HomeMy WebLinkAboutReso 2010-1567
RESOLUTION NO. 2010- l Sf" '1
A RESOLUTION OF THE CITY COMMISSION OF THE
CITY OF SUNNY ISLES BEACH, FLORIDA, APPROVING
THE BILL OF SALE FOR THE SANITARY SEWER SYSTEM
IMPROVEMENTS ON ATLANTIC ISLES AS PART OF THE
SUNNY ISLES BEACH CGA PROJECT 05-4893, TO THE
MIAMI-DADE WATER AND SEWER DEPARTMENT, IN
SUBSTANTIALLY THE SAME FORM AS ATTACHED
HERETO AS EXHIBIT "A"; PROVIDING THE CITY
MANAGER AND THE CITY ATTORNEY WITH THE
AUTHORITY TO DO ALL THINGS NECESSARY TO
EFFECTUATE THIS RESOLUTION; PROVIDING FOR AN
EFFECTIVE DATE.
WHEREAS, the City of Sunny Isles Beach has been installing the sanitary sewer system
improvements on Atlantic Isles as part of the Sunny Isles Beach CGA Project 05-4893; and
WHEREAS, Miami-Dade Water and Sewer Department (MDW ASD) has requested that
the City give ownership of the system to the County and they will be responsible for all
maintenance, repair and replacement; and
WHEREAS, it is the wish of this Commission to dedicate the system to the County and
to convey all rights, title, and interest it has in the system located on Atlantic Isles, for an amount
of Ten Dollars ($10.00).
NOW THEREFORE, BE IT RESOLVED BY THE CITY COMMISSION OF THE
CITY OF SUNNY ISLES BEACH, FLORIDA, AS FOLLOWS:
Section 1. Approval of Bill of Sale. Approval for Bill of Sale to Miami-Dade County for the
sanitary sewer system improvements on Atlantic Isles as part of the Sunny Isles Beach CGA
Project 05-4893, for an amount of Ten Dollars ($10.00), in substantially the same form as
attached hereto as Exhibit "A", be, and the same, is hereby approved.
Section 2. Authority of the City Manager and City Attorney. The City Manager and the City
Attorney are hereby authorized to do all things necessary to effectuate this Resolution.
Section 3.
Effective Date. This Resolution shall become effective upon adoption.
PASSED and ADOPTED this 20th day of May 2010.
R20 I 0- Atlantic Isles Sanitary Sewer System Sale to W ASD
Page I of2
ATTEST:
& b bl.~
Jane A. Hines, CMC, City Clerk
Moved by: CoVY\"Y\\~'O~~ R &<i:Z.ltJ
Second by: C'oW\W\\ ~~IQ1U~rc <:;,o'DW\~
VOTE AS FOLLOWS: 3-0- ~
Mayor Ede1cup - (\\os. 4\~
Vice Mayor Thaler
Commissioner Brezin
Commissioner Goodman
Commissioner Scholl-~$-\-~
_(Yes)-(No)
..JL(Y es )_(No)
----1L(Yes)_(No)
l/'(Yes)_(No)
_(Yes)-(No)
R2010- Atlantic Isles Sanitary Sewer System Sale to W ASD
Page 2 of2
FINAL WAIVER AND RELEASE OF LIEN - DEVELOPER
State of Florida
County of Dade
AIL CODIPIEe, ,having been duly sworn, deposes and says as follows,.To wit:
1.1 am Q.4LtL CapjaEC ( COI thailGEa )of CITY OF SUNNY ISLES BEACH, A MUNICIPAL CORPORATION OF THE
STATE OF FLORIDA(hereinafter called'the Developers),with the right to execute this final waiver and release of lien.
2.For the consideration of amount of ten dollars($10.00),the Developer hereby waives and releases all liens,lien rights,claims or demands of every kind whatsoever which the Developer
now has on the construction of certain donated improvements,situated in Miami Dade County,Florida,described as:
All sewer facilities built,constructed and installed to serve SUNNY ISLES BEACH CGA PROJECT 05.4893, DS2009-510, ID#20124 located in section 14-52-42 Miami Dade County,
Florida,as shown on Exhibit"A"attached hereto and made a part hereof as more particularly described on Exhibit"B"attached hereto and made a part hereof,
3.Developer understands that this is a waiver and release of lien which the Developer has against the facilities described herein. Developer acknowledges that is has been paid in full for
all work related to the sewer facilities described above.
4.Payments in full have heretofore been paid by the Developer to all persons,firms and corporations supplying labor,materials,equipment and supplies,used directly or indirectly by the
Developer,or any subcontractor in the prosecution of the work provided on sewer facilities described herein.
5.There are no claims,demands or liens of any kind attributable to any action taken by the Developer in connection with the work described above which would cause,create or constitute a
charge or lien against said Miami-Dade County or the Members of the Board of County Commissioners.
6.The undersigned warrants that no assignment of liens or claims,nor the right to perfect a lien,such as the Notice to Owner provision under Section 713.06(2)(a)of the Florida Statutes,
against improvements described or listed herein,has been or will be made,and that no claims are outstanding by subcontractors and/or vendors to the Developer.
7.The Developer hereby agrees to indemnify and hold harmless Miami-Dade County and its officers,employees,agents and instrumentalities from any and all liability,losses or damages,
including attorneys'fees and costs of defense,which the Miami-Dade County or its officers,employees,agents or instrumentalities may incur as a result of claims,demands,suits,causes of
actions or proceedings of any kind or nature arising out of,relating to or resulting from the performance of work by the Developer or its employees,agents,servants,partners,principals,
contractors or subcontractors.Developer hereby agrees to pay all claims and losses in connection therewith and shall investigate and defend all claims,suits or actions of any kind or nature
in the name of Miami-Dade County,where applicable,including appellate proceedings,and shall pay all costs,judgments,and attorney's fees which may issue thereon.
8.Developer hereby waives and releases all claims of any sort as it may have against Miami-Dade County,at law or equity,arising out of the construction of the above sewer improvements.
CITY OF SUNNY ISLES BEACH, A MUNICIPAL CORPORATION • HE STATE OF FLORIDA
Company Name f
// I.. _ - / 81°14
Signature• •
A
_1 nner a, Raileyel/
Print or Type Name and Title SEAL
STATE OF FLORIDA
COUNTY OF MIAMI-DADS �r M
Th f •egoi • inst ment was acknowledged before me this �� day of 1►' , 20 by as CITY MANAGER and
J :a '1 as CITY CLERK,of CITY OF SUNNY ISLES BEACH, A MUNICIPAL CORPORATION OF THE STATE OF
,_ !i4.he/They are personally known to me or have produced as identification and did/did not take an oath.
i
ir �'' ' ' T,�i` 6 007!0
'• 'RY •UBLIC SERIAL NUMBER
., . • f�1;
PRINT NAME
001,44k. Notary Public State of Plaids
a rlci
Mauo Betancur
My Commission DD666076
Ile or Expires 06/0412013
ID *F: 20124
ABSOLUTE BILL OF SALE
KNOW ALL MEN BY THESE PRESENTS, CITY OF SUNNY ISLES BEACH, A MUNICIPAL CORPORATION OF THE
STATE OF FLORIDA, hereinafter called GRANTOR which term shall include the singular or plural as the
context shall require, for and in consideration of the sum of Ten Dollars ($10.00) and other good
and valuable consideration, paid and delivered by MIAMI-DADE COUNTY, a political subdivision of the
State of Florida, hereinafter called GRANTEE, the receipt whereof is hereby acknowledged, has
granted, bargained, sold, transferred and delivered, and by these presents does grant, bargain, sell,
transfer and deliver unto the GRANTEE, its successors and assigns, the following:
All sewer facilities built and constructed to serve SUNNY ISLES BEACH CGA PROJECT 05-4893, DS2009-510,
ID (# 20124 located in Section 14-52-42 , Miami-Dade County, Florida, as shown on Exhibit "A" attached
hereto and made a part hereof and as more particularly described on Exhibit "B" attached hereto and
made a part hereof.
