Owners Affidavit PROJECT: EMS Station#25—Hacienda Lakes-Utilities
Prepared by:
Jennifer A. Belpedio,Assistant County Attorney
Office of the County Attorney
3329 East Tamiami Trail,Suite 800
Naples, Florida 34112-5749
(239)252-8400
OWNER'S AFFIDAVIT
STATE OF FLORIDA
COUNTY OF COLLIER
BEFORE ME, the undersigned authority, personally appeared BURT L. SAUNDERS,
who to me is well known, and having been duly sworn and under oath, deposes and
states:
1. My name is BURT L. SAUNDERS, I am over the age of twenty-one (21) years, am
sui juris, and have personal knowledge of the facts asserted herein.
2. COLLIER COUNTY is the owner of said real property located at 3675 The Lord's
Way, and known as EMS Station #25, and described on Exhibit A, which shows the
location of the subject utility facilities being conveyed.
3. All persons, firms, and corporations, including the general contractor, all laborers,
subcontractors and sub-subcontractors, materialmen and suppliers who have
furnished services, labor or materials according to plans and specifications, or extra
items; used in the construction, installation and/or repair of water and wastewater
utility system(s) or portion(s) thereof on the real estate hereinafter described, have
been paid in full and that such work has been fully completed and unconditionally
accepted by the current owner of such facilities.
4. No claims have been made to the owner, nor is any suit now pending on behalf of
any contractor, subcontractor, sub-subcontractor, supplier, laborer or material-men,
and no chattel mortgages or conditional bills of sale have been given or are now
outstanding as to the subject utility system(s) or portion(s) thereof placed upon or
installed in or on the aforesaid premises.
5. Title to the subject utility system(s) or portion(s) thereof and/or easement(s), if any,
being conveyed to the County is not encumbered by any recorded mortgage,
recorded assignment of rents or profits, by any recorded Uniform Commercial Code
Financing Statement, or by any other recorded document that imposes a security
interest that could negatively affect conveyance of marketable title to the utility
system(s) or portion(s) thereof and/or any easement being conveyed to the County.
6. As and on behalf of the owner of the subject utility system(s) or portion(s) thereof,
does for valuable consideration hereby agree and guarantee, to hold the 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 harmless against any lien, claim or suit by any general contractor,
subcontractor, sub-subcontractor, supplier, mechanic, material-man, or laborer, and
against chattel mortgages, security interests or repair of the subject utility system(s) or
portion(s) thereof by or on behalf of Owner. Affiant is used as singular or plural, as
the context requires. S
Owner's Affidavit
7. The utility system(s) or portion(s) thereof referred to herein are located within the
real property described in the attached Exhibit "A".
FURTHER AFFIANT SAYETH NAUGHT.
A
DATED this L ! day of 2020.
ATTEST: _ BOARD OF COUNTY COMMISSIONERS
CRYSTAL K. KINZEL, Clerk COLLIER COUNTY, FLORIDA
BY:
Attest as to Chairman's ArIVXA*4€°"1*4---
, Deputy Clerk BURT L. SAUNDERS, Chairman
signature only.
Approved as to form and legality:
Jennif A. Belpedio,Assi t t County Attorney (? snap
e
Owner's Affidavit
Exhibit "A"
l
There is an existing 8" PVC gravity sewer that fronts the EMS property
within the existing CUE as recorded in OR Book 5812 Page 2709 of the
Public Records of Collier County, Florida. The proposed conveyed sewer
item is a 6" sanitary lateral that was tapped to the main.
There is an existing 10" PVC water main that runs along the front of the
property within the existing CUE as recorded in OR Book 5812 Page 2709
of the Public Records of Collier County, Florida. The items to be conveyed
include a 6" PVC water main and 6" gate valve that were tapped off the 10"
main to provide fire protection to the EMS station.
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