Backup Documents 06/23/2009 Item #16B10
ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP
TO ACCOMPANY ALL ORIGINAL DOCUMENTS SENT TO
THE BOARD OF COUNTY COMMISSIONERS OFFICE FOR SIGNATURE
16810
Print on pink paper. Attach to original document. Original documents should be hand delivered to the Board Office. The completed routing slip and original
documents are to be forwarded to the Board Ollice onl y llftl~r the Board has taken action on the item.)
ROUTING SLIP
Complete routing lines # I through #4 as appropriate for additional Signatures, dates, and/or information needed. If the document is already complete with the
exce tion of the Chairman's si nature, draw a line dlfOU h routin lines # I throu #4, com lete the checklist, and forward to Sue Filson line#5 .
Route to Addressee(s) Office Initials Date
(List in routin order
1.
2.
--
3,
*Please scan under Collier Blvd. Project No. 60001 in the BMR Real Property Folder. Thank you.
PRIMARY CONTACT INFORMATION
(The primary conta::t is the holder of the original document pending BCC approval. 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, including Sue Filson. need to cmtact staff for additional or missing
information. All original documents needing the BCC Chairman's signature are to be delivered to the BCC onice only afler the BCC has acted to approve the
item)
4.
Name of Primary Staff Robert Bosch, ROW Coordinator, TECM Phone Number 252-5843
Contact
Agenda Date Item was June 23,2009 Agenda Item Number 16BIO
Approved by the BCC
Type of Document Declaration of Right-of- Way Number of Original One
Attached Documents Attached
5, Sue Filson, Executive Manager
Board of County Commissioners
Yes
(Initial)
N/ A (Not
A licable)
6. Minutes and Records *
Clerk of Court's OffIce
/)
N/A
+
~
~
17
1.
INSTRUCTIONS & CHECKLIST
Initial the Yes column or mark "N/A" in the Not Applicable column, whichever is
a ro riate.
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. This includes signature pages from ordinances,
resolutions, etc. signed by the County Attorney's Office and signature pages from
contracts, agreements, etc. that have been fully executed by all parties except the BCC
Chairman and Clerk to the Board and ossibl State Officials.)
AIJ handwritten strike-through and revisions have been initialed by the County Attorney's
Office and all other arties exce t the Bce Chairman and the Clerk to the Board
The Chairman's signature line date has been entered as the date ofBCC approval of the
document or the final ne otiated contract date whichever is a licable.
"Sign here" tabs are placed on the appropriate pages indicating where the Chainnan' s
si nature and initials are re uired.
In most cases (some contracts are an exception), the original document and this routing slip
should be provided to Sue Filson in the BCC office within 24 hours of BCC approval.
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 our deadlines!
The document was approved by the BCC on June 23, 2009 (enter date) and all
changes made during the meeting have been incorporated in the attached document.
The Count Attorne 's Office has reviewed the chan es, if a licable.
I: Forms! County Forms! BCC Forms! Original Documents Routing Slip WWS Original 9.03.04, Revised 126.05, Revised 224.05
2.
3.
4.
5.
6.
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Co ler County
~~~"''''IJl''''~.~w
Transportation Services Division
ENGINEERING & CONSTRUCTION MANAGEMENT DEPARTMENT
INTEROFFICE MEMORANDUM
TO:
Board Minutes and Records
DATE:
June 23, 2009
FROM:
Robert Bosch, ROW Coordinator - TECM (Tel. 252-5843) ~
SUBJECT: Declaration of Right-of-Way: Collier Blvd. Project No. 60001
Please arrange for the Chairman of the BCC to execute the attached Declaration of Right-of-
Way. Please also request the Clerk of Courts to record this document in the Public Records of
Collier County.
Project No:
Fund / Cost Center:
Object Code:
60001
336-163656
649030
Thank you.
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PROJECT: Collier Blvd. #60001
PARCEL: FPL
FOLIO NO.: 00418560006
DECLARATION OF RIGHT-OF-WAY FOR ROAD, SIDEWALK,
DRAINAGE AND UTILITY FACILITIES
THIS DECLARATION is made this JJ R.C) day of .T vVJE ,2009, by
COLLIER COUNTY, a political subdivision of the State of Florida, whose mailing
address is 3301 East Tamiami Trail, Naples, Florida 34112, hereinafter referred to as
"Declarant."
WHEREAS, Declarant is the owner of certain real property situated in Collier
County, Florida, a portion of which Declarant desires to set aside and reserve in
perpetuity for right-of-way, drainage and utility purposes, said portion being more fully
described as follows and hereinafter referred to as the "Property":
See attached Exhibit "A" which is
incorporated herein by reference.
NOW, THEREFORE, Declarant does hereby set aside and specifically reserve
the Property for construction and maintenance of roadway, sidewalk, bike path,
drainage and utility facilities, including the installation of overhead and/or underground
electrical transmission and distribution facilities, and overhead and/or underground
telephone, fiber-optic and cable television facilities.
THIS DECLARATION may be amended or terminated by an affirmative vote of
the Board of County Commissioners.
IN WITNESS WHEREOF, Declarant has caused this Declaration to be executed
the date and year first written above.
ATTEST: ..
DWIGHTE.'B80CK, Clerk
'~ '.,
BOARD OF COUNTY COMMISSIONERS
COLLIER COUNTY, FLORIDA
//1 d-
.' I
BY: . .""~~ ~
DONNA FIALA, Chairman
Approved as to form
and legal sufficiency:
5l'\~W~
Jennifer B. White
Assistant County Attorney
16B10
lEGAL DESCRIPTION AND SKETCH OF DECLARATION
OF RIGHT-OF-WAY (NOT TO SCALE)
THE EAST FIVE FEET OF THE PROPERTY DESCRIBED IN
WARRANTY DEED RECORDED IN O.R. BOOK 3091, PAGES 2521 -
2523, OF THE PUBLIC RECORDS OF COLLIER COUNTY, FLORIDA
..~
IEXHIBIT A
P8ged>- i of I
COLLIER COUNTY (O.R.
BOOK 3091, PAGE 2521)
DECLARATION OF
RIGHT-OF-WAY
(EAST 5 FT.)
COLLIER COUNTY (O.R.
BOOK 2487, PAGE 3087,
RE-RECORDED IN O.R.
BOOK 2492, PAGE 420)