TO HAVE AND TO HOLD the same unto the GRANTEE, its successors and assigns forever.
GRANTOR does covenant to and with the GRANTEE, its successors and assigns, that GRANTOR is the lawful
owner of the above described; that said property is free from all encumbrances; that GRANTOR has good
right to sell the same aforesaid; that the GRANTOR will warrant and defend the sale of the said property
unto the GRANTEE, its successors and assigns, against the lawful claims and demands of all persons
whomsoever.
IN WITNESS WHEREOF, the GRANTOR has hereunto set its hand and seal this ZIP day of
MI , 20 (0
CITY OF SUNNY ISLES BEACH,A MUNICIPAL CORPORATION OF THE STATE OF FLORIDA
WITNE TH: n
Si:. if anct.sc,„4zo a e Print name
APA / /Arj! laAte•
By �� �( �... BY: / i. A r_
�A,
SI t • • - (SEAL) H '� (SEAL)
.SA.Ie 4. k , CITY CLERK A / IIe V , CITY MANAGER
PRINT NAME P_INT NAME
STATE OF FLORIDA
COUNTY OF MIAMI-DADE
The foregoing instrument was acknowledged before me this l/ day of , 20 /0
by ��k�Ai/z as CITY MANAGER and /lbw , as CITY CLERK, of CITY OF SUNNY
ISLES BEACH. A MUNICIPAL CORPORATION OF TH STATE OF FLORIDA. He/She/They are personally
known to me or have produced as identification and did/did not take an oath.
4D 6562ddy
• ,%,t�TT•7- IC SERIAL NUMBER
008111/0/4.`tE1Y
les-441,440,4* .P T G 0.•;r0
I;•. Wei "
PA Q0.1%
: Sb .Os
Z>;0'
1444.0 /*4-
10 MOO°
l °11UNINIC mu 1 V
/ 1220211.1.2•14
\.7.4.....
/MIAMIDADE CO NTY
�`�,, C. 14-TWN 212-RNG42E
\ / SCAlA.N.T.S.
\\\ / `\
\ /X. \ s NN tot wam
k IIP•I RUM
/
wM.0ca1s
12onelln
A \� ` \ /
/ WIN CIO
♦ •wuMts /\<\\' \\\ - ]5/.22.01610
/� 1MR112lw
/,V
WS KM
` 1 XS.1•2002..1•2002.M 16
IS
• + / WI MI.17171
4e�. \ �QY / leu•n
D \�� • Z
� • � � to•none ass
f / `/ 101n n:H
*.L.... (..,..,,rb.r + q�
/T r `
-d=0 J
-�- - — + x x. x r`^ r M
- + Ex Iu 93_
■`
nn Na t �
leicroa•. oxiNK •----- ' —
twine icro• 10' PVC 8' PVC ..10' PVC `
I_ice`�..--- 1 — - — 1
1 + I It
I
MS 611W k•ACM NNW K WOO K-
MIRI UM 1120 AIM C■w ./.w121R117 04(II a LIMO O11 .1.sW i k0[0
VI MN6C MA NA Nn01 MW V.•6010.1 WI IY 1012•.5—t.
Ux n W t IM k 1012 VI n.1012 k 0/21
5ln MMC M'n
I Iu n IN I w OW!0.111•111 t
b K l 22014 110!111 kIII
SHEET OF 6 SHEETS
I GRAVI SEWER
THIS IS NOT AN ASBUILT
THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE *411
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED N
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE 0
MANHOLE-NEW • PUMP STATION• .
SEWER LATERAL —\ GENERATOR HOUSING III
GATE VALVE/PLUG VALVE-EXISTING >1 GENERATOR G
GATE VALVE/PLUG VALVE-NEW '4 GRAVITY MAIN I FORCE MAIN-ABANDONED ORREMOVED 41/2 1/74/44/.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH. FL
CONTRACTOR: TENEX ENTERPRISES, INC.
DATE: 5/14/2010 I AGREEMENT ID#: 20124 I ER#:DS 2009-510
MIAMI-DADE COUNT.\ N
SE614-TWN 52S-RNG42E
N
\ \ A
SCALE:N.T.S.
\ \ 111•
tet t
\ err.a(
7r 40.114 DM
Wwlr 10447 td M0.(S a ft
)T 414µ1C WO
\
YdH rNp!•I \ td b.r!71
)y Vµ14 lM
W NO if to +
AIM-t•Ile
SD OAK IN 1I ��
III b.e 0 M ] .`
�/ : I
R �I, - 1
z(-- -. -....... ...'".--- 1
- ?VC c
! +
(------'''\. .04•00°,,,,ral 11. .Ir.'''.\
�`r ' l
A1tINTx�'�' 1
MbII•Ilt 10..y,'
NI/AMC 14414
is to is 0 II
d port . a 1.n
n(AMC SS
ire.7311 N
!•
t UM .osow Toe
` u
IN
tel NI e.17 MD
nan
41.444 LM
0 70 W01! •Mt \
114 MNL
N.
N.
SHEET I OF 6 SHEETS
GRAVITY SEWER
THIS IS NOT AN ASBUILT
THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE 1.411
GRAVITY MAIN I FORCE MAIN-NEW CHECK VALVE BURIED
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW • PUMP STATION 0
SEWER LATERAL -,s,. GENERATOR HOUSING III
GATE VALVE/PLUG VALVE-EXISTING I><1 GENERATOR G
GATE VALVE/PLUG VALVE-NEW H GRAVITY MAIN I FORCE.MAIN-ABANDONED OR REMOVED =ff/71i/i-//
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD. CITY OF SUNNY ISLES BEACH. FL
CONTRACTOR: TENEX ENTERPRISES. INC.
DATE: 5/14/2010 I AGREEMENT ID A: 20124 I ER B:DS 2009-510 J
\' \ AM1-DARE COUNTY\ N
SEC. 14-7WN 52S-RNG42
. \ \ w WO
•atu wao
\ 81.4w¢x�tl
s\ \
\ \ t .
114-7 4.135A
\ 301 4tf3
tot w st.u SOLE:N.T. le
\
\\` Auld AAA.•r twr\
30/uwrc 11141
\
tar m.uas,
\ mswa xocyx �
\
311 MD M ON
lot MD 9 aJ � .J ,
V
`� ` 8 el
KM 1 AM 1135E
AMA SINTAN \
)"awn;aro to fn H a 5f ;14!f
w ma so a s i \ s 1
NM w /.
irls•11C AM Ai 33 AN MEM•451/111/53(3
$ .'Y.;->,A
/�� Y�1
../1,-;"3 \
y
:1 "0" / 6. Rw.Yl�n1a R'/■1 nW ii 1 —� t tc.r�aC 113*urgrtnaaf PO \
` �.�.V
11 1 ta5nuaoan
MOM UMW 1
I AR Nta a+MAIM \
)w.n..4c fta \
1 In IIoY
31.1310111111113 A a r4 n n VOA li
*
t
SP*AWE A
1
II
NM 1
1
1.1A .
