTARY ACKNOWLEDGEMENTS FOR SURETY State of © �((o County/City ox'24 Ie/- to wit: I, ao "t"(d L,. Co C2 � a Notary Public in and for the County/City and Stateesaid, do ertify that VH �. L K � N ,n, .n whose name is signed to the foregoing bond, personally appeared before me n my County/City and State aforesaid and acknowledged the same to be his act and deed. My commission expires Given under my hand and seal this 1 '1 c� day of 20—a. 01/2005 16.A.5.b PAIA( Donald L. Goetz II * - Notary Public, State of Ohio moo.: My Commission Expires 1-23-1021 Gl X W E a Page 3 of Packet Pg. 517 THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY Fairfield, Ohio POWER OF ATTORNEY KNOW ALL MEN BY THESE PRESENTS: That THE CINCINNATI INSURANCE COMPANY and THE CINCINNATI CASUALTY COMPANY, corporations organized under the laws of the State of Ohio, and having their principal offices in the City of Fairfield, Ohio (herein collectively called the "Companies"), do hereby constitute and appoint Ashley Davis; John P. Junker; Scott M. Donovan; Tricia Davis; Heather Bannon; Timothy Schroder; Linda Zecher; Donald L. Goetz, II; Stacy Shollenbarger; Cameron Egbert; Krista McKenna; Linda Patterson; Susan Torbeck; Stefanie Theiss and/or Cathy Bowker Of Fairfield, Ohio their true and legal Attorney(s)-in-Fact, each in their separate capacity if more than one is named above, to sign, execute, seal and deliver on behalf of the Companies as Surety, any and all bonds, policies, undertakings or other like instruments, as follows: Any such obligations in the United States, in any amount. This appointment is made under and by authority of the following resolutions adopted by the Boards of Directors of The Cincinnati Insurance Company and The Cincinnati Casualty Company, which resolutions are now in full force and effect, reading as follows: RESOLVED, that the President or any Vice President be hereby authorized, and empowered to appoint Attorn eys-i n -Fact of the Company to execute any and all bonds, policies, undertakings, or other like instruments on behalf of the Corporation, and may authorize any officer or any such Attorney -in -Fact to affix the corporate seal; and may with or without cause modify or revoke any such appointment or authority, Any such writings so executed by such Attorneys -in -Fact shall be binding upon the Company as if they had been duly executed and acknowledged by'the regularly elected officers of the Company. RESOLVED, that the signature of the President or a Vice President and the seal of the Company may be affixed by facsimile on any power of attorney granted, and the signature of the Secretary and the Seal of the Company may be affixed by facsimile to any certificate of any such power and any such power of certificate bearing such facsimile signature and seal shall be valid and binding on the Company. Any such power so executed and sealed and certified by certificate so executed and sealed shall, with respect to any bond or undertaking to which it is attached, continue to be valid and binding on the Company. IN WITNESS WHEREOF, the Companies have caused these presents to be sealed with their corporate seals, duly attested by their President or a Vice President this 27th day of April, 2016. CORPORATE~�O ` `1C OR L THE CINCINNATI INSURANCE COMPANY THE CINCINNATI CASUALTY COMPANY 0X10 OX10 -- STATE OF OHIO )SS: COUNTY OF BUTLER ) Vice President On this 27th day of April, 2016 before me came the above-named President or Vice President of The Cincinnati Insurance Company and The Cincinnati Casualty Company, to me personally known to be the officer described herein, and acknowledged that the seals affixed to the preceding instrument are the corporate seals of said Companies and the corporate seals and the signature of the officer were duly affixed and subscribed to said instrument by the authority and direction of said corporations. I, the undersigned Secretary or Assistant Secretary of The Cincinnati Insurance Company and The Cincinnati Casualty Company, hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Power of Attorney is still in full force and effect. Given under my hand and seal of said Companies at Fairfield, Ohio, thisZZv,,A day of �� , 2k-� \\I IBIY , "I .