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Owner Affidavit - McDaniel ORIGINAL DOCUMENTS CHECKLIST & ROUTING SLIP 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 doc ents ust e received in the County Attorney Office no later than Monday preceding the Board meeting. nnoo���b� te.„, **NEW** ROUTING SLIP—CORRECTIVE—SECOND ROUTING TO IX LEtA D SCRIPTION* 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 routinglines#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. Ron Tomasko, Assistant County County Attorney lord u Attorney 2. BCC Office Board of County Commissioners 14/1 ii f 12 /2/ZZ 3. Minutes and Records Clerk of Court's Office � rv1�- tali alga 9 : 36 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 Nurth Jacobo,Property Acquisition Agent Phone Number 239-252-7609 Contact/Department Agenda Date Item was November 8,2022 Agenda Item Number Item No. 16C2 Approved by the BCC Type of Document Deed of Utility Easement,Warranty Deed Number of Original 4(1 of each) Attached and Bill of Sale,Owner's Affidavit, Documents Attached Attorney's Affidavit PO number or account Fund 301, Cost Center 120435, GL649030, number if document is Project 70167.6.1 to be recorded 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 signatur STAMP OK N/A 2. Does the document need to be sent to another agency for addition res? If yes, N/A provide the Contact Information(Name;Agency;Address;Phone)on an attached sheet. 3. Original document has been signed/initialed for legality. (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 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 JN 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 JN signature and initials are required. 7. In most cases(some contracts are an exception),the original document and this routing slip N/A 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 time frame or the BCC's actions are nullified. Be aware of your deadlines! 8. The document was approved by the BCC on date stated above and all changes made JN during the 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 Chairman's signature. *Per CAO,acceptable to reroute to correct legal description as a non-material scrivener's error. ANOTE: First set of documents that were routed and signed have not been recorded yet. These new documents are to be recorded instead. (Background document showing error also included). rnl t eaSc etruld A Ca/re/e�f c of/ 1 -0 yal COCJc NV(th PROJECT: Collier County Resource Recovery Business Park Interconnect-Ut+i+t+es Prepared by: Ronald T.Tomasko.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 WILLIAM L. MC DANIEL, JR., who to me is well known, and having been duly sworn and under oath, deposes and states: 1. My name is WILLIAM L. MCDANIEL, JR.. 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 3952 City Gate Blvd N and known as the Sports Complex and Events Center, 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 potable 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. 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. DATED this B day of )400•Cm 6eK- , 2022. ATTEST: BOARD OF COUNTY COMMISSIONERS CRYSTAL.( KiP►IL, Clerk of the COLLIER COU Y, FLORIDA Circuit q�oiJrt and Cp ptroller •� , .ice 61- 101 AP/0 111014 BY: ' + -pur�4 WILL M L. MCDANIEL, JR., Chairman Approv d a 11.91n a d legality Pitytt � � ,C O • .nald T.Tomasko,Assistant County Attorney - CJ �Ub Owner's Affidavit �� ��4 is| A_ P....,- in \ \ s W 382.87' 'NI ------) \D -Iz2 -� )/ \§ \) j/ co m co / t 5 R§ ,z }( } ) \0 ƒ\ m \ \ 0° c0\ >0 m ° j( . § S § \ n) > ` (� ; ; --9 / ,��e o ,,,,��bE\ cn | § IA - \ \/\\/\/\///\/}/)_ § \ m*mmm*§5§5}Q§)§ \ g % CO 1 - cn E - - 2 - . - - - - m § ° ] `stir #a� L.N N +#£ +G 71iS ° ^ o M a § / � \ , #GC j s © § f ~ FT: .. / g.g R I i E 5'5932 5 ,,,. m a !|%\ 2 \§\ j f!|\ �!§; o 1E ` ©�� F \ cn | q > , @&|; | / " B 5Z m e | -i;: ) \ i!; , ToD | | | a m {i §,/¥7.. 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Ronald T.Tomasko,Assistant County Attorney Office of the County Attorney 3329 East Tamiami Trail,Suite 800 Naples, Florida 34112-5749 (239)252-8400 ATTORNEY'S AFFIDAVIT STATE OF FLORIDA COUNTY OF COLLIER BEFORE ME, the undersigned authority, on this - day of f )o. 7/, , 2022, personally appeared RONALD T. TOMASKO, who is to me well known, and having been sworn upon oath, deposes and states: 1. My name is RONALD T. TOMASKO, I am over the age of twenty-one (21) years, am otherwise sui juris, and have personal knowledge of the facts asserted herein. 2. I am a licensed attorney, Florida Bar No.1030999, authorized to practice law in Florida and am currently practicing law in the State of Florida. My business address is Collier County Attorney's Office, 3299 Tamiami Trail East, 8th Floor, Building F, Naples, Florida 34112, and my business telephone number is (239) 252-8400. 3. This Affidavit is given as an inducement to 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 to accept the dedication or conveyance of potable water and wastewater, utility system(s) or portion(s) thereof located within or upon the real property described in the attached Exhibit "A", which is incorporated herein by reference, said land being located in Collier County, Florida. 4. The Affiant has examined record title information to the underlying real property and the utility facilities being conveyed to the County referenced in this affidavit, including but not limited to, information requested from the Florida Secretary of State relative to any Uniform Commercial Code financing statements. Attorney's Affidavit CJQ` 5. The record owner of the underlying real property described herein is COLLIER COUNTY, a political subdivision of the state of Florida (hereinafter "Owner"). The Owner acquired record title to the subject real property by instruments recorded at Official Records Book 5063 at Page 2207, of the Public Records of Collier County, Florida. 6. 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 of record. 7. Affiant further states that the information contained in this Affidavit is true, correct and current as of the date this Affidavit is given. 1 ' FURTHER AFFIANT SAYETH NAUGHT. .1;i41( c-it RONALD T. TOMASKO. Assistant County Attorney, Florida Bar No. 1030999 State of Florida County of Collier Sworn to and subscribed before me by means of J physical presence or L online notarization this Sir, day of nnv#Mher , 2022, by Ronald T. Tomasko. Such person(s) Notary Public must check applicable box: zr are personally known to me. 7 produced her current driver license. ❑ produced as identification. (Notary Seal) Notary Public ,,,t°Ary MADISON BIRD Printed Name of Notary: f 776,�;sD, /3:ttl commissions y�y� Commission Number: NN I4R7l� +�, ExpwsAugtst24,2A25 My Commission Expires: 9/24/2S /44,Of' Sendai nwaeorwen+ + k, .."A<sks./. Attorney's Affidavit w A.HI N . ;�.,, of z;.s5 E E 9 EEI �=���C.;6 E 9g E o0a mz 0a7 mmmmm mmmmmm mmm Ammmm ,mmmmm r r L-1 Z ZZZZ-• ZZZZZ Z ZZ-' ZZZZ -1 ZZZZ r rZu� m D ±0 0 0 0 0 P Z O O O 0 0 0 0 0 V1x 0 0 0 0 N 2 0 0 0 0 Z m m O y OZ mAmmm mmoommmmmmmmo�r mmmmo mmmm 0�7Z `<_ 00 -1i mOA�Dfm*1Z.Zp1A OC OC CCAD,m*1-1Az OCDm1AAO> 00Z N4m Da � � *np � � iczi m�D+ om M� mO mom,,0N �cmp�'J,10<0p O cm00 Oo000 ONNO N IQ' Cm Z( �yoowwo PWwwoo�oo co 0. y��vW,O �1om m 0 1 OD NA-. OO'-` A N W N D?N? 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