1
\ SHEET 2 OF 6 SHEETS
GRAVITY SEWER
\ \ THIS IS NOT AN ASBUILT
THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE H II
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED N
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW • PUMP STATION 0
SEWER LATERAL -....... GENERATOR HOUSING UZI
GATE VALVE/PLUG VALVE-EXISTING 1><I GENERATOR G
GATE VALVE/PLUG VALVE-NEW H GRAVITY MAIN I FORCE MAIN•ABANDONED OR REMOVED 'Sff// A/
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD. CITY OF SUNNY ISLES BEACH, FL
CONTRACTOR: TENEX ENTERPRISES, INC.
DATE: 5/14/2010 I AGREEMENT ID#: 20124 I ER#:DS 2009-510
i
GI N
MIAMI-DADE COUNTY
SEC. 14-TWN 52S-RNG42E
SCALE:N.T.S.
I
/
/ / / i
/
/
/
/ / I
/Yi1 1s I IC"'41141:N7 WY[!1[S
YM MAY
LP M1 11 I h 77I~X Mu
Y lKY4i7-342
Y raj YN MU-{1St YIM/D gift
ul MI./1•7} 7 5 7 aVIIfC Y N 1.3 6 3
]N OWNS Yq
/1IY• 'Y tot 16 It I vt d» LOT NO N I IS a IS
J7Y 1M1MIR
_ J sal IS It aSS
1
....Li.
4111111611ft.all""IIIP:lkris .."-".......... " I ) Easliallik
•*kV I Y;y7. _'Ste:* eitit
■■■ . -7-->
\�\ 1 _____:1 --'1
1M I YAp
»
seam s cilia,a 3321(1 m >H t
]Y 3* •p 1135X1111w W w Iis r
110 ul r 1Y♦117 7Y 1M7C•O
"%WM'
YMY[iYY I 1 A a MI.III f MI
WI MI I"IY ,Y Y n 1 nj 11
I SHEET 5 F 6 SHEETS
GRAVITY SEWER
\ ' THIS IS NOT AN ASBUILT
THIS IS NpT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE 8 VALVE 0411
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE 0 6)
MANHOLE-NEW le PUMP STATION
SEWER LATERAL -, GENERATOR HOUSING
GATE VALVE/PLUG VALVE-EXISTING IX GENERATOR C
GATE VALVE/PLUG VALVE-NEW H GRAVITY MAIN I FORCE MAIN•ABANDONED OR REMOVED 1/21/2471/24/.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CCA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH, FL
CONTRACTOR: TENEX ENTERPRISES, INC.
DATE: 5/14/2010 I AGREEMENT ID Si: 20124 I ERA:DS 2009-510 J
N
MIAMI-DADE COUNTY
SEC. 14TWN 52S-RNG42E
SCALE:N.T.S.
M
\ \ \ \
\ \ \ \
maid n
wau once Wed.,'WOK ml AVOW wn
111 ln+art P. Wr n. a t
•
WI r.3 l 1 WIIw]l•
YRmI 110W
11S WNW MO
WI n l It
to mM CS t
Wittfa mantq•O R .
.��` ..� �. mug ••
EX VA W.
. .-�'. —r ( '- —j-----<
.� A 1 i 1 JCR WS
�-�'; `i j – — \ X AMC wN
i� I 1 Ian i»a di et mtw
1 i
1 �— I WNW WO
I
It14 app mI IW w l W
\ I
Ian Is a w l IV a IA SHEET 6 OF 6 SHEETS 1
GRAVITY SEWER
IL I THIS IS NOT AN ASBUILT
count aw THIS IS NOT A SURVEY
1m a 1n a Im I
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE N II
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED N
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW 0 PUMP STATION 0
SEWER LATERAL ---S. GENERATOR HOUSING ED
GENERATOR
GATE VALVE/PLUG VALVE-EXISTING I><1
GATE VALVE I PLUG VALVE-NEW H GRAVITY MAIN/FORCEMNN-ABANDONED OR REMOVED 1/21/2/79W.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH, FL
CONTRACTOR: TENEX ENTERPRISES. INC.
DATE: 5/14/2010 I AGREEMENT ID#: 20124
ER#:DS 2009-510 J
I
/ / MIAMI-DADE COUNTY N
/ SEC.14—TWN 52S-RNG42E
uc a17m
1 tat Y l 171111 /
7U dale OVS
Lot b 71171
/ SC E:N.T.S.
/ K1g1 au /
177 tON 00 /
a1 IO.L1:1 /
�„/ lW a IMO /
717 Mat GUS /
O / la p77•T Z,NUM
\, 7a1 MNIH eas
/^V, Wa271N /.o Ma Ma1IYII
MMItl O41 1161x7
. ' ,4"\ p/4
VI MONK H6 .1111lav /
t01.423•ft It Cala OM
PI MA.SIM
- '.1,\ J • LV 10110.71}N
/ Z 10
1 ` IN WA
G..mr:w -wK In 4 1 ` / IN W.II
_________t 0.111 0 . J �� 1 I•
iIwM�,X 'O aJ L
6- 0 CTI_ IRON 'P `�h
e • 11 .
gnu, x[19. - a '-�TI IRON `IP .^`�
,177/NM MAX .+....
y / •
411i111
.."......_
1/ %
0ir
1 Ma fit- arse.c- a)N.c
y-»aM I IL I% O.MKNM 1 NQ 11 M71YI s UMW!M
»a11IKt rM JI Ma I MGM 7'10 074111 rN Nt SUM rN
77c HUM NM
\WI p'�•• WI n 111 a I I I a III 101 10.Ill a IN•ny IC b 111•Ill a Mw r7MU a MPG
la+1wt La
LIP Y 14 a lit
\ SHEET I OF SHEETS
\ LIFT STATION AND FORCEMAIN
THIS IS NOT AN ASBUILT
I 1 I I THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE N II
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW • PUMP STATION 0
SEWER LATERAL GENERATOR HOUSING
GATE VALVE/PLUG VALVE-EXISTING r>41 GENERATOR 0
GATE VALVE/PLUG VALVE-NEW H GRAVITY MAIN IFORCE MAIN-ABAM)ON€O OR REMOVED 1/27/7Wf/.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH. FL
CONTRACTOR: TENEX ENTERPRISES, INC.
DATE: 5/14/2010 I AGREEMENT ID#: 20124 I ERR:OS 2009-510 J
1
((-..._ ) MIAMI-DADS COUNTY -1\1-----SEC.14-TWN 52S-RNG42E
1 A.....
SCALE:N.T.S.
I
/ / / i \
/ 117:JI t 7.t
/ 77 Y74 7 i
01 r •I
1a3(M 3•174
717 33074 it
tars•vo4II•1740
1 110•••41-0 111M•O Y7Y //IMO 17501[1017447 l•Wm PAW
7n 711117 it 171 t it
' W r 11 1 K
7h Of 11lal% '
r�
Sir
1171 ,,�
Aw • ty 0- 'w,% `
COI a va 1
a7� 1■
�.- —� _
- X1.71 , P I� 1..T VA
�� A+_�
•
I ��,.„� I I .at a aster Ma
7
T
I 1 \'',.. I 47 7774 lt.
I .."/ Iitlwc'RN
ta•[a s 31
•a0(OIM IA) It
tx 7•t+nc it
., �Kr 747r v1a IN
SHEET 2 OF 4 SHEETS
LIFT1 STATION AND FORCEAIAIN
THIS IS NOT AN ASBUILT
I \ THIS IS NOT A SURVEY
1
LEGEND
GRAVITY MAIN I FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE H II
VALVE BURIED N
GRAVITY MAIN/FORCE MAIN-NEW O CHECK VALVE IN MANHOLE
MANHOLE-NEW WTING
MANHOLE-NX • PUMP STATION 0
SEWER LATERAL "--N. GENERATOR HOUSING O CO
GATE VALVE/PLUG VALVE-EXISTING XI GENERATOR 0
GATE VALVE/PLUG VALVE-NEW H GRAVITY AWN I FORCE MAIN-ABANDONED ORREMOVED tf 171i5'�ff.