\\ Illy,/1, I SEAL` `,SEAL.= OHIO oxlo Secretary BN -14;7 (5/12) 16.A.5. b Packet Pg. 518 011�F9� �°N\111%Zy ...g,; Mark Huller, A orney at Law •• J� o • Notary Public - State of Ohio • q .� T�F„� My commission has no expiration date. ....................,,,• „ Section 147.03 O.R.C. I, the undersigned Secretary or Assistant Secretary of The Cincinnati Insurance Company and The Cincinnati Casualty Company, hereby certify that the above is the Original Power of Attorney issued by said Companies, and do hereby further certify that the said Power of Attorney is still in full force and effect. Given under my hand and seal of said Companies at Fairfield, Ohio, thisZZv,,A day of �� , 2k-� \\I IBIY , "I .\\ Illy,/1, I SEAL` `,SEAL.= OHIO oxlo Secretary BN -14;7 (5/12) 16.A.5. b Packet Pg. 518 Receipt Number: Transaction Number: Date Paid: Amount Due: Payment Details: Amount Paid: Change / Overage: Contact: FEE DETAILS: Fee Description Utility Performance Refundable Bond Cashier Name: Batch Number: Entered By: Collier County Growth Management Division 2800 Horseshoe Drive N. Naples, FL 34104 239-252-2400 RECEIPT OF PAYMENT 2017389364 2017-012840 03/01/2017 $4,000.00 Payment Method Check $4,000.00 $0.00 Suncoast Credit Union 0 Reference Number PL20160003554 AlinaHarris 6143 melissaalvarez Amount Paid Check Number $4,000.00 107113706 Original Amount GL Account Fee Paid $4,000.00 $4,000.00 670-000000-220113 27, r Q Packet Pg. 519 CERTIFICATION OF CONTRIBUTORY ASSETS - COUNTY PROJECT NAME: LOCATION: NAME AND ADDRESS OF OWNER SUNCOAST CREDIT UNION SECTION 7, TOWNSHIP 49S RANGE 26E SUNCOAST CREDIT UNION 6801 EAST HILLSBOROUGH AVE. TAMPA, FL. 33610 16.A.5.c TYPE OF UTILITY SYSTEM: POTABLE WATER (Material Only) ITEM I SIZE 1QUANTITY1 UNIT I COST ITOTAL SLEEVE AT CONNECTION 8" 1 EA $ 430.00 $ 430.00 GATE VALVE 8" 2 EA $ 1,150.00 $ 2,300.00 GATE VALVE 6" 1 EA $ 980.00 $ 980.00 AUTOMATIC FLUSHING DEVICE 1 EA $ 2,950.00 $ 2,950.00 PVC DR -18 WATER MAIN 8" 142 LF $ 15.50 $ 2,201.00 POTABLE TEE 8" X 6" 1 EA $ 560.00 $ 560.00 POTABLE METER BOX AND SADDLE 1.5" 1 EA $ 780.00 $ 780.00 BACKFLOW 2" 1 EA $ 1,460.00 $ 1,460.00 TOTAL COST $11,661.00 I do hereby certify that the quantities of material described above are a true and accurate representation of the system being contributed to Collier County Utilities, Inc. CERTIFYING: OF: Biuewater of South Florida, Inc. 4350 Arnold Ave, Suite 5 Naples FL. 34104 STATE OF FLORIDA COUNTY OF COLLIER The foregoing instrument was signed and acknowledged before me this _5th day of January, 2017 by who is personally known to me and who didAake an oath. SEAL, Nota ublic Lynn K. Nh* r NOTARY PUBW STATE OF FLORIDA Carww MM19 EWr" 10/7/2019 Packet Pg. 520 CERTIFICATION OF CONTRIBUTORY ASSETS - COUNTY PROJECT NAME; LOCATION: NAME AND ADDRESS OF OWNER TYPE OF UTILITY SYSTEM: SUNCOAST CREDIT UNION SECTION 7, TOWNSHIP 49S RANGE 26E SUNCOAST CREDIT UNION 6801 EAST HILLSBOROUGH AVE. TAMPA, FL. 33610 SANITARY SEWER (Material Only) 16.A.5.c ITEM I SIZE [QUANTITY1 UNIT I COST I TOTAL ZI HOT TAP 4" 1 EA $ 1,740.00 $ 1,740.00 CHECK VALVE W/ VAULT 4" 1 EA $ 1,760.00 $ 1,760.00 PVC DR -18 FORCEMAIN 4" 18 LF $ 13.55 $ 243.90 TOTAL COST $ 3,743.90 1 do hereby certify that the quantities of material described above are a true and accurate representation of the system being contributed to Collier County Utilities, Inc. CERTIFYING: OF: Bluewater of South Florida, Inc. 4350 Arnold Ave, Suite 5 Naples FL. 34104 STATE OF FLORIDA COUNTY OF COLLIER The foregoing instrument was signed and acknowledged before me this _5TH_ day of January, 2017 by who is personally known to me and who did take a oath. .� r✓ SEAL' Notary P161'1 Lym K. NOW NOTARY PUBLIC STATE OF FLORIDA Cantu# FP026319 Bome 1017/2019 Packet Pg. 521