SEWER FACILITIES EXHIBIT "X' OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH, FL
CONTRACTOR: TENEX ENTERPRISES, INC. I ERR:DS 2009-510
DATE: 5/14/2010 I AGREEMENT ID#: 20124
•
MIAMI—DADE COUNTY N
SEC.14-TWN 52S-RNG42E
i ..-
kai
I I 1
\ SCALE:N.T.S.
I
\ \ \
\ \ \
Ws/MIIIR tr.MICH•
7I1 al.WC M A!AMUR MO MI AN=1'10 /� --
ICI MOf If
101110.)•■ 1.41.I l I /"---
1
\
0
R i /,....------•t,
TILE IRON PIP rip -.704FAMIN
............444 � OUf --------
AnAloc N.W. ""..,,.r''''
\ i I — vN
R/W 03 ../.,.T.----'".
Jal rs
WIWI III♦IYl all 1.*
p{w 91pn
IN me K
mrlvlW I
, MI
))
I SHEET 3 OF 4 SHEETS
\ \ LIFT STATION AND FORCEMAIN
I THIS IS NOT AN ASBUILT
THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE N))
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED N
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW 0 PUMP STATION
SEWER LATERAL ^N GENERATOR HOUSING 0 ED
GATE VALVE/PLUG VALVE•EXISTING
GENERATOR G
GATE VALVE/PLUG VALVE-NEW N GRAVITY MAIN I FORCE MAN-ABANDOIEDORREMOVED 1/21/2{744fr
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH. FL
CONTRACTOR: TENEX ENTERPRISES. INC. `
DATE: 5/14/2010 I AGREEMENT ID#: 20124 ( ER#:DS 2009-510
I 1 MIAMI-DADE COUNTY N
SEC.14-TWN 52S-RNG42E
U
'� f''
Ak
IRw7K A[✓Q I
4\ i_�ii
�V\ 1 SCALE N.T.S.
11 z
it
o ;I.
r
L
3
r
_ -r-• I
It
ii
CENTERLINE OF
'.1 I COLUNS AVENUE
T'
9
I .! I
i
! 3
1
,% a o i
,�
r ' !
I SI
a
e
I ,. i
! j
7.1
I \11 1 !
1
•—Ili -•-:;..2141.- _S C' a
:1 i a
I I I
Po..e Iwl 11' 1
•1M° 95001•11 �� _ . SHEET 4 OF 4 SHEETS
{
LIFT STATION AND FORCEMAIN
THIS IS NOT AN ASBUILT
I a ;I
I II THIS IS NOT A SURVEY
r
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE 8 VALVE H II
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW • PUMP STATION 0
SEWER LATERAL ---s4 GENERATOR HOUSING Z
GATE VALVE/PLUG VALVE-EXISTING DQ GENERATOR G
GATE VALVE/PLUG VALVE-NEW H GRAVITY WIN(FORCE MAP(.ABAND NE0OR REMOVED ff/717S941.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD. CITY OF SUNNY ISLES BEACH, FL
CONTRACTOR: TENEX ENTERPRISES. INC.
DATE: 5/14/2010 1 AGREEMENT ID#: 20124 I ER#:OS 2009-510
I
0.0 WSW/ / N
/ W, 118
IS 111 1..•M
/MIAMI-DADE CO NTY.., /�'!�` .. SEC. 14-TWN 2S-RNG42E
/ SCAL0 N.T.S.
X. TR u1 00 /
\ f wta Ott
\ w1 0 A 11
� WM IO aCs
• .``� m*MAC as
t
/
\ 8\ N ra W.y,■
IMILZ MAW eats
�\. + / / SW m 77*71„/ ,DA` \ ,\ ,. Z 1Sa AMaC 1077
4f • \ \ � [G■L hau
+ *4t :::'''' L'''i
+4 r� ♦'
r ,-, B+
r
!---- 7
-moo J
` + x.—x. x 7 ilw
+ EX
��t 8" �C
ws �„c — n w>rt aw. 10' PVC r
10" PVC • / 1
I
.- + -
I
MN.9(0U R•ADM s7OSS K NM K
Yll WW1 *3 00000 100 rh asn.1 W M NOro r. q.M77[� M�
Si MOM•'0 tY YWCW 0/0 MO 1C,WMn 7L OAK tr
lie w m I Isl I wt
MI It 101 q1 la s0.Ill s 111 1
t111 MI■x1 wt U:lie 0 I11•i11
0o SHEET OF 6 SHEETS
I GRAVI SEWER
THIS IS NOT AN ASBUILT
THIS IS NOT A SURVEY
LEGEND
GRAVITY MAIN/FORCE MAIN-EXISTING TAPPING SLEEVE&VALVE Nil
GRAVITY MAIN/FORCE MAIN-NEW CHECK VALVE BURIED N
MANHOLE-EXISTING 0 CHECK VALVE IN MANHOLE
MANHOLE-NEW • PUMP STATION 0
SEWER LATERAL —„.. GENERATOR HOUSING Ell
GATE VALVE/PLUG VALVE-EXISTING 1><1 GENERATOR 0
GATE VALVE/PLUG VALVE-NEW H GRAVITY MAINI FORCE MAIN-ABANDONED ORREMOVED 41/21/7444/.
SEWER FACILITIES EXHIBIT "A" OF ABSOLUTE BILL OF SALE
PROJECT NAME: SUNNY ISLES BEACH CGA PROJECT 05-4893
PROJECT LOCATION: ATLANTIC BOULEVARD, CITY OF SUNNY ISLES BEACH. FL
CONTRACTOR: TENEX ENTERPRISES, INC.
DATE: 5/14/2010 AGREEMENT ID#: 20124 1 ER#:DS 2009-510 J
..
•
rR( 61
MIAMND►ADE MIAMI DADE WATER & SEWER DEPARTMENT
COUNTY DONATION INSPECTION UNIT
7ilrrer;-rG'.,s tAt ,)- Bill of Materials
:J
Date: 5/18/2010 Inspector: Frank Munoz/Henry Cuik
Project Name: SUNNY ISLES BEACH CGA PROJECT 05-4893 Contractor: Tenex Enterprises,Inc.
Location: Atlantic Boulevard, Sunny Isles Beach, FL Phone#: 954-788-8100
Water ER#: N/A Sewer ER#: DS 2009-510
Water Bill Of Materials Sewer Bill Of Materials
N/A " DIP E 1,490 6 " DIP El
DIP ❑ DIP n
DIP ❑ DIP ❑
" PVC ❑ 2,406 8 " PVC Ell
" PVC ❑ 274 10 " PVC El
Fire Hydrant Assemblies ❑ 31 12 " PVC C
Single Services ❑ "VCP ❑
Double Services El_
2" Services ❑ ❑
4" Services ❑ 1,678 6" Sewer Lateral
" Turbo Meter Services ❑ 8" Sewer Lateral ❑
"Fire Lines ❑ 1 Pump Station El
"Fire Lines ❑ 70 G.P.M. Design Cap Ell
*Valves(List in Comments) 0 23 Man Holes El
New WASD Easement Shown n New WASD Easement Shown❑
Easement Legal Description ❑ Easement Legal Description ❑
State Plane Coordinates ❑ Yes State Plane Coordinates El
B. 0. S. Sketch Yes B. O. S. Sketch H
Comments: No Generator I I
No Generator Housing ❑
KV Generator Size n
* Valves in the Water Main only(Not the Services)
The above Material List is correct to the best of my knowledge.
FINAL WAIVER AND RELEASE OF LIEN. CONTRACTOR
State of
County of
, having been duly sworn,
deposes and says as follows,. To wit:
1. I am
(position held) of
(hereinafter called 'the Contractor'), with the right to execute this
final waiver and release of lien.
2. For the consideration of amount of ten dollars ($10.00), the Contractor has agreed to hereby waive, release, and quit claim all
liens, lien rights, claims or demands of every kind whatsoever which the Contractor now has or may hereinafter have against
or as a result of the construction of certain donated improvements, situated in Miami Dade County, Florida, described as:
All water and sewer facilities buill, constructed and installed to serve
, located in section
, Miami Dade County, Florida, as shown on Exhibit "A" attached
hereto and made a part hereof as more particularly described on Exhibit liB" attached hereto and made a part
hereof.
3 II being the understanding of the Contractor that this is a waiver and release of lien which the Contractor has against the
facilities described herein. Contractor acknowledges that is has been paid in full for all work related to the water and sewer
facilities described above.
4. Payments in full have heretofore been paid by the Contractor to all persons, firms and corporations supplying labor, materials,
equipment and supplies, used directly or indirectly by the Contractor, or any subcontractor in the prosecution of the work
provided on water and sewer facilities described herein,
5. There are no claims, demands or liens of any kind attributable to any action taken by the Contractor in connection with the
work described above which would cause, create or constitute a charge or lien against said Miami-Dade County or the
Members of the Board of County Commissioners.
6. The undersigned warrants that no assignment of liens or claims, nor the right to perfect a lien, such as the Notice to Owner
provision under Section 713,06 (2)(a) of the Florida Statutes, against improvements described or listed herein, has been or will
be made, and that no claims are outstanding by subcontractors and/or vendors to the Contractor.
7. The Contractor hereby agrees to indemnify and hold harmless Miami-Dade County and its officers, employees, agents and
instrumentalities from any and all liability, losses or damages, including attorneys' fees and costs of defense, which the Miami-
Dade County or its officers, employees, agents or instrumentalities may incur as a result of claims, demands, suits, causes of
actions or proceedings of any kind or nature arising out of, relating to or resulting from the performance of work by the
Contractor or its employees, agents, servants, partners, principals, contractors or subcontractors, Contractor hereby agrees to
pay all claims and losses in connection therewith and shall investigate and defend all claims, suits or actions of any kind or
nature in the name of Miami-Dade County, where applicable, including appellate proceedings, and shall pay all costs,
judgments, and attomey's fees which may issue thereon.
8. Contractor hereby waives and releases all claims of any sort as it may have against Miami-Dade County, at law or equity,
arising out of the construction of the above water and sewer improvements.
Company Name
Signature of Officer
Print or Type Name and Title
SEAL
STATE OF FLORIDA
COUNTY OF DADE
The foregoing instrument was acknowledged before me this
of ,200_, by
who is personally known to me or who has produced
identification and who did (did not) take an oath.
day
Signature of Notary Public
MAINTENANCE BOND
KNOW ALL MEN BY THESE PRESENTS, that
as Principal (s) (hereinafter called PRINCIPAL),
and
corporation with its principal place of business
_a
in
as Surety (hereinafter called SURETY) are held and firmly bound unto Miami-Dade
County, a political subdivision of the State of Florida, (hereinafter called OBLIGEE), in
the full and just sum of Dollars
($ ), to the payment of which, well and truly to be made, the
PRINCIPAL and SURETY hereby bind themselves, their successors and assigns, jointly
and severally, firmly by these presents.
WHEREAS, the Obligee and
NOW, THEREFORE, THE CONDITION OF THIS OBLIGATION IS SUCH that
shall in all
respects promptly and faithfully perform and comply with the terms and conditions of
said Agreement relative to the representations and warranties as to the condition of the
materials and workmanship and shall further indemnify and hold harmless said
OBLIGEE from and against all expenses incurred in the replacement of any inferior
materials or faulty workmanship contained in the aforementioned facilities for a _
year period commencing on the
day of
then
this obligation shall be voided, otherwise to remain in full force and effect.
IN WITNESS WHEREOF, Principal has caused this instrument to be executed by
its officials, duly authorized, this
day of
PRINCIPAL
(Corporate Name)
ATTEST:
By:
By:
President
Secretary
SURETY
(Corporate Name)
By: By:
(Signature of Resident Florida Agent)
Title:
POWER OF ATTORNEY FOR RESIDENT FLORIDA AGENT MUST BE ATTACHED.
Tax Folio Number:
Agmt 10:
GRANT OF AUTHORITY
The NAME OF DEPARTMENT Department, by and through its duly undersigned
Director, hereby grants to the Miami-Dade Water and Sewer Department, its successors
and assigns, forever, the right, privilege and easement to construct. reconstruct, lay,
install, operate, maintain, relocate, repair, replace, improve, remove and inspect water
transmission and distribution facilities and all appurtenances thereto, and/or sewage
transmission and collection facilities and all appurtenant equipment, with full non-
exclusive right of ingress thereto and egress therefrom on the property owned by Miami-
Dade County and managed by the NAME OF DEPARTMENT AGAIN Department.
described as follows, to wit:
See Exhibit "A" attached
The NAME OF DEPT. AGAIN Department hereby fully warrants that the County has
good title to the above described property and that the NAME OF DEPT.AGAIN Director
has full power and authority to grant this authority. Notwithstanding the foregoing, nothing
shall prohibit the NAME OF DEPT. AGAIN Director from allowing another entity, or from
having the NAME OF DEPT. AGAIN Department itself, construct or reconstruct
equipment within the property described in Exhibit "A" subject to the Miami-Dade Water
and Sewer Department's approval. which may not be unreasonably withheld. ReservedlorClrcuACourt
NAME OF DEPT. AGAIN DEPARTMENT
By:
NAME OF DEPT. AGAIN Director
STATE OF FLORIDA
COUNTY OF DADE
,20 by
as Secretary, of
as
The foregoing instrument was acknowledged before me this _ day of
, as President and
on behalf of the corporation. He/Sheffhey are personally known to me or have produced
identification and did/did not take an oath.
SERIAL NUMBER
NOTARY PUBLIC
PRINT NAME
This instrument prepared by
Roberto Zabaro, New Business Manager
Miami-Dade Water and Sewer Department
3575 S. LeJeune Road
Miami, Florida 33233-0316
EXHIBIT "A"
LEGAL DESCRIPTION
Tax Folio Number:
Agmt 10:
GRANT OF EASEMENT
THIS INDENTURE, made this _ day of , 2008,
between, whose mailing address is, hereinafter called GRANTOR, and MIAMI-DADE
COUNTY, a political subdivision of the State of Florida, whose mailing address is: c/o
Miami-Dade Water and Sewer Department, P.O. Box 330316, Miami, Florida 33233-
0316, hereinafter called GRANTEE:
W!I.t:!s~~sI!:!
THAT. the GRANTOR, for and in consideration of the sum of TEN DOLLARS ($10.00)
and other good and valuable considerations, the receipt of which is hereby acknowledged
by the GRANTOR, has granted and does hereby grant, to the GRANTEE, its successors
and assigns, forever, the right, privilege and easement to construct, reconstruct, lay,
install, operate, maintain, relocate, repair, replace, improve, remove and inspect water
transmission and distribution facilities and all appurtenances thereto, including but not
limited to fire hydrants, and/or sewage transmission and collection facilities and all
appurtenant equipment, including the right to remove or demolish, with no obligation to
repair or replace same, any obstructions including pavers as may be necessary to carry
out any right granted herein, and with full right of ingress thereto and egress there from on
the property of the GRANTOR described as follows, to wit:
Re5eI'Ved for Clrtult Court
See Exhibit "A" attached
THE GRANTOR does hereby fully warrant that it has good title to the above-described property and that it has full power and
authority to grant this easement.
IN WITNESS WHEREOF, the GRANTOR by its proper officials has hereunto set its hands and seals the year and day first above written.
WITNESSETH:
Signature
Print name
Signature
Print name
By:
By:
Signature
(SEAL)
Signature
(SEAL)
, Secretary
, President
Print name
Print name
STATE OF FLORIDA
COUNTY OF DADE
The foregoing instrument was acknowledged before me this _ day
, as President and
personally known to me or havelhaven't has/hasn't produced
oath.
of . 2008 by
, as Secretary, of . He/ShelThey is/are
as identification and did/did not take an
SERIAL NUMBER
NOTARY PUBLIC
PRINT NAME
This instrument prepared by
New Business Office
Miami-Dade Water and Sewer Department
3575 S. Lejeune Road
Miami. Florida 33233-0316
Tax Folio Number:
Agmt 10:
OW#:
05#:
WARRANTY DEED
THIS WARRANTY DEED made and executed the _ day of
, A.D. 20_, by OWNER NAME and having its principal
place of business at: OWNER MAILING ADDRESS, hereinafter called GRANTOR to
Miami- Dade County, a Political Subdivision of the State of Florida, whose post office
address is: clo Miami-Dade Water and Sewer Department, P.O. Box 330316, Miami,
Florida 33233-0316, hereinafter called the GRANTEE:
WITNESSETH: That the GRANTOR, for and in consideration of the sum of Ten
Dollars ($10.00) and other valuable considerations, receipt whereof is hereby
acknowledged, by these presents does grant. bargain. sell, alien, remise, release, convey
and confirm unto the GRANTEE, all that certain land situated in Dade County, Florida
legally described as:
See Exhibit "A" attached hereto
TOGETHER with all the tenements, hereditaments and appurtenances thereto
belonging or in anywise appertaining.
Reserved tor Circuit Court
TO HAVE AND TO HOLD, the same in fee simple forever.
AND the GRANTOR hereby covenants with said GRANTEE that it is lawfully seized of land in fee simple; that it has good right and
lawful authority to sell and convey said land; that it hereby fully warrants the title to said land and will defend the same against the lawful
claims of all persons whomsoever; and that said land is free of all encumbrances
IN WITNESS WHEREOF, the GRANTOR caused these presents to be executed in its name, and its corporate seal to be hereunto affixed, by
its proper officers thereunto duly authorized, the day and year first above written.
WITNESSETH:
Signature
DEVELOPER NAME AGAIN (IN CAPS), ENTITY
AGAIN(FLORIDA CORPORATION? OR OTHER?)
Print name
Signature
Print name
By:
By:
Signature
(SEAL)
Signature
(SEAL)
. Secretary
, President
Print name
Print name
STATE OF FLORIDA
COUNTY OF DADE
,20 by
as Secretary, of
as
The foregoing instrument was acknowledged before me this _ day of
, as President and
on behalf of the corporation. He/ShefThey are personally known to me or have produced
identification and did/did not take an oath.
SERIAL NUMBER
NOTARY PUBLIC
PRINT NAME
AGMT lOll
WARRANTY
This Warranty hereby made and entered into this day of
20 by , , whose mailing address is: ", who does
hereby warrant to MIAMI-DADE COUNTY ("COUNTY") and the MIAMI-DADE WATER AND
SEWER DEPARTMENT ("DEPARTMENT") the property described below to be free from
defects in materials and workmanship for a period of one (1) year from the
date hereof:
All facilities built and constructed to serve, ID#
located in Section Miami-Dade County, Florida, as
shown on Exhibit " A" attached hereto and made a part
hereof and as more particularly described on Exhibit
"B" attached hereto and made a part hereof.
The undersigned shall at no cost to the COUNTY and DEPARTMENT, repair,
replace or otherwise remedy such defects to the full and complete
satisfaction of the COUNTY and the DEPARTMENT.
IN WITNESS WHEREOF,
duly authorized officers
written.
the undersigned has executed this warranty by its
or representatives on the day and year above
WITNESSETH:
SIGNATURE
By:
, President
PRINT NAME
PRINT NAME
SIGNATURE
PRINT NAME
"NOTE: The opinion must cover the time period to within 30 days prior to submittal of signed water and sewer
agreements or an assignment. FOR WARRANTY DEEDS, EASEMENTS, COVENANTS AND UNITIES
OF TITLE, THE OPINION MUST COVER THE TIME PERIOD THROUGH THE DATE OF EXECUTION
OF THE DEED, EASEMENT, COVENANT OR UNITY.
If the property owner is a N.v. corporation, the opinion must state that the person signing the agreement or legal
document has the legal power and authority to sign on behalf of and bind tl1e ccrpora!ion.
MIAMI-DADE COUNTY
MIAMI-DADE WATER AND SEWER DEPARTMENT
OPINION OF TITLE
TO: MIAMI DADE COUNTY, a political subdivision of the state of Florida.
With the understanding that this opinion of tille is furnished to MIAMI DADE COUNTY, FLORIDA, as an inducement
for execution of an agreement covering the real property hereinafter described or for acceptance of a warranty
deed, easement, covenant or unity of tille, as applicable, it is hereby certified that I (we) have examined the complete
Abstract of Title or Title Policy Number
. issued by
dated
, and the following:
covering the period from the BEGINNING to
inclusive, of the following described real property:
( Legal description as it appears in agreement or legal document)
A.D. 20 _, at
Basing my (our) opinion on said complete abstract or title policy covering said period I (we) am (are) of the opinion
that on the last mentioned date the fee simple title to the above described real property was vested in:
Subject to the following liens, encumbrances, and other exceptions:
GENERAL EXCEPTIONS
1. All taxes for the year in which this opinion is rendered, unless noted below that such taxes have been paid.
2. Rights of persons other than the above owners who are in possesion.
3. Facts that would be disclosed upon accurate survey.
4. Any unrecorded labor, mechanics' or materialmens' liens.
5. Zoning and other restrictions imposed by governmental authority.
SPECIAL EXCEPTIONS
None of the exceptions listed above will restrict the use of the property for the purposes set forth in the water and
sewer agreement, assignment, warranty deed, easement, covenant and unity of title, as applicable.
I, the undersigned, further certify that I' am an attorney-at-law duly admitted to practice law in the state of Florida, and am
a member in good standing of the Florida Bar.
Respectfully submitted this
day of
,20_.
PRINTED NAME
SIGNATURE
PHONE NUMBER
ADDRESS
TRANSFER OF WATER AND SEWER FACILITIES
MIAMI-DADE COUNTY, hereby transfers the following water and sewer facilities
to the Miami-Dade Water and Sewer Department for operation, use maintenance and
repairs and replacement. Said facilities are described as follows:
All water and sewer facilities built and constructed to serve
Project Name, WB, SB, DW or OS number,located in
Section Section number, Miami-Dade County, Florida, as
shown on Exhibit "A" attached Hereto and made part hereof.
IN WITNESSETH WHEREOF, Miami-Dade County has hereunto set its hand
and seal this day of I 19
Signed, sealed and delivered in the presence of:
(please sign and type or print name)
WITNESSETH:
Name of Department
signature
print name
By:
signature
print name
STATE OF FLORIDA
COUNTY OF MIAMI DADE
The foregoing instrument was acknowledged before me this
day of ,19 , by , who is personally known to me
or has produced as identification. He/she did/did not take as oath.
SERIAL NUMBER
NOTARY PUBLIC
PRINT NAME
This instrument was prepared by
New Business Miami-Dade Water and Sewer Department
3575 So. Lejeune Rd.
Miami, Florida 33146-2221
Form W.9
(Rev. December 1996)
Department of the Treasury
Internal Revenue Service
Name (If a Joint account or yoo changed your name. see Specific Instructions on page 2.)
Request for Taxpayer
Identification Number and Certification
Give form to the
requester. Do NOT
send to the IRS.
Q)
Q..
'?:'
..
o
..
c
.;:
Q..
Q)
en
..
Q)
a::
Business name. if different from above. (See Specific Instructions on page 2.)
o Partnership
Check appropriate box: 0 IndividuaVSole proprietor 0 Corporation
Address (number. street. and apt. or suite no.)
City. state, and ZIP code
Tax a er Identification Number (TIN)
Enter your TIN in the appropriate box. For
individuals. this is your social security number
(SSN). However, if you are a resident alien OR a
sole proprietor, see the instructions on page 2.
For other entities. it is your employer
identification number (EIN). IF you do not have a
number. see How To Get a TIN on page 2.
Note: If the account is in more than one name,
see the chart on page 2 for guidelines on whose
number to enter.
Certification
o Other" ......................................
Requester's name and address (optionaQ
List account number(s) here (optionaQ
For Payees Exempt From Backup
Withholding (See the instructions
on page 2.)
Under penalties of perjury, I certify that:
1. The number shown on this form is my correct taxpayer identification number (or I am waiting for a number to be issued to me), and
Z. I am not subject to backup withholding because: (a) I am exempt from backup withholding. or (b) I have not been notified by the Internal
Revenue Service (IRS) that I am subject to backup withholding as a result of a failure to report all interest or dividends, or Ie) the IRS has
notified me that I am no longer subject to backup withholding.
Certification Instructions.-You must cross out item Z above if you have been notified by the IRS that you are currently subject to backup
withholding because you have failed to report all interest and dividends on your tax return. For real estate transactions, item 2 does not apply.
For mortgage interest paid, acquisition or abandonment of secured property, cancellation of debt. contributions to an individual retirement
arrangement (IRA), and generally. payments other than interest and dividends. you are not required to sign the Certification, but you must
provide your correct TIN. (See the instructions on page 2.)
Sign I
Here Signature ~
Purpose of Form.-A person who is
required to file an information return with
the IRS must get your correct taxpayer
identification number (TIN) to report. for
example. income paid to you, real estate
transactions, mortgage interest you paid,
acquisition or abandonment of secured
property, cancellation of debt. or
contributions you made to an IRA.
Use Form W-9 to give your correct TIN
to the person requesting it (the requester)
and, when applicable. to:
1. Certify the TIN you are giving is
correct (or you are waiting for a number to
be issued).
2. Certify you are not subject to backup
withholding, or
3. Claim exemption from backup
withholding if you are an exempt payee.
Note: If a requester gives you a form other
than a W-9 to request your TIN, you must
use the requester's form if it is substantially
similar co this Form W-9.
What Is Backup Withholding?-Persons
making certain payments to you must
withhold and pay to the IRS 31% of such
payments under certain conditions. This is
called "backup withholding." Payments
that may be subject to backup withholding
include interest. dividends, broker and
barter exchange transactions, rents,
royalties, nonemployee pay, and certain
payments from fishing boat operators. Real
estate transactions are not subject to
backup withholding.
If you give the requester your correct
TIN, make the proper certifications, and
report all your taxable interest and
dividends on your tax return, payments
you receive will not be subject to backup
withholding. Payments you receive will be
subject to backup withholding if:
1. You do not furnish your TIN to the
requester, or
2. The IRS tells the requester that you
furnished an incorrect TIN, or
3. The IRS tells you that you are subject
to backup withholding because you did not
report all your interest and dividends on
your tax return (for reportable interest and
dividends only), or
4. You do not certify to the requester
that you are not subject to backup
withholding under 3 above (for reportable
interest and dividend accounts opened
aFter 1983 only). or
Date ~
5. You do not certify your TIN when
required. See the Part III instructions on
page 2 for details.
Certain payees and payments are
exempt From backup withholding. See the
Part II instructions and the separate
Instructions for the Requester of Form
W-9.
Penalties
Failure To Furnish TIN.-If you fail to
furnish your correct TIN to a requester, you
are subject to a penalty of $50 for each
such failure unless your failure is due to
reasonable cause and not to willful neglect.
Civil Penalty for False Information With
Respect to Withholding.-If you make a
false statement with no reasonable basis
that results in no backup withholding. you
are subject to a $500 penalty.
Criminal Penalty for Falsifying
Information.- Willfully falsifying
certifications or affirmations may subject
you to criminal penalties including fines
and/or imprisonment.
Misuse of TINs.-lf the requester
discloses or uses TINs in violation of
Federal law, the requester may be subject
to civil and criminal penalties.
Cat. No. 10231X
Form W-9 (Rev. 12-96)
Form W-9 (Rev. 12-96)
Page 2
Specific Instructions
Name.-If you are an individual, you must
generally enter the name shown on your
social security card. However, if you have
changed your last name, for instance, due
to marriage. without informing the Social
Security Administration of the name
change, enter your first name, the last
name shown on your social security card.
and your new last name.
If the account is in joint names. list first
and then circle the name of the person or
entity whose number you enter in Part I of
the form.
Sole Proprietor.-You must enter your
individual name as shown on your social
security card. You may enter your
business. trade. or "doing business as"
name on the business name line.
Other Entities.-Enter the business name
as shown on required Federal tax
documents. This name should match the
name shown on the charter or other legal
document creating the entity. You may
enter any business, trade. or "doing
business as" name on the business name
line.
Part I-Taxpayer Identification Number
(TIN)
You must enter your TIN in the appropriate
box. If you are a resident alien and you do
not have and are not eligible to get an
SSN, your TIN is your IRS individual
taxpayer identification number (ITIN). Enter
it in the social security number box. If you
do not have an ITIN. see How To Get a
TIN below.
If you are a sole proprietor and you have
an EIN, you may enter either your SSN or
EIN. However. using your EIN may result in
unnecessary notices to the requester.
Note: See the chart on this page for further
clarification of name and TIN combinations.
How To Get a TIN.-If you do not have a
TIN. apply for one immediately. To apply
for an SSN. get Form 55-5 from your local
Social Security Administration office. Get
Form W-7 to apply for an ITIN or Form
55-4 to apply for an EIN. You can get
Forms W-7 and SS-4 from the IRS by
calling 1-800-TAX-FORM
(1.800-829-3676).
If you do not have a TIN, write "Applied
For" in the space for the TIN, sign and
date the form, and give it to the requester.
For interest and dividend payments, and
certain payments made with respect to
readily tradable instruments, you will
generally have 60 days to get a TIN and
give it to the requester. Other payments
are subject to backup withholding.
Note; Writing "Applied For" means that
you have already applied for a TIN OR that
you intend to apply for one soon.
Part II-For Payees Exempt From
Backup Withholding
Individuals (including sole proprietors) are
not exempt from backup withholding.
Corporations are exempt from backup
withholding for certain payments. such as
interest and dividends. For more
information on exempt payees, see the
separate Instructions for the Requester of
Form W-9.
If you are exempt from backup
withholding, you should still complete this
form to avoid possible erroneous backup
withholding. Enter your correct TIN in Part
I. write "Exempt" in Part II, and sign and
date the form.
If you are a nonresident alien or a foreign
entity not subject to backup withholding,
give the requester a completed Form W-8,
Certificate of Foreign Status.
Part III-Certification
For a joint account, only the person whose
TIN is shown in Part I should sign (when
required).
1. Interest. Dividend, and Barter
Exchange Accounts Opened Before 1984
and Broker Accounts Considered Active
During 1983. You must give your correct
TIN. but you do not have to sign the
certification.
2. Interest, Dividend, Broker. and
Barter Exchange Accounts Opened After
1983 and Broker Accounts Considered
Inactive During 1983. You must sign the
certification or backup withholding will
apply. If you are subject to backup
withholding and you are merely providing
your correct TIN to the requester. you must
cross out item 2 in the certification before
signing the form.
3. Real Estate Transactions. You must
sign the certification. You may cross out
item 2 of the certification.
4. Other Payments. You must give your
correct TIN. but you do not have to sign
the certification unless you have been
notified that you have previously given an
incorrect TIN. "Other payments" include
payments made in the course of the
requester's trade or business for rents,
royalties. goods (other than bills for
merchandise). medical and health care
services (including payments to
corporations). payments to a nonemployee
for services (including attorney and
accounting fees), and payments to certain
fishing boat crew members.
5. Mortgage Interest Paid by You,
Acquisition or Abandonment of Secured
Property, Cancellation of Debt, or IRA
Contributions. You must give your correct
TIN, but you do not have to sign the
certification.
Privacy Act Notice
Section 6109 of the Internal Revenue Code
requires you to give your correct TIN to
persons who must file information returns
with the IRS to report interest, dividends.
@
and certain other income paid to you.
mortgage interest you paid. the acquisition
or abandonment of secured property.
cancellation of debt. or contributions you
made to an IRA. The IRS uses the
numbers for identification purposes and to
help verify the accuracy of your tax return.
The IRS may also provide this information
to the Department of Justice for civil and
criminal litigation and to cities. states. and
the District of Columbia to carry out their
tax laws.
You must provide your TIN whether or
not you are required to file a tax return.
Payers must generally withhold 31% of
taxable interest. dividend, and certain other
payments to a payee who does not give a
TIN to a pilyer. Certain penalties may also
apply.
What Name and Number To
Give the Requester
For this type of account: Give name and SSN of:
1. Individual
2. Two or more
individuals (joint
account)
3. Custodian account or
a minor (Unilorm Gift
to Minors Act)
4. a. The usual
revocable savings
trust (grantor is
also trustee)
b. So-caned trust
account that is not
a legal or valid trust
under state law
5. Sole proprietorship
The individual
The actual owner 01 the
account or. if combined
lunds. the r.st individual
on the account I
The minor l
The grantor.trustee 1
The actual owner 1
The owner ·
For this type of account:
6. Sole proprietorship
7. A valid trust. estate, or
pension trust
B. Corporate
9. Association, club.
religious. charitable.
educational. or other
tax-exempt
organization
10. Partnership
11. A broker or registered
nominee
12. Account with the
Department 01
Agriculture in the name
of a public entity (such
as a state or local
government. school
district. or prison) that
receives agricultural
pr09ram payments
Give name and EIN of:
The owner J
Legal entity ,
The corporation
The organization
The partnership
The brOker or nominee
The public ent~y
, List first and circle the name of the person whose
number you lurnish. If only one person on a joint
account has an SSN. that person's number must be
furnished.
I Circle the minor's name and furnish the minor's SSN.
I You must show your individual name. but you may also
enter your business or "doing business as. name. You
may use e~her your SSN or EIN [II you have one).
I List rrst and ci,cle the n3me 01 the legaltrusL estate.
or pension trust. (00 not furnish the TIN 01 the personal
representative or trustee unless the legal entity ~sell is
not designated in the account title.)
Note: If no name is circled when more than one
name is listed, the number will be considered to
be that of the first name listed.
MIAMI-DADE WATER AND SEWER DEPARTMENT
BILL OF MATERIALS / COST BREAKDOWN
Agmt ID#
Water ER:
Project Name
Contractor:
WASD Insp:
QUANTITY
SIZE
COST (labor, Materials, Equipment Excavation)
TYPE UNIT COST TOTAL COST
WATER
I
i Pipe Including Fittings
I ( min. $2.50 per ftlinch
I list by size)
I
i Valves:
i
I
1-
!
I
I
1
I
Butterfly !
Services: I I I I
Single: I I !
( min. $350.00 each) r I
Domestic: Dual: I I
I
I I I
Ilm9.1I0n: I
, !
I
1- I
, I
i
i
I
I
I
I
Firelines:
( By Size)
Fire Hydrant
Assemblies:
I (Min. $1,000.00 each)
~urbo Meter
I
lRestoration:
I
,
( Paving, ect. )!
!
TOTAL COST OF THIS PROJECT:
DATE:
AUTHORIZED SIGNATURE:
RZ Form Rev. 101599
MIAMI-DADE WATER AND SEWER DEPARTMENT
BILL OF MATERIALS / COST BREAKDOVVN
Agmt 10#
Sewer ER:
Project Name
Developer:
Contractor:
QUANTITY
SIZE
COST (Labor, Materials, Equipment _Excavation)
TYPE UNIT COST TOTAL COST
SEWER
:GRAVITY SEWERS
i ( min. $3.00 per ftlinch
i list by size)
I
I
i
!Manholes:
(min. $1000.00 each)
Service Laterals: I i I I i
I I I
(min. $350.00 I i I i
each. List by Size) !
FORCE MAIN: I I I i
Pipe Including Fittings I
(Min. $2.50 per ftlinch) I I I
(List By Size) I
I I I I I
i i ! I
I
~ ,
I
IValves:
I
I
I
I
!
.-.-.- ......-] I
II
Pumping Stations, L.S.:
(Min. $100,000.00 each) Capacity:
~enerator
'sewage Meter:
:Restoration: ( Paving. ect. )1
Peak Design Factor:
DATE:
TOTAL COST OF THIS PROJECT:
AUTHORIZED SIGNATURE:
RZ Form Rey. 101sg9
Preview
Page 1 of 1
City of Sunny Isles Beach
18070 Collins Avenue
Sunny Isles Beach, Florida 33160
(305) 947-0606 City Hall
(305) 949-3113 Fax
MEMORANDUM
TO:
The Honorable Mayor and City Commission
FROM:
Rick Conner, City Manager
DATE:
5/20/2010
RE:
Approval of a Resolution authorizing the sale of all of the sanitary sewer
system improvements, that the City has constructed on Atlantic Isles, to
the County's Water and Sewer Department.
RECOMMENDATION:
The staff recommends that the Commission approve the Resolution that authorizes the
sale of all of the sanitary sewer system improvements that the City has constructed on
Atlantic Isles, to the County's Water and Sewer Department.
REASONS:
We have been working diligently to complete the Atlantic Isles Project, and as you are
aware, the sanitary sewer system has been the most difficult portion of the project
because of all of the County's requirements. We are down to the final items and one is
to give them ownership of the system so that they will turn it on. They will then be
completely responsible for all maintenance, repair, and replacement. It has always been
the City's intention to dedicate the system to them.
FUNDING SOURCE:
N/A
http://sibagenda.sibfl.net/agenda/Preview .aspx?I temID=270&MeetingID=0&MeetingDate... 5/14/2010